孕期母亲的饮食质量和后代的喘息轨迹:日本环境和儿童研究
Hitomi Okubo1,2, Shoji F Nakayama1, Yukihiro Ohya3,4
1Japan Environment and Children's Study Programme Office, National Institute for Environmental Studies, Ibaraki, Japan.
Allergy
|October 18, 2023
概括
在怀孕之前改善母亲的饮食质量可能会降低儿童过渡性早期和持续性喘息的风险. 这项研究确定了儿童时期明显的喘息模式及其与母亲饮食的联系.
科学领域:
- 儿科过敏和免疫学
- 营养流行病学 营养流行病学
- 发育儿科 发育儿科
背景情况:
- 产前饮食和儿童喘风险之间的联系仍然不清楚,可能是由于不同的喘息模式.
- 在幼儿时期识别出不同的喘息轨迹对于了解环境影响至关重要.
- 孕期孕产妇的饮食质量是一个可改变的因素,可能会影响早期儿童的呼吸系统健康.
研究的目的:
- 在幼儿时代识别出明显的喘息轨迹.
- 调查孕期孕产妇饮食质量与已识别的喘息轨迹之间的关联.
- 为公众健康战略提供有关怀孕前营养的信息,以预防儿童呼吸系统问题.
主要方法:
- 在日本环境和儿童研究中分析了来自70,530对母婴对的数据.
- 从1岁到4岁,每年使用护理人员报告追踪喘息模式,并通过基于组的轨迹建模分析.
- 使用经过验证的食物频率问卷和均衡饮食得分来评估母亲的饮食质量;使用贝叶斯逻辑回归来检查关联.
主要成果:
- 确定了四种不同的喘息轨迹:"从来没有/不经常" (69.1%),"早期发病" (6.2%),"过渡性早期" (16.5%),和"持久" (8.2%).
- 较高的母亲均衡饮食分数与10%降低"过渡性早期"和"持久"喘息轨迹的风险有关.
- 没有发现母亲的饮食质量与"早期儿童发作"喘息轨迹之间有显著的关联.
结论:
- 孕期期间母亲的饮食质量与特定的儿童喘息轨迹有关.
- 在怀孕之前改善母亲的饮食质量可能是一个可行的策略,以减轻暂时和持续喘息的风险.
- 进一步的研究应该探索将孕前营养与幼儿呼吸系统健康结果联系在一起的机制.
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