过早出生成人的长期内分泌问题:系统性审查
T Claffey1, A Cullinan1, J Downey1
1Discipline of Paediatrics, Trinity College Dublin, the University of Dublin, Dublin, Ireland.
Frontiers in pediatrics
|November 17, 2025
概括
过早生育与成年期的许多长期内分泌问题有关,包括生长,甲状腺和代谢问题. 这一系统性审查强调了对早产儿进行持续健康监测的必要性.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 系统审查是系统的审查.
背景情况:
- 过早生育是成人慢性疾病的重要危险因素.
- 过早分娩占爱尔兰所有分娩的7%,影响成人医疗保健.
- 本综述侧重于早产的成年人的长期内分泌结果.
研究的目的:
- 综合关于早产成年人长期内分泌相关结果的证据.
- 为了确定与早产相关的特定内分泌功能障碍.
主要方法:
- 对PubMed和Web of Science数据库的系统审查.
- 纳入标准侧重于成人内分泌结果 (海马体-垂体轴,生长,甲状腺,上腺,胰岛素敏感性,脂质代谢,心脏代谢病理,骨健康).
- 根据PRISMA标准的指导,在选了1584篇论文后,包括了27项研究.
主要成果:
- 过早生育是各种成人内分泌问题的重要危险因素.
- 相关结果包括身高下降,下丘脑-垂体轴功能障碍,生育能力降低,骨矿物质密度降低,甲状腺功能低下风险增加.
- 心脏代谢结果 (11/27项研究) 显示与糖尿病风险增加,胰岛素敏感性降低,身体脂肪增加和脂质失调有关.
结论:
- 过早生育与多个领域 (骨,甲状腺,生长,繁殖,新陈代谢) 的长期内分泌功能障碍有关.
- 这些综合数据凸显了对早产儿的长期成人随访的必要性.
- 早期识别和管理内分泌风险对这一群体至关重要.
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