孕期大气污染暴露与儿童肥胖风险关系的系统综述

A systemic review on association between on maternal atmospheric pollution exposure during pregnancy and childhood obesity

  • 摘要:
    背景 母亲孕期暴露于大气污染可能会改变胎儿的宫内发育编程,进而增加未来儿童发生肥胖的风险。
    目的 探讨孕期不同大气污染物暴露对子代儿童肥胖发病的影响。
    方法 检索PubMed、Web of Science、Medline等外文电子文献数据库以及万方数据知识服务平台、中国知网、维普资讯等中文期刊服务平台,检索期限为2000年1月1日至2023年8月31日,详尽收集孕期不同大气污染物暴露与儿童肥胖相关的文献资料,采用美国国立健康研究院的观察性队列研究和横断面研究质量评价工具对纳入文献质量进行评价。
    结果 最终纳入符合标准的文献24篇,涉及污染物主要包括颗粒物、臭氧、氮氧化物、碳氧化物、硫氧化物等。与非暴露组相比,孕期各类常见大气污染物暴露均与子代儿童期肥胖发病风险升高有关。
    结论 母亲孕期暴露于大气污染会增加未来儿童发生肥胖的风险,后续研究应更多关注大气污染物对儿童体脂分布和代谢发育的影响,进一步揭示大气污染物暴露导致儿童肥胖的潜在机制。

     

    Abstract:
    Background Maternal atmospheric pollution during pregnancy may alter fetal intrauterine development programming, thereby increasing the risk of childhood obesity in the future.
    Objective To investigate the effects of atmospheric pollution exposure during pregnancy on the incidence of childhood obesity in offspring.
    Methods English databases (PubMed, Web of Science, and Medline) and Chinese databases (Wanfang Data Knowledge Service Platform, China National Knowledge Infrastructure, and VIP Information Chinese Journal Service Platform) were searched for literature reporting exposure to atmospheric pollution during pregnancy and childhood obesity published from 1 January 2000 to 31 August 2023. The quality of the included literature was evaluated using the quality assessment tools for observational cohort and cross-sectional studies recommended by the US National Institutes of Health.
    Results Twenty-four studies meeting the inclusion criteria were identified and the associated atmospheric pollutants included particulate matter, ozone, nitrogen oxide, carbon oxide, and sulfur oxide. In comparison to the non-exposed group, prenatal exposure to various common atmospheric pollutants were significantly associated with an elevated risk of childhood obesity in offspring.
    Conclusion Maternal exposure to atmospheric pollution during pregnancy is associated with an elevated risk of childhood obesity in subsequent years. Future studies should pay more attention to the effects of atmospheric pollution on the distribution of children's body fat and metabolic development, and further identify potential mechanisms of atmospheric pollutant exposure leading to childhood obesity.

     

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