产前接触大麻:对儿童肥胖症和心脏代谢健康的影响。

IF 9.5 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Current Obesity Reports Pub Date : 2024-03-01 Epub Date: 2024-01-03 DOI:10.1007/s13679-023-00544-x
Brianna F Moore
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引用次数: 0

摘要

审查目的:整合有关产前接触大麻对肥胖和心脏代谢影响的信息:从 2014 年 1 月 1 日到 2023 年 6 月 14 日,PubMed 搜索策略共更新了 47 项流行病学研究和 12 项动物研究。产前接触大麻一直与胎龄小和出生体重低有关。出生后,这些后代的体重会迅速增加,并在童年时脂肪含量增加,血糖(脂肪质量百分比)升高。我们需要进行更多的临床前和前瞻性研究,以加深了解这些关联是否会因性别、剂量、时间和大麻成分(如δ-Δ9-四氢大麻酚[Δ9-THC]与大麻二酚[CBD]的比率)的不同而变化。填补这些空白有助于明确因果关系并确定干预策略。根据现有数据,临床医生和公共卫生官员应继续告诫孕妇不要在怀孕期间使用大麻,以限制其对后代的潜在肥胖和不良心脏代谢影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Prenatal Exposure to Cannabis: Effects on Childhood Obesity and Cardiometabolic Health.

Prenatal Exposure to Cannabis: Effects on Childhood Obesity and Cardiometabolic Health.

Purpose of review: To consolidate information on the obesogenic and cardiometabolic effects of prenatal exposure to cannabis.

Recent findings: A PubMed search strategy updated from January 1, 2014, through 14 June 2023, produced a total of 47 epidemiologic studies and 12 animal studies. Prenatal exposure to cannabis is consistently associated with small for gestational age and low birth weight. After birth, these offspring gain weight rapidly and have increased adiposity and higher glucose (fat mass percentage) in childhood. More preclinical and prospective studies are needed to deepen our understanding of whether these associations vary by sex, dose, timing, and composition of cannabis (e.g., ratio of delta-Δ9-tetrahydrocannabinol [Δ9-THC] to cannabidiol [CBD]). Addressing these gaps may help to solidify causality and identify intervention strategies. Based on the available data, clinicians and public health officials should continue to caution against cannabis use during pregnancy to limit its potential obesogenic and adverse cardiometabolic effects on the offspring.

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来源期刊
Current Obesity Reports
Current Obesity Reports Medicine-General Medicine
CiteScore
16.40
自引率
1.10%
发文量
25
期刊介绍: The main objective of Current Obesity Reports is to provide expert review articles on recent advancements in the interdisciplinary field of obesity research. Our aim is to offer clear, insightful, and balanced contributions that will benefit all individuals involved in the treatment and prevention of obesity, as well as related conditions such as cardiovascular diseases, endocrine disorders, gynecological issues, cancer, mental health, respiratory complications, and rheumatological diseases. We strive to redefine the way knowledge is expressed and provide organized content for the benefit of our readership.
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