怀孕前和头三个月的皮质醇与早产之间的关联:因果推理模型
Yinxian Chen1,2, Richard G Künzel3,4, Sixto E Sanchez5,6
1Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, 02115, USA.
European journal of epidemiology
|December 11, 2024
概括
慢性压力,通过头发皮质醇水平 (HCC) 测量,在怀孕早期增加了早产风险. 怀孕前的HCC和皮质激素水平 (HCNC) 没有显示出与早产有显著的关联.
科学领域:
- 生殖健康 生殖健康
- 内分泌学 在内分泌学.
- 围产期流行病学 围产期流行病学
背景情况:
- 不利的生活事件和慢性心理痛苦与早产有关,但生物机制尚不清楚.
- 皮质类固醇,如皮质醇和皮质,是关键的压力激素.
- 头发分析提供了一种评估长期皮质醇和皮质素暴露的方法.
研究的目的:
- 调查怀孕前和第一季度头发皮质类固醇水平与早产风险之间的关联.
- 探索与压力相关的早产的生物学基础.
- 为潜在的早产预防策略提供信息.
主要方法:
- 在秘鲁利马,对1807名孕妇进行前性队列研究.
- 从怀孕前和第一季度的部分分析了头发皮质醇度 (HCC) 和头发皮质醇度 (HCNC) 的头发样本.
- 一般化倾向分数和边缘结构模型用于估计对早产风险的因果关系.
主要成果:
- 怀孕前的HCC和HCNC并没有独立地与早产风险相关.
- 第一季度HCC与早产风险增加有显著的关联 (Log HCC的SD增加1与37%的风险增加相关).
- 第一季度的HCNC与早产风险没有显著关联.
结论:
- 妊娠早期的慢性皮质类固醇水平,特别是发皮质醇,与秘鲁妇女早产风险增加有关.
- 这项研究增强了对连接压力和早产的生物学途径的理解.
- 这些发现可能有助于开发针对性干预措施,以预防早产.
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