Maternal birth weight is an indicator of preterm delivery: the Japan environment and children's study.

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Rie Kudo, Noriyuki Iwama, Hirotaka Hamada, Hasumi Tomita, Kazuma Tagami, Natsumi Kumagai, Naoto Sato, Seiya Izumi, Kasumi Sakurai, Zen Watanabe, Mami Ishikuro, Taku Obara, Nozomi Tatsuta, Tetsuro Hoshiai, Hirohito Metoki, Masatoshi Saito, Junichi Sugawara, Shinichi Kuriyama, Takahiro Arima, Nobuo Yaegashi
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Abstract

This study aimed to investigate the association between maternal birth weight (MBW) with preterm delivery (PTD) in the Japanese population. To this end, a total of 78,972 Japanese pregnant women were included in a prospective birth cohort study. Multiple logistic regression and multinominal logistic regression models were applied to investigate the associations of MBW with PTD (delivery from 22 to < 37 weeks of gestation), early PTD (delivery from 22 to < 34 weeks), and late PTD (delivery from 34 to < 37 weeks). The results showed that MBW was inversely associated with PTD, early PTD, and late PTD (p-for-trend < 0.0001, 0.0014, and < 0.0001, respectively). The adjusted odds ratios per each 500 g of MBW decrease were 1.167 (95% confidence interval [CI]: 1.118-1.218) for PTD, 1.174 (95% CI: 1.070-1.287) for early PTD and 1.151 (95% CI: 1.098-1.206) for late PTD. The effect size of the association of MBW with early PTD was similar to that with late PTD. This study demonstrated for the first time an association of a low MBW with PTD, early PTD, and late PTD in a Japanese nationwide cohort.

产妇出生体重是早产的指标:日本环境与儿童研究。
本研究旨在调查日本人口中产妇出生体重(MBW)与早产(PTD)之间的关系。为此,一项前瞻性出生队列研究共纳入了 78,972 名日本孕妇。应用多元逻辑回归和多项式逻辑回归模型研究了 MBW 与早产(妊娠 22 周至小于 37 周分娩)、早期早产(妊娠 22 周至小于 34 周分娩)和晚期早产(妊娠 34 周至小于 37 周分娩)之间的关系。结果显示 MBW 与 PTD、早期 PTD 和晚期 PTD 成反比(p-趋势分别为 <0.0001、0.0014 和 <0.0001)。MBW 每减少 500 克,PTD 的调整几率比为 1.167(95% 置信区间 [CI]:1.118-1.218),早期 PTD 为 1.174(95% 置信区间:1.070-1.287),晚期 PTD 为 1.151(95% 置信区间:1.098-1.206)。MBW 与早期 PTD 的相关效应大小与晚期 PTD 相似。这项研究首次在日本全国性队列中证明了低 MBW 与 PTD、早期 PTD 和晚期 PTD 的关系。
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来源期刊
Journal of Developmental Origins of Health and Disease
Journal of Developmental Origins of Health and Disease PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.80
自引率
0.00%
发文量
145
审稿时长
6-12 weeks
期刊介绍: JDOHaD publishes leading research in the field of Developmental Origins of Health and Disease (DOHaD). The Journal focuses on the environment during early pre-natal and post-natal animal and human development, interactions between environmental and genetic factors, including environmental toxicants, and their influence on health and disease risk throughout the lifespan. JDOHaD publishes work on developmental programming, fetal and neonatal biology and physiology, early life nutrition, especially during the first 1,000 days of life, human ecology and evolution and Gene-Environment Interactions. JDOHaD also accepts manuscripts that address the social determinants or education of health and disease risk as they relate to the early life period, as well as the economic and health care costs of a poor start to life. Accordingly, JDOHaD is multi-disciplinary, with contributions from basic scientists working in the fields of physiology, biochemistry and nutrition, endocrinology and metabolism, developmental biology, molecular biology/ epigenetics, human biology/ anthropology, and evolutionary developmental biology. Moreover clinicians, nutritionists, epidemiologists, social scientists, economists, public health specialists and policy makers are very welcome to submit manuscripts. The journal includes original research articles, short communications and reviews, and has regular themed issues, with guest editors; it is also a platform for conference/workshop reports, and for opinion, comment and interaction.
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