与胎盘变化相关的童年亚托皮性疾病 - 一个系统性审查和元分析
Zaki Bakoyan1, Yang Cao2,3, Stefan R Hansson4
1School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
概括
胎盘可能会影响孩子患上阿托皮性疾病的风险. 胎盘变化,如炎症和大小,与儿童喘和其他亚托皮性疾病有关.
科学领域:
- 生殖生物学 生殖生物学
- 儿科过敏 儿科过敏
- 健康和疾病的发育起源
背景情况:
- 胎儿编程表明,产前暴露可以增加晚年疾病的风险,胎盘作为潜在的调解者.
- 亚托皮性疾病,如喘和湿疹,是具有复杂病因的儿童健康问题.
研究的目的:
- 系统地审查和批判性地评估与童年亚托皮性疾病风险相关的人类胎盘变化.
- 综合证据关于胎盘在调解胎儿编程中对亚托皮性疾病的作用.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 搜索了MEDLINE和EMBASE数据库的英语语言研究.
- 使用ROBINS-I工具评估偏差风险.
主要成果:
- 包括19项研究 (n=12,997),所有这些都存在严重偏差风险.
- 在早产婴儿中发生的历史性肌炎与喘相关 (OR=3.25).
- 孕期婴儿的大胎盘 (≥750g) 与喘药物处方增加有关.
结论:
- 有证据表明,胎盘介导着儿童性疾病的风险增加.
- 进一步的研究对于验证发现,控制混因素和阐明机制至关重要.
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