出生体重和早产以及初潮和更年期的年龄之间的关联
Christian Daniele1, Rachel E Wacks1, Leslie V Farland2
1Department of Biostatistics and Epidemiology, University of Massachusetts-Amherst, 715 North Pleasant Street, Amherst, MA, 01003, USA.
BMC women's health
|October 4, 2024
概括
过早出生或出生体重低的妇女更有可能经历更早的更年期. 这凸显了减少早产和低出生体重的干预措施的必要性,并管理受影响妇女的心血管疾病风险.
科学领域:
- 生殖健康 生殖健康
- 围产期流行病学 围产期流行病学
- 妇女健康 妇女健康
背景情况:
- 早期初潮和更年期与心血管疾病,癌症,抑郁症和肥胖的风险增加有关.
- 导致更早初潮和更年期的危险因素尚未完全理解.
- 这项研究调查了出生体重,早产和初潮和更年期的年龄之间的联系.
研究的目的:
- 检查出生体重和/或早产以及初潮和更年期的时间之间的关系.
- 为了确定影响妇女生殖里程碑的早期生活因素.
- 为患有这些风险因素的妇女提供临床咨询和干预信息.
主要方法:
- 追溯分析来自妇女健康倡议队列的数据.
- 自我报告的出生体重类别和早产状态.
- 用于分析关联的线性和逻辑回归模型 (n ≤ 86,857).
主要成果:
- 低出生体重 (<6磅) 与更早的自然更年期和更短的生殖窗口有关.
- 过早分娩也与更早的自然更年期和更短的生殖窗口有显著的联系.
- 这些关联在经过统计调整后仍然显著.
结论:
- 过早生育和低出生体重个体的生存率增加可能会导致早期初潮和更年期的更高患病率.
- 优先考虑减少早产和低出生体重的干预措施至关重要.
- 建议加强生活方式的修改,以减轻患有这些早期生活因素的女性心血管疾病风险.
相关概念视频
Menopause
143
Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...
143
Signs of Puberty
277
Puberty is a critical phase, typically beginning between the ages of 8 and 13 in girls and 9 and 14 in boys, though timing can vary based on genetics, environmental factors, and overall health. This period is characterized by the development of secondary sexual characteristics and the attainment of reproductive potential. Endocrine changes underpin puberty, with hormonal surges of Luteinizing Hormone (LH) and Follicle-Stimulating Hormone (FSH) instigated by Gonadotropin-Releasing Hormone (GnRH)...
277
Oogenesis
63.5K
In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
63.5K
Bone Disorders
3.4K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.4K
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Nature and Nurture
20.4K
Many human characteristics, like height, are shaped by both nature—in other words, by our genes—and by nurture, or our environment. For example, chronic stress during childhood inhibits the production of growth hormones and consequently reduces bone growth and height. Scientists estimate that 70-90% of variation in height is due to genetic differences among individuals, and 10-30% of variation in height is due to differences in the environments that individuals experience,...
20.4K


