通过医学信息学和人工智能推进初级保健中的地理空间孕前健康研究

IF 3.8 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Elena Segundo, Jordi Carrere-Molina, María Aragón, Roger Mallol-Parera
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引用次数: 0

摘要

已有的生命历程研究方法表明,成年后的健康状况会受到产前发育期发生的事件的影响。然而,孕期饮食和生活方式改变等干预措施对母体和后代的健康结果影响甚微。目前,越来越多的文献强调了孕前(怀孕前数月或数年)母体健康对子代未来健康的重要性。虽然一些研究探讨了这方面的因素,如母体的身体成分、营养和生活方式,但受孕前基于地点的环境和社会经济暴露也可能会对未来后代的健康产生影响。在这方面,研究患者的地理历史是一个很有前景的途径。为了促进这方面的研究,地理空间健康、医学信息学和人工智能技术的整合提供了巨大的潜力。重要的是,大健康数据集的新来源,如在初级保健层面登记的电子健康记录,因其固有的纵向性质而提供了一个独特的框架。然而,要使这种纵向分析成熟并取得成功,还需要克服一些隐私、伦理和技术方面的挑战。从长远来看,我们支持将患者的地理病史纳入其临床病史的愿景,从而为临床医生提供有用的背景信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Advancing geospatial preconception health research in primary care through medical informatics and artificial intelligence

Established life course approaches suggest that health status in adulthood can be influenced by events that occurred during the prenatal developmental period. Yet, interventions such as diet and lifestyle changes performed during pregnancy have had a small impact on both maternal and offspring health outcomes. Currently, there is a growing body of literature that highlights the importance of maternal health before conception (months or years before pregnancy occurs) for the future health of offspring. While some studies have explored factors such as maternal body composition, nutrition, and lifestyle in this area, location-based environmental and socioeconomic exposures before conception may also contribute to future offspring health. In this line, the study of a patient's geographic history presents a promising avenue. To foster research in this direction, the integration of geospatial health, medical informatics and artificial intelligence techniques offers great potential. Importantly, novel sources of big health data sets such as electronic health records registered at the primary care level provide a unique framework due to its inherent longitudinal nature. Nonetheless, a number of privacy, ethical, and technical challenges need to be overcome for this kind of longitudinal analysis to mature and succeed. In the long-term, we support the vision of incorporating a patient's geographic history into her clinical history to equip clinicians with useful contextual information to explore.

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来源期刊
Health & Place
Health & Place PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.70
自引率
6.20%
发文量
176
审稿时长
29 days
期刊介绍: he journal is an interdisciplinary journal dedicated to the study of all aspects of health and health care in which place or location matters.
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