影响出生结果的孕产妇肥胖和祖先距离
Randy Le1,2, Richard J Biedrzycki3, Fasil Tekola-Ayele4
1Epidemiology Branch, Division of Population Health Research, Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.
母亲遗传距离 (GD) 和肥胖相互作用,影响出生结果. 了解这些遗传和环境因素是改善不同人群妊娠健康的关键.
科学领域:
- 生殖生物学和遗传学 生殖生物学和遗传学
- 围产期流行病学 围产期流行病学
- 孕产妇与胎儿的医学
背景情况:
- 孕前母亲的肥胖与不良的分娩结果有关.
- 在这种关系中,遗传距离 (GD) 的作用仍然不清楚.
- 这项研究调查了GD和母亲肥胖对胎儿生长的综合影响.
研究的目的:
- 评估母亲遗传距离 (GD) 和怀孕前肥胖之间的相互作用.
- 检查这种相互作用对出生体重,胎盘体重和妊娠年龄大 (LGA) 的影响.
主要方法:
- 利用了来自NICHD胎儿生长研究-Singletons队列的数据.
- 估计GD使用数据从1810多祖先的孕妇.
- 使用线性回归来分析GD,孕产妇肥胖和分娩结果之间的关联.
主要成果:
- 来自非洲参考的母亲GD增加与更高的出生体重和LGA风险相关.
- 美国原住民GD和肥胖的相互作用增加了胎盘体重.
- 东亚GD和肥胖的相互作用与显著降低LGA几率有关.
结论:
- 来自美洲原住民和东亚祖先的母亲GD,结合肥胖,影响胎盘体重和LGA风险.
- 考虑到GD,祖先和社会经济地位对于干预至关重要.
- 这项研究强调了需要个性化方法来最大限度地减少不良妊娠结果.
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