早期生活条件与肺功能以及呼吸道和非呼吸道疾病的发展有关。与出生体重(BW)的关系,然而,是矛盾的。我们检查了GEIRD(呼吸系统疾病中的基因-环境相互作用)项目中自我报告的BW与肺功能以及呼吸系统和非呼吸系统疾病发展的关联。意大利多中心,涉及COPD病例的多病例对照研究,哮喘,过敏性鼻炎和对照。以病例/对照状态为反应变量进行多项logistic回归;以体重为主要决定因素;并调整性别,年龄和吸烟状况。在报告BW的2287名参与者中,6.4%(n=147)的BW较低(<2500g),女性的这一比例高于男性(7.8%vs.5.1%;p=0.006)。低体重的男性和女性均短于正常体重的男性和女性(平均值±SD:160.2±5.5vs.女性162.6±6.5厘米,p=0.009;172.4±6.1vs.男性174.8±7.2厘米,p<0.001)。尽管低体重个体的FEV1和FVC降低,这与性别和身高有关。在多变量分析中,BW与成年期呼吸系统疾病无关。然而,低体重者在两岁前自我报告肺部疾病住院的风险较高(10.3%vs.4.1%;p<0.001),五岁前严重呼吸道感染(16.9%vs.8.8%;p=0.001)和成年期高血压(29.9%vs.23.7%;p=0.001);然而,他们的心律失常风险较低(2.7%vs.5.8%;p=0.027)。
Early life conditions are associated with lung function and the development of respiratory and non-respiratory illnesses. The relationship with birthweight (BW), however, is conflicting. We examined associations of self-reported BW with lung function and the development of respiratory and also non-respiratory diseases within the GEIRD (Gene-Environment Interaction in Respiratory Diseases) project, an Italian multi-centre, multi-
case control study involving cases of COPD, asthma, allergic rhinitis and controls. Multinomial logistic regression was performed with
case/control status as response variable; BW as main determinant; and adjusting for sex, age and smoking status. Of the 2287 participants reporting BW, 6.4% (n = 147) had low BW (<2500 g), and this proportion was greater in women than men (7.8% vs. 5.1%; p = 0.006). Both men and women with low BW were shorter than those with normal BW (mean ± SD: 160.2 ± 5.5 vs. 162.6 ± 6.5 cm in women, p = 0.009; 172.4 ± 6.1 vs. 174.8 ± 7.2 cm in men, p < 0.001). Although FEV1 and FVC were reduced in individuals with low BW, this was explained by associations with sex and height. In multivariable analysis, BW was not associated with respiratory diseases in adulthood. However, those with low BW had a higher risk of self-reported hospitalisation for lung disease before the age of two (10.3% vs. 4.1%; p < 0.001), severe respiratory infection before the age of five (16.9% vs. 8.8%; p = 0.001) and hypertension in adulthood (29.9% vs. 23.7%; p = 0.001); however, they had a lower risk of arrhythmia (2.7% vs. 5.8%; p = 0.027).