孕产妇甲状腺功能低下症和儿童随后的代谢结果:系统性审查和元分析
Lucy Zhao1,2, Inthuja Selvaratnam2, Jessie Cunningham2
1Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
BMC pediatrics
|August 1, 2024
概括
怀孕期间母亲的甲状腺功能低下可能会增加后代患高血压和葡萄糖问题的风险. 关于肥胖关系的证据仍然不清楚,这需要进一步研究胎儿发育和代谢疾病.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 儿科代谢健康儿童代谢健康
- 健康和疾病的发育起源
背景情况:
- 孕产妇的甲状腺激素对胎儿发育至关重要.
- 孕产妇甲状腺功能低下症对后代代谢健康的影响尚未得到充分证实.
研究的目的:
- 调查孕期母亲甲状腺功能低下症与18岁以下儿童代谢结果之间的关联.
- 对肥胖,高血压,2型糖尿病和脂质失调的风险进行了检查.
主要方法:
- 5个数据库的系统文献搜索 (开始至2023年5月).
- 包括队列,病例控制和随机对照试验.
- 使用随机效应模型汇集数据;使用ROBINS-E和Cochrane偏差风险工具评估研究质量.
主要成果:
- 包括七项研究 (1项试验,6项观察性).
- 孕产妇的甲状腺功能低下与子女高血压和葡萄糖失调的风险增加有关.
- 在母体甲状腺功能低下症和后代肥胖症之间没有发现显著的关联.
结论:
- 关于母体甲状腺功能低下症和后代代谢结果的证据不一致.
- 与高血压和儿童葡萄糖失调的潜在关联需要进一步调查.
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