在第二代移民中怀孕期间患糖尿病的风险:瑞典的一项国家队列研究
Per Wändell1, Xinjun Li2, Nouha Saleh Stattin3
1Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden; Center for Primary Health Care Research, Lund University, Malmö, Sweden.
Nutrition, metabolism, and cardiovascular diseases : NMCD
|August 5, 2023
概括
第二代移民妇女在怀孕期间患糖尿病的风险增加. 针对性预防和治疗对于这些妇女在怀孕前和怀孕期间至关重要.
科学领域:
- 生殖健康 生殖健康
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 孕期糖尿病在西方国家的第一代移民妇女中很普遍.
- 关于第二代移民妇女糖尿病风险的数据有限.
- 了解对糖尿病风险的代际影响至关重要.
研究的目的:
- 调查第二代移民妇女怀孕期间所有类型糖尿病的患病率.
- 为了比较第二代移民妇女和瑞典出生的妇女之间的糖尿病风险.
- 确定与糖尿病风险增加相关的特定风险因素和地理来源.
主要方法:
- 一项使用瑞典健康登记册的国家队列研究.
- 考克斯回归分析用于计算危险比率 (HR) 和99%置信区间 (99% CI).
- 调整社会人口统计因素,家庭病史,BMI,吸烟和并发症.
主要成果:
- 第二代移民妇女在怀孕期间患任何糖尿病的风险增加了1.11倍 (99% CI:1.05-1.18).
- 对于来自非洲,亚洲,东欧和丹麦的父母的妇女来说,观察到较高的风险.
- 总体而言,已经存在的1型糖尿病风险降低.
结论:
- 第二代移民妇女在怀孕期间患糖尿病的风险更高.
- 这凸显了对这种人群加强糖尿病预防和管理策略的需要.
- 怀孕前和怀孕期间的早期干预对于改善母亲和婴儿的结果至关重要.
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