怀孕期间OGTT结果与后代TSH水平之间的关联:一个出生队列研究
Meng Yang1, Zhongqiang Cao1, Wanting Zhu2
1Institute of Maternal and Child Health, Tongji Medical College, Wuhan Children's Hospital (Wuhan Maternal and Child Health care Hospital, Huazhong University of Science and Technology, Wuhan, 430000, China.
BMC pregnancy and childbirth
|May 17, 2024
概括
母亲的妊娠期糖尿病 (GDM) 与新生儿的高甲状腺刺激激素 (TSH) 水平有关. 异常口服葡萄糖耐受性测试 (OGTT) 值的数量预测新生儿TSH风险.
科学领域:
- 新生儿健康 新生儿健康
- 内分泌学 在内分泌学.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 关于妊娠糖尿病 (GDM) 与新生儿甲状腺刺激激素 (TSH) 升高之间的关联存在有限的研究.
- 了解这种联系对于新生儿健康结果至关重要.
研究的目的:
- 调查新生儿暴露在母亲GDM中的TSH水平升高的风险.
- 分析异常口服葡萄糖耐受性测试 (OGTT) 值的类型和数量对新生儿TSH水平的影响.
主要方法:
- 中国武汉的一项前性出生队列研究,涉及15236对母婴.
- 使用75克OGTT进行GDM查,新生儿TSH通过时间解析免疫光检测测量.
- 基于OGTT结果,对高TSH (>10mIU/L或>20mIU/L) 的风险评估 (调整后的RR).
主要成果:
- 11.5%的母亲患有GDM;他们的后代显示出显著更高的TSH水平 (平均差异0.20).
- 有三个异常OGTT值的母亲的新生儿,TSH升高的风险增加了近五倍 (aRR为4.77).
- 孕产妇的禁食血糖与新生儿的TSH水平和升高的TSH状态正相关.
结论:
- 在GDM怀孕中新生儿TSH升高的个性化风险评估应考虑OGTT异常.
- 孕产妇的禁食血糖是新生儿TSH升高的关键预测因素.
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