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母亲孕前因素与儿童哮喘的关系:2-5 岁学龄前儿童的横断面调查。

Relation of Maternal Pre-Pregnancy Factors and Childhood Asthma: A Cross-Sectional Survey in Pre-School Children Aged 2-5 Years Old.

机构信息

Department of Health Sciences, College of Natural and Health Sciences, Zayed University, Abu Dhabi P.O. Box 144534, United Arab Emirates.

Department of Food Science and Nutrition, School of Environment, University of the Aegean, 81400 Myrina, Lemnos, Greece.

出版信息

Medicina (Kaunas). 2023 Jan 16;59(1):179. doi: 10.3390/medicina59010179.

DOI:10.3390/medicina59010179
PMID:36676802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9867101/
Abstract

: Asthma constitutes a constant, prolonged, inflammation-related pulmonary disorder in childhood with serious public health concerns. Several maternal risk factors can enhance the prevalence of its development in this stage of life; however, the currently available data remain contradictory and/or inconsistent. We aim to evaluate the potential impacts of mothers' sociodemographic, anthropometric and prenatal and perinatal factors on the prevalence of developing asthma in pre-school children. : This is a retrospective cross-sectional survey, which includes 5133 women and their matched pre-school children. Childhood asthma was diagnosed using validated questionnaires. Statistical analysis was accomplished to evaluate whether maternal sociodemographic, anthropometric and prenatal and perinatal factors can increase the probability of childhood asthma in pre-school age. : A prevalence of 4.5% of childhood asthma was recorded in pre-school age. Maternal age and pre-pregnancy overweight and obesity, caesarean section, gestational diabetes and hypertension and not breastfeeding were associated with childhood asthma after adjustment for multiple confounding factors. : Our research showed that several maternal factors increase the prevalence of childhood asthma in pre-school age. Suitable and effective health policies and strategies should be taken into account to confront the predominant maternal factors that increase its prevalence in pre-school age.

摘要

哮喘是儿童时期一种持续存在的、与炎症相关的慢性肺部疾病,对公共健康有严重影响。一些母体危险因素可能会增加该疾病在生命早期阶段的发生率,但目前的可用数据仍存在矛盾和/或不一致。我们旨在评估母亲的社会人口学、人体测量学以及产前和围产期因素对学龄前儿童哮喘发病的潜在影响。

这是一项回顾性的横断面调查,共纳入 5133 名女性及其匹配的学龄前儿童。采用经过验证的问卷来诊断儿童哮喘。进行统计学分析以评估母体社会人口学、人体测量学以及产前和围产期因素是否会增加学龄前儿童哮喘的发生概率。

在学龄前儿童中,哮喘的发病率为 4.5%。经多因素混杂因素校正后,母亲的年龄、孕前超重和肥胖、剖宫产、妊娠期糖尿病和高血压以及未母乳喂养与儿童哮喘有关。

我们的研究表明,一些母体因素会增加学龄前儿童哮喘的发病率。应考虑采取适当有效的卫生政策和策略,以应对增加学龄前儿童哮喘发病率的主要母体因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440b/9867101/080951e157af/medicina-59-00179-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440b/9867101/274859017d7c/medicina-59-00179-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440b/9867101/080951e157af/medicina-59-00179-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440b/9867101/274859017d7c/medicina-59-00179-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440b/9867101/080951e157af/medicina-59-00179-g002.jpg

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Pediatr Gastroenterol Hepatol Nutr. 2022 May;25(3):194-210. doi: 10.5223/pghn.2022.25.3.194. Epub 2022 May 9.
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