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低出生体重会与青少年心血管疾病有关联吗?

Could Low Birth Weight be Associated with Cardiovascular Disease in Adolescence?

作者信息

Alves Priscila de Jesus Dos Santos, Araujo Júnior Edward, Henriques Ana Ciléia Pinto Teixeira, Carvalho Francisco Herlânio Costa

机构信息

Department of Community Health, Escola de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brazil.

Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Bras Ginecol Obstet. 2016 Apr;38(4):189-95. doi: 10.1055/s-0036-1583171. Epub 2016 Apr 29.

Abstract

Purpose Previous studies have shown that low birth weight (LBW) is associated with cardiovascular risk in late adulthood. Recent studies in adolescents suggest that modifiable factors may have greater influence on increased cardiovascular risk. This study aims to investigate the association between LBW and changes in anthropometric and biochemical risk factors during adolescence in a population with low average socioeconomic status. Methods In a retrospective double cohort, data of birth weight were extracted from hospital records of children born on the same day between 1992 and 2002. According to the World Health Organization, we classified the children as having LBW or normal birth weight. A total of 172 subjects among children, adolescents and adults were researched. We measured anthropometric and clinical data, lipid profile and glucose after an overnight fasting. The low and normal weight groups were compared using Mann-Whitney U, Fischer exact, Chi-square (χ2) and Student's t tests. Results Pregnant women with preeclampsia delivered more newborns with LBW (p < 0.001). Anthropometric and clinical parameters were similar between groups. No differences were found in the family history of cardiovascular diseases (p = 0.1), family incomes (p = 0.8) and maternal school education (p = 0.8) between groups. Conclusion In this study, LBW did not increase cardiovascular disease risk factors in adolescents. We observed absence of association between low birth weight and poor health outcomes among adolescents with low socioeconomic status from an urban city in the Brazilian northeast.

摘要

目的

以往研究表明,低出生体重(LBW)与成年后期的心血管风险相关。近期针对青少年的研究表明,可改变因素可能对心血管风险增加的影响更大。本研究旨在调查在平均社会经济地位较低的人群中,低出生体重与青少年时期人体测量和生化风险因素变化之间的关联。方法:在一项回顾性双队列研究中,从1992年至2002年同一天出生儿童的医院记录中提取出生体重数据。根据世界卫生组织的标准,我们将儿童分为低出生体重或正常出生体重。总共对172名儿童、青少年和成年人进行了研究。在禁食过夜后,我们测量了人体测量和临床数据、血脂谱和血糖。使用曼-惠特尼U检验、费舍尔精确检验、卡方(χ2)检验和学生t检验对低体重组和正常体重组进行比较。结果:患有先兆子痫的孕妇分娩出更多低出生体重的新生儿(p < 0.001)。两组之间的人体测量和临床参数相似。两组之间在心血管疾病家族史(p = 0.1)、家庭收入(p = 0.8)和母亲受教育程度(p = 0.8)方面未发现差异。结论:在本研究中,低出生体重并未增加青少年的心血管疾病风险因素。我们观察到,在巴西东北部一个城市中,社会经济地位较低的青少年中,低出生体重与不良健康结局之间不存在关联。

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