怀孕期间的高环境温度和后代脑:加利福尼亚州的一项基于人口的病例控制研究
Haoran Zhuo1, Joshua L Warren2, Giselle Bellia1
1Department of Environmental Health Sciences, Yale School of Public Health, New Haven, CT; Yale Center for Perinatal, Pediatric, and Environmental Epidemiology, Yale School of Public Health, New Haven, CT.
Environmental research
|January 14, 2026
概括
在怀孕早期,产前暴露于高环境温度与儿童脑 (CP) 风险增加有关. 这一发现突显了环境因素对神经发育结果的影响.
科学领域:
- 环境流行病学环境流行病学
- 神经发育障碍 神经发育障碍
- 儿科健康 儿科健康
背景情况:
- 大脑 (CP) 是儿童神经运动残疾的主要原因.
- 环境因素越来越多地被认为对CP病因学的作用.
- 产前热暴露对CP风险的影响需要进一步调查.
研究的目的:
- 检查产前暴露于高环境温度和后代脑风险之间的关联.
- 量化与怀孕期间不同程度和持续时间的热暴露相关的CP风险.
主要方法:
- 在加利福尼亚州 (2005-2015) 进行了一项嵌套病例对照研究,包括5938例CP病例和1092313例对照.
- 孕期温度估计使用高分辨率数据在孕产妇住所.
- 使用分布式滞后模型和兄弟分析的物流回归被用于评估热暴露和CP风险.
主要成果:
- 在怀孕早期,CP风险增加与周周环境温度上升5°C (OR:1.02,95%CI:1.01-1.05) 和暴露于极端热量 (OR:1.04-1.05,95%CI:1.00-1.13) 相关.
- 随着时间的推移,累积的热暴露显示出与CP风险的较强关联 (ORs:1.08-1.18).
- 兄弟分析支持观察到的趋势,表明发现的稳定性.
结论:
- 怀孕早期暴露于环境温度升高与患脑的风险更高有关.
- 这些发现强调了在气候变化背景下监测神经发育障碍的必要性.
- 公共卫生策略可能需要考虑在怀孕期间减轻热量暴露.
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