Acta Paediatrica最新文献_第7页

The Long-Term Effects of Gut Microbiota of Premature Babies and Adult Health. 早产儿肠道菌群对成人健康的长期影响。

IF 2.1 4区医学

Acta Paediatrica Pub Date : 2025-08-25 DOI: 10.1111/apa.70286

Ariadne Malamitsi-Puchner, Despina D Briana, Josef Neu

引用次数: 0

Paediatric Patients With Multiple Referrals and Complex Health Complaints Experienced Notable Functional Impairment. 儿科患者多转诊和复杂的健康投诉经历显著的功能损害。

IF 2.1 4区医学

Acta Paediatrica Pub Date : 2025-08-22 DOI: 10.1111/apa.70278

Ragnhild B Lygre, John Roger Andersen, Rolf Gjestad, Helene Helgeland, Gottfried Greve, Irene Bircow Elgen

{"title":"Paediatric Patients With Multiple Referrals and Complex Health Complaints Experienced Notable Functional Impairment.","authors":"Ragnhild B Lygre, John Roger Andersen, Rolf Gjestad, Helene Helgeland, Gottfried Greve, Irene Bircow Elgen","doi":"10.1111/apa.70278","DOIUrl":"https://doi.org/10.1111/apa.70278","url":null,"abstract":"Aim: Managing patients with complex health complaints is challenging, because cumulative functional impairment may be overlooked when such complaints are considered individually. This Norwegian study examined functional impairment in paediatric patients with complex somatic and mental health complaints.Methods: Data for this open-label trial were collected from 1 January 2020 to 1 July 2023, before an interdisciplinary intervention for paediatric patients aged 6-16 years with multiple referrals to Haukeland University Hospital. Patients were recruited from the paediatric neurology and gastroenterology departments, and the parents completed the KIDSCREEN-27 tool on health-related quality of life and a questionnaire on school absences.Results: The 71 patients (51% boys) had a mean age of 12 years. Their parents reported that the patients had significantly lower health-related quality of life than norms for the general European population. School absences were high, with 52% of children missing school weekly. Lower health-related quality of life scores were linked to increased school absences, while increased age was associated with reduced school environment scores.Conclusion: Paediatric patients with multiple referrals and complex health complaints experienced notable functional impairment. These patients should be offered holistic assessments of both their complaints and their functional impairment.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenges of Cough and Cold Medications or Rituals. 咳嗽和感冒药物或仪式的挑战。

IF 2.1 4区医学

Acta Paediatrica Pub Date : 2025-08-21 DOI: 10.1111/apa.70282

Sergio Verd, Marianna Mambie

引用次数: 0

Higher Sedentary Behaviour and Not Following Screen Time Guidelines Were Associated With Unfavourable Cardiometabolic Outcomes in Childhood. 久坐行为和不遵守屏幕时间指南与儿童时期不利的心脏代谢结果相关。

IF 2.1 4区医学

Acta Paediatrica Pub Date : 2025-08-20 DOI: 10.1111/apa.70276

Ellinor Nilsson, Jairo H Migueles, Pontus Henriksson, Christine Delisle Nyström, Marie Löf

{"title":"Higher Sedentary Behaviour and Not Following Screen Time Guidelines Were Associated With Unfavourable Cardiometabolic Outcomes in Childhood.","authors":"Ellinor Nilsson, Jairo H Migueles, Pontus Henriksson, Christine Delisle Nyström, Marie Löf","doi":"10.1111/apa.70276","DOIUrl":"https://doi.org/10.1111/apa.70276","url":null,"abstract":"Aim: Sedentary behaviour may influence children's cardiometabolic health; however, evidence remains limited. This study investigated the associations between sedentary behaviour and cardiometabolic outcomes in nine-year-old children and from 4 to 9 years of age. Associations between adherence to screen time guidelines and cardiometabolic outcomes at 9 years of age were also examined.Methods: Movement behaviours were assessed using accelerometers in 411 children at 4 and 9 years of age. Cardiometabolic outcomes at 9 years of age comprised blood pressure, lipid and glucose biomarkers, and a metabolic syndrome score. Screen time was assessed via questionnaire. Compositional data analysis and analysis of covariance were used.Results: Increasing sedentary behaviour at the expense of physical activity and sleep at 9 years of age was associated with higher systolic (p = 0.021) and diastolic (p = 0.019) blood pressure. Greater sedentary behaviour at 4 years of age was associated with higher diastolic blood pressure (p = 0.050) and lower high-density lipoprotein (p = 0.034) at 9 years of age. Children adhering to screen time guidelines had a lower metabolic syndrome score (p = 0.014), low-density lipoprotein (p = 0.045), and triglycerides (p = 0.022).Conclusion: Higher sedentary behaviour and not adhering to screen time guidelines were associated with unfavourable cardiometabolic outcomes from 4 to 9 years and at 9 years of age.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of the COVID-19 Lockdowns on Gross Motor and Fine Motor Neurodevelopment in Toddlers. COVID-19封锁对幼儿大运动和精细运动神经发育的影响

IF 2.1 4区医学

Acta Paediatrica Pub Date : 2025-08-15 DOI: 10.1111/apa.70266

Elin Backman, Richard Lundberg-Ulfsdotter, Sven-Arne Silfverdal, Christina E West, Magnus Domellöf

引用次数: 0

Nationwide Danish Register Based Study Showed a Stable Prevalence of Congenital Diaphragmatic Hernias From 1994 to 2021 but a Decrease in Syndromic Cases. 基于丹麦全国登记的研究显示，从1994年到2021年，先天性膈疝的患病率稳定，但综合征病例有所减少。

IF 2.1 4区医学

Acta Paediatrica Pub Date : 2025-08-13 DOI: 10.1111/apa.70251

Ulrik Lausten-Thomsen, Paula L Hedley, Kristin M Conway, Katrine M Løfberg, Lars S Johansen, Paul A Romitti, Michael Christiansen

{"title":"Nationwide Danish Register Based Study Showed a Stable Prevalence of Congenital Diaphragmatic Hernias From 1994 to 2021 but a Decrease in Syndromic Cases.","authors":"Ulrik Lausten-Thomsen, Paula L Hedley, Kristin M Conway, Katrine M Løfberg, Lars S Johansen, Paul A Romitti, Michael Christiansen","doi":"10.1111/apa.70251","DOIUrl":"https://doi.org/10.1111/apa.70251","url":null,"abstract":"Aim: Congenital diaphragmatic hernia (CDH) is a severe malformation with high morbidity and mortality. This Danish study evaluated the birth prevalence, co-occurring malformations, and temporal trends of CDH over nearly three decades.Methods: Nationwide data from the Danish Biobank Register were used to identify liveborn infants diagnosed with CDH from 1994 to 2021. They were classified as non-syndromic or syndromic, based on co-occurring structural malformations or genetic or syndromic anomalies. Poisson regression was used to estimate the prevalence, including annual percentage changes.Results: We found that 272 of the 1 696 357 liveborn infants were diagnosed with CDH, with a stable prevalence of 1.60 per 10 000 live births (95% confidence interval 1.42-1.81). The majority (89.3%) had non-syndromic phenotypes: 79.4% of these had isolated CDH and 20.6% had CDH with co-occurring malformations, predominantly cardiac malformations. Syndromic CDH was observed in 29 (10.7%) infants, and its prevalence declined significantly over the study period (p < 0.03).Conclusion: Although the prevalence of liveborn Danish CDH births remained stable, there was a shift towards fewer syndromic cases, possibly due to improved prenatal screening and increased terminations. The high proportion of major, co-occurring malformations emphasises the need for continued monitoring to address the healthcare needs of these patients.","PeriodicalId":55562,"journal":{"name":"Acta Paediatrica","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EBNEO Commentary: Extended CPAP in Preterm Infants Increases Lung Growth at 6 Months. EBNEO评论：延长CPAP对早产儿6个月时肺生长的影响。

IF 2.1 4区医学

Acta Paediatrica Pub Date : 2025-08-12 DOI: 10.1111/apa.70237

Mackenzie Parker, Kathleen Hannan

引用次数: 0

European Academy of Paediatrics Position Paper: A Response to the 2024 Declaration of Helsinki Update. 欧洲儿科学会立场文件：对2024年赫尔辛基更新宣言的回应

IF 2.1 4区医学

Acta Paediatrica Pub Date : 2025-08-12 DOI: 10.1111/apa.70273

Joe Brierley, Eduard Verhagen

引用次数: 0

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