孕产妇肥胖和儿童喘风险:探索调解途径
Natalie A Rosenquist1, Megan Richards1, Jeannette R Ferber2
1School of Public Health, University of Nevada, Reno, Nevada, USA.
Paediatric and perinatal epidemiology
|December 6, 2023
概括
孕产妇的肥胖增加了儿童喘风险,儿童超重/肥胖部分介导了这一联系. 在这项研究中,孕期体重增加和早产并不是显著的调解因素.
科学领域:
- 生殖健康 生殖健康
- 儿科健康 儿科健康
- 流行病学 流行病学
背景情况:
- 孕产妇肥胖越来越多地与儿童喘有关.
- 了解调解这种关联的途径对于预防至关重要.
研究的目的:
- 调查儿童体重指数 (BMI),妊娠期体重增加 (GWG) 和早产是否介导着母亲肥胖和儿童喘风险之间的关联.
- 用因果推断和因果调解者模型分析调解效应.
主要方法:
- 利用来自大型综合医疗保健系统的电子医疗记录 (n=95,723个母婴对).
- 从出生 (2005-2014) 到4岁,6岁和8岁的儿童,通过诊断代码和药物来定义喘.
- 评估了孕前的BMI,孩子的BMI,GWG和早产,使用因果推理测试和调解模型.
主要成果:
- 儿童喘风险增加与更高的孕前BMI (RR:1.07每5kg/m2增加在4岁).
- 儿童BMI被确定为显著的部分调解者,而GWG和早产并非如此.
- 在随访年龄和调解者评估方法之间,研究结果一致.
结论:
- 儿童超重/肥胖症在孕前母亲的BMI和儿童喘之间的关系中起着温和的调解作用.
- 这些发现强调了管理母亲体重对儿科呼吸系统健康的重要性.
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