妊娠年龄和过敏性疾病的风险:系统性审查和元分析
Xuanli Zhao1, Ke Liu1, Jiaxin Chen1
1School of Public Health, Zhejiang Chinese Medical University, Hangzhou, China.
早产和完全早产减少了阿托皮性皮炎 (AD) 的风险. 术后分娩增加了AD风险,而早产可能会降低过敏性鼻炎 (AR) 风险. 妊娠年龄会影响过敏的发展.
科学领域:
- 产周医学 产周医学
- 过敏学 过敏学
- 流行病学 流行病学
背景情况:
- 围产期是预防亚托皮性疾病的关键窗口.
- 孕期年龄越来越被认为是影响过敏疾病发展的因素.
研究的目的:
- 调查妊娠年龄与阿托皮性皮肤炎 (AD) 和过敏性鼻炎 (AR) 风险之间的关联.
- 为过敏风险分层和预防策略提供证据.
主要方法:
- 对观察性研究进行了元分析,搜索了PubMed,Embase和Web of Science,直到2023年12月31日.
- 包括30项研究,超过540万参与者.
- 为了确保稳定性,进行了子组和灵敏度分析.
主要成果:
- 早期早产 (OR:0.75) 和早产 (OR:0.86) 与AD风险降低有关.
- 产后分娩与AD风险增加有关 (OR:1.08).
- 早期早产显示出与降低过敏性鼻炎风险 (OR:0.84) 的相关性.
结论:
- 早产和完全早产与显著降低亚托皮炎风险有关.
- 术后分娩与亚托皮性皮肤炎的风险更高有关.
- 怀孕年龄在过敏疾病的发展中起着微妙的作用,强调预防的围产期.
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