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Smoking during Pregnancy Is a Predictor of Poor Perinatal Outcomes in Maternal Anorexia Nervosa: A Case Series and Single-Center Cross-Sectional Study in Japan.

http://hdl.handle.net/10422/00012678
http://hdl.handle.net/10422/00012678
0980d412-2988-44db-91be-da03dffc1b43
名前 / ファイル ライセンス アクション
tjem.250.191.pdf tjem.250.191 (316.2 kB)
© 2020 Tohoku University Medical Press
This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license.
This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC-BY-NC-ND 4.0). Anyone may download, reuse, copy, reprint, or distribute the article without modifications or adaptations for non-profit purposes if they cite the original authors and source properly. https://creativecommons.org/licenses/by-nc-nd/4.0/
Item type 学術雑誌論文 / Journal Article(1)
公開日 2020-05-27
タイトル
タイトル Smoking during Pregnancy Is a Predictor of Poor Perinatal Outcomes in Maternal Anorexia Nervosa: A Case Series and Single-Center Cross-Sectional Study in Japan.
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 anorexia nervosa
キーワード
言語 en
主題Scheme Other
主題 low birth weight infant
キーワード
言語 en
主題Scheme Other
主題 pregnancy
キーワード
言語 en
主題Scheme Other
主題 premature birth
キーワード
言語 en
主題Scheme Other
主題 smoking
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 KASAHARA, Kyoko

× KASAHARA, Kyoko

WEKO 3319
e-Rad 00781501

KASAHARA, Kyoko

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ONO, Tetsuo

× ONO, Tetsuo

WEKO 791
ORCID 0000-0002-6566-943X

ONO, Tetsuo

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HIGUCHI, Asuka

× HIGUCHI, Asuka

WEKO 6922
e-Rad 90613480

HIGUCHI, Asuka

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KATSURA, Daisuke

× KATSURA, Daisuke

WEKO 796
ORCID 0000-0002-5357-5700

KATSURA, Daisuke

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HAYASHI, Kaori

× HAYASHI, Kaori

WEKO 795
e-Rad 70569251

HAYASHI, Kaori

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TOKORO, Shinsuke

× TOKORO, Shinsuke

WEKO 7912
e-Rad 20613475

TOKORO, Shinsuke

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TSUJI, Shunichiro

× TSUJI, Shunichiro

WEKO 798
e-Rad 30601546
ORCID 0000-0003-3945-6817

TSUJI, Shunichiro

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KIMURA, Fuminori

× KIMURA, Fuminori

WEKO 802
e-Rad 90322148
ORCID 0000-0002-9840-4227

KIMURA, Fuminori

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MURAKAMI, Takashi

× MURAKAMI, Takashi

WEKO 564
e-Rad 20240666
ORCID 0000-0002-0250-0856

MURAKAMI, Takashi

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著者別名 笠原, 恭子

× 笠原, 恭子

WEKO 3319
e-Rad 00781501

笠原, 恭子

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小野, 哲男

× 小野, 哲男

WEKO 791
ORCID 0000-0002-6566-943X

小野, 哲男

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樋口, 明日香

× 樋口, 明日香

WEKO 6922
e-Rad 90613480

樋口, 明日香

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桂, 大輔

× 桂, 大輔

WEKO 796
ORCID 0000-0002-5357-5700

桂, 大輔

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林, 香里

× 林, 香里

WEKO 795
e-Rad 70569251

林, 香里

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所, 伸介

× 所, 伸介

WEKO 7912
e-Rad 20613475

所, 伸介

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辻, 俊一郎

× 辻, 俊一郎

WEKO 798
e-Rad 30601546
ORCID 0000-0003-3945-6817

辻, 俊一郎

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木村, 文則

× 木村, 文則

WEKO 802
e-Rad 90322148
ORCID 0000-0002-9840-4227

木村, 文則

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村上, 節

× 村上, 節

WEKO 564
e-Rad 20240666
ORCID 0000-0002-0250-0856

村上, 節

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抄録
内容記述タイプ Abstract
内容記述 Eating disorders are common psychiatric disorders among women of reproductive age, and the prevalence of eating disorders has been increasing over time in Japan and other countries. The aim of the present study was to assess perinatal outcomes in maternal anorexia nervosa in Japan and to explore methods to improve perinatal outcomes. This study consists of a case series describing 13 single pregnancies of 11 women with a history of anorexia nervosa, and a cross-sectional study comparing 13 cases with 240 healthy controls. In the case group, nine cases conceived while underweight, including three who had fertility treatment. Anorexia symptoms during pregnancy were quite common, and pregnant smokers presented with extremely disturbed eating behaviors. In a cross-sectional study, premature birth and the standard deviations from the mean birth weight and mean head circumference at birth were evaluated as outcome measures. The adjusted odds ratios or the adjusted differences between two means for the above outcomes were estimated by two approaches: multivariate models and matching analysis. Statistical analysis showed that maternal anorexia nervosa was associated with an increased risk of premature birth and symmetric growth restriction mediated by low pre-pregnancy body mass index and poor gestational weight gain which were adjusted as confounders. Smoking during pregnancy was a potential indicator of abnormal eating behavior and could be predictive of poor perinatal outcomes. We therefore conclude that remission of anorexia nervosa before pregnancy could improve perinatal outcomes through both normal nutrition and smoking cessation. Fertility treatment while underweight is not recommended.
書誌情報 en : The Tohoku journal of experimental medicine

巻 250, 号 4, p. 191-200, 発行日 2020-04
出版者
出版者 Tohoku University Medical Press
別言語の出版者
出版者 東北ジャーナル刊行会
ISSN
収録物識別子タイプ ISSN
収録物識別子 1349-3329
PMID
関連タイプ isIdenticalTo
識別子タイプ PMID
関連識別子 32224593
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1620/tjem.250.191
関連名称 10.1620/tjem.250.191
権利
権利情報 © 2020 Tohoku University Medical Press
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
資源タイプ
内容記述タイプ Other
内容記述 Journal Article
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