怀孕早期的全静电负荷和睡眠呼吸障碍
Amir J Lueth1, Amanda A Allshouse1, Robert M Silver1
1Department of Obstetrics and Gynecology, University of Utah Health, Salt Lake City, UT, USA.
概括
怀孕早期高静态负荷与孕妇睡眠呼吸障碍 (SDB) 有显著的关联. 即使调整了诸如体重指数等因素后,这种关联仍然存在,突出强调了压力.
科学领域:
- 生殖健康 生殖健康
- 睡眠医学 睡眠医学
- 心血管健康 心血管健康
背景情况:
- 睡眠呼吸障碍 (SDB) 是怀孕期间普遍存在的疾病,与孕妇和胎儿的不良后果有关.
- 静态负荷,慢性压力的度量,已与各种健康状况有关,但其在妊娠并发症 (如SDB) 中的作用不太清楚.
研究的目的:
- 调查怀孕早期高静态负荷与怀孕期间睡眠呼吸障碍 (SDB) 存在的关联.
主要方法:
- 这项研究基于12个生物标志物在第一季度定义了高静态负荷.
- 在怀孕早期和中期使用Embletta-Gold设备客观测量睡眠呼吸障碍 (SDB).
- 使用多变量后勤回归模型来评估关联,并对潜在的混因素进行调整.
主要成果:
- 高静态负荷存在于队列的35.0%,SDB发生在8.3%的怀孕中.
- 在高全静电负荷和SDB之间发现了显著的关联 (aOR=5.3),以及在怀孕早期 (aOR=7.0) 和怀孕中期 (aOR=5.8) 的SDB.
- 全静电负荷和SDB之间的关联没有受到肥胖的显著改变,即使在将体重指数排除在全静电负荷得分之外,它仍然是显著的.
结论:
- 怀孕早期的高静态负荷是怀孕期间SDB的重要独立预测因素.
- 这些发现表明慢性压力和SDB之间存在复杂的相互作用,需要进一步调查潜在的双向关系.
- 了解这种关联可能为孕妇群体的SDB预防和管理提供新的途径.
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