整个婴儿期内皮质醇分泌24小时节律的发展:个体参与者数据的系统审查和元分析
Laura Kervezee1, Michelle Romijn2,3, Kirsten N G van de Weijer2
1Group of Circadian Medicine, Department of Cell and Chemical Biology, Leiden University Medical Center, 2333 ZC Leiden, The Netherlands.
The Journal of clinical endocrinology and metabolism
|August 29, 2024
概括
作为关键激素的皮质醇的每日节奏在婴儿中逐渐发展,在6-9个月时建立稳定的早晨峰值. 这一发现对于优化上皮质子替代疗法在上腺功能不充分的婴儿中至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 儿科生理学 儿科生理学
- 时间生物学 时间生物学
背景情况:
- 皮质醇在成年人中表现出明显的24小时节奏,在清晨达到顶峰.
- 婴儿时期这种皮质醇节律的发育出现并未得到充分理解.
- 这种知识差距影响了对患上上腺功能不全的婴儿的皮替代疗法.
研究的目的:
- 在生命的第一年,描述唾液皮质醇度的每日变化.
- 为了确定婴儿皮质醇节奏出现的年龄.
- 为儿童用皮质治疗提供最佳剂量策略.
主要方法:
- 发表文献的系统审查.
- 在健康婴儿 (0-1岁) 中自发的唾液皮质醇度的个人参与者数据元分析.
- 线性混合效应建模,分析皮质醇水平的年龄和日间时间相互作用.
主要成果:
- 分析了1904名婴儿 (17,079次测量) 的数据.
- 晨晚皮质醇比显著增加,从出生时的1.7增加到6-9个月后的3.7.
- 一个24小时的皮质醇节律在婴儿期逐渐出现,由Cosinor分析证实.
结论:
- 早晨的皮质醇峰值从出生开始逐渐发展.
- 稳定的早上/晚上皮质醇比率在6-9个月时建立.
- 这些发现对婴儿用皮替代疗法的管理有重大意义.
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