在怀孕期间,性类固醇激素和随后的高血糖之间存在关联
Ying Meng1, Loralei L Thornburg2, Kathleen M Hoeger2
1School of Nursing, University of Rochester, Rochester, NY, United States.
Frontiers in endocrinology
|September 28, 2023
概括
妊娠早期总,自由和雌激素水平与较高的葡萄糖水平和妊娠糖尿病风险有关. 这些荷尔蒙可能有助于早期预测妊娠期糖尿病.
科学领域:
- 内分泌学 在内分泌学.
- 生殖生物学 生殖生物学
- 代谢健康 代谢健康
背景情况:
- 性类固醇激素会影响胰岛素敏感性和葡萄糖代谢.
- 关于怀孕早期的类固醇性激素水平和妊娠期高血糖症的数据有限.
- 孕期糖尿病 (GDM) 是一个重要的妊娠并发症.
研究的目的:
- 调查第一季度性类固醇激素与妊娠期间随后的高血糖之间的关联.
- 为了探索与GDM诊断有关的妊娠中期晚期的类固醇性激素水平.
主要方法:
- 对医学上低风险个体的潜在怀孕队列 (n=319) 的回顾性分析.
- 使用LC-MS/MS.测量第一季度的性别类固醇激素 (总丸激素,自由丸激素,雌激素,雌醇,雌醇)
- 使用多变量线性回归来评估与葡萄糖水平和GDM诊断的关联的统计分析.
主要成果:
- 第一季度的总体和自由显示出与葡萄糖水平和GDM风险的积极关联.
- 第一季度雌激素也与GDM诊断有积极的关联.
- 与对照人群相比,患有GDM的个体在怀孕中期晚期的总丸激素水平较低.
结论:
- 妊娠早期总,自由和雌激素水平与妊娠糖尿病风险增加有关.
- 这些性类固醇激素可以作为GDM预测的潜在早期生物标志物.
- 需要进一步的研究来将这些激素标记物纳入GDM风险评估策略中.
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