Twins

双胞胎
  • 文章类型: Journal Article
    早期积极和不利的父母因素,如积极的父母人格和父母的压力,影响儿童发育的环境背景,并可能影响儿童睡眠健康的个体差异。这项研究考察了早年父母因素在遗传力中的调节作用(即,由于遗传影响而导致个体差异的程度)客观评估的儿童睡眠持续时间。研究了来自亚利桑那州双胞胎项目的351个家庭。当双胞胎12个月大时,主要照顾者(95%的母亲)报告了压力的多个方面和自己的性格。七年后(法师=8.43岁,SD=0.68),家人完成家访,和双胞胎(51%为女性;57%为白人,29%西班牙裔;30%单卵型,39%同性异卵,31%的其他性别合子)佩戴肌动仪手表来评估他们的睡眠,护理人员完成类似的人格属性和压力评估。早期积极的父母人格调节了睡眠持续时间的遗传性(Δ-2LL[-2对数似然]=2.54,Δdf=2,p=.28),这样,随着积极的父母人格的增加,持续时间的遗传力下降。早期父母的压力也缓和了遗传对睡眠持续时间的贡献(Δ-2LL=2.02,Δdf=2,p=.36),随着压力的增加,持续时间的遗传力增加。同时积极的父母人格和父母压力复合物显示出相似的发现模式。结果突出了父母积极特征和不良经历对儿童睡眠健康病因的可能贡献,遗传对儿童睡眠的影响在“更危险”的环境中更为突出。了解遗传学和环境如何共同影响睡眠的病因可能会为预防计划提供信息。
    Early-life positive and adverse parental factors, such as positive parent personality and parental stress, affect the environmental context in which children develop and may influence individual differences in children\'s sleep health. This study examined the moderating role of early-life parental factors in the heritability (i.e., the extent to which individual differences are due to genetic influences) of objectively assessed childhood sleep duration. A total of 351 families from the Arizona Twin Project were studied. Primary caregivers (95% mothers) reported on multiple dimensions of stress and facets of their own personality when the twins were 12 months old. Seven years later (Mage = 8.43 years, SD = 0.68), families completed a home visit, and twins (51% female; 57% White, 29% Hispanic; 30% monozygotic, 39% same-sex dizygotic, 31% other-sex dizygotic) wore actigraph watches to assess their sleep, with caregivers completing similar assessments on their personality attributes and stress. Early-life positive parent personality moderated the heritability of sleep duration (Δ-2LL [-2 log likelihood] = 2.54, Δdf = 2, p = .28), such that as positive parent personality increased, the heritability of duration decreased. Early-life parental stress also moderated the genetic contribution to sleep duration (Δ-2LL = 2.02, Δdf = 2, p = .36), such that as stress increased, the heritability of duration increased. Concurrent positive parent personality and parental stress composites showed similar patterns of findings. Results highlight the likely contribution of parent positive traits and adverse experiences to the etiology of children\'s sleep health, with genetic influences on children\'s sleep more prominent in \"riskier\" environments. Understanding how genetics and environments work together to influence the etiology of sleep may inform prevention programs.
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  • 文章类型: Journal Article
    背景:表观遗传时钟被认为是衰老的有希望的生物标志物,包括由各个CpG站点训练的原始时钟和由CpG站点的PC训练的主成分(PC)时钟。遗传和环境因素对表观遗传时钟的影响尚不清楚。特别是PC时钟。
    方法:我们从中国国家双胞胎注册中心(CNTR)中构建了477对同性双胞胎的单变量双胞胎模型,以估计五个表观遗传钟(GrimAge,PhenoAge,DunedinPACE,PCGrimAge,和PCPhenoAge)。此外,我们调查了134对同性双胞胎5年中遗传和环境影响对表观遗传时钟的纵向变化。
    结果:表观遗传时钟的遗传力范围为0.45至0.70,PC时钟的遗传力高于原始时钟。对于五个表观遗传时钟,纵向稳定性中等到高,主要是由于遗传效应。基线和后续表观遗传时钟之间的遗传相关性中等到高。在基线和后续行动中都出现了特殊的独特环境因素。PC时钟比原始时钟显示出更高的纵向稳定性和独特的环境相关性。
    结论:对于五个表观遗传时钟,他们有可能识别衰老干预措施。高纵向稳定性主要是由于遗传因素,表观遗传时钟随时间的变化主要是由于独特环境因素的变化。考虑到遗传和环境因素的差异以及PC和原始时钟之间的纵向稳定性,原始时钟的研究结果需要用PC时钟进一步验证。
    BACKGROUND: Epigenetic clocks were known as promising biomarkers of aging, including original clocks trained by individual CpG sites and principal component (PC) clocks trained by PCs of CpG sites. The effects of genetic and environmental factors on epigenetic clocks are still unclear, especially for PC clocks.
    METHODS: We constructed univariate twin models in 477 same-sex twin pairs from the Chinese National Twin Registry (CNTR) to estimate the heritability of five epigenetic clocks (GrimAge, PhenoAge, DunedinPACE, PCGrimAge, and PCPhenoAge). Besides, we investigated the longitudinal changes of genetic and environmental influences on epigenetic clocks across 5 years in 134 same-sex twin pairs.
    RESULTS: Heritability of epigenetic clocks ranged from 0.45 to 0.70, and those for PC clocks were higher than those for original clocks. For five epigenetic clocks, the longitudinal stability was moderate to high and was largely due to genetic effects. The genetic correlations between baseline and follow-up epigenetic clocks were moderate to high. Special unique environmental factors emerged both at baseline and at follow-up. PC clocks showed higher longitudinal stability and unique environmental correlations than original clocks.
    CONCLUSIONS: For five epigenetic clocks, they have the potential to identify aging interventions. High longitudinal stability is mainly due to genetic factors, and changes of epigenetic clocks over time are primarily due to changes in unique environmental factors. Given the disparities in genetic and environmental factors as well as longitudinal stability between PC and original clocks, the results of studies with original clocks need to be further verified with PC clocks.
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  • 文章类型: Journal Article
    背景:精神疾病的预防策略需要对精神病理学过程中涉及的病因因素有深入的了解。我们的孪生子研究旨在解开基因和环境对分裂型和轻躁狂维度的贡献,考虑压力生活事件(LEs)的作用和家庭关系的质量。
    方法:使用魔法意念量表(MIS)和感知畸变量表(PAS)评估分裂型阳性,而轻狂人格量表(HPS)及其子量表用于调查情感障碍的倾向性。包括268对双胞胎(54.5%为女性;年龄18.0±6.68)。参与者填写了一份关于LEs的问卷,他们的父母提供了对家庭内部关系的评估(关系质量指数,RQI)。对数量性状的经典单变量双胞胎模型进行了尺度拟合,并评估协变量(LEs和RQI)的影响。
    结果:对于MIS,HPS及其子尺度,检测到显著的常见和独特的环境影响,遗传因素仅影响HPS社会活力子量表。独特的环境是PAS评分差异的唯一来源。最近影响MIS和PAS模型的LE数量,而RQI评分影响MIS模型。
    结论:研究的主要限制是样本量小,这降低了统计能力,并可能导致对遗传力的低估。此外,横截面设计限制了得出因果考虑的可能性。
    结论:研究结果为在调节脆弱状态中的重要环境作用提供了初步证据。此外,分裂型阳性表达受近期应激源和家庭内关系的影响。
    BACKGROUND: Strategies of prevention for psychiatric disorders need a deep understanding of the aetiological factors involved in the psychopathological processes. Our twin study aims at disentangling the contributions of genes and environment to schizotypal and hypomanic dimensions, considering the role of stressful life events (LEs) and the quality of family relationships.
    METHODS: The Magical Ideation Scale (MIS) and Perceptual Aberration Scale (PAS) were used to assess positive schizotypy, while Hypomanic Personality Scale (HPS) and its sub-scales were used to investigate proneness to affective disorders. 268 twins (54.5 % female; aged 18.0 ± 6.68) were included. Participants filled out a questionnaire on LEs and their parents provided an evaluation of intra-family relationship (Relationship Quality Index, RQI). Classic univariate twin models for quantitative traits were fitted for scales, and the effects of covariates (LEs and RQI) were assessed.
    RESULTS: For MIS, HPS and its sub-scales, significant common and unique environmental effects were detected, with genetic factors affecting only HPS Social Vitality sub-scale. Unique environment was the only source of variance of PAS score. The number of recent LEs influenced MIS and PAS models, while RQI score affected MIS model.
    CONCLUSIONS: The main limitation of the study is the small sample size, which reduces statistical power and may potentially lead to an underestimation of heritability. Additionally, the cross-sectional design limits the possibility to draw causal considerations.
    CONCLUSIONS: Findings provide preliminary evidence for a significant environmental role in modulating states of vulnerability. Moreover, the expression of positive schizotypy resulted influenced by recent stressors and intra-family relationships.
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  • 文章类型: Journal Article
    社会科学研究认为,个人文学和文化品味的差异源于社会环境。然而,这些差异可能部分与个体之间的遗传差异有关。为了解决这种可能性,我们使用丹麦双胞胎(N=67,900)中图书馆借阅的国家规模注册数据来评估文学品味的遗传力。我们通过借用不同类型的书籍来衡量文学品味(例如,犯罪和传记小说)和格式(物理,数字,和音频),并将文学品味的总方差分解为可归因于共享基因的成分(遗传力),共享环境(兄弟姐妹共享的社会环境),和独特的环境(兄弟姐妹不共享的社会环境)。我们发现遗传差异占文学品味总变异的45-70%,共享环境几乎不占任何差异,和独特的环境占适度的份额。这些结果表明,文学品味与其他人类表型大致一样可遗传(例如,身体特征,认知,和健康)。此外,社会经济弱势群体的遗传力高于弱势群体。总的来说,我们的研究结果表明,研究应该考虑遗传差异在解释文学和更广泛的文化品味中的个体差异方面的作用。
    Social science research argues that differences in individuals\' literary and cultural tastes originate in social environments. Yet, it might be that these differences are partly associated with genetic differences between individuals. To address this possibility, we use nation-scale registry data on library borrowing among Danish twins (N = 67,900) to assess the heritability of literary tastes. We measure literary tastes via borrowing of books of different genres (e.g., crime and biographical novels) and formats (physical, digital, and audio) and decompose the total variance in literary tastes into components attributable to shared genes (heritability), shared environments (social environment shared by siblings), and unique environments (social environments not shared by siblings). We find that genetic differences account for 45-70 percent of the total variance in literary tastes, shared environments account for almost none of the variance, and unique environments account for a moderate share. These results suggest that literary tastes are approximately as heritable as other human phenotypes (e.g., physical traits, cognition, and health). Moreover, heritability is higher for socioeconomically disadvantaged groups than for advantaged groups. Overall, our results suggest that research should consider the role of genetic differences in accounting for individual differences in literary and broader cultural tastes.
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  • 文章类型: Journal Article
    这项研究的目的是探讨睡眠质量在双胞胎婴儿母亲多维感知社会支持与疲劳之间的关系中的中介作用。一百一十六(106)位双胞胎母亲参加了这项横断面研究,谁完成了描述性信息表,感知社会支持的多维量表,匹兹堡睡眠质量指数,和清单个人力量。研究中母亲的量表得分平均值如下:社会支持,61.41±23.86;疲劳,77.64±28.68;和睡眠质量,8.26±2.38。根据路径模型,感知的社会支持对不良睡眠质量有负面影响(p=.001,Beta=-0.411),睡眠质量差对疲劳有积极影响(p=.001,β=0.335)。睡眠质量还可以调节多维感知社会支持对母亲疲劳水平的影响(p=.001,Beta=-0.138)。研究结果表明,双胞胎母亲的感知社会支持和疲劳水平是中等的,而他们的睡眠质量很差。因此,双胞胎婴儿的母亲可能会从增加的社会支持中受益,以减轻疲劳并提高睡眠质量。
    The aim of this study is to investigate the mediating role of sleep quality in the relationship between multidimensional perceived social support and fatigue among mothers of twin infants. One hundred and six (106) twin mothers participated in this cross-sectional study, who completed the Descriptive Information Form, Multidimensional Scale of Perceived Social Support, Pittsburgh Sleep Quality Index, and Checklist Individual Strength. The scale score averages of the mothers in the study are as follows: social support, 61.41 ± 23.86; fatigue, 77.64 ± 28.68; and sleep quality, 8.26 ± 2.38. According to the path model, perceived social support has a negative effect on poor sleep quality (p = .001, Beta = -0.411), and poor sleep quality has a positive effect on fatigue (p = .001, Beta = 0.335). Sleep quality also mediates the effect of multidimensional perceived social support on mothers\' fatigue levels (p = .001, Beta = -0.138). The study results suggest that the perceived social support and fatigue levels of twin mothers are moderate, while their sleep quality is poor. Therefore, mothers of twin infants may benefit from increased social support to alleviate fatigue and enhance sleep quality.
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  • 文章类型: Journal Article
    背景:在具有不同母亲和父亲教养组合的家庭中长大的青少年在神经认知和精神病理学方面表现出差异;然而,神经差异是否存在仍有待探索。这项研究使用了纵向双胞胎样本来描绘不同的育儿组合如何影响青少年的大脑结构,并阐明了遗传贡献。
    方法:216对双胞胎在青春期早期参与了育儿评估,并在青春期中期接受了MRI扫描。我们利用潜在的概况分析来区分各种母亲和父亲的养育概况,并随后研究了它们对大脑解剖结构的影响。生物识别分析用于评估遗传对大脑结构的影响,并探讨了与内化症状的关联。
    结果:在青春期早期,出现了四个育儿概况,其特征是父母一方或双方的严厉和敌意程度。与“猫父母”家庭中的青少年相比(父母双方的严厉程度/敌意程度较低),在“老虎妈妈”家庭(仅严厉/敌对母亲)中长大的人表现出伏隔核体积较小,颞叶皮层表面积较大;在“老虎妈妈”家庭中的人表现出较大的丘脑体积;在“老虎妈妈”家庭中的人表现出较小的体积。遗传风险因素对观察到的大脑结构异质性和内在化症状有重要贡献。然而,父母身份和大脑结构对内化症状的影响不显著。
    结论:研究结果强调了与母亲和父亲的育儿组合有关的独特的大脑结构特征,特别是在皮层下体积和皮层表面积方面。这项研究表明,母亲和父亲的养育方式在塑造青少年神经发育方面具有相互依存的作用。
    BACKGROUND: Adolescents raised in families with different maternal and paternal parenting combinations exhibit variations in neurocognition and psychopathology; however, whether neural differences exist remains unexplored. This study used a longitudinal twin sample to delineate how different parenting combinations influence adolescent brain structure and to elucidate the genetic contribution.
    METHODS: A cohort of 216 twins participated in parenting assessments during early adolescence and underwent MRI scanning during middle adolescence. We utilized latent profile analysis to distinguish between various maternal and paternal parenting profiles and subsequently investigated their influences on brain anatomy. Biometric analysis was applied to assess the genetic influences on brain structure, and associations with internalizing symptoms were explored.
    RESULTS: In early adolescence, four parenting profiles emerged characterized by levels of harshness and hostility in one or both parents. Compared to adolescents in \"catparent\" families (low harshness/hostility in both parents), those raised in \"tigermom\" families (harsh/hostile mother only) exhibited smaller nucleus accumbens volume and larger temporal cortex surface area; those in \"tigerdad\" families demonstrated larger thalamus volumes; those in \"tigerparent\" families displayed smaller volumes in the mid-anterior corpus callosum. Genetic risk factors contributed significantly to the observed brain structural heterogeneity and internalizing symptoms. However, the influences of parenting profiles and brain structure on internalizing symptoms were not significant.
    CONCLUSIONS: The findings underscore distinct brain structural features linked to maternal and paternal parenting combinations, particularly in terms of subcortical volume and cortical surface area. This study suggests an interdependent role of maternal and paternal parenting in shaping adolescent neurodevelopment.
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  • 文章类型: Journal Article
    目的:系统回顾有关单卵(MZ)和二卵(DZ)双胞胎之间睡眠磨牙症(SB)一致性的文献。
    方法:此系统评价的注册是在国际系统评价前瞻性注册(PROSPERO,不。CRD42021251751)。截至2022年7月,搜索了四个数据库,包括PubMed,Scopus,Embase,和WebofScience,以及谷歌学者和OpenGrey中的灰色文献。包括评估任何年龄和性别的MZ和DZ双胞胎中SB的观察性研究。对于偏差风险的评估,JoannaBriggs的检查表被利用了.通过建议分级评估来评估证据的确定性,发展,和评估(等级)系统。进行了汇总和亚组荟萃分析,以估计双胞胎之间SB的一致性(p<0.05)。
    结果:总计,确定了3,155条记录。在定性分析中,包括11项研究;其中,7例纳入荟萃分析.大多数文章表现出低偏倚风险(63.6%)。在总体一致性分析(OR=1.47;95%CI=1.07-2.02)和正一致性分析中,MZ双胞胎之间的SB一致性高于DZ双胞胎之间(OR=1.53;95%CI=1.29-1.81)。在亚组分析中,仅对于报告/自我报告的SB在总体一致性(OR=1.44;95%CI=1.07~1.95)和正一致性(OR=1.55;95%CI=1.28~1.88)方面的显著性仍然存在.在一般一致性分析中观察到证据的确定性低,而对于正一致性观察到中等确定性。
    结论:与DZ双胞胎相比,MZ双胞胎中SB的一致性更高,表明可能的遗传影响条件的发生。
    OBJECTIVE: To systematically review the literature regarding the concordance of sleep bruxism (SB) between monozygotic (MZ) and dizygotic (DZ) twins.
    METHODS: The registration for this systematic review was accomplished in the International Prospective Register of Systematic Reviews (PROSPERO, No. CRD42021251751). As of July 2022, four databases were searched, including PubMed, Scopus, Embase, and Web of Science, as well as the grey literature in Google Scholar and OpenGrey. Observational studies evaluating SB in MZ and DZ twins of any age and sex were included. For the evaluation of the risk of bias, the Joanna Briggs checklist was utilized. The certainty of evidence was assessed via the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. Pooled and subgroup meta-analyses were performed to estimate concordance of SB ​​between twins (p < 0.05).
    RESULTS: In total, 3,155 records were identified. In the qualitative analysis, eleven studies were included; of these, seven were included in the meta-analysis. The majority of the articles exhibited a low risk of bias (63.6%). Greater SB concordance was observed between MZ twins than between DZ twins in the analysis of general concordance (OR = 1.47; 95% CI = 1.07-2.02) and also positive concordance (OR = 1.53; 95% CI = 1.29-1.81). Within the subgroup analyses, the significance of the findings remained only for the reported/self-reported SB regarding general concordance (OR = 1.44; 95% CI = 1.07-1.95) and positive concordance (OR = 1.55; 95% CI = 1.28-1.88). Low certainty of the evidence was observed for the general concordance analysis, while moderate certainty was observed for the positive concordance.
    CONCLUSIONS: There was a higher concordance of SB in MZ twins compared to DZ twins, indicating a possible genetic influence on the condition\'s occurrence.
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  • 文章类型: Journal Article
    由于多种原因,牛的双胞胎怀孕是不可取的,包括与单胎妊娠相比流产风险更高。然而,流产风险受胎儿宫内位置的显著影响,也就是说,如果将它们植入同一子宫角(单侧双胎妊娠),则流产风险要比将一个胎儿植入每个子宫角(双侧双胎妊娠)高几倍。单侧双胎妊娠流产风险较高的原因尚不清楚,但这可能与胎盘容量有限导致的最外层胎儿营养不良有关,马双胞胎胎儿也是如此。进行了屠宰场研究,并测量了怀孕双胞胎的牛的胎儿。我们发现了65例双胎妊娠,其中35例为单侧双胎妊娠,30例为双侧双胎妊娠.在单侧双胎妊娠中,最外层和更中心位置的胎儿在体重和掌骨骨干的长度方面没有显着差异。因此,无法确认最外层胎儿的生长迟缓是单侧牛双胎妊娠流产风险较高的原因。确定了4例屠宰前胎儿死亡率。在其中三个案例中,两个双胞胎都死了,大小相等,退化程度相当。在第四种情况下,大约40天大的双胞胎胎儿大小相等,只有一个胎儿显示出屠宰前死亡的迹象。
    Twin pregnancy in cattle is undesirable for a number of reasons, including a higher abortion risk compared to pregnancies with a single foetus. Yet, the abortion risk is significantly influenced by the intrauterine location of the foetuses, that is, the abortion risk is several times higher if they are implanted in the same uterine horn (unilateral twin pregnancy) than if they are implanted with one foetus in each uterine horn (bilateral twin pregnancy). The reason for the higher abortion risk in unilateral twin pregnancies is unknown, but it may be related to malnutrition of the outermost foetus due to a limited placental capacity, as is the case for equine twin foetuses. A slaughterhouse study was performed and the foetuses of cattle pregnant with twins were measured. We identified 65 cases of twin pregnancies, of which 35 were unilateral twin pregnancies and 30 were bilateral twin pregnancies. There was no significant difference between the outermost and the more centrally located foetus in unilateral twin pregnancies in terms of body weight and length of the metacarpal diaphysis. Growth retardation of the outermost foetus could therefore not be confirmed as the cause of the higher abortion risk in unilateral bovine twin pregnancies. Four cases of pre-slaughter foetal mortality were identified. In three of these cases, both twins were dead, of equal size and at a comparable level of degradation. In the fourth case, with approximately 40-day-old twin foetuses of equal size, only one of the foetuses showed signs of pre-slaughter death.
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  • 文章类型: Journal Article
    目的:儿童失控(LOC)饮食与高BMI相关,并可预测暴饮暴食症和肥胖随年龄的发作。对这种常见共病的病因的研究尚未探索共享遗传风险的潜力。这项研究检查了遗传和环境对LOC饮食的影响及其与BMI的共同影响。
    方法:参与者是来自科罗拉多州反社会药物依赖研究中心的499个单卵双胞胎和398个同性二卵双胞胎(年龄=17.38岁±0.67,BMIz=0.03±1.03,54%为女性)。LOC进食被二分法评估。自我报告的身高和体重转换为BMIz。单变量和双变量双胞胎模型估计遗传和环境对LOC饮食和BMIz的影响。
    结果:女孩(21%)比男孩(9%,p<0.001)报告LOC进食。与BMIz的表型相关性在女孩中为0.03,在男孩中为0.18。由于女孩的表型相关性不显著,双变量双胞胎模型仅适用于男孩。在所有型号中,最适合的模型包括遗传和独特的环境影响。遗传因素占女孩LOC进食方差的0.51(95%CI:0.23,0.73),占男孩LOC进食方差的0.54(0.18,0.90)。男孩LOC进食与BMIz之间的遗传相关性为0.45(0.15,0.75)。
    结论:研究结果表明,青春期吃LOC的遗传性适中,同时强调独特环境因素的作用。在男孩中,LOC饮食和BMIz共享其遗传影响的比例。
    OBJECTIVE: Pediatric loss-of-control (LOC) eating is associated with high BMI and predicts binge-eating disorder and obesity onset with age. Research on the etiology of this common comorbidity has not explored the potential for shared genetic risk. This study examined genetic and environmental influences on LOC eating and its shared influence with BMI.
    METHODS: Participants were 499 monozygotic and 398 same-sex dizygotic twins (age = 17.38 years ± 0.67, BMIz = 0.03 ± 1.03, 54% female) from the Colorado Center for Antisocial Drug Dependence Study. LOC eating was assessed dichotomously. Self-reported height and weight were converted to BMIz. Univariate and bivariate twin models estimated genetic and environmental influences on LOC eating and BMIz.
    RESULTS: More girls (21%) than boys (9%, p < 0.001) reported LOC eating. The phenotypic correlation with BMIz was 0.03 in girls and 0.18 in boys. Due to the nonsignificant phenotypic correlation in girls, bivariate twin models were fit in boys only. Across all models, the best-fitting model included genetic and unique environmental effects. Genetic factors accounted for 0.51 (95% CI: 0.23, 0.73) of the variance of LOC eating in girls and 0.54 (0.18, 0.90) in boys. The genetic correlation between LOC eating and BMIz in boys was 0.45 (0.15, 0.75).
    CONCLUSIONS: Findings indicate moderate heritability of LOC eating in adolescence, while emphasizing the role of unique environmental factors. In boys, LOC eating and BMIz share a proportion of their genetic influences.
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  • 文章类型: Journal Article
    OBJECTIVE: To investigate the risk factors for bronchopulmonary dysplasia (BPD) in twin preterm infants with a gestational age of <34 weeks, and to provide a basis for early identification of BPD in twin preterm infants in clinical practice.
    METHODS: A retrospective analysis was performed for the twin preterm infants with a gestational age of <34 weeks who were admitted to 22 hospitals nationwide from January 2018 to December 2020. According to their conditions, they were divided into group A (both twins had BPD), group B (only one twin had BPD), and group C (neither twin had BPD). The risk factors for BPD in twin preterm infants were analyzed. Further analysis was conducted on group B to investigate the postnatal risk factors for BPD within twins.
    RESULTS: A total of 904 pairs of twins with a gestational age of <34 weeks were included in this study. The multivariate logistic regression analysis showed that compared with group C, birth weight discordance of >25% between the twins was an independent risk factor for BPD in one of the twins (OR=3.370, 95%CI: 1.500-7.568, P<0.05), and high gestational age at birth was a protective factor against BPD (P<0.05). The conditional logistic regression analysis of group B showed that small-for-gestational-age (SGA) birth was an independent risk factor for BPD in individual twins (OR=5.017, 95%CI: 1.040-24.190, P<0.05).
    CONCLUSIONS: The development of BPD in twin preterm infants is associated with gestational age, birth weight discordance between the twins, and SGA birth.
    目的: 分析胎龄<34周双胎早产儿发生支气管肺发育不良(bronchopulmonary dysplasia, BPD)的危险因素,为临床早期识别双胎早产儿BPD的发生提供依据。方法: 回顾性收集全国22家医院2018年1月—2020年12月收治的胎龄<34周双胎早产儿,根据双胎儿患病情况分为三组:两胎均为BPD组、仅一胎为BPD组、两胎均非BPD组,分析双胎早产儿发生BPD的危险因素;并对仅一胎为BPD组患儿进一步分析,组内配对分析双胎早产儿发生BPD的产后危险因素。结果: 共纳入胎龄<34周的双胎儿共904对。多因素logistic回归分析中,与两胎均非BPD组相比,双胎出生体重差异>25%是双胎中仅一胎患BPD的危险因素 (OR=3.370,95%CI:1.500~7.568,P<0.05),胎龄大是双胎均患BPD的保护因素(P<0.05)。对双胎中仅一胎为BPD组进行组内条件logistic回归分析,提示小于胎龄儿是双胎内个体发生BPD的危险因素(OR=5.017,95%CI:1.040~24.190,P<0.05)。结论: 双胎早产儿BPD的发生不仅与胎龄相关,也与双胎出生体重差异、小于胎龄儿密切相关。.
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