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探讨父亲在决定新生儿出生体重中的作用:一项叙事性综述。

Exploring the Father's Role in Determining Neonatal Birth Weight: A Narrative Review.

机构信息

Department of Gynaecology and Obstetrics, University Hospital Maggiore della Carità, 28100 Novara, Italy.

School of Gynaecology and Obstetrics, University of Eastern Piedmont, 28100 Novara, Italy.

出版信息

Medicina (Kaunas). 2024 Oct 10;60(10):1661. doi: 10.3390/medicina60101661.

Abstract

Birth weight, which exhibits variability across different populations, is influenced by a mix of genetic, environmental, and dietary factors originating from both the mother and father. Maternal characteristics, including age, socioeconomic status, prior pregnancies, weight, height, and weight increase throughout pregnancy, have a substantial influence on fetal growth and the health of the infant. On the other hand, the influence of paternal characteristics on the weight of newborns is still not fully comprehended in a consistent manner. Birth weight is an important factor that can help predict various maternal complications, such as the probability of having a C-section, experiencing postpartum hemorrhage or infections. It can also indicate future health challenges like asthma, cognitive impairment, and chronic diseases such as hypertension and diabetes. Nineteen publications were found through a thorough search of the Medline, PubMed, and Scopus databases, which provide insights into how paternal variables contribute to variations in birth weight. Significantly, the age of the father was found to be associated with higher chances of preterm birth and having a smaller size for gestational age in premature infants, while full-term children were more likely to have a larger size for gestational age. In addition, there is a constant correlation between the height of the father and the birth weight of the child. Taller dads are more likely to have babies with a higher birth weight and a lower likelihood of being small for gestational age (SGA). Although there were some discrepancies in the data about the weight and BMI of fathers, it was found that the height of fathers played a significant role in determining the size of the fetus and the weight of the newborn. While there may be differences in the conducted studies, these findings provide valuable insights into the complex connection between parental characteristics and fetal development. This data can be utilized to enhance clinical treatment strategies and enhance our comprehension of outcomes for neonates. Further homogeneous investigations are required to conclusively validate and build upon these findings.

摘要

出生体重在不同人群中存在差异,受到来自母亲和父亲的遗传、环境和饮食因素的混合影响。母亲的特征,包括年龄、社会经济地位、先前的妊娠、体重、身高和怀孕期间的体重增加,对胎儿的生长和婴儿的健康有很大的影响。另一方面,父亲的特征对新生儿体重的影响还没有得到一致的理解。出生体重是一个重要的因素,可以帮助预测各种产妇并发症,如剖宫产的可能性、产后出血或感染。它还可以预示未来的健康挑战,如哮喘、认知障碍和高血压、糖尿病等慢性疾病。通过对 Medline、PubMed 和 Scopus 数据库的全面搜索,找到了 19 篇出版物,这些出版物深入探讨了父亲的变量如何导致出生体重的变化。重要的是,发现父亲的年龄与早产儿早产和胎龄较小的几率增加有关,而足月产儿更有可能胎龄较大。此外,父亲的身高与孩子的出生体重之间存在恒定的相关性。高个子父亲的孩子更有可能体重较高,胎龄较小(SGA)的可能性较低。虽然关于父亲的体重和 BMI 的数据存在一些差异,但发现父亲的身高在决定胎儿大小和新生儿体重方面起着重要作用。虽然在进行的研究中可能存在差异,但这些发现为父母特征与胎儿发育之间的复杂联系提供了有价值的见解。这些数据可用于改进临床治疗策略,并增强我们对新生儿结局的理解。需要进一步进行同质研究来验证和建立这些发现。

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