孕产妇糖尿病和早期神经发育:通过糖尿病类型在子女中实现差异性里程碑
Liya Kerem1, Joshua Guedalia2,3, Michal Lipschuetz3,4,5
1Division of Pediatric Endocrinology, Department of Pediatrics, Hadassah Medical Center, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
Diabetes care
|February 12, 2026
概括
孕产妇糖尿病,特别是孕前型糖尿病,与儿童发育里程碑延迟有关. 孕期糖尿病也显示出与微型运动延迟有轻微的关联.
科学领域:
- 发育儿科 发育儿科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 神经发育障碍 神经发育障碍
背景情况:
- 母亲糖尿病是众所周知的后代神经发育障碍的风险因素.
- 孕产妇糖尿病对早期发育里程碑的影响尚不清楚.
研究的目的:
- 调查孕妇糖尿病 (妊娠期,1型,2型) 与后代延迟发育里程碑之间的联系.
- 为了比较不同类型的孕产妇糖尿病和婴儿性别之间的风险.
主要方法:
- 全国范围内对466462名在2018-2021年间出生的婴儿进行了回顾性队列研究.
- 利用国家相关的母婴健康和医院出院数据.
- 通过结构化护士评估,评估了长达24个月的发展里程碑.
主要成果:
- 怀孕期糖尿病 (1型和2型) 显著增加了语言,个人社会和毛细运动技能延迟的风险.
- 患有1型糖尿病的母亲的后代的风险最高,尤其是女婴.
- 孕期糖尿病 (GDM) 与微细运动延迟的适度增加有关.
结论:
- 孕期孕产妇糖尿病与延迟达到里程碑相关,以一种取决于糖尿病类型,发育领域和婴儿性别的方式.
- 需要进一步的研究,以了解长期的结果,并为暴露儿童提供早期干预信息.
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