Experiencing earthquake in the first trimester of the fetal life increases subsequent diabetes risk in the adulthood: a cross-sectional study
| Autor: | Lan Wang, Na Li, Cui xia An, Xue yi Wang, Lu lu Yu, Yuan yuan Gao, Mei Song, Xiao chuan Zhao, Ran Wang |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male China medicine.medical_specialty Waist Diabetes risk lcsh:QH471-489 Cross-sectional study 030209 endocrinology & metabolism lcsh:Gynecology and obstetrics 03 medical and health sciences Diabetes mellitus 0302 clinical medicine Endocrinology Pregnancy Earthquakes medicine Humans lcsh:Reproduction 030212 general & internal medicine lcsh:RG1-991 Obstetrics business.industry Research Prenatal earthquake stress Obstetrics and Gynecology Middle Aged Anthropometry medicine.disease Middle age Pregnancy Complications Pregnancy Trimester First Cross-Sectional Studies Risk factors Reproductive Medicine Prenatal Exposure Delayed Effects Female business Body mass index Stress Psychological Developmental Biology |
| Zdroj: | Reproductive Biology and Endocrinology, Vol 18, Iss 1, Pp 1-7 (2020) Reproductive Biology and Endocrinology : RB&E |
| ISSN: | 1477-7827 |
| DOI: | 10.1186/s12958-020-00664-2 |
| Popis: | Objective To investigate the long-term effect of prenatal exposure to earthquake stress on diabetes risk in the adulthood. Methods This study included employees of Tangshan Kailuan Mining Group between July 29, 1976 and April 28, 1977. The exposure group included subjects who experienced the Tangshan Earthquake during their prenatal period and who had lived in Tangshan since birth. The non-exposure group included subjects who were born 1–1.9 years after the earthquake and who had lived in Tangshan since birth. A questionnaire was designed that included sociodemographic information, conditions during pregnancy, and earthquake experience. Anthropometric measurements including height and weight, body mass index (BMI), waist circumference were made. Fasting plasma glucose (FPG) and lipid profiles were also determined. Results Totally 947 subjects were included with 397 subjects in the exposed group and 550 subjects in the non-exposed group. The diabetes rate is significant different in these four groups(χ2 =8.045, P = 0.045). Moreover, 11.8, 7.5 and 8.0% of the subjects who were exposed to earthquake in the 1st, 2nd, and 3rd trimester of pregnancy had diabetes. 5.1% of the subjects had diabetes in non-exposure group. Our multivariate analysis showed that 1st trimester (OR 2.481, 95%CI 1.02, 6.034; P = 0.045) and loss of family members during earthquake (OR 2.452, 95%CI 1.293, 4.653; P = 0.006) were associated with significantly increased risk of diabetes. Conclusions Exposure to earthquake during the first trimester of pregnancy and experience of family member loss in the earthquake significantly increased the subsequent risk of diabetes in the middle age (36–39 years of age). Our data suggest that earthquake experience in the early pregnancy has a longer-term effect on diabetes risk during adulthood. |
| Databáze: | OpenAIRE |
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