دورية أكاديمية
Offspring cardiometabolic outcomes and postnatal growth trajectories after exposure to maternal SARS-CoV-2 infection.
العنوان: | Offspring cardiometabolic outcomes and postnatal growth trajectories after exposure to maternal SARS-CoV-2 infection. |
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المؤلفون: | Shook LL; Department of Obstetrics and Gynecology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA., Castro VM; Center for Quantitative Health and Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.; Research Information Science and Computing, Mass General Brigham, Somerville, Massachusetts, USA., Herzberg EM; Division of Neonatology and Newborn Medicine, Department of Pediatrics, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA., Fourman LT; Metabolism Unit, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA., Kaimal AJ; Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, Tampa, Florida, USA., Perlis RH; Center for Quantitative Health and Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA., Edlow AG; Department of Obstetrics and Gynecology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA. |
المصدر: | Obesity (Silver Spring, Md.) [Obesity (Silver Spring)] 2024 May; Vol. 32 (5), pp. 969-978. Date of Electronic Publication: 2024 Feb 13. |
نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
اللغة: | English |
بيانات الدورية: | Publisher: John Wiley & Sons Country of Publication: United States NLM ID: 101264860 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1930-739X (Electronic) Linking ISSN: 19307381 NLM ISO Abbreviation: Obesity (Silver Spring) Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2013- : Malden, MA : John Wiley & Sons Original Publication: Silver Spring, MD : NAASO, the Obesity Society, c2006- |
مواضيع طبية MeSH: | COVID-19*/epidemiology , SARS-CoV-2* , Prenatal Exposure Delayed Effects* , Pregnancy Complications, Infectious*/virology , Pregnancy Complications, Infectious*/epidemiology, Humans ; Female ; Pregnancy ; Retrospective Studies ; Infant ; Adult ; Male ; Massachusetts/epidemiology ; Infant, Newborn ; Body Mass Index ; Cardiometabolic Risk Factors ; Child Development ; Metabolic Diseases/epidemiology ; Metabolic Diseases/etiology |
مستخلص: | Objective: The objective of this study is to determine whether in utero exposure to SARS-CoV-2 is associated with increased risk for a cardiometabolic diagnosis by 18 months of age. Methods: This retrospective electronic health record (EHR)-based cohort study included the live-born offspring of all individuals who delivered during the COVID-19 pandemic (April 1, 2020-December 31, 2021) at eight hospitals in Massachusetts. Offspring exposure was defined as a positive maternal SARS-CoV-2 polymerase chain reaction test during pregnancy. The primary outcome was presence of an ICD-10 code for a cardiometabolic disorder in offspring EHR by 18 months. Weight-, length-, and BMI-for-age z scores were calculated and compared at 6-month intervals from birth to 18 months. Results: A total of 29,510 offspring (1599 exposed and 27,911 unexposed) were included. By 18 months, 6.7% of exposed and 4.4% of unexposed offspring had received a cardiometabolic diagnosis (crude odds ratio [OR] 1.47 [95% CI: 1.10 to 1.94], p = 0.007; adjusted OR 1.38 [1.06 to 1.77], p = 0.01). Exposed offspring had a significantly greater mean BMI-for-age z score versus unexposed offspring at 6 months (z score difference 0.19 [95% CI: 0.10 to 0.29], p < 0.001; adjusted difference 0.04 [-0.06 to 0.13], p = 0.4). Conclusions: Exposure to maternal SARS-CoV-2 infection was associated with an increased risk of receiving a cardiometabolic diagnosis by 18 months preceded by greater BMI-for-age at 6 months. (© 2024 The Obesity Society.) |
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معلومات مُعتمدة: | U19 AI167899 United States AI NIAID NIH HHS; RF1MH132336 United States MH NIMH NIH HHS; U54 MH118919 United States MH NIMH NIH HHS; K23 HD100266 United States HD NICHD NIH HHS; K12 HD103096 United States HD NICHD NIH HHS; R01MH116270 United States MH NIMH NIH HHS; RF1 MH132336 United States MH NIMH NIH HHS; R01 HD100022 United States HD NICHD NIH HHS; U54MH118919 United States MH NIMH NIH HHS; R01 MH116270 United States MH NIMH NIH HHS; P30 DK040561 United States DK NIDDK NIH HHS |
تواريخ الأحداث: | Date Created: 20240214 Date Completed: 20240424 Latest Revision: 20240827 |
رمز التحديث: | 20240827 |
مُعرف محوري في PubMed: | PMC11039385 |
DOI: | 10.1002/oby.23998 |
PMID: | 38351665 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1930-739X |
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DOI: | 10.1002/oby.23998 |