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Obstet Gynecol：产前吸烟与妊娠糖尿病之间的关联

2019-12-08 xing.T MedSci原创

产前吸烟妊娠糖尿病关联
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在调整了已知的危险因素后，产前吸烟与GDM的高发生率相关。在妊娠期间减少吸烟可能会降低GDM的风险，并且可能是在孕妇中促进戒烟的另一个原因。

近日，妇产科权威杂志Obstetrics and Gynecology上发表了一研究文章，研究人员旨在评估产前吸烟与妊娠糖尿病（GDM）之间是否存在关联。

研究人员使用2009年至2015年期间妊娠风险评估监测系统的数据进行了二次数据分析。结果指标包括自我报告的GDM和妊娠期间的吸烟状况改变（不吸烟、戒烟、减少吸烟量、吸烟量相同或更多）。研究人员进行了多变量logistic回归分析以评估产前吸烟与GDM状况之间的关联，并根据产妇年龄、民族、孕前体重指数（BMI）类别（体重不足、正常[参照人群]、超重和肥胖）和妊娠体重增加（不足、正常[参考人群]和过多）进行调整，总体上由孕前BMI和妊娠体重增加亚组进行分层。

该研究总共纳入了222408名妇女；5.3％（n=12897）患有GDM。大多数（48.1％）妇女孕前BMI正常，而43.1％孕妇的妊娠体重增加过多。吸烟量不变或增加或减少的孕妇发生GDM的几率更高（调整后的比值比[OR]分别为1.46、95％CI为1.25-1.71和OR为1.22、95％CI为1.08-1.38）。在孕前BMI或妊娠体重增加的所有亚组中，吸烟量相同或更多与GDM的几率更高有关。 

在调整了已知的危险因素后，产前吸烟与GDM的高发生率相关。在妊娠期间减少吸烟可能会降低GDM的风险，并且可能是在孕妇中促进戒烟的另一个原因。 

原始出处：

Bar-Zeev, Yael,et al.Association Between Prenatal Smoking and Gestational Diabetes Mellitus.Obstetrics & Gynecology.2019.https://journals.lww.com/greenjournal/Abstract/publishahead/Association_Between_Prenatal_Smoking_and.97520.aspx

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    2020-01-07 zhanfl

    #产前吸烟#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2034153, encodeId=8ea12034153fa, content=<a href='/topic/show?id=b4e824424fa' target=_blank style='color:#2F92EE;'>#产前吸烟#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24424, encryptionId=b4e824424fa, topicName=产前吸烟)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3138208, createdName=zhanfl, createdTime=Tue Jan 07 00:30:00 CST 2020, time=2020-01-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2044115, encodeId=caaf2044115e3, content=<a href='/topic/show?id=8513126129d' target=_blank style='color:#2F92EE;'>#NEC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12612, encryptionId=8513126129d, topicName=NEC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ac22500003, createdName=1249842em09(暂无昵称), createdTime=Fri Jan 03 22:30:00 CST 2020, time=2020-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2011419, encodeId=f25f201141958, content=<a href='/topic/show?id=840d1e300e5' target=_blank style='color:#2F92EE;'>#TET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17300, encryptionId=840d1e300e5, topicName=TET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cc52251, createdName=yhy100200, createdTime=Sun Apr 26 12:30:00 CST 2020, time=2020-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1502579, encodeId=fc0915025e956, content=<a href='/topic/show?id=ef4b2441971' target=_blank style='color:#2F92EE;'>#产前#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24419, encryptionId=ef4b2441971, topicName=产前)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b49a9545081, createdName=qilu_qi, createdTime=Tue Dec 10 04:30:00 CST 2019, time=2019-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376732, encodeId=466e3e6732bd, content=学习了，谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Mon Dec 09 13:00:52 CST 2019, time=2019-12-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1042862, encodeId=5400104286229, content=谢谢MedSci提供最新的资讯, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=misszhang, createdTime=Sun Dec 08 16:30:00 CST 2019, time=2019-12-08, status=1, ipAttribution=)]
    2020-01-03 1249842em09(暂无昵称)

    #NEC#

    0

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    2020-04-26 yhy100200

    #TET#

    0

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    2019-12-10 qilu_qi

    #产前#

    0

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    2019-12-09 1ddf0692m34(暂无匿称)

    学习了，谢谢分享

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2034153, encodeId=8ea12034153fa, content=<a href='/topic/show?id=b4e824424fa' target=_blank style='color:#2F92EE;'>#产前吸烟#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24424, encryptionId=b4e824424fa, topicName=产前吸烟)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3138208, createdName=zhanfl, createdTime=Tue Jan 07 00:30:00 CST 2020, time=2020-01-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2044115, encodeId=caaf2044115e3, content=<a href='/topic/show?id=8513126129d' target=_blank style='color:#2F92EE;'>#NEC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12612, encryptionId=8513126129d, topicName=NEC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ac22500003, createdName=1249842em09(暂无昵称), createdTime=Fri Jan 03 22:30:00 CST 2020, time=2020-01-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2011419, encodeId=f25f201141958, content=<a href='/topic/show?id=840d1e300e5' target=_blank style='color:#2F92EE;'>#TET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17300, encryptionId=840d1e300e5, topicName=TET)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cc52251, createdName=yhy100200, createdTime=Sun Apr 26 12:30:00 CST 2020, time=2020-04-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1502579, encodeId=fc0915025e956, content=<a href='/topic/show?id=ef4b2441971' target=_blank style='color:#2F92EE;'>#产前#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24419, encryptionId=ef4b2441971, topicName=产前)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b49a9545081, createdName=qilu_qi, createdTime=Tue Dec 10 04:30:00 CST 2019, time=2019-12-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=376732, encodeId=466e3e6732bd, content=学习了，谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Mon Dec 09 13:00:52 CST 2019, time=2019-12-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1042862, encodeId=5400104286229, content=谢谢MedSci提供最新的资讯, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=misszhang, createdTime=Sun Dec 08 16:30:00 CST 2019, time=2019-12-08, status=1, ipAttribution=)]
    2019-12-08 misszhang

    谢谢MedSci提供最新的资讯

    0