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父母青春期前超重与子女肺功能。

Parental Prepuberty Overweight and Offspring Lung Function.

机构信息

Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, 5020 Bergen, Norway.

Department of Occupational Medicine, Haukeland University Hospital, 5021 Bergen, Norway.

出版信息

Nutrients. 2022 Apr 4;14(7):1506. doi: 10.3390/nu14071506.

DOI:10.3390/nu14071506
PMID:35406119
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9002985/
Abstract

In a recent study we found that fathers' but not mothers' onset of overweight in puberty was associated with asthma in adult offspring. The potential impact on offspring's adult lung function, a key marker of general and respiratory health, has not been studied. We investigated the potential causal effects of parents' overweight on adult offspring's lung function within the paternal and maternal lines. We included 929 offspring (aged 18-54, 54% daughters) of 308 fathers and 388 mothers (aged 40-66). Counterfactual-based multi-group mediation analyses by offspring's sex (potential moderator) were used, with offspring's prepubertal overweight and/or adult height as potential mediators. Unknown confounding was addressed by simulation analyses. Fathers' overweight before puberty had a negative indirect effect, mediated through sons' height, on sons' forced expiratory volume in one second (FEV) (beta (95% CI): -144 (-272, -23) mL) and forced vital capacity (FVC) (beta (95% CI): -210 (-380, -34) mL), and a negative direct effect on sons' FVC (beta (95% CI): -262 (-501, -9) mL); statistically significant effects on FEV/FVC were not observed. Mothers' overweight before puberty had neither direct nor indirect effects on offspring's lung function. Fathers' overweight starting before puberty appears to cause lower FEV and FVC in their future sons. The effects were partly mediated through sons' adult height but not through sons' prepubertal overweight.

摘要

在最近的一项研究中,我们发现父亲而不是母亲在青春期超重与成年后代哮喘有关。父母超重对后代成年肺功能的潜在影响(一般和呼吸健康的关键标志)尚未得到研究。我们在父系和母系内调查了父母超重对成年后代肺功能的潜在因果影响。我们纳入了 308 名父亲和 388 名母亲(年龄 40-66 岁)的 929 名后代(年龄 18-54 岁,54%为女性)。通过后代的性别(潜在的调节因素)进行了基于反事实的多组中介分析,将后代的青春期前超重和/或成年身高作为潜在的中介因素。通过模拟分析解决了未知的混杂因素。青春期前超重的父亲通过儿子的身高对儿子的一秒用力呼气容积(FEV)(β(95%置信区间):-144(-272,-23)mL)和用力肺活量(FVC)(β(95%置信区间):-210(-380,-34)mL)有负间接影响,对儿子的 FVC 有负直接影响(β(95%置信区间):-262(-501,-9)mL);未观察到对 FEV/FVC 的统计学显著影响。青春期前超重的母亲对后代的肺功能没有直接或间接影响。青春期前超重的父亲似乎会导致他们未来的儿子的 FEV 和 FVC 降低。这些影响部分通过儿子的成年身高介导,但不是通过儿子的青春期前超重。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69e2/9002985/4dd287ad38ed/nutrients-14-01506-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69e2/9002985/1afcf6d307be/nutrients-14-01506-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69e2/9002985/e9607e18e657/nutrients-14-01506-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69e2/9002985/4dd287ad38ed/nutrients-14-01506-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69e2/9002985/1afcf6d307be/nutrients-14-01506-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69e2/9002985/e9607e18e657/nutrients-14-01506-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69e2/9002985/4dd287ad38ed/nutrients-14-01506-g003.jpg

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本文引用的文献

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Prenatal and prepubertal exposures to tobacco smoke in men may cause lower lung function in future offspring: a three-generation study using a causal modelling approach.男性在产前和青春期前接触烟草烟雾可能会导致未来后代的肺功能降低:使用因果建模方法的三代研究。
Eur Respir J. 2021 Oct 21;58(4). doi: 10.1183/13993003.02791-2020. Print 2021 Oct.
2
Being overweight in childhood, puberty, or early adulthood: Changing asthma risk in the next generation?儿童期、青春期或成年早期超重:会改变下一代哮喘风险吗?
J Allergy Clin Immunol. 2020 Mar;145(3):791-799.e4. doi: 10.1016/j.jaci.2019.08.030. Epub 2019 Sep 7.
3
Early menarche is associated with lower adult lung function: A longitudinal cohort study from the first to sixth decade of life.
父系孕前可改变的不良妊娠和后代结局风险因素:来自观察性研究的当代证据综述。
BMC Public Health. 2023 Mar 16;23(1):509. doi: 10.1186/s12889-023-15335-1.
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The role of epigenetics in multi-generational transmission of asthma: An NIAID workshop report-based narrative review.表观遗传学在哮喘多代传递中的作用:基于 NIAID 研讨会报告的叙述性综述。
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Cohort profile: the multigeneration Respiratory Health in Northern Europe, Spain and Australia (RHINESSA) cohort.队列特征描述:北欧、西班牙和澳大利亚多代呼吸系统健康研究(RHINESSA)队列。
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