胎盘血管功能障碍,胎儿和儿童生长和心血管发育:R代研究
Romy Gaillard1, Eric A P Steegers, Henning Tiemeier
1Generation R Study Group (R.G., V.W.V.J.) and the Departments of Epidemiology (R.G., H.T., A.H., V.W.V.J.), Paediatrics (R.G., V.W.V.J.), Obstetrics and Gynaecology (E.A.P.S.), and Child and Adolescent Psychiatry (H.T.), Erasmus Medical Center, Rotterdam, The Netherlands.
Circulation
|October 19, 2013
概括
胎儿营养不足,由更高的动脉阻力表明,与胎儿生长缓慢和儿童心血管发育的改变有关. 这些影响持续到童年,影响身体组成和血压.
科学领域:
- 周围生理学 周围生理学
- 发育生物学 发展生物学
- 心血管生理学心血管生理学
背景情况:
- 不理想的胎儿营养会影响早期生长和心血管发育.
- 胎盘和胎盘血管功能是胎儿健康的关键指标.
研究的目的:
- 调查带和子宫动脉阻力指数与胎儿/儿童生长和心血管发育之间的关联.
- 确定第三个三个月的血管抵抗是否预测了长期的生长和心血管结果.
主要方法:
- 一项基于人口的前性队列研究,包括6716名母亲和儿童.
- 第三季度测量动脉脉动指数,子宫动脉阻力指数和胎儿生长.
- 重复评估儿童成长,体脂分布,左心室质量和血压,直到6岁.
主要成果:
- 第三季度带和子宫动脉血管阻力较高与胎儿生长率较低和出生尺寸较小相关.
- 这些生长差异一直存在,尽管减少了,直到6岁.
- 动脉阻力升高 (而不是子宫阻力) 与更高的儿童BMI,体脂,缩血压和左下心室质量有关,独立于出生体重.
结论:
- 第三个三个月的胎儿-胎盘血管阻力增加与胎儿生长率的降低有关.
- 较高的胎儿-胎盘血管抵抗预测了童年不利的心血管适应.
- 子宫胎盘血管抵抗与儿童心血管结果没有类似的关联.
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