在童年和成年早期的早产和骨折的风险
Suvi Alenius1,2,3, Maija E Miettinen1, Markku Nurhonen1
1Finnish Institute for Health and Welfare, Helsinki and Oulu, FIN-00271, Finland.
概括
过早分娩可能不会增加儿童和年轻人的骨折风险. 在28周之前出生的极度早产的男性骨折风险较低,可能是由于严重的医疗状况.
科学领域:
- 儿科 儿科 儿科
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
背景情况:
- 过早分娩与骨矿物质密度降低和骨质疏松症风险有关.
- 过早分娩对长期骨折风险的影响仍然不确定.
研究的目的:
- 评估从童年到成年早期的骨折风险,与妊娠年龄和性别相关.
- 在第一次和复发事件中调查骨折模式.
主要方法:
- 全国范围的注册链接队列研究,对芬兰223615名活生生的独生子进行了研究 (1987-1990年).
- 考克斯回归模型分析了0-29年随访期间的骨折诊断.
- 妊娠年龄分类,分析按性别和年龄组分层.
主要成果:
- 总体而言,只有极度早产 (<28周) 与较低的骨折风险相关 (aHR:0.46).
- 在男性中,极度和非常早产 (28-31周) 显示骨折风险降低.
- 晚期早产 (34-36周) 与儿童早期/青春期末两性中骨折风险增加有关.
结论:
- 过早分娩与骨折风险的关联是复杂的,因性别,年龄和妊娠年龄类别而异.
- 极度/非常早产的男性可能会经历较少的骨折,可能受到同时出现的严重疾病的影响.
- 晚期早产需要注意特定年龄窗口中潜在的骨折风险增加.
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