論文

査読有り 国際誌
2019年4月

Higher prevalence of hypertensive disorders of pregnancy in women who smoke: the Japan environment and children's study.

Hypertension research : official journal of the Japanese Society of Hypertension
  • Kosuke Tanaka
  • Hidekazu Nishigori
  • Zen Watanabe
  • Noriyuki Iwama
  • Michihiro Satoh
  • Takahisa Murakami
  • Hirotaka Hamada
  • Tetsuro Hoshiai
  • Masatoshi Saito
  • Satoshi Mizuno
  • Kasumi Sakurai
  • Mami Ishikuro
  • Taku Obara
  • Nozomi Tatsuta
  • Ikuma Fujiwara
  • Shinichi Kuriyama
  • Takahiro Arima
  • Kunihiko Nakai
  • Nobuo Yaegashi
  • Hirohito Metoki
  • 全て表示

42
4
開始ページ
558
終了ページ
566
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1038/s41440-019-0206-x

Smoking during pregnancy is a risk factor for various adverse birth outcomes but lowers the risk of preeclampsia. Cardiovascular adaptations might underlie these associations. We examined the association of maternal smoking with the risk of hypertensive disorders of pregnancy (HDP) in a low-risk population-based cohort of 76,303 pregnant women. This study was a part of the Japan Environment and Children's Study. Smoking status was assessed using questionnaires completed by participants. Information about HDP was assessed using questionnaires completed by doctors. Compared with that for women who did not smoke, women who continued smoking >10 cigarettes per day during pregnancy had a significantly higher risk of developing HDP (odds ratio: 1.58, 95% confidence interval: 1.11-2.25). In multivariate analyses with adjustment for possible confounding factors, the association still remained (odds ratio: 1.51, 95% confidence interval: 1.04-2.19). When we regarded the number of cigarettes as a continuous variable, there was a linear association between the number of cigarettes and risk of HDP, with an odds ratio of 1.02 per cigarette per day (95% confidence interval: 1.00-1.04). Smoking a greater number of cigarettes was associated with a higher risk of HDP after adjustment for possible confounding factors. Cigarette smoking cessation may avoid the complications of HDP. Our findings suggest that, in addition to the risk of small-for-gestational-age children, an increased risk of HDP should be considered in the management of pregnant women who smoke cigarettes.

リンク情報
DOI
https://doi.org/10.1038/s41440-019-0206-x
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/30662062
ID情報
  • DOI : 10.1038/s41440-019-0206-x
  • ISSN : 0916-9636
  • PubMed ID : 30662062

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