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皮纹模式、极低出生体重与青少年血压

Dermatoglyphic patterns, very low birth weight, and blood pressure in adolescence.

作者信息

Stevenson C J, West C R, Pharoah P O

机构信息

FSID Unit of Perinatal and Paediatric Epidemiology, Department of Public Health, Muspratt Building, University of Liverpool, Liverpool L69 3GB, UK.

出版信息

Arch Dis Child Fetal Neonatal Ed. 2001 Jan;84(1):F18-22. doi: 10.1136/fn.84.1.f18.

Abstract

AIMS

To test the null hypotheses that finger and palm prints have no relation with fetal growth or adolescent blood pressure.

METHODS

All 128 singleton, unimpaired, very low birth weight (VLBW; < or =1500 g) infants born to mothers resident in the county of Merseyside in 1980 and 1981 were studied retrospectively. The comparison group consisted of 128 age, sex, and school matched children. Main outcome measures were blood pressure at age 15 years, birth weight ratio, fingerprint patterns, and palmar AtD angles.

RESULTS

The VLBW index population had a significantly higher systolic blood pressure than the comparison group (mean difference 3.2 mm Hg). The difference in diastolic blood pressure between the VLBW index and the matched comparison group was not significant. No significant differences were found in the palmar AtD angles or in the fingerprint proportions of arches, loops, and whorls and no correlation was found between fingerprint patterns and blood pressure. Among the VLBW index population, both height and right palmar AtD angle were independently and significantly correlated with and explained 12.1% of the variance in the systolic blood pressure. Birth weight ratio, as a measure of fetal growth restriction, had no significant correlation with systolic blood pressure.

CONCLUSIONS

The higher systolic blood pressure of adolescents who were of very low birth weight compared with the matched comparison group is not associated with fingerprint patterns or birth weight ratio as markers for fetal growth restriction.

摘要

目的

检验手指和掌纹与胎儿生长或青少年血压无关的零假设。

方法

对1980年和1981年在默西塞德郡居住的母亲所生的128名单胎、未受损、极低出生体重(VLBW;≤1500g)婴儿进行回顾性研究。对照组由128名年龄、性别和学校匹配的儿童组成。主要观察指标为15岁时的血压、出生体重比、指纹模式和掌部AtD角。

结果

VLBW指数人群的收缩压显著高于对照组(平均差异3.2mmHg)。VLBW指数组与匹配对照组之间的舒张压差异不显著。掌部AtD角或指纹中弓、箕和斗的比例没有显著差异,指纹模式与血压之间也没有相关性。在VLBW指数人群中,身高和右手掌部AtD角均与收缩压独立且显著相关,并解释了收缩压变异的12.1%。作为胎儿生长受限指标的出生体重比与收缩压无显著相关性。

结论

与匹配对照组相比,极低出生体重青少年的较高收缩压与作为胎儿生长受限标志物的指纹模式或出生体重比无关。

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