著者
Naho Morisaki Taku Obara Aurelie Piedvache Sumitaka Kobayashi Chihiro Miyashita Tomoko Nishimura Mami Ishikuro Fumihiro Sata Reiko Horikawa Chisato Mori Hirohito Metoki Kenji J Tsuchiya Shinichi Kuriyama Reiko Kishi
出版者
Japan Epidemiological Association
雑誌
Journal of Epidemiology (ISSN:09175040)
巻号頁・発行日
pp.JE20220076, (Released:2022-08-06)
参考文献数
35
被引用文献数
7

Background: Recent literature suggest the effect of maternal smoking on risk of hypertensive disorders in pregnancy (HDP) and preeclampsia may differ by ethnicity, however studies on Asians are limited.Methods: We investigated the association between maternal smoking and HDP and preeclampsia, by using a common analysis protocol to analyze the association in six birth cohorts participating in a Japanese consortium of birth cohorts (JBiCC). Results were compared with published results from cohorts not included in this consortium, and where possible produced a meta-analysis including these studies.Results: Meta-analysis of four cohort studies including 28,219 participants produced an odds ratio (OR) of 1.24 (95% confidence interval (CI) 0.88-1.87) for effect of smoking beyond early pregnancy compared to women who did not smoke during pregnancy. These results combined with those from the Japan Environment and Children’s Study (JECS) yielded an OR of 1.19 (95%CI 1.00-1.43, p=0.056). Meta-analysis results for categories of smoking volume were insignificant, but when combined with JECS yielded an OR of 0.86 (95%CI 0.65-1.12) for smoking 1-4 cigarettes, 1.25 (95%CI 0.98-1.60) for smoking 5-9 cigarettes, and 1.27 (95%CI 1.04-1.54) for smoking 10 or more cigarettes per day. All effects were insignificant for preeclampsia.Conclusion: Our results suggest the protective effect of smoking longer, smoking more on HDP and preeclampsia repeatedly observed among Europeans and North Americans likely do not hold for the Japanese.
著者
Atsumi Hiramoto Shu Takagai Kenji J Tsuchiya Katsuaki Suzuki Masatsugu Tsujii Norio Mori
出版者
Japan Brain Science society
雑誌
脳科学誌 (ISSN:13415301)
巻号頁・発行日
vol.43, pp.5-23, 2014-05-30 (Released:2017-06-01)

Background: Behaviors in infants may predict not only current developmental status but also later neurodevelopmental outcomes. Sucking is one of the earliest observable behaviors in infants. This study aimed to determine whether abnormal sucking behaviors in infants can predict the developmental outcome at 18 months or 3 years of age. Methods: A questionnaire asking abnormal sucking behaviors was used to survey mothers of children who visited one of 4 health centers for the routine 18-month- or 3-year-old health check-up in Japan. At the check-up, children were assessed by public health nurses whether he or she passed for age-appropriate developmental milestones. Results: A total of 472 responses were analyzed. The children were grouped into two groups according to the assessment by public health nurses: in 18-month-old children, 198 were typically developed (TD) and 52 were suspicious of developmental delay (DD); for 3-years-old, 164 were TD and 58 were DD. We found a significant difference in the rate of the lack of smooth suck and rest pattern between TD and DD groups across the two age populations. After controlling provable confounding factors, a logistic regression analysis showed significant association between the developmental delay and lack of smooth suck and rest pattern (P=0.004). Conclusion: The result suggests that the abnormality in suck and rest pattern of sucking in infants might be a predictor of developmental delay at 18-month- and 3-year-old of ages.