调查母亲年龄与脑发病率之间的关联:一个元分析
Jae Meen Lee1,2, Kyoungjune Pak2,3
1Department of Neurosurgery and Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea.
Medicine
|May 26, 2025
概括
出生于18岁或以下母亲的孩子面临脑 (CP) 的风险增加. 35岁或以上的母亲的满期分娩也可能会提高CP风险,为公共卫生规划提供信息.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 大脑麻 (CP) 是一组来自早期脑损伤的运动障碍.
- 母亲年龄是CP的已知风险因素,但研究结果不一致,特别是在晚年母亲年龄方面.
- 以前的元分析往往缺乏妊娠年龄分层或最近的研究.
研究的目的:
- 提供对产妇分娩年龄和CP风险之间的关联的最新评估.
- 完善年龄组分类,并根据妊娠年龄进行子组分析.
- 为风险评估和公共卫生规划提供信息.
主要方法:
- 在Embase,PubMed和Medline数据库中进行系统搜索 (截至2024年3月).
- 包括12项研究,根据母亲的年龄对比CP病例和对照.
- 使用R统计软件进行的元分析,检查在母年龄组 (≤18,≤25,≥35,≥40岁) 中对CP的几率比率 (OR).
主要成果:
- 年轻的母亲年龄 (≤18岁) 显著增加了CP风险 (OR=0.1374,P<.0001).
- 25岁和35岁左右的母亲年龄组显示出混合风险.
- 出生于35岁及以上的母亲的产期婴儿患CP的几率更高 (OR=0.9198,P=.0023).
结论:
- 18岁或更年轻的母亲所生孩子的CP风险较高.
- 35岁或以上的母亲的满期分娩也可能与CP风险增加有关.
- 结果可以指导风险评估和预防CP的公共卫生策略.
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