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Preventive effects of kefir on colon tumor development in Wistar rats: gut microbiota critical role. 开菲尔对 Wistar 大鼠结肠肿瘤发生的预防作用:肠道微生物群的关键作用。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-27 DOI: 10.1017/S2040174424000461
Poliana Guiomar de Almeida Brasiel, Julliane Dutra Medeiros, Thaís Costa de Almeida, Claudio Teodoro de Souza, Gabriela de Cássia Ávila Alpino, Alessandra Barbosa Ferreira Machado, Sheila Cristina Potente Dutra Luquetti

To clarify the effects of kefir in critical periods of development in adult diseases, we study the effects of kefir intake during early life on gut microbiota and prevention of colorectal carcinogenesis in adulthood. Lactating Wistar rats were divided into three groups: control (C), kefir lactation (KL), and kefir puberty (KP) groups. The C and KP groups received 1 mL of water/day; KL dams received kefir milk daily (108 CFU/mL) during lactation. After weaning (postnatal day 21), KP pups received kefir treatment until 60 days. At 67 days old, colorectal carcinogenesis was induced through intraperitoneal injection of 1, 2-dimethylhydrazine. The gut microbiota composition were analyzed by 16S rRNA gene sequencing and DESeq2 (differential abundance method), revealing significant differences in bacterial abundances between the kefir consumption periods. Maternal kefir intake strong anticancer power, suppressed tumors in adult offspring and reduced the relative risk of offspring tumor development. The gut microbiota in cecal samples of the KL group was enriched with Lactobacillus, Romboutsia, and Blautia. In contrast, control animals were enriched with Acinetobacter. The administration of kefir during critical periods of development, with emphasis on lactation, affected the gut microbial community structure to promote host benefits. Pearson analysis indicated positive correlation between tumor number with IL-1 levels. Therefore, the probiotic fermented food intake in early life may be effective as chemopreventive potential against colon tumor development, especially in lactation period.

为了阐明开非尔在成人疾病发展的关键时期的作用,我们研究了早期摄入开非尔对成年期肠道微生物群和预防结直肠癌的影响。将泌乳Wistar大鼠分为3组:对照组(C)、克菲尔泌乳组(KL)和克菲尔青春期组(KP)。C组和KP组每天饮水1 mL;乳母在哺乳期每天给予开菲尔乳(108 CFU/mL)。断奶后(出生后第21天),KP幼崽接受开菲尔治疗至第60天。67日龄时,腹腔注射1,2 -二甲基肼诱导大肠癌发生。通过16S rRNA基因测序和DESeq2(差异丰度法)分析肠道菌群组成,发现不同开菲尔消费时期细菌丰度存在显著差异。母体摄入克非尔抗肿瘤能力强,对成年子代肿瘤有抑制作用,降低子代肿瘤发生的相对风险。KL组盲肠样品中的肠道微生物群富含乳杆菌、Romboutsia和Blautia。对照动物则富含不动杆菌。在发育的关键时期,以哺乳期为重点,服用开菲尔会影响肠道微生物群落结构,从而促进宿主的利益。Pearson分析显示肿瘤数量与IL-1水平呈正相关。因此,在生命早期摄入益生菌发酵食品可能对结肠肿瘤的发展具有有效的化学预防潜力,特别是在哺乳期。
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引用次数: 0
Early maternal undernutrition induces sex-related metabolic changes in adult offspring. 母亲早期营养不良会导致成年后代发生与性别相关的代谢变化。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-21 DOI: 10.1017/S2040174424000448
Rhauany P Guergolette, Danielly D Aguiar, Larissa R S Stopa, Camila F Souza, Ana Luiza M Wunderlich, Dimas A M Zaia, Cássia Thais B V Zaia, Cristiane M Leite, Ernane T Uchoa

Nutritional status during the developmental periods leads to predisposition to several diseases and comorbidities, highlighting metabolic and reproductive changes throughout adult life, and in the next generations. One of the experimental models used to induce undernutrition is litter size expansion, which decreases the availability of breast milk to pups and delays development. This work evaluated the effects of maternal undernutrition induced by litter size expansion, a maternal undernutrition preconception model, on the metabolic and reproductive alterations of the offspring. For this, metabolic and reproductive parameters were evaluated in male and female offspring of female rats reared in normal (NL - 10 pups: 5 males and 5 females) and large (LL - 16 pups: 8 males and 8 females) litters. Male and female offspring of LL mothers presented higher food intake than the offspring of NL mothers. Male offspring from undernourished females showed reduced body weight from lactation to adulthood, nasoanal distance in childhood, increased nasoanal distance, and decreased Lee index in adult life, while female offspring showed decreased nasoanal distance in childhood. The male offspring from LL mothers showed increased insulin plasma levels and glucose tolerance, and reduced triglycerides plasma levels, without changes in the female offspring. These results indicate that neonatal undernutrition in females predisposes their male and female offspring to develop metabolic alterations, without reproductive repercussions, and male offspring seems to be more susceptible to present these metabolic changes than females. Thus, there are sexual differences in the metabolic responses of the offspring elicited by maternal preconceptional undernutrition.

发育期间的营养状况导致易患几种疾病和合并症,突出表明在整个成年期和下一代的代谢和生殖变化。用于诱导营养不良的实验模型之一是产仔数增加,这会减少幼崽获得母乳的机会并延迟发育。本研究评估了由产仔数增加引起的母体营养不良对后代代谢和生殖改变的影响。为此,研究了正常窝(NL - 10只:5公5母)和大窝(LL - 16只:8公8母)母鼠的雄性和雌性后代的代谢和生殖参数。LL母鼠的雄性和雌性后代的摄食量均高于NL母鼠的后代。雌性营养不良的雄性后代从哺乳期到成年期体重下降,儿童期鼻肛管距离增大,成年期Lee指数减小,而雌性后代儿童期鼻肛管距离减小。LL母鼠的雄性后代胰岛素水平和葡萄糖耐量增加,甘油三酯血浆水平降低,雌性后代没有变化。这些结果表明,雌性新生儿营养不良会使其雄性和雌性后代容易发生代谢变化,而不会对生殖产生影响,而且雄性后代似乎比雌性更容易出现这些代谢变化。因此,在母体孕前营养不良引起的后代代谢反应中存在性别差异。
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引用次数: 0
Associations among rearing environment and the infant gut microbiome with early-life neurodevelopment and cognitive development in a nonhuman primate model (Macaca mulatta). 在非人类灵长类动物模型(猕猴)中,饲养环境和婴儿肠道微生物组与早期神经发育和认知发育之间的关系。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-09 DOI: 10.1017/S2040174424000400
Katherine Daiy, Kyle Wiley, Jacob Allen, Michael T Bailey, Amanda M Dettmer

Early gut microbiome development may impact brain and behavioral development. Using a nonhuman primate model (Macaca mulatta), we investigated the association between social environments and the gut microbiome on infant neurodevelopment and cognitive function. Infant rhesus monkeys (n = 33) were either mother-peer-reared (MPR) or nursery-reared (NR). Neurodevelopmental outcomes, namely emotional responsivity, visual orientation, and motor maturity, were assessed with the Primate Neonatal Neurobehavioral Assessment (PNNA) at 14-30 days. Cognitive development was assessed through tasks evaluating infant reward association, cognitive flexibility, and impulsivity at 6-8 months. The fecal microbiome was quantified from rectal swabs via 16S rRNA sequencing. Factor analysis was used to identify "co-abundance factors" describing patterns of microbial composition. We used multiple linear regressions with AIC Model Selection and differential abundance analysis (MaAsLin2) to evaluate relationships between co-abundance factors, microbiome diversity, and neuro-/cognitive development outcomes. At 30 days of age, a gut microbiome co-abundance factor, or pattern, with high Prevotella and Lactobacillus (β = -0.88, p = 0.04, AIC Weight = 68%) and gut microbiome alpha diversity as measured by Shannon diversity (β = -1.33, p = 0.02, AIC Weight = 80%) were both negatively associated with infant emotional responsivity. At 30 days of age, being NR was also associated with lower emotional responsivity (Factor 1 model: β = -3.13, p < 0.01; Shannon diversity model: β = -3.77, p < 0.01). The infant gut microbiome, along with early-rearing environments, may shape domains of neuro-/cognitive development related to temperament.

早期肠道微生物群的发育可能会影响大脑和行为的发育。利用非人灵长类动物模型(猕猴),我们研究了社会环境和肠道微生物组对婴儿神经发育和认知功能的影响。幼恒河猴(n = 33)分为母辈饲养(MPR)和幼崽饲养(NR)。神经发育结果,即情绪反应,视觉取向和运动成熟度,在14-30天用灵长类新生儿神经行为评估(PNNA)进行评估。在6-8个月时,通过评估婴儿奖励关联、认知灵活性和冲动性的任务来评估认知发展。通过16S rRNA测序对直肠拭子粪便微生物组进行定量。因子分析用于确定描述微生物组成模式的“共丰度因子”。我们使用多元线性回归与AIC模型选择和差异丰度分析(MaAsLin2)来评估共同丰度因素,微生物组多样性和神经/认知发展结果之间的关系。30日龄时,肠道菌群共丰度因子(β = -0.88, p = 0.04, AIC Weight = 68%)和Shannon多样性测量的肠道菌群α多样性(β = -1.33, p = 0.02, AIC Weight = 80%)与婴儿情绪反应均呈负相关。在30日龄时,NR也与较低的情绪反应性相关(因子1模型:β = -3.13, p < 0.01;Shannon多样性模型:β = -3.77, p < 0.01)。婴儿肠道微生物群,以及早期的养育环境,可能会塑造与气质相关的神经/认知发展领域。
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引用次数: 0
Maternal exposure to purified versus grain-based diet during early lactation in mice affects offspring growth and reduces responsivity to Western-style diet challenge in adulthood. 在小鼠哺乳期早期,母鼠暴露于纯化与谷物为基础的饮食会影响后代的生长,并降低成年后对西式饮食挑战的反应。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-09 DOI: 10.1017/S2040174424000436
M Rakhshandehroo, L Harvey, A de Bruin, E Timmer, J Lohr, S Tims, L Schipper

The nutritional environment during fetal and early postnatal life has a long-term impact on growth, development, and metabolic health of the offspring, a process termed "nutritional programming." Rodent models studying programming effects of nutritional interventions use either purified or grain-based rodent diets as background diets. However, the impact of these diets on phenotypic outcomes in these models has not been comprehensively investigated. We used a previously validated (C57BL/6J) mouse model to investigate the effects of infant milk formula (IMF) interventions on nutritional programming. Specifically, we investigated the effects of maternal diet type (i.e., grain-based vs purified) during early lactation and prior to the intervention on offspring growth, metabolic phenotype, and gut microbiota profile. Maternal exposure to purified diet led to an increased post-weaning growth velocity in the offspring and reduced adult diet-induced obesity. Further, maternal exposure to purified diet reduced the offspring gut microbiota diversity and modified its composition post-weaning. These data not only reinforce the notion that maternal nutrition significantly influences the programming of offspring vulnerability to an obesogenic diet in adulthood but emphasizes the importance of careful selection of standard background diet type when designing any preclinical study with (early life) nutritional interventions.

胎儿和产后早期的营养环境对后代的生长、发育和代谢健康有长期的影响,这一过程被称为“营养规划”。研究营养干预程序效应的啮齿动物模型使用纯化或以谷物为基础的啮齿动物饮食作为背景饮食。然而,在这些模型中,这些饮食对表型结果的影响尚未得到全面研究。我们使用先前验证的(C57BL/6J)小鼠模型来研究婴儿配方奶粉(IMF)干预对营养规划的影响。具体来说,我们研究了哺乳早期和干预前母体饮食类型(即谷物型和纯谷物型)对后代生长、代谢表型和肠道微生物群的影响。母亲接触纯净的饮食可以提高后代断奶后的生长速度,减少成年后饮食引起的肥胖。此外,母亲暴露于纯净的饮食减少了断奶后后代肠道微生物群的多样性并改变了其组成。这些数据不仅强化了母体营养显著影响后代成年后易受致肥性饮食影响的观念,而且强调了在设计(早期生活)营养干预的任何临床前研究时仔细选择标准背景饮食类型的重要性。
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引用次数: 0
Neurosteroid replacement therapy using tiagabine and zuranolone restores cerebellar neurodevelopment and reduces hyperactive behaviour following preterm birth. 使用替加滨和祖拉诺酮的神经类固醇替代疗法可恢复小脑神经发育并减少早产后的多动行为。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-08 DOI: 10.1017/S2040174424000394
Carlton L Pavy, Julia C Shaw, Hannah K Palliser, Roisin A Moloney, Jonathan J Hirst

Preterm birth exposes the neonate to hypoxic-ischaemic and excitotoxic insults that impair neurodevelopment and are magnified by the premature loss of placentally supplied, inhibitory neurosteroids. The cerebellum is a neuronally dense brain region, which undergoes critical periods of development during late gestation, when preterm births frequently occur. We propose that neurosteroid replacement therapy using tiagabine and zuranolone will protect the cerebellum against preterm-associated insults. Guinea pig dams received c-section surgery preterm (gestational age (GA) 64) or at term (GA70) with preterm pups administered tiagabine (2.5 mg/kg/day), zuranolone (1 mg/kg/day) or vehicle (15% β-cyclodextrin) until term equivalent age (GA70). Behavioural testing was performed at corrected postnatal day 8 (PND8) and PND41 with tissue collection occurring at PND42. Neurodevelopmental markers (MBP, OLIG2 and NeuN) were assessed within the cerebellum by immunohistochemistry, whilst GABAergic and glutamatergic pathway expression was quantified using high throughput RT-PCR. Zuranolone and, to a lesser extent, tiagabine were able to protect against hyperactive behaviour at PND8 in males, whilst in females, a less marked hyperactive phenotype was present with neither treatment impacting behaviour further. Both treatments improved MBP staining, whilst tiagabine was found to restore oligodendrocyte maturation in females only. GABAergic and glutamatergic pathway expression was found to be restored by both treatments in females. Overall, this study demonstrates the neuroprotective attributes of neurosteroid replacement therapy using tiagabine and zuranolone, thereby demonstrating their potential to mitigate long-term neurodevelopmental impairments. Furthermore, the sexually dimorphic effects observed suggest future investigations may show increased benefit by using sex-specific treatment regimes.

早产使新生儿暴露于缺氧缺血性和兴奋性毒性损伤中,损害神经发育,并因胎盘供应的抑制性神经类固醇过早丢失而放大。小脑是一个神经密集的大脑区域,在妊娠后期经历了关键的发育时期,这一时期经常发生早产。我们建议使用替加滨和祖拉诺酮的神经类固醇替代疗法可以保护小脑免受早产相关的损伤。豚鼠母鼠在胎龄(GA) 64或足月(GA70)时接受剖腹产手术,早产幼崽给予替加滨(2.5 mg/kg/天)、祖拉诺酮(1 mg/kg/天)或载药(15% β-环糊精),直至足月等效年龄(GA70)。行为测试在产后第8天(PND8)和第41天进行,组织收集在PND42进行。通过免疫组织化学评估小脑内神经发育标志物(MBP, OLIG2和NeuN),同时使用高通量RT-PCR量化GABAergic和glutamergic通路的表达。在较小程度上,唑诺酮和替加滨能够防止男性在PND8时过度活跃的行为,而在女性中,不太明显的过度活跃表型存在,两种治疗都没有进一步影响行为。两种处理都改善了MBP染色,而替加滨仅在女性中恢复少突胶质细胞成熟。经两种处理后,GABAergic和glutamergic通路的表达均得到恢复。总的来说,这项研究证明了使用替加滨和祖拉诺酮的神经类固醇替代疗法的神经保护特性,从而证明了它们减轻长期神经发育障碍的潜力。此外,观察到的两性二态效应表明,未来的研究可能会显示使用性别特异性治疗方案的益处增加。
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引用次数: 0
Association between chest-to-head circumference ratio at birth and childhood neurodevelopment: the Japan Environment and Children's Study. 出生时胸围与头围比与儿童神经发育的关系:日本环境与儿童研究。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-27 DOI: 10.1017/S2040174424000412
Naw Awn J-P, Masamitsu Eitoku, Keiko Yamasaki, Naomi Mitsuda, Mikiya Fujieda, Nagamasa Maeda, Narufumi Suganuma

Children born growth-restricted are well recognized to be at an increased risk of poor neurodevelopmental outcomes. This prospective study examined the influence of chest-to-head circumference ratio at birth on neurodevelopment in the first three years among children enrolled in the Japan Environment and Children's Study. We analyzed information of 84,311 children (43,217 boys, 41,094 girls). Children were divided into low, normal, and high chest-to-head circumference ratio groups. Neurodevelopment was assessed every six months (from 6 months to 3 years) using the Ages and Stages Questionnaire (Japanese translation), with delays defined as scores below 2 standard deviations from the mean. Additionally, we evaluated the contributions of chest and head circumference to the observed association. Linear mixed-effect regression revealed increased risk of delays in communication, gross motor, fine motor, problem-solving, and personal-social skills in the low-ratio group compared to the normal-ratio group. Adjusted risk ratios were in the range of 1.14 - 1.39 in boys and 1.16 - 1.37 in girls, with no such increase observed in the high-ratio group. The heightened risk in the low-ratio group was likely associated with a relatively narrow chest rather than a large head. The area under the ROC curves in predicting any developmental delay at three years for newborn measurements ranged from 0.513 to 0.526 in boys and 0.509 to 0.531 in girls. These findings suggest that a low chest-to-head circumference ratio may indicate children who are at risk for neurodevelopmental deficits. However, the ability to predict poor neurodevelopmental outcomes at three years of age is limited.

众所周知,出生时生长受限的儿童神经发育不良的风险更高。这项前瞻性研究考察了出生时胸围与头围比对参加日本环境与儿童研究的儿童前三年神经发育的影响。我们分析了84,311名儿童的信息(43,217名男孩,41,094名女孩)。儿童被分为低、正常和高胸围比组。神经发育每六个月(从6个月到3年)进行一次评估,使用年龄和阶段问卷(日语翻译),延迟定义为得分低于平均值2个标准差。此外,我们评估了胸围和头围对观察到的关联的贡献。线性混合效应回归显示,与正常比例组相比,低比例组在沟通、大肌肉运动、精细运动、解决问题和个人社交技能方面的延迟风险增加。校正后的风险比在男孩的1.14 - 1.39和女孩的1.16 - 1.37之间,在高比率组中没有观察到这种增加。低比例组的风险增加可能与相对狭窄的胸部而不是大脑袋有关。预测新生儿3岁时任何发育延迟的ROC曲线下面积,男孩为0.513 ~ 0.526,女孩为0.509 ~ 0.531。这些发现表明,胸头围比低可能表明儿童有神经发育缺陷的风险。然而,预测三岁儿童神经发育不良结果的能力是有限的。
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引用次数: 0
Intrauterine exposure to a high-fat diet, with different levels of lipids, and its gastrointestinal repercussions: a model of fetal programming in rats. 宫内暴露于高脂肪饮食,具有不同水平的脂质,及其胃肠道反应:大鼠胎儿编程模型。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-23 DOI: 10.1017/S2040174424000382
Jéssica Fortunato-Silva, Lívia Prometti de Rezende, Marcos Luiz Ferreira-Neto, Luiz Borges Bispo-da-Silva, Ana Paula Coelho Balbi

It is known that adverse stimuli, such as altered diets during pregnancy and lactation, can result in deleterious effects on the progeny. The aim of this study was to evaluate the possible gastrointestinal repercussions in the offspring of Wistar rats exposed to high-fat diets. Pregnant rats were divided into three groups: normolipidic diet (3.5% lipids), a diet containing 28% lipids, and a diet with 40% lipids. Body weight and food, water, daily caloric, and macronutrient intake were evaluated in the pregnant rats. Structural and functional gastrointestinal parameters were assessed in 30-day-old male pups. Depending on the lipid content of the maternal diet, the pups may exhibit gastric mucosal thickening, an increase in the relative weight of the small intestine, a reduction in the jejunal and ileal mucosa, and a decrease in the total thickness of the ileum. Additionally, there may be a reduction in the number of villi per area in these organs and a thinning of the muscular layer in the large intestine. The structural changes induced by the maternal high-fat diet seem to reduce the stomach's sensitivity to ethanol-induced ulcers, which is the only functional alteration observed. Therefore, the offspring of dams exposed to high-fat diets during pregnancy and lactation exhibits impaired gastrointestinal development, with alterations depending on dietary fat content and specific gastrointestinal regions. Structural changes did not always result in functional abnormalities and, in some cases, appeared protective. The long-term consequences of the observed morphological alterations require further investigation.

众所周知,不利的刺激,如怀孕和哺乳期间饮食的改变,会对后代产生有害影响。本研究的目的是评估暴露于高脂肪饮食的Wistar大鼠后代可能产生的胃肠道反应。将怀孕大鼠分为三组:正常脂质饮食(3.5%脂质),含28%脂质饮食和含40%脂质饮食。对怀孕大鼠的体重、食物、水、每日热量和常量营养素摄入量进行了评估。对30日龄雄性幼犬的胃肠道结构和功能参数进行了评估。根据母鼠饲粮的脂质含量,幼崽可能表现为胃粘膜增厚,小肠相对重量增加,空肠和回肠粘膜减少,回肠总厚度减少。此外,这些器官中每个区域的绒毛数量可能减少,大肠的肌肉层也可能变薄。母体高脂肪饮食引起的结构变化似乎降低了胃对乙醇引起的溃疡的敏感性,这是观察到的唯一功能改变。因此,在怀孕和哺乳期间暴露于高脂肪饮食的公鼠后代表现出胃肠道发育受损,其变化取决于饮食中的脂肪含量和特定的胃肠道区域。结构变化并不总是导致功能异常,在某些情况下,似乎具有保护作用。观察到的形态学改变的长期后果需要进一步研究。
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引用次数: 0
Financial hardship and caregiver and child mental health during the 3 years of the COVID-19 pandemic in Australia. 澳大利亚新冠肺炎大流行期间的经济困难、照顾者和儿童心理健康状况。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-12-02 DOI: 10.1017/S2040174424000321
Anna M H Price, Mary-Anne Measey, Sharon Goldfeld, Anthea Rhodes

Household income and caregiver mental health are important drivers of children's health and development. The COVID-19 pandemic created huge economic and mental health disruptions. This study examines financial hardship and its relationship with caregiver and child mental health using Australia's only representative data spanning three years of the pandemic. Analysis of the repeated, cross-sectional National Child Health Poll included 12,408 caregivers and 20,339 children over six waves (June 2020-April 2023). Caregivers reported their income (dichotomised into low versus not) and deprivation (missing one or more of eight essential items, versus not) and mental health for themselves (Kessler-6, poor versus not) and each child (Self-Rated Mental Health, poor/fair versus good/very good/excellent). Binary logistic models were fitted to predict marginal probabilities of mental health measures by low income and deprivation, over time. Results show that while low income decreased from 41% to 34% over the study period, deprivation increased from 30% to 35%. Poor mental health peaked with stay-at-home orders in 2021 before recovering. Caregivers experiencing low income or deprivation had higher rates of poor mental health throughout the study and slower recovery compared to those without financial hardship. Children in families experiencing financial hardship had slightly higher proportions of poor/fair mental health in 2021-2022, but they were mostly equivalent in June 2020 and April 2023 (range 6-8%). Addressing financial hardship may offer an avenue for improving caregiver mental health. This has implications for post-pandemic recovery and addressing contemporary issues of increasing cost of living and limited mental health supports and services.

家庭收入和照顾者的心理健康是儿童健康和发展的重要驱动因素。COVID-19大流行造成了巨大的经济和心理健康中断。这项研究利用澳大利亚唯一的代表性数据,调查了经济困难及其与照顾者和儿童心理健康的关系,这些数据跨越了三年的大流行。对重复的横断面全国儿童健康调查的分析包括六波(2020年6月至2023年4月)的12,408名看护者和20,339名儿童。照顾者报告了他们的收入(分为低与不)、剥夺(缺少八项基本项目中的一项或多项,与不)、自己和每个孩子的心理健康(凯斯勒-6,差与不)(自我评估的心理健康,差/一般与好/非常好/优秀)。二元逻辑模型拟合来预测低收入和贫困的心理健康措施的边际概率,随着时间的推移。结果显示,在研究期间,低收入的比例从41%下降到34%,而贫困的比例从30%上升到35%。2021年,心理健康状况不佳的订单达到顶峰,之后才开始恢复。在整个研究过程中,与那些没有经济困难的人相比,低收入或贫困的照顾者心理健康状况不佳的比例更高,恢复速度也更慢。2021-2022年,经济困难家庭的儿童心理健康状况不佳/一般的比例略高,但在2020年6月和2023年4月基本相当(范围为6-8%)。解决经济困难可能为改善照顾者的心理健康提供一条途径。这对大流行后的恢复和解决生活成本增加以及精神卫生支持和服务有限等当代问题具有影响。
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引用次数: 0
Associations between prenatal alcohol exposure and early education outcomes: a matched controls study using the born in Bradford dataset. 产前酒精暴露与早期教育结果之间的关系:使用出生在布拉德福德数据集的匹配对照研究
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-29 DOI: 10.1017/S2040174424000369
Robyn McCarthy, Penny A Cook, Joshua Pink, Lucy H Eddy

Prenatal alcohol exposure (PAE) is associated with cognitive, behavioural, and developmental impairments throughout the lifespan of affected individuals, but there is limited evidence on how early this impact can be identified through routinely collected childhood data. This paper explores the relationship between PAE and the Early Years Foundation Stage Profile (EYFSP), a statutory teacher-based summative assessment of early development in relation to learning goals. This analysis uses the Born in Bradford dataset, a UK based cohort (n = 13,959; full dataset), which collected self-reported PAE from 11,905 mothers, with 19.8% reporting drinking alcohol at some point during pregnancy. Coarsened exact matching was conducted to examine relationships between patterns of PAE and children achieving a 'Good Level of Development' on the EYFSP, a binary variable assessed at 4-5 years of age, controlling for known confounders, including deprivation, mother's education, exposure to other teratogenic substances, and child's age at assessment. Additionally, we examined EYFSP sub-scores to identify specific developmental deficits associated with PAE.The key finding is a statistically significant association between PAE at a level of consuming 5 or more units of alcohol (equivalent to 50 ml or 40 g of pure alcohol) at least once per week from the 4th month of pregnancy onwards and lower EYFSP scores when accounting for established confounding variables. These findings highlight that the detrimental impact of alcohol during pregnancy can be identified using statutory educational assessments. This has implications internationally for prevention work, policy, and commissioning of support services for people impacted by PAE.

产前酒精暴露(PAE)与受影响个体一生中的认知、行为和发育障碍有关,但通过常规收集的儿童数据,在多大程度上确定这种影响的证据有限。本文探讨了PAE和早期基础阶段概况(EYFSP)之间的关系,EYFSP是一种基于教师的关于学习目标的早期发展的法定总结性评估。该分析使用了出生在布拉德福德的数据集,这是一个基于英国的队列(n = 13,959;该研究收集了11905名母亲自我报告的PAE,其中19.8%的母亲报告在怀孕期间的某个时候饮酒。进行了粗略的精确匹配,以检查PAE模式与在EYFSP上达到“良好发展水平”的儿童之间的关系,EYFSP是一个在4-5岁时评估的二元变量,控制了已知的混杂因素,包括剥夺,母亲的教育,接触其他致畸物质和儿童的年龄。此外,我们检查了EYFSP分值,以确定与PAE相关的特定发育缺陷。关键的发现是,从怀孕第四个月开始,每周至少一次饮酒5个或更多单位的酒精(相当于50毫升或40克纯酒精)与较低的EYFSP评分之间存在统计学上显著的关联,当考虑到已确定的混杂变量时。这些发现强调,怀孕期间酒精的有害影响可以通过法定教育评估来确定。这在国际上对预防工作、政策和为受PAE影响的人提供支助服务具有影响。
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引用次数: 0
Supplementation of diet with Astaxanthin and DHA prevents gestational and lactational undernourishment-induced metabolic derangements in dams: a metabolomic approach. 膳食中补充虾青素和 DHA 可预防妊娠期和哺乳期营养不良引起的母体代谢紊乱:一种代谢组学方法。
IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-28 DOI: 10.1017/S2040174424000345
Pramukh Subrahmanya Hegde, Megha Bhat Agni, Praveen Rai, Shubham Sukerndeo Upadhyay, Anjana Aravind, Thottethodi Subrahmanya Keshava Prasad, K M Damodara Gowda

Nutrition is the critical nongenetic factor that has a major influence on the health status of an organism. The nutritional status of the mother during gestation and lactation plays a vital role in defining the offspring's health. Undernutrition during these critical periods may induce chronic metabolic disorders like obesity and cardiovascular diseases in mothers as well as in offspring. The present study aims to evaluate the impact of undernutrition during gestational and lactational periods on the plasma metabolic profile of dams. Additionally, we investigated the potential synergistic mitigating effects of astaxanthin and docosahexaenoic acid (DHA) on dysregulated plasma metabolic profiles. Evaluation of plasma lipid profile revealed that undernourishment resulted in elevated levels of total cholesterol, triglycerides, low density and very low-density lipoproteins in dams. Liquid chromatography-tandem mass spectrometry (LC-MS/MS) based untargeted metabolomics illustrated that pathways related to lipid metabolism, such as cholesterol metabolism, steroid biosynthesis and metabolism of amine-derived hormones, were dysregulated by undernourishment. Additionally, pathway enrichment analysis predicted that there is a high incidence of development of desmosterolosis, hypercholesterolaemia, lysosomal acid lipase deficiency and Smith-Lemli-Opitz syndrome in the offspring, reflecting predisposition in mothers. However, synergistic supplementation of astaxanthin and DHA ameliorated these adverse effects by regulating a separate set of metabolic pathways associated with lipid metabolism. They included branched chain amino acid degradation such as valine, leucine and isoleucine, metabolism of alpha-linolenic acid, lipoic acid, lysine degradation, biosynthesis, elongation and degradation of fatty acids.

营养是对生物体健康状况有重大影响的关键非遗传因素。母亲在妊娠期和哺乳期的营养状况对后代的健康起着至关重要的作用。在这些关键时期营养不良可能会诱发母亲和后代的慢性代谢紊乱,如肥胖和心血管疾病。本研究旨在评估妊娠期和哺乳期营养不良对母体血浆代谢谱的影响。此外,我们还研究了虾青素和二十二碳六烯酸(DHA)对血浆代谢紊乱的潜在协同缓解作用。对血浆脂质谱的评估显示,营养不良导致雌性大鼠的总胆固醇、甘油三酯、低密度和极低密度脂蛋白水平升高。基于液相色谱-串联质谱(LC-MS/MS)的非靶向代谢组学研究表明,与脂质代谢相关的通路,如胆固醇代谢、类固醇生物合成和胺类衍生激素的代谢,因营养不良而失调。此外,根据通路富集分析预测,后代中发生去脂醇化病、高胆固醇血症、溶酶体酸性脂肪酶缺乏症和史密斯-莱姆利-奥皮茨综合征的几率很高,这反映了母亲的易感性。然而,虾青素和 DHA 的协同补充可通过调节与脂质代谢相关的一组单独的代谢途径来改善这些不良影响。这些途径包括支链氨基酸降解(如缬氨酸、亮氨酸和异亮氨酸)、α-亚麻酸代谢、硫辛酸、赖氨酸降解、脂肪酸的生物合成、延伸和降解。
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引用次数: 0
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Journal of Developmental Origins of Health and Disease
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