新生儿毛发皮质醇与出生结果:实证研究和荟萃分析。

IF 2.9 3区 医学 Q2 PSYCHIATRY
Psychosomatic Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-10 DOI:10.1097/PSY.0000000000001339
LillyBelle K Deer, Catherine H Demers, Benjamin L Hankin, Jenalee R Doom, Grant S Shields, M Camille Hoffman, Elysia Poggi Davis
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引用次数: 0

摘要

目的:产前应激生理通常被认为是预测出生结果(包括胎龄和出生体重)的一个因素。然而,研究主要依赖于母体系统的指标,很少有研究对胎儿系统的激素进行检测。目前的研究重点是通过新生儿毛发测量胎儿皮质醇,将其作为可能与出生结局(出生胎龄和出生体重)相关的生物因素。我们报告了两项研究的结果:一项纵向队列研究(研究 1)和一项对现有文献的荟萃分析(研究 2):研究方法:采集 168 名新生儿(55.95% 为女性)出生后不久的毛发进行皮质醇分析。研究方法:对 168 名新生儿(55.95% 为女性)出生后不久的毛发进行皮质醇分析:对四个数据库进行了详尽检索,共筛选出 155 项研究。结果研究:较高的新生儿毛发皮质醇与较长的妊娠期(r = .28,p < .001)和较高的出生体重(r = .16,p = .040)有关。结果研究:在九项研究中,新生儿毛发皮质醇越高,妊娠期越长,r = .35,p < .001,95% CI [0.24,0.45];出生体重越大,r = .18,p = .001,95% CI [0.07,0.28]。新生儿性别并不影响这些关联:结论:第三孕期胎儿皮质醇暴露在胎儿正常成熟过程中发挥作用,研究结果表明,较高的皮质醇与积极的出生结局相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neonatal Hair Cortisol and Birth Outcomes: An Empirical Study and Meta-Analysis.

Objective: Prenatal stress physiology is often posited as a predictor of birth outcomes, including gestational age at birth and birthweight. However, research has predominantly relied on indicators in the maternal system, with few studies examining hormones of the fetal system. The current study focuses on fetal cortisol in the third trimester, as measured in neonatal hair, as a biological factor that might be associated with birth outcomes (gestational age at birth and birthweight). We report findings from two studies: a longitudinal cohort (Study 1), and a meta-analysis of the existing literature (Study 2).

Methodsstudy: Hair was collected for cortisol analysis from 168 neonates (55.95% female) shortly after birth. Gestational age at birth and birthweight were abstracted from medical records.

Methodsstudy: An exhaustive search of four databases was conducted, yielding 155 total studies for screening. Papers reporting neonatal hair cortisol (collection <2 weeks postpartum) and birth outcomes among human neonates were retained for analysis, including Study 1 results ( k = 9).

Resultsstudy: Higher neonatal hair cortisol was related to longer gestation ( r = 0.28, p < .001) and higher birthweight, r = 0.16, p = .040. Sex did not moderate either association.

Resultsstudy: Across the nine studies, higher neonatal hair cortisol predicted both longer gestation ( r = 0.35, p < .001, 95% confidence interval = 0.24-0.45) and higher birthweight ( r = 0.18, p = .001, 95% confidence interval = 0.07-0.28). Neonatal sex did not moderate these associations.

Conclusions: Fetal cortisol exposure in the third trimester plays a role in normative maturation of the fetus, and findings reveal that higher cortisol is associated with positive birth outcomes.

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来源期刊
Psychosomatic Medicine
Psychosomatic Medicine 医学-精神病学
CiteScore
5.10
自引率
0.00%
发文量
258
审稿时长
4-8 weeks
期刊介绍: Psychosomatic Medicine is the official peer-reviewed journal of the American Psychosomatic Society. The journal publishes experimental, clinical, and epidemiological studies on the role of psychological and social factors in the biological and behavioral processes relevant to health and disease. Psychosomatic Medicine is an interdisciplinary peer-reviewed journal devoted to high-quality science on biobehavioral mechanisms, brain-behavior interactions relevant to physical and mental disorders, as well as interventions in clinical and public health settings. Psychosomatic Medicine was founded in 1939 and publishes interdisciplinary research articles relevant to medicine, psychiatry, psychology, and other health-related disciplines. The print journal is published nine times a year; most articles are published online ahead of print. Supplementary issues may contain reports of conferences at which original research was presented in areas relevant to the psychosomatic and behavioral medicine.
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