Is Maternal Smoking during Early Pregnancy a Risk Factor for All Low Birth Weight Infants?
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概要
- 論文の詳細を見る
Background: Low birth weight (LBW) infants do not form a homogeneous group; LBW can be caused by prematurity or poor fetal growth manifesting as small for gestational age (SGA) infants or intrauterine growth retardation. We aimed to clarify the relationship of maternal smoking with both SGA and preterm LBW infants.Methods: The study population comprised pregnant women who registered at the Koshu City between January 1, 1995, and December 31, 2000, and their children. We performed multivariate analyses using multiple logistic regression models to clarify the relationship of maternal smoking during pregnancy with the SGA outcome and preterm birth in LBW infants.Results: In this study period, 1,329 pregnant women responded to questionnaires, and infant data were collected from 1,100 mothers (follow-up rate: 82.8%). The number of LBW infants was 81 (7.4%). In this cohort, maternal smoking during early pregnancy was associated with LBW and the SGA outcome. Maternal smoking during early pregnancy was a risk factor for LBW with SGA outcome and for LBW with full-term birth. However, it was not a risk factor for LBW with appropriate weight for gestational age (AGA) and LBW with preterm birth.Conclusion: These results suggested that LBW with AGA and LBW with preterm birth were associated with other risk factors that were not considered in this study, such as periodontal disease. For the prevention of LBW, not only abstinence from smoking during pregnancy but also other methods such as establishing a clinical setting should be adopted.
- 日本疫学会の論文
- 2008-05-01
著者
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鈴木 孝太
Department Of Health Sciences Interdisciplinary Graduate School Of Medicine And Engineering Universi
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SUZUKI Kohta
Department of Health Sciences, Interdisciplinary Graduate School of Medicine and Engineering, Univer
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YAMAGATA Zentaro
Department of Health Sciences, Interdisciplinary Graduate School of Medicine and Engineering, Univer
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TANAKA Taichiro
Department of Health Sciences, School of Medicine, University of Yamanashi
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KONDO Naoki
Department of Health Sciences, School of Medicine, University of Yamanashi
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MINAI Junko
Department of Health Sciences, School of Medicine, University of Yamanashi
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SATO Miri
Department of Health Sciences, School of Medicine, University of Yamanashi
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Takebayashi T
Department Of Preventive Medicine And Public Health School Of Medicine Keio University
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Takahashi Ken
Department Of Preventive Medicine And Public Health School Of Medicine Keio University
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Kondo Naoki
Department Of Health Sciences School Of Medicine University Of Yamanashi
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Kondo Naoki
Department Of Cadiology Komatsushima Red Cross Hospital
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Suzuki Kohta
Department Of Health Sciences School Of Medicine University Of Yamanashi
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Sato Miri
Department Of Health Sciences School Of Medicine University Of Yamanashi
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Minai Junko
Department Of Health Sciences School Of Medicine University Of Yamanashi
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Yamagata Zentaro
Department Of Health Sciences Faculty Of Medicine School Of Medicine University Of Yamanashi
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Tanaka Taichiro
Department Of Health Sciences School Of Medicine University Of Yamanashi
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Yamagata Zentaro
Department Of Health Sciences Interdisciplinary Graduate School Of Medicine And Engineering Universi
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Suzuki Kohta
Department Of Health Sciences Interdisciplinary Graduate School Of Medicine And Engineering Universi
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Minai Junko
Department Of Health Sciences Interdisciplinary Graduate School Of Medicine And Engineering University Of Yamanashi
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YAMAGATA Zentaro
Center for Birth Cohort Studies, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi
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Sato Miri
Department Of Health Sciences Interdisciplinary Graduate School Of Medicine And Engineering University Of Yamanashi
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Tanaka Taichiro
Department Of Health Sciences Interdisciplinary Graduate School Of Medicine And Engineering University Of Yamanashi
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TANAKA Taichiro
Department of Health Science, Shiga University of Medical Science
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Tanaka Taichiro
Department of Environmental and Occupational Health, School of Medicine, Toho University
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