母亲初潮时的年龄与早产的几率有关:一项病例对照研究
Yingan Chen1,2,3, Mingyu Zhang4, Guoying Wang5
1Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
BJOG : an international journal of obstetrics and gynaecology
|September 4, 2023
概括
较早的初潮年龄 (AAM) 与早产 (PTD) 风险的增加有关. 这种关联在老年母亲中更强烈,突出了潜在的生殖健康问题.
科学领域:
- 生殖健康 生殖健康
- 围产期流行病学 围产期流行病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 在全球范围内,人们观察到更早的初潮年龄 (AAM) 的长期趋势.
- 较早的AAM与代谢障碍和早产 (PTD) 风险增加有关.
- 缺乏美国研究,调查AAM和PTD风险之间的联系.
研究的目的:
- 测试假设,初潮早期年龄 (AAM) 与早产 (PTD) 的风险增加有关.
主要方法:
- 在波士顿医疗中心 (1998-2019) 进行了一项涉及8264名母婴双胞胎的病例对照研究.
- 病例 (2242名母亲) 患有PTD,而对照组 (6022名母亲) 没有.
- 多变量调整后勤回归和受限立方线分析了AAM和PTD风险之间的关联.
主要成果:
- 在AAM和PTD几率之间发现了逆剂量反应相关性.
- 每一年前的AAM都与PTD的几率增加5%相关 (95%CI2%-8%).
- AAM和PTD之间的关联在分娩时35岁或以上的母亲中更为明显.
结论:
- 初潮的早期年龄与早产的更高可能性显著相关.
- 这种关联在晚期生育年龄的女性中得到了扩大.
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