孕前母亲的超重或肥胖和后代出生缺陷的风险:基于人口的队列研究
Weiying Liu1,2, Luzhong Ren1, Fang Fang3
1Longgang District Maternity & Child Healthcare Hospital of Shenzhen City (Longgang Maternity and Child Institute of Shantou University Medical College), Shenzhen, China.
Acta obstetricia et gynecologica Scandinavica
|January 29, 2024
概括
孕产妇超重或肥胖会增加出生缺陷的风险,尤其是循环系统形. 妊娠期糖尿病进一步增加了孕前体重问题母亲的风险.
科学领域:
- 生殖健康 生殖健康
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 孕产妇肥胖是一个日益严重的全球健康问题.
- 在中国,将孕产妇肥胖与出生缺陷联系在一起的证据有限.
- 妊娠期糖尿病在这一关联中的作用尚不清楚.
研究的目的:
- 调查母亲怀孕前超重/肥胖和后代出生缺陷之间的关联.
- 检查妊娠前体重状况和妊娠期糖尿病与出生缺陷风险之间的相互作用.
主要方法:
- 在中国深对257107名单身者 (2015-2021) 进行了基于人口的队列研究.
- 普森回归分析用于评估关联和相互作用.
- 根据母亲的年龄,教育,登记类型和怀孕情况进行调整.
主要成果:
- 母亲超重/肥胖与任何出生缺陷和循环,眼睛/耳朵/脸部/部和肌肉骨的发育不全的风险增加有关.
- 孕产妇肥胖与任何出生缺陷和循环系统形的更高风险有关.
- 孕期糖尿病超重/肥胖母亲的婴儿患有更高的循环系统形风险.
结论:
- 孕前母亲的超重或肥胖与出生缺陷风险增加有关,特别是循环系统形.
- 孕期糖尿病和怀孕前超重/肥胖的相互作用增加了循环系统形的风险.
- 强调改善孕妇的体重管理和代谢评估,特别是那些超重或肥胖的妇女.
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