在怀孕期间使用乙氨基和后代注意力缺陷多动障碍 - 一个纵向兄弟对照研究研究
Kristin Gustavson1,2, Eivind Ystrom1,2, Helga Ask1
1Norwegian Institute of Public Health Oslo Norway.
JCPP advances
|July 11, 2023
概括
在怀孕期间,母亲使用乙氨基29天或更长时间,与儿童患ADHD的风险更高有关. 然而,兄弟姐妹分析表明,未测量的家庭因素可能会混这种关联,而不是乙氨基本身.
科学领域:
- 神经科学是一个神经科学.
- 发展生物学 发展生物学
- 流行病学 流行病学
背景情况:
- 孕妇在怀孕期间使用乙氨基与儿童多动症 (ADHD) 风险增加有关.
- 这种关联可能是因果关系或由于混因素.
- 未测量的家族因素被调查为潜在的混因素.
研究的目的:
- 检查母亲在怀孕期间使用乙氨基与后代患ADHD风险之间的关联.
- 调查未测量的家庭混因素在这种关联中的作用.
主要方法:
- 利用挪威母亲,父亲和儿童队列研究 (MoBa) 中26613名儿童的数据.
- 将MoBa数据与挪威的医疗出生和患者登记簿联系起来.
- 采用兄弟姐妹异调分析来控制家族因素.
主要成果:
- 长达28天的乙氨基暴露与ADHD风险增加无关.
- 长期暴露 (≥29天) 显示ADHD风险增加了两倍 (aHR=2.02).
- 兄弟姐妹分析表明,在长期使用中,在家庭层面 (aHR=2.77) 之间存在显著的关联,但在家庭内部 (aHR=1.06) 没有.
结论:
- 长期使用乙氨基和ADHD之间观察到的关联可能部分是由未观察到的家族因素解释的.
- 长期使用的母亲的暴露和未暴露的孩子都显示ADHD风险增加,支持混.
- 家庭因素,而不是直接的因果关系,可能在乙氨基-ADHD关联中发挥着重要作用.
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