Descriptive epidemiology of non-syndromic complete atrioventricular canal defects.

Descriptive epidemiology of non-syndromic complete atrioventricular canal defects.
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DOI:
10.1111/ppe.12006
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发表时间:
2012-11
影响因子:
2.8
通讯作者:
Mitchell LE
Mitchell LE
中科院分区:
医学3区
文献类型:
--
作者:
Agopian AJ;Moulik M;Gupta-Malhotra M;Marengo LK;Mitchell LE

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完全性房室管缺损(CAVC)是一种常见的心脏缺损,但很少有流行病学研究评估非综合征性房室管缺损。非综合征性CAVC的危险因素尚未得到很好的确定。为了评估后代非综合征性CAVC风险与一些社会人口统计学和生殖亲本因素(包括母亲糖尿病和肥胖)之间的关系,我们进行了泊松回归分析,使用了德克萨斯州出生缺陷登记处(一个大型的、基于人群的出生缺陷登记处)确定的数据。对563例CAVC非综合征病例的数据进行了评估。后代非综合征性CAVC与母亲妊娠期糖尿病(调整患病率比(aPR): 6.74, 95%可信区间(CI): 3.67-12.37)、妊娠期糖尿病[aPR: 1.69, 95% CI: 1.03, 2.79]和肥胖[aPR: 1.69, 95% CI: 1.24, 2.30]存在显著相关性。我们的研究结果将非综合征性CAVC添加到与母亲糖尿病和肥胖相关的不断增长的出生缺陷列表中。
Complete atrioventricular canal defects (CAVC) are a common heart defect, but few epidemiologic studies have evaluated nonsyndromic CAVC. Risk factors for nonsyndromic CAVC have not been well established. To assess the relationship between risk for nonsyndromic CAVC in offspring and several sociodemographic and reproductive parental factors, including maternal diabetes and obesity, we conducted Poisson regression analyses, using data ascertained through the Texas Birth Defects Registry, a large, population-based birth defects registry. Data were evaluated for 563 nonsyndromic cases with CAVC. Significant associations were observed between nonsyndromic CAVC in offspring and maternal pregestational diabetes (adjusted prevalence ratio (aPR): 6.74, 95% confidence interval (CI): 3.67–12.37), gestational diabetes [aPR: 1.69, 95% CI: 1.03, 2.79], and obesity [aPR: 1.69, 95% CI: 1.24, 2.30]. Our findings add nonsyndromic CAVC to the growing list of birth defects that appear to be associated with maternal diabetes and obesity.
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