在后代中神经管缺陷的孕产妇因素:一个总体审查
Hoda Arabzadeh1, Ensiyeh Jenabi2,3, Seyedeh Zahra Masoumi4
1Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
Open medicine (Warsaw, Poland)
|October 22, 2024
概括
孕产妇的高温症,肥胖和被动吸烟是神经管缺陷 (NTD) 的高度暗示的危险因素. 流感也存在风险,而维生素B12的低水平显示证据很弱.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 发展生物学 发展生物学
背景情况:
- 神经管缺陷 (NTD) 是一种严重的先天性异常.
- 在怀孕期间识别母亲的风险因素对于预防至关重要.
- 现有的关于NTDs孕产妇风险因素的研究需要全面的综合.
研究的目的:
- 进行对与NTD相关的孕产妇风险因素的元分析进行总体审查.
- 综合有关母亲因素与NTD之间的关联强度的证据.
主要方法:
- 在PubMed,Scopus和Web of Science数据库中进行系统搜索.
- 包括检查母性因素和NTD的元分析.
- 评估风险指标 (OR,风险比率),异质性和偏差.
主要成果:
- 对于高温 (OR 1.92),肥胖 (OR 1.68) 和被动吸烟 (OR 1.90) 的高度暗示性证据 (II类).
- 对流感 (OR 3.33) 的暗示性证据 (III类).
- 缺乏维生素B12 (OR 2.41) 和多种维生素的保护作用 (OR 0.76) 的证据 (第四类) 较弱.
结论:
- 超热,肥胖,被动吸烟和流感被确定为NTDs的显著孕产妇风险因素.
- 低母体维生素B12是潜在的危险因素,尽管目前的证据很弱.
- 进一步的研究可能会澄清特定的母亲因素在NTD发展中的作用.
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