ارتباط محیط جنینی با سن یائسگی: یک مطالعه مروری روایتی

نوع مقاله : مروری

نویسندگان

دانشجوی دکتری بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

چکیده

مقدمه: هنگامی که ذخیره فولیکول تخمدان که در دوره جنینی ایجاد شده، به میزان زیادی کاهش یابد، زنان وارد دوران یائسگی می‌شوند. شرایط نامطلوب رحمی ممکن است بر فولیکول‌های تخمدان و در نتیجه سن یائسگی تأثیر بگذارد. با توجه به پیامدهای گسترده یائسگی و اثرات آن بر زندگی زنان، مطالعه مروری حاضر با هدف بررسی ارتباط محیط جنینی با سن یائسگی انجام شد.
روش‌کار: در این مطالعه مروری، مقالات در پایگاه‌های اطلاعاتیScopus ،Science direct ،Pubmed ،Web of Science ،Uptodate ،Magiran  و SID بدون محدودیت زمانی و با محدودیت زبان انگلیسی و فارسی و با استفاده از کلیدواژه‌های یائسگی، وزن هنگام تولد، سن بارداری، قحطی، Menopause، Birth weight، Famine و Gestational Age مورد جستجو قرار گرفتند. یافته‌ها در 4 حیطه موضوعی (وزن هنگام تولد، دوقلویی، سن بارداری هنگام تولد و قرار گرفتن در معرض قحطی در دوران جنینی) مورد بررسی قرار گرفتند.
یافته‌ها: پس از بازیابی 3100 مقاله، نتایج 13 مقاله که دارای معیارهای ورود به مطالعه بودند، مورد بررسی قرار گرفت. در هیچ یک از مطالعات ارتباط آماری معنی‌داری بین وزن کم هنگام تولد، سن حاملگی و در معرض قحطی بودن در دوران جنینی با سن یائسگی گزارش نشده بود. دو مطالعه ارتباط بین وزن بالای هنگام تولد و سن زودتر یائسگی را گزارش کرده‌اند. اگرچه مطالعات در زمینه دوقلویی، ارتباط معنی‌داری بین وزن هنگام تولد و سن یائسگی نشان نداده‌اند، نشانه‌هایی وجود دارد که دوقلوهای دارای نارسایی زودرس تخمدان، یائسگی زودرس را تجربه می‌کنند.
نتیجه‌گیری: تغییرات در محیط جنینی ممکن است با سن یائسگی مرتبط باشد. از آنجایی‌که یائسگی زودرس منجر به کوتاه شدن طول عمر تولیدمثل و افزایش بیماری‌ها در زنان می‌شود، توصیه می‌شود برای بررسی تأثیرات زندگی جنینی بر سن یائسگی، مطالعات بیشتری در این زمینه انجام شود.

کلیدواژه‌ها


عنوان مقاله [English]

The relationship between fetal environment and menopausal age: A narrative review study

نویسندگان [English]

  • Marzie Reisi
  • Leila Asadi
PhD student of Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
چکیده [English]

Introduction: When the follicle reserve, which is developed solely during the fetal period, is depleted, women enter menopause. Adverse uterine conditions can affect the ovarian follicles and thus the age of menopause. Considering the widespread consequences of menopause and its effects on women's life, this review study was performed with aim to investigate the association between the fetal environment and menopausal age.
Methods: In this review study, articles were searched in databases of Scopus, Science direct, Pubmed, Web of Science, Uptodate, Magiran, and SID without time limit and with English and Persian language limitations and using the keywords of menopause, birth weight, gestational age, famine. Findings were examined in 4 thematic areas (birth weight, twins, gestational age at birth and famine exposure in fetal life).
Results: After revising 3100 articles, the results of 13 articles which had inclusion criteria were reviewed. None of the studies reported statistically significant association between low birth weight, gestational age and risk of famine during pregnancy with menopausal age. Two studies have reported an association between high birth weight and earlier menopausal age. Although studies of twins have shown no significant association between birth weight and menopausal age in twins, there are indications that twins with primary ovarian insufficiency experience premature menopause.
Conclusion: The changes in fetal environment may be related to menopausal age. Since premature menopause leads to shorter reproductive life and increased disease in women, it is recommended that more studies be performed in this regard to investigate the effects of fetal life on menopausal age.

کلیدواژه‌ها [English]

  • Birth weight
  • Famine
  • Gestational Age
  • Menopause
  • Twins
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