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精神分裂症的生长模式与风险

Growth pattern and risk of schizophrenia.

作者信息

Haukka J, Suvisaari J, Häkkinen L, Lönnqvist J

机构信息

Department of Mental Health and Alcohol Research, KTL, National Public Health Institute, Helsinki, Finland.

出版信息

Psychol Med. 2008 Jan;38(1):63-70. doi: 10.1017/S0033291707000839. Epub 2007 May 17.

Abstract

BACKGROUND

Foetal nutrition and growth seem to affect the risk of developing schizophrenia. Exposure to famine during foetal development and low birthweight increase the risk. However, few studies have investigated the association between schizophrenia and adult height and weight or patterns of growth.

METHOD

The study population consisted of two subpopulations: families with at least one member with schizophrenia, and families of offspring of mothers with psychotic disorder, and controls. Using a seven-parameter model of height growth curves, we compared the parameters of persons who later developed schizophrenia and their unaffected siblings from the same families. We also studied how growth curve parameters differed in children with genetic risk for schizophrenia and controls, and whether weight, height and body mass index (BMI) at different ages predicted later development of schizophrenia.

RESULTS

The predicted growth curves based on a parametric model were nearly identical for persons with schizophrenia and their unaffected siblings. Adult height of daughters of mothers with psychoses was borderline significantly (p=0.0536) lower compared to controls, while no difference was detected among sons (p=0.3283).

CONCLUSIONS

No association between growth characteristics and schizophrenia in families with at least one member with schizophrenia was found. Family-related factors should be taken into account as possible confounders in future studies on growth and schizophrenia.

摘要

背景

胎儿营养与生长似乎会影响患精神分裂症的风险。胎儿发育期间暴露于饥荒环境以及低出生体重会增加这种风险。然而,很少有研究调查精神分裂症与成人身高、体重或生长模式之间的关联。

方法

研究人群由两个亚群体组成:至少有一名成员患有精神分裂症的家庭、患有精神障碍母亲的后代家庭以及对照组。我们使用身高生长曲线的七参数模型,比较了后来患精神分裂症的个体及其来自同一家庭的未患病兄弟姐妹的参数。我们还研究了有精神分裂症遗传风险的儿童与对照组在生长曲线参数上的差异,以及不同年龄的体重、身高和体重指数(BMI)是否能预测后来精神分裂症的发病情况。

结果

基于参数模型预测的生长曲线在患有精神分裂症的个体及其未患病兄弟姐妹之间几乎相同。患有精神病母亲的女儿的成人身高与对照组相比略低(p = 0.0536),而儿子之间未检测到差异(p = 0.3283)。

结论

在至少有一名成员患有精神分裂症的家庭中,未发现生长特征与精神分裂症之间存在关联。在未来关于生长与精神分裂症的研究中,应将家庭相关因素作为可能的混杂因素加以考虑。

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