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排序方式: 共有174条查询结果,搜索用时 187 毫秒
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Lauren C. Houghton Mandy Goldberg Ying Wei Piera M. Cirillo Barbara A. Cohn Karin B. Michels Mary Beth Terry 《Annals of epidemiology》2018,28(3):197-203
Purpose
Studies suggests that intrauterine exposure to maternal smoking both accelerates or delays age at menarche. We hypothesize that these opposing findings relate to different infant and childhood growth patterns across cohorts.Methods
Using data from an adult follow-up study of the Child Health and Development Studies and the National Collaborative Perinatal Project, we examined, using generalized estimating linear regression models, whether intrauterine exposure to maternal smoking was associated with age at menarche in 1090 daughters before and after accounting for growth in weight.Results
Compared to the nonexposed, intrauterine exposure to maternal smoking was associated with a 4-month acceleration in menarche in the National Collaborative Perinatal Project (β = ?0.35 years; 95% confidence interval [CI]: ?0.63, ?0.08), but a 6-month delay in menarche in the Child Health and Development Studies (β = 0.48 years; 95% CI: 0.13, 0.83), despite having a similar reduction in birth weight in both cohorts (~300 g). The results were more consistent across cohorts when we stratified by postnatal growth patterns. For example, in those with rapid weight gain (increasing two growth references from 0 to 4 years), intrauterine exposure to maternal smoking was related to a 7-month acceleration in menarche (β = ?0.56 years; 95% CI: ?0.95, ?0.17).Conclusions
These findings suggest that the association of intrauterine exposure to maternal smoking on age at menarche depends on postnatal growth patterns. 相似文献3.
Shiori Otsuki Eiko Saito Norie Sawada Sarah K. Abe Akihisa Hidaka Taiki Yamaji Taichi Shimazu Atsushi Goto Motoki Iwasaki Hiroyasu Iso Tetsuya Mizoue Kenji Shibuya Manami Inoue Shoichiro Tsugane 《Annals of epidemiology》2018,28(9):597-604.e6
Purpose
We investigated the association between reproductive history and mortality from all and major causes among Japanese women.Methods
A large-scale population-based cohort study in Japan included 40,149 eligible women aged 40–69 years in 1990–1994. A total of 4788 deaths were reported during follow-up (average 20.9 years). A Cox proportional hazards regression model was used to estimate the hazard ratios (HRs) and 95% confidence intervals (95% CI) for all-cause and major causes of mortality, adjusting for potential confounders.Results
Inverse associations with all-cause mortality were found in parous women (0.74 [0.67–0.82]), women with two or three births compared with a single birth (2 births: 0.88 [0.78–0.99]; 3 births: 0.83 [0.74–0.94]), parous women who breastfed (0.81 [0.75–0.87]), women who were older at menopause (0.88 [0.80–0.97]; p-trend: <0.01), and women who had a longer fertility span (0.85 [0.76–0.95]; p-trend: <0.01). A positive association was seen between all-cause mortality and later age at first birth (≥30 years) than early childbearing (≤22 years).Conclusions
Our study suggests that parous, two or three births, breastfeeding, late age at menopause, and longer reproductive span are associated with lower risk of all-cause of mortality. 相似文献4.
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《Annals of epidemiology》2014,24(5):376-382
PurposeThe reproductive windows between age at menarche and age at first birth (standardized age at first birth) and from menarche to menopause (reproductive lifespan) may interact with genetic variants in association with breast cancer risk.MethodsWe assessed this hypothesis in 6131 breast cancer cases and 7274 controls who participated in the population-based Collaborative Breast Cancer Study. Risk factor information was collected through telephone interviews, and DNA samples were collected on a subsample (N= 1484 cases, 1307 controls) to genotype for 13 genome-wide association study-identified loci. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were calculated, and P values for the interaction between reproductive windows and genotypes were obtained by adding cross-product terms to statistical models.ResultsFor standardized age at first birth, the OR was 1.52 (CI, 1.36–1.71) comparing the highest quintile with the lowest quintile. Carrier status for rs10941679 (5p12) and rs10483813 (RAD51B) appeared to modify this relationship (P = .04 and P = .02, respectively). For reproductive lifespan, the OR comparing the highest quintile with the lowest quintiles was 1.62 (CI, 1.35–1.95). No interactions were detected between genotype and reproductive lifespan (all P > .05). All results were similar regardless of ductal versus lobular breast cancer subtype.ConclusionsOur results suggest that the reproductive windows are associated with breast cancer risk and that associations may vary by genetic variants. 相似文献
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目的:分析我国少数民族女生月经初潮平均年龄及从1985~2000年15年间其月经初潮年龄的变化趋势。方法:收集到1985年、1991年和2000年的部分少数民族女生月经初潮平均年龄,比较其总体的变化趋势,并用统计软件作出趋势图。结果:蒙古族、维吾尔族、壮族、朝鲜族女生月经初潮平均年龄在15年来是逐年提前的,回族在1991~2000年这段期间女生月经初潮年龄出现后退现象。这5个少数民族均呈现出乡村提前的速度快于城市。结论:我国少数民族女生月经初潮平均年龄的"生长长期变化"趋势依然存在,但增长趋势在减缓。 相似文献
8.
目的研究黄体生成素受体(LHR)基因Asp578Gly突变与女生初潮年龄提前的关系,为青少年青春期发育研究提供依据。方法分层整群抽取无锡市177名初潮年龄提前(初潮年龄<11岁)女生,外周血提取DNA,用5’-CAC TGC TGG CTT TTT CAC TGTATT-3’和5’-TGA AGG CAG CTG AGA TGG CAA AAA-3’作引物,经常规PCR扩增后,用限制性内切酶MspⅠ消化,以检测LHR基因是否存在A1733G的碱基突变。结果初潮年龄提前组LH水平高于正常组(P<0.05),而两组FSH差异无统计学意义(P>0.05)。177名初潮年龄提前女生的LHR基因均未检测到Asp578Gly突变。结论 Asp578Gly突变与女性初潮年龄提前无直接关系。 相似文献
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目的了解东北某地区城市女孩月经初潮年龄提前的概况,探讨该概况与身高、饮食、遗传的关系,并给予心理、生理方面的健康指导。方法对长春市某重点小学4~6年级女学生1039人进行问卷调查,收集、整理并进行相关资料分析。结果月经初潮最小年龄为8.6岁。六年级月经来潮者121人,占29.66%,平均年龄11.10岁。五年级月经来潮者25人,占8.17%,平均年龄10.80岁。四年级月经来潮者6人,占1.84%,平均年龄9.10岁。结论城市女孩月经初潮时间呈现逐步提前趋势。与身高,饮食结构有较大定关系,与遗传因素的关系不明显,应引起重视。 相似文献
10.
Hsu Phern Chong J. Frederik Frøen Sylvia Richardson Benoit Liquet D. Stephen Charnock-Jones 《The journal of maternal-fetal & neonatal medicine》2019,32(3):411-418
Objectives: We sought to evaluate the impact of later menarche on the risk of operative delivery.Population: We studied 38,069 eligible women (first labors at term with a singleton infant in a cephalic presentation) from the Norwegian Mothers and Child Cohort Study. The main exposures were the age at menarche and the duration of the interval between menarche and the first birth.Methods: Poisson’s regression with a robust variance estimator.Main outcome measures: Operative delivery, defined as emergency cesarean or assisted vaginal delivery (ventouse extraction or forceps).Results: A 5 year increase in age at menarche was associated with a reduced risk of operative delivery (risk ratio [RR] 0.84, 95%CI 0.78, 0.89; p?.001). Adjustment for the age at first birth slightly strengthened the association (RR 0.79, 95%CI 0.74, 0.84; p?.001). However, the association was lost following adjustment for the menarche to birth interval (RR 0.99, 95%CI 0.93, 1.06; p?=?.81). A 5 years increase in menarche to birth interval was associated with an increased risk of operative delivery (RR 1.26, 95%CI 1.23, 1.28; p?.001). This was not materially affected by adjustment for an extensive series of maternal characteristics (RR 1.23, 95%CI 1.20, 1.25; p?.001).Conclusions: Later menarche reduces the risk of an operative first birth through shortening the menarche to birth interval. This observation is consistent with the hypothesis that the pattern and/or duration of prepregnancy exposure of the uterus to estrogen and progesterone contributes to uterine aging. 相似文献