日常皮质醇轨迹从怀孕中期到出生后的一年
Bonnie van Kessel1, Gabrielle R Rinne2, Michele L Okun3
1Centre for Social Sciences, Athabasca University, Athabasca, AB, Canada.
Psychoneuroendocrinology
|November 12, 2025
概括
白天皮质醇模式,包括皮质醇唤醒反应 (CAR) 和曲线下的面积 (AUCg),在怀孕和产后期间显示出变化. 母亲的种族和妊娠时间长度影响了这些HPA轴轨迹.
科学领域:
- 内分泌学 在内分泌学.
- 围产期健康 围产期健康
- 压力生理学 压力生理学
背景情况:
- 下垂体-垂体-上腺 (HPA) 轴调节妊娠和产后恢复.
- 日常皮质醇指数如CAR,AUCg和斜率评估HPA轴活动.
- 围产期期间这些指数的个人内变化和相关因素尚不清楚.
研究的目的:
- 为了研究从怀孕中期到产后一年的日常皮质醇指数 (CAR,AUCg,斜率) 的个人变化.
- 检查社会人口统计学,怀孕和健康因素如何调节这些变化.
主要方法:
- 172名孕妇在6个围产时间点提供唾液样本.
- 测量了皮质醇水平,并计算了CAR,AUCg和斜率指数.
- 逐步增长曲线模型分析了人体内的变化和调节因素.
主要成果:
- 曲线下的面积 (AUCg) 从怀孕中期到晚期增加 (观察到线性和二次效应).
- 在怀孕或产后期间,没有发现CAR或斜率在人体内有重大变化.
- 西班牙裔种族与分娩后增加CAR相关,而更长的怀孕与分娩后增加AUCg相关.
结论:
- 从怀孕中期到晚期,AUCg显示增加.
- 母亲的种族和妊娠时间被确定为日间皮质醇轨迹的调节者,特别是在产后期.
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