Kanai Kaname, Nagata Chisato, Shimizu Hiroyuki
Bureau of Social Welfare and Health, Tottori Prefectural Government, 1-220 Higashi-machi, Tottori 680-8570, Japan.
J Epidemiol. 2004 Jan;14(1):5-9. doi: 10.2188/jea.14.5.
The relationships between birth weight and serum lipid concentrations in pre-menopausal Japanese women were not well identified and also diet and serum hormone status in these women would be considered.
A total of 59 premenopausal Japanese women completed a self-administered questionnaire including basic demographic information, disease histories, and menstrual and reproductive histories. They were asked to obtain information on birth weight recorded in mother-and-baby notebook issued by municipality from their mother. Diet was assessed by daily diet records from day 2 through day 10 of the menstrual cycle. Blood sample was collected on day 11 of the cycle to measure serum lipid and hormone concentrations (total and high-density lipoprotein [HDL] cholesterols, triglyceride, estrone, estradiol, and sex hormone-binding globulin).
Birth weight was significantly correlated with HDL cholesterol (r = 0.32, p = 0.03), but not with total cholesterol and triglyceride after controlling for age. Neither estrogen nor sex hormone-binding globulin was significantly correlated with serum lipid concentrations after controlling for age and the number of days prior to the next menses. The correlation between birth weight and HDL cholesterol was not affected after additional adjustment for serum estrogen and intakes of protein, calcium, and iron.
These data suggest that intrauterine growth may be associated with lipid profile.
绝经前日本女性的出生体重与血清脂质浓度之间的关系尚未明确,同时还需考虑这些女性的饮食和血清激素状况。
共有59名绝经前日本女性完成了一份自我管理的问卷,内容包括基本人口统计学信息、疾病史以及月经和生殖史。她们被要求从母亲那里获取市政当局发放的母婴手册中记录的出生体重信息。通过月经周期第2天至第10天的每日饮食记录来评估饮食情况。在月经周期的第11天采集血样,以测量血清脂质和激素浓度(总胆固醇和高密度脂蛋白[HDL]胆固醇、甘油三酯、雌酮、雌二醇和性激素结合球蛋白)。
在控制年龄后,出生体重与HDL胆固醇显著相关(r = 0.32,p = 0.03),但与总胆固醇和甘油三酯无关。在控制年龄和距下次月经前的天数后,雌激素和性激素结合球蛋白与血清脂质浓度均无显著相关性。在进一步调整血清雌激素以及蛋白质、钙和铁的摄入量后,出生体重与HDL胆固醇之间的相关性不受影响。
这些数据表明宫内生长可能与血脂谱有关。