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Updated: May 15, 2026

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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
23の発展途上国のマクロソミア: 多国,施設ベースの,横断的な調査の分析
Ai Koyanagi1, Jun Zhang, Amarjargal Dagvadorj
1Hatsuishi Hospital, Kashiwa, Chiba, Japan. koyanagiai@yahoo.com
Lancet (London, England)
|January 8, 2013
まとめ
マクロソミア,または大きな赤ちゃんを産むことは,母親と新生児のリスクを高めます. 妊産婦の糖尿病や肥満のような要因が,この状態に寄与し,開発途上国におけるさらなる研究と介入が必要となる.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 産科は産婦人科です.
- 産前流行病学 産前流行病学
背景:
- マクロソミアは,不良な出産結果の重要な危険因子です.
- アフリカ,アジア,ラテンアメリカ全域の23の開発途上国でマクロソミアの流行,リスク要因,出産結果を調査した.
研究 の 目的:
- マクロソミアの有病率と危険因子を決定する.
- 帝王切開や母性/胎児間合併症を含む分娩結果に対するマクロソミアの影響を評価する.
- 開発途上国における介入に関する洞察を提供すること.
主な方法:
- 世界保健機関 (WHO) の"母と子周健康に関する世界調査 (2004年~2008年) "のデータ分析.
- 24カ国の373の保健施設から276,436人の単体生児/新生死児を対象とした施設ベースの横断的研究.
- リスク要因と結果を特定するために使用されるランダム効果を持つロジスティック回帰.
主要な成果:
- 高い母親の年齢,身長,均等性,BMI,糖尿病,妊娠後期,および男性胎児の性別は,マクロソミアリスクの増加と関連していました.
- マクロソミアは,すべての地域において,阻害された出産と期後の妊娠による帝王切開のリスクを大幅に増加させた.
- 妊産婦の不良出産結果はすべての地域で増加し,アフリカでは不良生理周期の出産が増加しました.
結論:
- 生殖年齢の女性の糖尿病と肥満の上昇率は,開発途上国におけるマクロソミックな出産の増加につながる可能性があります.
- 糖尿病と妊娠前の体重のコントロールを調査することは,マクロソミアの管理に極めて重要です.
- 施設での出産率の増加は,マクロソミア関連の罹病率と死亡率を低減するために不可欠です.
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