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Arthritis Rheumatol:母亲和父亲对骨关节炎临床和外科定义的影响

2019-06-27 xiangting MedSci原创

母亲患OA增加了后代,尤其是女儿,髋关节、膝关节和手OA外科和临床定义的风险。

目前尚不清楚骨关节炎(OA)是否主要遗传自母亲或父亲,或两者皆有。这项研究目的是使用复发风险评估方法,探讨母亲和父亲对后代髋关节、膝关节和手OA的影响。

来自Ullensaker肌肉骨骼疼痛研究(MUST)和Nor-Twin OA研究的参与者(平均(SD)年龄64岁(9)和49岁(11),女性分别占69%和56%)报告了他们的母亲和/或父亲是否患有OA。研究人员使用logistic回归计算了母亲和父亲OA是否会增加以下风险:1)髋关节和膝关节OA的外科定义(全关节置换),和2)髋关节、膝关节和手OA的临床定义(美国风湿病学会标准)。

母亲患OA增加后代的OA风险,不论OA部位和严重程度如何。母亲患OA,女儿患任一种OA的风险均升高(RRMUST=1.13,95%CI = 1.02-1.25,RRNor-Twin=1.44,95%CI = 1.05-1.97),但儿子不升高或不确定(RRMUST=1.16,95%CI=0.95-1.43,RRNor-Twin=1.31,95%CI=0.71-2.41)。父亲患OA,女儿(RRMUST=1.00,95%CI=0.85-1.16,RRNor-Twin=1.52,95%CI=0.94-2.46)和儿子(RRMUST=1.08,95%CI=0.83-1.41,RRNor-Twin=0.93,95%CI=0.35-2.48)任一种OA风险升高的可能性较低。

母亲患OA增加了后代,尤其是女儿,髋关节、膝关节和手OA外科和临床定义的风险。这项研究结果提示OA的遗传可能与母系基因和/或母系特异性因素(如胎儿环境)有关。

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    2020-01-20 lisa438
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    2019-06-29 lmm397
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    2019-06-29 zhaojie88

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