出生体重,妊娠年龄,以及患儿发病MASLD的风险
Fahim Ebrahimi1,2, Jialu Yao1, Hannes Hagström3,4
1Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
JAMA network open
|September 10, 2024
概括
低出生体重和对妊娠年龄来说小 (SGA) 与发展代谢功能障碍相关的脂肪性肝病 (MASLD) 以及其在年轻人中的进展有关. 建议对那些风险较高的人进行早期查.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 儿科胃肠病学 儿科胃肠病学
- 公共卫生 公共卫生
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 是一个日益严重的全球健康问题,越来越多地影响年轻人群体.
- 肥胖患者早期发病的MASLD强调了需要了解发育风险因素的必要性.
研究的目的:
- 调查围产期疾病与年轻人患MASLD的风险之间的关联.
- 检查儿科MASLD患者出生特征和进展到晚期肝病 (纤维化或肝硬化) 之间的联系.
主要方法:
- 在瑞典进行的一项全国性基于人口的病例控制研究,包括活检确认的儿科MASLD病例 (年龄 ≤25) 和匹配的对照.
- 从瑞典医学出生登记处分析了出生体重,妊娠年龄和妊娠年龄的出生体重 (SGA,适当,LGA) 的数据.
主要成果:
- 低出生体重 (<2500克) 和相对于妊娠年龄 (SGA) 的小体重显著与年轻人患MASLD的风险增加有关.
- 出生时体重低或SGA的个体也表现出患有进展性肝病的可能性更高,包括纤维化和肝硬化.
结论:
- 周产期因素,如低出生体重和SGA,是青年MASLD发展和进展的关键风险因素.
- 在通过围产期评估确定的高风险个体中实施MASLD结构化查协议对于早期诊断和干预至关重要.
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