1.Research progress on the relationship between bisphenol A exposure and childhood asthma
Chinese Journal of School Health 2022;43(9):1432-1435
Abstract
Bisphenol A (BPA) is a high yield chemical and widely present in daily necessities and catering products. It is one of the environmental endocrine disruptors with estrogen like effects that may affect the immune system. This paper summarizes the most recent epidemiological studies on the relationship between BPA exposure and asthma in children at home and abroad, and briefly outlines the pathogenesis of BPA induced asthma in children, aiming to provide inspiration and directions for future research.
2.Association between umbilical artery ultrasound parameters and birth outcomes in gestational diabetes mellitus
Ying Pan ; Li Zhou ; Lianjie Dou ; Jijun Gu ; Dan Huang ; Zhaohui Huang ; Anhui Zhang ; Hong Tao ; Li Zhang ; Jiahu Hao
Acta Universitatis Medicinalis Anhui 2023;58(7):1184-1188
Objective :
To investigate the effects of gestational diabetes mellitus (GDM) on birth outcome and umbilical artery (UA) blood flow parameters in the third trimester, and to analyze the role of UA blood flow parameters in GDM and birth outcome.
Methods :
Based on the birth cohort from Wuhu , Anhui , China , 189 pregnant women with GDM were collected as the case group. The non⁃GDM pregnant women were matched 1 ∶ 1 according to age and pre⁃pregnancy body mass index , and 189 normal pregnant women were selected as the control group. Pregnant women with GDM were divided into poorly controlled group and well controlled group according to fasting blood
glucose in the third trimester. The UA blood flow parameters and fetal birth outcomes in the third trimester were tracked.
Results :
Compared with the control group , UA parameters in poorly controlled and well controlled groups
significantly increased (F = 6. 63 , P < 0. 05 ; F = 4. 43 , P < 0. 05 ; F = 5. 57 , P < 0. 05) . Poor glycemic control of GDM was associated with increased birth weight and risk of larger than gestational age. The multi⁃factor linear regression model showed that the Z score of the peak systolic velocity/end diastolic velocity (S/D) in the poorly controlled group was negatively correlated with birth weight (β = - 209. 78 , 95% CI: - 301. 48 - 118. 07) . S/D index Z score mediated the relationship between poor blood glucose control and birth weight. The intermediate effect value was - 58. 41 (95% CI: - 106. 40 ~ - 19. 65) , accounting for 25. 98% of the total effect.
Conclusion
Poor glycemic control in GDM is a risk factor for fetal weight gain , and UA function plays a partial mediating role in influencing neonatal birth weight. GDM pregnant women should strictly control blood glucose level to better protect maternal and infant health.
3.Association between nocturnal sleep duration combined with snoring exposure and SGA,LGA in the first trimester of pregnancy based on birth cohort
Fenghui Wang ; Kai Ma ; Lianjie Dou ; Dan Huang ; Ying Pan ; Jijun Gu ; Chaohui Huang ; Anhui Zhang ; Hong Tao ; Jiahu Hao
Acta Universitatis Medicinalis Anhui 2022;57(11):1807-1811
Objective :
To investigate the correlation between nocturnal sleep duration combined with snoring in the first trimester of pregnancyand small for gestational age(SGA) ,large for gestational age(LGA) .
Methods :
Multi- variate Logistic regression model was used to analyze the association between nocturnal sleep duration ,snoring, their combined effects and SGA,LGA.
Results :
Compared to nocturnal sleep duration 7 to 9 h in the first trimester of pregnancy,sleep duration<7 h was positively correlated with SGA in male newborn( OR = 4. 22,95% CI : 1. 69 - 10. 52) ; After stratified by snoring,the sleep duration of snoring women<7 h was positively correlated with SGA ( OR = 5. 68,95% CI : 1. 02-31. 51) ,and the sleep duration of non-snoring women<7 h was positively correlated with LGA ( OR = 2. 10,95% CI : 1. 16 -3. 81) .
Conclusion
Sleep duration<7 h in the first trimester of preg- nancy is a risk factor for SGA and LGA,and snoring may enhance the association between sleep duration<7 h in the first trimester of pregnancy and SGA.Pregnant women should keep adequate nocturnal sleep duration to reduce the risk of abnormal neonatal weight.