孕产妇的肥胖和早产的风险
Sven Cnattingius1, Eduardo Villamor, Stefan Johansson
1Clinical Epidemiology Unit, T2, Department of Medicine Solna, Karolinska University Hospital, Karolinska Institutet, SE-171 76 Stockholm, Sweden. sven.cnattingius@ki.se
JAMA
|June 13, 2013
概括
孕妇在怀孕早期超重和肥胖显著增加了早产的风险,特别是极度早产. 这些发现强调了体重管理对于减少不良妊娠结果的重要性.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 围产期流行病学 围产期流行病学
背景情况:
- 早产是婴儿死亡率和发病率的主要原因之一.
- 肥胖是早产的已知危险因素,但与特定亚型的关联尚不清楚.
研究的目的:
- 调查怀孕早期体重指数 (BMI) 和早产风险之间的关系.
- 分析这些关联跨不同的妊娠年龄和早产分类.
主要方法:
- 一项基于人口的队列研究,利用瑞典医学出生登记册 (1992-2010) 的数据.
- 包括活生生的单胎出生与记录的早期怀孕的BMI.
- 对自发和医疗指示的早产产的分析,调整为多种孕产妇和妊娠因素.
主要成果:
- 增加的BMI与极度,非常和中度早产的风险更高有关.
- 超重和肥胖表明,极度早产的风险最高.
- 肥胖女性 (BMI ≥30) 具有显著增加自发极早产的风险,风险随着BMI的增加而增加.
结论:
- 孕妇在怀孕早期超重和肥胖与早产风险增加有关,特别是极端早产.
- 这些发现强调需要在不同人群中进行进一步的研究,以证实这些关联.
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