第一季度尿液中的草甘酸度和nulliparas的妊娠糖尿病:一个嵌套的病例对照研究
David M Haas1, Kevin Moss2, Hani Faysal2
1Indiana University School of Medicine, Indianapolis, IN, USA. dahaas@iu.edu.
Environmental health : a global access science source
|October 7, 2025
概括
第一个三个月的草甘暴露与更高的妊娠糖尿病 (GDM) 风险有关. 这种关联在体重指数 (BMI) 高的人群中更为强烈,这表明GDM的潜在环境风险因素.
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:
- 怀孕期间接触农药与流产等不良结果有关.
- 除草剂暴露和妊娠期糖尿病 (GDM) 之间的关联仍然不清楚.
- 这项研究调查了第一季度的尿动除草剂水平及其与GDM发展的联系.
研究的目的:
- 为了确定第一季度尿液中的草甘度是否与GDM有关.
- 探索身体质量指数 (BMI) 对草甘-GDM关联的修饰作用.
主要方法:
- 一个嵌套的病例对照研究在Nulliparous怀孕结果研究-监测未来的母亲 (nuMoM2b) 队列.
- 在GDM病例和匹配的对照中分析了第一季度尿液中草甘酸盐度.
- 条件后勤回归模型用于评估关联,包括除草剂和BMI的相互作用术语.
主要成果:
- 更高的草甘度 (上四分位数) 与增加GDM几率 (OR 3.27) 有显著的关联.
- 草甘和BMI之间的相互作用显示GDM概率升高 (OR1.23).
- 肥胖的参与者 (BMI ≥30 kg/m2) 的GDM (OR 8.52) 的调整几率明显更高.
结论:
- 第一季度尿液中的草甘度与GDM发育有关.
- 草甘和GDM之间的关联在BMI较高的个体中得到了放大.
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