巴基斯坦的一项以焦虑为重点的行为干预计划中的维生素D水平和围产期焦虑
Semra Etyemez1,2, Kruti Mehta1, Jennifer Faiz1
1Department of Obstetrics & Gynecology, Weill Cornell Medical College, New York, NY, USA.
Archives of women's mental health
|January 7, 2026
概括
在巴基斯坦,孕产妇的维生素D缺乏严重. 虽然维生素D水平波动,但它们并没有因焦虑水平而有所不同,但免疫标记物影响了维生素D与焦虑的联系.
科学领域:
- 围产期健康 围产期健康
- 营养免疫学 营养免疫学
- 母亲心理健康 母亲心理健康
背景情况:
- 孕产妇维生素D缺乏是一个全球性问题,特别是在低收入和中等收入国家.
- 围产期焦虑会影响母亲和婴儿的福祉.
- 怀孕期间维生素D,焦虑和免疫功能之间的相互作用需要进一步调查.
研究的目的:
- 调查巴基斯坦妇女在整个产前期的维生素D水平.
- 检查维生素D状态,围产期焦虑和免疫标志物之间的关系.
- 探索免疫标记物如何调节维生素D与焦虑之间的关联.
主要方法:
- 对来自"快乐的母亲-健康的婴儿"试验的117名妇女的血25-氧维生素D,细胞因子和化学因子的分析.
- 血液样本是在四个围产期时间点 (10-38周怀孕和6周产后) 收集的.
- 对于焦虑群体和维生素D轨迹的混合效应模型进行K-means聚类;对免疫标记物效应进行适度分析.
主要成果:
- 严重的维生素D缺乏 (<5ng/ml) 在所有时间点都普遍存在,从怀孕早期到晚期显著下降.
- 在焦虑组之间没有发现维生素D轨迹的显著差异.
- 较高的先天性免疫活性与在T1时更高的维生素D相关. 介质素-6 (IL-6) 和CXCL-8在T2中调节了维生素D与焦虑的关系,较高的维生素D与女性高IL-6和CXCL-8的焦虑相关.
结论:
- 在巴基斯坦,孕产妇的维生素D缺乏是严重的问题.
- 像IL-6和CXCL-8这样的免疫标志物可能会影响维生素D和围产期焦虑之间的关系.
- 需要进一步的研究,以了解低收入和中等收入国家母亲的维生素D缺乏和免疫功能.
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