双类产前暴露与早产之间的关联:贫血的相互作用效应
Ya-Ling Li1, Hong-Yu Mao2, Lu-Ming Yan2
1Department of Health Promotion and Behavioral Sciences, School of Public Health, Anhui Medical University, Hefei, Anhui Province, China.
Environment international
|August 19, 2025
概括
孕妇在怀孕期间接触双 (BPs) 与早产 (PTB) 有关. 贫血可能会加剧这种风险,特别是在怀孕早期和晚期,突出了关键的暴露窗口.
科学领域:
- 环境健康 环境健康
- 生殖流行病学 生殖流行病学
- 毒理学 毒理学 毒理学
背景情况:
- 孕产妇接触双 (BPs) 是一个越来越担心不良出生结果.
- 有限的研究存在于BP暴露和孕产妇贫血对早产 (PTB) 的联合影响.
研究的目的:
- 调查产前双暴露与早产之间的关联.
- 探索母亲贫血对这种关系的潜在修饰作用.
- 为了确定怀孕期间暴露的关键窗口.
主要方法:
- 预期的出生队列研究,利用三个月的母亲尿液样本来测量BP度.
- 通用线性模型 (GLM) 和通用估计方程 (GEE) 用于关联和关键窗口分析.
- 量子g计算,WQS回归和BKMR用于混合物和累积效应,并对BPB和贫血进行相互作用分析.
主要成果:
- 在特定的BP (BPAF,BPP,BPB) 和PTB之间发现了显著的关联,特别是在怀孕早期和晚期.
- GEEs将早期和晚期怀孕确定为关键暴露窗口.
- 孕产妇贫血与第三个三个月的BPB暴露有显著的添加和乘法相互作用,这表明对PTB风险有协同作用.
结论:
- 产前接触某些双醇会增加早产的风险.
- 怀孕早期和晚期是有关PTB的BP暴露的关键窗口.
- 母亲贫血可能会通过协同作用来加剧双醇诱导的早产风险.
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