在美国乔治亚州经受孕期间暴露于极端环境热量和胃分裂之间的关联:基于人口的匹配病例对照研究
Sarah LaPointe1, Xiaping Zheng2, Vijaya Kancherla1
1Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Birth defects research
|September 17, 2025
概括
怀孕期间暴露于极端热量与增加胃风险有关. 这项研究发现,在怀孕周围的高温天数中,胃的几率更高.
科学领域:
- 环境流行病学环境流行病学
- 生殖健康 生殖健康
- 出生缺陷的研究研究研究.
背景情况:
- 有限且相互矛盾的流行病学数据存在于极端环境温度和胃.
- 胃分裂是一种严重的先天性异常,需要手术干预.
研究的目的:
- 为了研究在周周受孕期间暴露于极端环境热量和孤立胃的风险之间的联系.
- 提供有关胃病环境风险因素的最新证据.
主要方法:
- 在美国乔治亚州 (2008-2017) 进行了一项病例控制研究,包括191例胃病例和764例对照病例.
- 暴露于极端的环境热量被定义为超过95个百分点的县级温度平均值在经受孕期间.
- 多变量条件逻辑回归模型用于估计调整的几率比率 (aOR) 和95%置信区间 (95% CI).
主要成果:
- 隔离性胃肠分裂的可能性增加与危险受孕期间极端炎热天数的增加有关.
- 暴露于≥8天的极端高温与70%更高的几率相关 (aOR=1.70;95% CI 1.09,2.63).
- 连续的极端炎热天也显示出与胃风险的积极关联.
结论:
- 在暴露于极端环境热量和孤立胃的几率之间观察到显著的积极关联.
- 这些发现强调了对暴露于热量和胃肠裂的进一步研究的必要性.
- 应该探索保护孕妇和婴儿免受极端高温的潜在干预措施.
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