出生体重和2型糖尿病的风险:系统性审查
Peter H Whincup1, Samantha J Kaye, Christopher G Owen
1Division of Community Health Sciences, St George's, University of London, Cranmer Terrace, London SW17 0RE, England. p.whincup@sgul.ac.uk
JAMA
|December 26, 2008
概括
低出生体重与成人2型糖尿病风险降低有关. 这种反向关联在出生时体重为3公斤或以下的个体中尤其强烈.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 代谢疾病 代谢疾病
背景情况:
- 低出生体重被怀疑是2型糖尿病的危险因素.
- 以前的研究还没有系统地评估这种关联的强度,一致性,独立性和形状.
研究的目的:
- 对已发表的关于出生体重与成人2型糖尿病之间的关联的证据进行定量系统审查.
主要方法:
- 在EMBASE,MEDLINE和Web of Science中搜索到2008年6月之前发表的相关研究.
- 包括对出生体重与2型糖尿病相关性的定量或定性估计的研究.
- 使用随机效应模型进行聚合估计,对共变量进行调整,并排除特定种群.
主要成果:
- 分析了31份相关报告 (31个人口,6090例糖尿病病例,152,084人).
- 在大多数人群中发现出生体重和2型糖尿病风险之间的反向关联 (合并的OR为每公斤0.75).
- 这种关联是分级的,特别是在出生体重≤3公斤时,并在调整身体质量指数后得到加强.
结论:
- 在大多数研究的人群中,出生体重与2型糖尿病风险相反相关.
- 这些发现强调了出生体重作为成人2型糖尿病风险决定因素的重要性.
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