与注意力缺陷/多动症相关的新生儿风险因素:一个总体审查
Ensiyeh Jenabi1, Erfan Ayubi2, Sajjad Farashi1,3
1Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
Clinical and experimental pediatrics
|July 14, 2023
概括
新生儿的因素,如先天性异常,不完整的母乳养,低出生体重和低Apgar分数与注意力缺陷多动症 (ADHD) 相关. 需要进一步的研究来证实ADHD发展的这些发现.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿科医学 儿科医学 儿科医学
- 公共卫生 公共卫生
背景情况:
- 注意缺陷多动性障碍 (ADHD) 是一种流行的神经发育障碍.
- 了解早期风险因素对于干预和预防策略至关重要.
- 由于ADHD的患病率越来越高,因此需要对其相关的新生儿风险因素进行全面审查.
研究的目的:
- 进行与ADHD相关的新生儿风险因素的综合系统审查.
- 从现有的关于ADHD风险因素的元分析中汇编和综合证据.
- 为了确定ADHD表现的显著新生儿预测因素.
主要方法:
- 在PubMed,Scopus和Web of Science数据库中进行系统搜索.
- 仅包括系统性审查和元分析.
- 应用一种具有95%预测间隔的随机效应模型,用于风险因素分析.
主要成果:
- 确定了ADHD新生儿显著的风险因素:先天性心脏病,短暂或不完整的母乳养,低出生体重和5分钟的Apgar分数低于7.
- 包括系统审查的认可质量低至中等.
- 指出表明证据基础的可信度水平较低.
结论:
- 先天性异常,低于最佳的母乳养,低出生体重和低Apgar分数被认为是ADHD症状发展的关键因素.
- 强调需要更多高质量的研究来验证这些发现.
- 强调了基于已识别的新生儿风险因素的早期识别和干预的潜力.
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