If I’m looking at the association between cardiovascular disease (CVD) risk and gut microbial beta diversity, I understand that this would show the association between levels CVD risk and inter-individual differences in gut microbiome composition. However, I’m finding understanding that association in a biological context a bit tricky. For example, if it is a positive significant association, is that suggesting that harbouring a more distinct gut microbial community compared to somebody else , may be linked with a CVD risk (i.e there is no “core” microbiome signature associated with CVD risk per se that would be common across individuals, more likely to be different compositions when comparing).

I'm more familiar with comparing beta diversity between disease vs control, rather than association with an endpoint, so any explanations would be appreciated - thank you.

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