在男性和女性中,出生体重和出生长度对未来骨折风险的影响不同
Louise Moberg1,2, Lars Jehpsson3,4, Peter M Nilsson5,4
1Department of Obstetrics and Gynecology, Skåne University Hospital, Klinikgatan 12, S-221 85, Lund, Sweden. louise.moberg@med.lu.se.
概括
较短的出生时间与女性的成年骨折风险较低有关. 然而,出生时长而成年时高的人面临的骨折风险要大得多,无论性别如何.
科学领域:
- 整形外科 整形外科 整形外科
- 流行病学 流行病学
- 人类成长和发展 人类成长和发展
背景情况:
- 出生人类学,包括出生体重和长度,可能会影响长期的健康结果.
- 成年人骨折风险是一个重要的公共卫生问题,特别是在老年人群中.
研究的目的:
- 调查出生人类学与成人骨折风险之间的关联.
- 探索发育不匹配在骨折风险中的作用.
主要方法:
- 利用了4635名参与者 (1921-1950年出生) 的医院和国家注册数据.
- 分析了出生人类学和成人骨折数据 (≥50岁) 使用考克斯比例危险回归.
- 计算的危险比率 (HR) 使用 95% 的置信区间来评估风险.
主要成果:
- 在女性中,较短的出生时间与较低的成年骨折风险有关 (HR 1.10每厘米;1.04-1.17).
- 发育不匹配 (例如,出生时体重低,随后成人体重高) 没有发现显著的关联.
- 长/高的出生,并在成年时保持高的两性都表现出明显更高的骨折风险 (HR 1.55-2.09).
结论:
- 较短和较轻的出生尺寸可能与50岁以上女性骨折风险降低有关.
- 长出生长度和高个体的成年人代表骨折的高风险群体.
- 需要进一步的研究来阐明这些观察到的关联背后的机制.
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