孕期体重增加对儿童喘表型的贡献:一项前性队列研究
Akihiro Shiroshita1, Tebeb Gebretsadik2, Larry J Anderson3
1Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tenn; Division of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tenn.
概括
超出推范围的孕期体重增加 (GWG) 与儿童过敏喘有关. 怀孕期间最佳GWG可能有利于孩子的健康结果,而怀孕前的BMI没有显示任何关联.
科学领域:
- 儿科过敏和免疫学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 公共卫生 公共卫生
背景情况:
- 产前人类测量测量与特定的儿童喘表型之间的关系尚不清楚.
- 了解这些联系对于制定有针对性的预防策略至关重要.
研究的目的:
- 调查孕前体重指数 (BMI) 和孕期体重增加 (GWG) 与儿童过敏和非过敏喘表型之间的关联.
- 确定偏离推的GWG是否会影响喘的发展.
主要方法:
- 在田纳西州研究了一组1266名健康婴儿.
- 怀孕前的BMI和GWG通过问卷进行评估,并根据既定的准则进行分类.
- 在5岁时确定了喘表型,包括过敏性喘 (目前的喘与阳性过敏测试).
- 用多变量和多项逻辑回归模型进行分析.
主要成果:
- 在5岁时,15.3%的儿童患有喘,52.6%的儿童被归类为过敏性喘.
- 无论是不充分的还是过度的GWG都与喘和过敏喘的几率增加显著相关.
- 怀孕前的BMI没有与喘或其表型有显著的关联.
结论:
- 不充分和过度的妊娠期体重增加是儿童患过敏喘的危险因素.
- 建议保持最佳的妊娠体重增加,以促进儿童健康的积极结果.
- 对影响儿童喘的产前因素进行进一步研究是有必要的.
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