过早生育是成年人肠脑相互作用障碍的危险因素:一项病例对照研究
Olivier Courbette1, Camille Girard-Bock2, Anik Cloutier2
1Department of Pediatric Gastroenterology, Sainte-Justine University Hospital Center, Montreal H3T1C5, Quebec, Canada. olivier.courbette@gmail.com.
World journal of clinical pediatrics
|August 29, 2025
概括
过早出生的成年人患肠脑相互作用障碍 (DGBI) 的风险更高,包括功能性肠道障碍. 这种风险受到了早产,心理健康和性因素的影响.
科学领域:
- 胃肠病学
- 新生儿学
- 精神病学
背景情况:
- 肠脑相互作用障碍 (DGBI) 涉及慢性胃肠道症状.
- 早期生活压力是DGBI的潜在原因.
- 过早生育和新生儿因素可能会影响DGBI的发展.
研究的目的:
- 研究早产与成年期DGBI发展之间的关联.
- 确定影响过早出生个体DGBI的特定新生儿因素.
主要方法:
- 一项涉及极早出生的成年人 (<29周妊娠) 和对照者的病例对照研究.
- 使用罗马IV诊断问卷进行DGBI评估.
- 收集有关新生儿因素,社会人口统计,焦虑和抑郁的数据.
主要成果:
- 在早产的成年人中,肠道功能障碍的患病率显著增加.
- 过早分娩的女性患上胃肠道功能障碍,肠道功能障碍和功能性便秘的比例增加.
- 风险因素包括与早产相关的疾病,心理因素 (焦虑,抑郁) 和女性性别.
结论:
- 过早生育被证实是发展DGBI的一个重要风险因素.
- 这项研究提供了第一个针对早产的成年人群的病例控制证据.
- 这些发现突显了早产对肠道与大脑相互作用的长期影响.
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