孕期前高的母体BMI与5岁后的后代同龄人关系问题增加有关
Courtney Dow1, Elsa Lorthe1,2, Cédric Galera3,4,5
1Centre for Research in Epidemiology and StatisticS (CRESS), Inserm, INRAE, Université Paris Cité, Paris, France.
Frontiers in child and adolescent psychiatry
|January 16, 2025
概括
孕前母亲的肥胖会增加5岁左右儿童同龄人关系问题的风险. 这种关联在跨越多个出生队伍的早产和满产儿童中都被观察到.
科学领域:
- 儿童发展 儿童发展
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
背景情况:
- 同龄人关系对于儿童的发展至关重要,但经常被忽视.
- 孕前母亲的体重指数 (BMI) 可能通过胎儿神经发育或社会歧视影响孩子的同龄人关系.
- 了解这种联系对于早期干预和支持至关重要.
研究的目的:
- 调查母亲怀孕前的BMI与5岁左右儿童的同伴关系问题之间的联系.
- 在分析中包括早产和早产儿.
- 为了确定与怀孕期间孕产妇肥胖相关的潜在风险.
主要方法:
- 分析了三个法国出生队列 (EDEN,ELFE,EPIPAGE-2),涉及超过14,000名儿童.
- 孕前母亲的BMI是根据报告/测量体重和身高计算的.
- 在5.5岁时使用"优点和困难问卷"评估儿童同龄人关系问题.
- 用于统计分析的逻辑回归和概括估计方程,以父亲的BMI作为负控.
主要成果:
- 在所有三个队伍中,母亲怀孕前的肥胖与子女同龄人关系问题的几率更高显著相关.
- 调整后的赔率比率表明了风险增加的持续模式.
- 使用父亲的BMI作为负控的敏感性分析证实了这种关联.
结论:
- 孕前母亲的高BMI与5岁左右儿童同龄人关系困难的可能性增加有关.
- 这种关联对于早产婴儿和早产婴儿都适用.
- 研究结果强调了母亲体重管理对儿童社会发展的重要性.
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