妊娠期体重增加与后代自闭症谱系障碍的风险:一项系统综述

Dea Nabila Ratu Alicia
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摘要

自闭症,也被称为自闭症谱系障碍(ASD),是一种神经发育障碍,其特征是社交行为、语言技能和沟通能力异常。研究发现,ASD患者与其母亲在怀孕期间体重过度增加之间存在相关性。然而,孕前BMI与ASD发病率之间的关系尚无定论。此外,研究还调查了预防因素,如叶酸和脂肪酸的摄入,在疾病发展中的潜在作用。越来越多的证据表明,某些因素,包括母亲和父亲的高龄、丙戊酸盐的摄入、有毒化学物质的暴露、母亲的糖尿病、增强的类固醇活性、免疫激活、可能改变的锌-铜循环和选择性血清素再摄取抑制剂的治疗,都与后代患自闭症谱系障碍的风险增加有关。这项大型、多地点病例对照研究发现,严重的母亲肥胖(肥胖2/3级)与ASD(伴或不伴ID)的风险增加约一倍有关,并增加了DD的几率。在美国进行了一项调查。当考虑胎龄时,ASD也与GWG相关,并且这种关联在男性后代中尤其强烈。然而,GWG和DD之间没有联系。当数据与临床建议的匹配程度进行评估时,没有发现GWG率与ASD或DD之间的相关性。研究发现,患有自闭症谱系障碍的患者的母亲在怀孕期间体重增加得不健康,这两者之间存在相关性。然而,怀孕前的身体质量指数与孩子患自闭症谱系障碍(ASD)的风险之间几乎没有关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
GESTATIONAL WEIGHT GAIN AND RISK OF AUTISM SPECTRUM DISORDERS IN OFFSPRING : A SYSTEMATIC REVIEW
Autism, also known as Autism Spectrum Disorder (ASD), is a neurodevelopmental disorder characterized by abnormalities in social behavior, language skills, and communication abilities. A correlation was found between ASD patients and their mothers' excessive weight gain during pregnancy. However, the relationship between BMI before pregnancy and ASD incidence is inconclusive. In addition, research investigates the potential role that preventative factors, such as folate and fatty acid consumption, play in the development of the disease. There is growing evidence that certain factors, including advanced maternal and paternal age, valproate consumption, exposure to toxic chemicals, maternal diabetes, enhanced steroidogenic activity, immune activation, and possibly altered zinc–copper cycles and treatment with selective serotonin reuptake inhibitors, are associated with an increased risk of autism spectrum disorder in offspring. The large, multisite case-control study discovered that severe maternal obesity (obesity Class 2/3) was associated with approximately double the risk of ASD (with or without ID) and increased odds of DD. In the United States, an investigation was conducted. ASD was also associated with GWG when gestational age was considered, and this association was particularly strong in male offspring. Still, no connection between GWG and DD could be established. No correlations were found between the GWG rate and ASD or DD when the data was evaluated based on how well it matched clinical recommendations. Patients with autism spectrum disorder whose mothers gained an unhealthy quantity of weight during pregnancy were found to have a correlation. However, there is little correlation between BMI before pregnancy and the risk of having a child with autism spectrum disorder (ASD).
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