生命早期不利因素与慢性疾病的发生与预防

吴婷, 李斐

中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (7) : 703-706.

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中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (7) : 703-706. DOI: 10.11852/zgetbjzz2023-0616
专家笔谈

生命早期不利因素与慢性疾病的发生与预防

  • 吴婷1, 李斐2
作者信息 +

Adverse factors in early life and the development and prevention of chronic diseases

  • WU Ting1, LI Fei2
Author information +
文章历史 +

摘要

基于大量流行病学研究结果形成的“健康与疾病发育起源(DOHaD)”学说,认为许多成人慢性疾病的起因都可追踪到生命发育的早期。生命早期各种不利因素诱导胎儿代谢和发育过程的变化会永久重塑机体的结构、功能和代谢,最终导致成人期疾病的发生。本文着重探讨了生命早期影响儿童及成年期慢性疾病发生的因素,提出了降低疾病风险的建议,以期为慢性疾病的早期预防,促进远期健康提供线索。

Abstract

The theory of developmental origins of health and disease(DOHaD) that evolved from a series of epidemiological studies of infants and adults states that many chronic diseases in adulthood can be traced back to early life development. Changes in fetal metabolism and developmental processes induced by adverse factors in early life permanently reshape the structure, function and metabolism of the body, ultimately leading to the onset of disease in adulthood. This review focuses on the factors that affect the occurrence of chronic diseases in childhood and adulthood in early life, and puts forward suggestions to reduce the risk of diseases, aiming for providing clues for the early prevention of chronic diseases and promoting long-term health.

关键词

疾病起源 / 慢性疾病 / 生命早期 / 儿童

Key words

origins of diseases / chronic diseases / early life / children

引用本文

导出引用
吴婷, 李斐. 生命早期不利因素与慢性疾病的发生与预防[J]. 中国儿童保健杂志. 2023, 31(7): 703-706 https://doi.org/10.11852/zgetbjzz2023-0616
WU Ting, LI Fei. Adverse factors in early life and the development and prevention of chronic diseases[J]. Chinese Journal of Child Health Care. 2023, 31(7): 703-706 https://doi.org/10.11852/zgetbjzz2023-0616
中图分类号: R179   

参考文献

[1] Gardner DS, Hosking J, Metcalf BS, et al. Contribution of early weight gain to childhood overweight and metabolic health:A longitudinal study (Early Bird 36)[J].Pediatrics, 2009,123:e67-73.
[2] Baird J, Fisher D, Lucas P, et al. Being big or growing fast: systematic review of size and growth in infancy and later obesity[J].Br Med J,2005,331:929
[3] Yu ZB, Han SP, Zhu GZ, et al. Birth weight and subsequent risk of obesity: a systematic review and Meta-analysis[J]. Obes Rev,2011,12:525-542.
[4] Mi J, Law C, Zhang KL,et al. Effects of infant birthweight and maternal body mass index in pregnancy on components of the insulin resistance syndrome in China[J]. Ann Intern Med,2000,132:253-260.
[5] Aalinkeel R, Srinivasan M, Song F,et al. Programming into adulthood of islet adaptations induced by early nutritional intervention in the rat[J]. Am J Physiol Endocrinol Metab,2001,281:e640-648.
[6] Pederson J.Weight and length at birth of infants of diabetic mothers[J].Acta Endocrinologica,1954,16:330-342
[7] Hales CN, Barker DJ. Type 2 (non-insulin-dependent) diabetes mellitus[J]. Diabetologia,1992,35:595-601.
[8] Hepworth SJ, Law GR, Lawlor DA, et al. Early life patterns of common infection: a latent class analysis[J]. Eur J Epidemiol, 2010, 25(12):875-883.
[9] Scholtens S, Wijga AH, Brunekreef B, et al. Maternal overweight before pregnancy and asthma in offspring followed for 8 years[J]. International Journal of Obesity, 2010, 34(4):606-613.
[10] Steegers-Theunissen RP, Obermann-Borst SA, Kremer D, et al. Periconceptional maternal folic acid use of 400 microg per day is related to increased methylation of the IGF2 gene in the very young child[J]. PLoS One, 2009,4(11):e7845.
[11] Turner SW, Campbell D, Smith N, et al. Associations between fetal size, maternal-tocopherol and childhood asthma[J]. Thorax, 2010, 65(5):391-397.
[12] Breton CV, Byun HM, Wang X,et al. DNA methylation in the arginase-nitric oxide synthase pathway is associated with exhaled nitric oxide in children with asthma[J]. Am J Respir Crit Care Med,2011,184(2): 191-197.
[13] Breton CV, Byun HM, Wenten M,et al. Prenatal tobacco smoke exposure affects global and gene-specific DNA methylation[J]. Am J Respir Crit Care Med,2009, 180(5): 462-467.
[14] Gluckman PD, Hanson MA, Cooper C,et al. Effect of in utero and early-life conditions on adult health and disease[J]. N Engl J Med, 2008, 359(1):61-73.
[15] Hancox RJ, Poulton R, Greene JM, et al. Associations between birth weight, early childhood weight gain and adult lung function[J]. Thorax, 2009, 64(3):228-232.
[16] Wang H, Rolls ET, Du X, et al. Severe nausea and vomiting in pregnancy:psychiatric and cognitive problems and brain structure in children[J].BMC Medicine,2020,18(1):228.
[17] Wang H, He H, Miao M,et al. Maternal migraine and the risk of psychiatric disorders in offspring: A population-based cohort study[J]. Epidemiol Psychiatr Sci, 2021,30:e55.
[18] Levine SZ, Kodesh A, Viktorin A, et al.Association ofmaternal use of folic acid and multivitamin supplements in the periods before and during pregnancy with the risk of autism spectrum disorder in offspring[J].JAMA Psychiatry, 2018 75(2):176-184.
[19] Roffman JL, Petruzzi LJ, Tanner AS, et al.Biochemical, physiological and clinical effects of L-methylfolate in schizophrenia:A randomized controlled trial[J]. Mol Psychiatry, 2018,23(2):316-322..
[20] Li F, Wu SS, Berseth CL,et al.Improvedneurodevelopmental outcomes associated with bovine milk fat globule membrane and lactoferrin in infant formula: A randomized, controlled trial[J]. J Pediatr, 2019, 215:24-31.
[21] Clarke G, Grenham S, Scully P, et al. The microbiome-gut-brain axis during early life regulates the hippocampal serotonergic system in a sex-dependent manner[J]. Mol Psychiatry,2013,18:666-673.
[22] Abdel - Haq R, Schlachetzki JCM, Glass CK, et al. Microbiome-microglia connections via the gut - brain axis[J]. J Exp Med, 2019, 216(1): 41-59.
[23] Erny D, De Angelis AL, Jaitin DA, et al. Host microbiota constantly control maturation and function of microglia in the CNS[J]. Nat Neurosci,2015,18(7): 965.
[24] Neufeld KM, Kang N, Bienenstock J, et al. Reduced anxiety - like behavior and central neurochemical change in germ - free mice[J]. Neurogastroenterol Motil, 2011, 23 (3): 255-264.
[25] Szopinska - Tokov J, Dam S, Naaijen J, et al. Investigating the gut microbiota composition of individuals withattention deficit/hyperactivity disorder and association with symptoms[J]. Microorganisms, 2020, 8(3): 406.
[26] Xu M, Xu X, Li J, et al. Association between gut microbiota and autism spectrum disorder: A systematic review andMeta - analysis[J]. Front Psychiatry, 2019, 10: 473.
[27] 王宏波,王宇鹏,谭超超,等.肠道微生物与自闭症谱系障碍[J].中国微生态学杂志,2020,32(1):104-107.
Wang HB,Wang YP,Tan CC,et al. Gut microbiota and autism spectrum disorder[J]. Chin J Microecol, 2020, 32(1): 104-107.
[28] Hughes HK, Rose D, Ashwood P. The gut microbiota and dysbiosis in autism spectrum disorders[J]. Curr Neurol Neurosci Rep, 2018, 18(11): 81.
[29] Gardener H, Spiegelman D, Buka SL. Perinatal and neonatal risk factors for autism: a comprehensive meta-analysis[J]. Pediatrics, 2011,128:344-355.
[30] Creanga AA, Catalano PM, Bateman BT. Obesity in pregnancy[J]. N Engl J Med,2022,387:248-259.

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