在子宫中检测到神经管缺陷的危险因素:来自亚的斯亚贝巴的前性社区研究
Abenezer Tirsit1, Mahlet Yigaramu2, Daniel Zewdneh3
1Division of Neurosurgery, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia; Department of Clinical Medicine, University of Bergen, Bergen, Norway.
World neurosurgery
|February 28, 2024
概括
在亚的斯亚贝巴,维生素状况不佳与胎儿神经管缺陷 (NTD) 的高患病率有关. 通过食品强化来解决营养不足可能会降低NTD风险.
科学领域:
- 孕产妇和胎儿健康 孕产妇和胎儿健康
- 营养流行病学 营养流行病学
- 公共卫生干预 公共卫生干预
背景情况:
- 亚的斯亚贝巴的一项基于社区的研究确定了神经管缺陷 (NTD) 的高患病率,每1000名胎儿中有17名.
- 导致这一群体中NTD发病率升高的危险因素以前未被理解.
研究的目的:
- 调查血清营养水平 (叶酸,维生素B12,同类蛋白) 与孕妇中NTD发生的相关性.
- 在研究人群中确定NTD的其他潜在风险因素.
主要方法:
- 对891名孕妇进行了超声波检查,在878个单独怀孕中确定了15例NTD病例.
- 血清中叶酸,维生素B12和homocysteine的水平被测量在母病例和对照组的一个子集.
- 使用精确的物流回归分析来评估风险因素的关联,因为样本规模很小.
主要成果:
- 血清维生素状况较差是普遍存在的;然而,较高的血清叶酸和维生素B12水平显示出对NTDs的保护作用.
- 血清同类半氨酸水平升高与NTD风险增加有关.
- 母亲年龄 (≥30岁),较低的家庭收入,以及先例自发性流产或死产也与较高的NTD风险有关.
结论:
- 维生素状况不佳是这种高患病率社区中NTD的重要风险因素.
- 改善食品安全和食品强化等策略可以有效地缓解NTD发病率.
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