妊娠期体重增加与6-7岁后代的行为问题之间的关联:日本的一项基于人口的研究
Shuhei Terada1, Aya Isumi2, Satomi Doi2
1Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan.
概括
低孕期体重增加 (GWG) 在7公斤以下可能会增加儿童的行为问题. 相反,超过14公斤的GWG可能会防止亲社会行为问题.
科学领域:
- 孕产妇和胎儿的医学
- 发展心理学是发展心理学.
- 公共卫生 公共卫生
背景情况:
- 妊娠期体重增加 (GWG) 是影响母亲和儿童健康结果的关键因素.
- 了解GWG对儿童行为发展的影响对于早期干预策略至关重要.
研究的目的:
- 确定与6~7岁儿童的行为问题和亲社会行为相关的最佳妊娠体重增加 (GWG) 门.
- 研究不同水平的GWG与儿童行为结果之间的关系.
主要方法:
- 一项回顾性队列研究,使用了生活困难对阿达奇儿童健康影响研究 (n=11,048) 的数据.
- 从临床记录中获得的妊娠体重增加 (GWG) 数据;使用强度和困难问卷评估儿童行为.
- 有限制立方线的物流回归模型分析了GWG与行为结果之间的关联,控制共变量.
主要成果:
- 在GWG和总困难之间观察到一个反向的J形关联,GWG<7公斤增加了风险 (OR1.20).
- 高GWG (> 14公斤) 与社会性行为问题的风险降低有关 (OR 0.77).
- 体重>14公斤的GWG并没有显著增加总体困难的风险,体重<7公斤的GWG也没有显著影响亲社会行为.
结论:
- 妊娠期体重增加 (GWG) 低于7公斤可能是6至7岁儿童增加行为困难的危险因素.
- 超过14公斤的孕期体重增加 (GWG) 可能对幼儿时期的亲社会行为产生保护作用.
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