环境因素对南非胚胎发育和胎儿编程的影响

Michael Lubanzi
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摘要

目的:本研究旨在探讨环境因素对胚胎发育和胎儿编程的影响:本研究采用案头研究法。案头研究设计通常被称为二手数据收集。这基本上是从现有资源中收集数据,因为与实地研究相比,它具有成本低的优势。我们目前的研究考察了已经发表的研究和报告,因为这些数据很容易通过在线期刊和图书馆获取。研究结果研究揭示了令人信服的证据,表明各种环境暴露(包括空气污染、产妇营养、吸烟、压力、化学污染物和重金属)与不良妊娠结局和对后代的长期健康影响有关。该研究还强调了表观遗传修饰(如 DNA 甲基化、组蛋白修饰和非编码 RNA 表达)在胚胎发育过程中介导环境因素对基因表达和细胞功能影响的关键作用。对理论、实践和政策的独特贡献:健康与疾病的发育起源(DOHaD)理论和胎儿编程理论可用于未来有关环境因素对胚胎发育和胎儿编程影响的研究。将环境暴露综合评估纳入常规产前保健。医疗保健提供者在为孕妇提供咨询时,应考虑孕妇的饮食、吸烟状况、压力水平、化学接触和空气质量等因素。倡导制定更严格的环境法规,以减少孕期接触空气污染物、干扰内分泌的化学物质、重金属和其他有害物质的机会。根据个人风险状况和环境暴露情况,采取有针对性的干预措施。例如,提供有针对性的营养咨询、戒烟计划、压力管理支持以及环境健康评估转介,作为产前护理服务的一部分。
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Influence of Environmental Factors on Embryonic Development and Fetal Programming in South Africa
Purpose: The aim of the study was to investigate the influence of environmental factors on embryonic development and fetal programming Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries. Findings: The study revealed compelling evidence linking various environmental exposures, including air pollution, maternal nutrition, smoking, stress, chemical contaminants, and heavy metals, to adverse pregnancy outcomes and long-term health consequences for offspring. The study also highlighted the critical role of epigenetic modifications, such as DNA methylation, histone modifications, and non-coding RNA expression, in mediating the effects of environmental factors on gene expression and cellular function during embryogenesis. Unique Contribution to Theory, Practice and Policy: Developmental Origins of Health and Disease (DOHaD) theory & Fetal Programming theory may be used to anchor future studies on the influence of environmental factors on embryonic development and fetal programming. Incorporate comprehensive assessments of environmental exposures into routine prenatal care. Healthcare providers should consider factors such as maternal diet, smoking status, stress levels, chemical exposures, and air quality when counseling pregnant individuals. Advocate for stricter environmental regulations aimed at reducing exposure to air pollutants, endocrine-disrupting chemicals, heavy metals, and other harmful substances during pregnancy. Tailor interventions based on individual risk profiles and environmental exposures. For example, provide targeted nutritional counseling, smoking cessation programs, stress management support, and referrals for environmental health assessments as part of prenatal care services.
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