母亲糖尿病和后代骨折风险:基于人口的分析
Viral N Shah1, William D Leslie2, Maria-Elena Lautatzis3
1Indiana University School of Medicine, Indianapolis, IN 46202, United States.
概括
怀孕期间产妇糖尿病可能会略微增加后代骨折的风险. 这项研究发现,孕期糖尿病或2型糖尿病的母亲生下的孩子中,骨折风险略高7%.
科学领域:
- 产科和妇科 产科和妇科
- 儿科 儿科 儿科
- 内分泌学 在内分泌学.
背景情况:
- 子宫内环境显著影响后代的骨健康和未来骨折风险.
- 已知孕妇糖尿病,包括妊娠糖尿病和2型糖尿病,会影响胎儿生长,但其对后代骨折风险的影响尚不清楚.
研究的目的:
- 调查母亲糖尿病 (妊娠期和2型) 与后代骨折风险之间的联系.
- 为了确定母亲糖尿病是否影响儿童的特定骨折类型.
主要方法:
- 基于人口的队列研究,使用加拿大曼尼托巴省 (1980-2020) 的行政健康数据.
- 鉴定出了患有母糖尿病的分娩,并对发生骨折的后代进行了跟踪 (主要结论).
- 使用考克斯的比例危险回归来分析骨折风险,对共变量进行调整.
主要成果:
- 分析了超过5.85万例分娩;26397名婴儿出生于患有糖尿病的母亲.
- 患有糖尿病的母亲的后代有7%更高的任何骨折的调整风险 (HR1.07,95%CI2.7-11.5%).
- 长骨上肢骨折在两组中最常见.
结论:
- 母亲糖尿病与后代骨折风险的适度增加有关.
- 需要进一步进行纵向研究,以阐明导致这种风险增加的子宫内和产后因素.
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