妊娠期体重增加对儿童情绪和行为问题的影响:来自CLaB研究的结果
Caroline de Barros Gomes1, Cristina Maria Garcia de Lima Parada2, Ana Beatriz Henrique Parenti2
1Post-graduate program in Public Health, São Paulo State University (UNESP), Medical School, Botucatu.
孕期体重增加 (GWG) 影响孩子的行为. 不足的GWG与更多的行为问题有关,而过度的GWG可能会在7-8岁的儿童中防止内化问题.
科学领域:
- 围产期健康和儿童发展.
- 母亲健康和后代的神经发育.
- 公共卫生和发展心理学.
背景情况:
- 妊娠期体重增加 (GWG) 是怀孕的关键因素,可能影响胎儿的神经发育.
- 儿童的情绪和行为结果可能会受到母亲的GWG的影响.
- 了解这种关系对于产前护理和早期儿童干预至关重要.
研究的目的:
- 调查母亲GWG类别 (不足,充足,过度) 与儿童行为问题之间的关联.
- 分析7-8岁儿童的总体,内化和外化行为问题的流行情况.
- 为了确定GWG在推范围之外是否会影响儿童的神经发育结果.
主要方法:
- 一项使用来自Botucatu婴儿队列的数据的队列研究.
- 孕产妇GWG根据国家医学院的指导方针进行了分类.
- 在7-8岁的队列中,使用优点和困难问卷 (SDQ) 评估了儿童行为问题,Poisson回归被用于分析.
主要成果:
- 观察到行为问题 (36.2%),内化问题 (37.5%) 和外化问题 (27.5%) 的高患病率.
- 不足GWG与整体行为问题的更高患病率有关 (PR=1.48).
- 过多的GWG与充足的GWG相比,显示出对内化问题的保护作用 (PR=0.66).
结论:
- 行为问题的高患病率突显出严重的公共卫生问题.
- 母亲在推范围之外的GWG对儿童行为有微妙的影响.
- 不足的GWG与增加的行为问题有关,而过度的GWG可能会减轻内化问题.
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