Prognosis of small-for-gestational-age neonates and parental smoking: A single-center retrospective analysis
Recently, the birth rate of small for gestational age (SGA) neonate has increased in Japan. The aim of this study is to investigate the prognosis of SGA neonate associated with parental smoking. A retrospective cohort study was conducted at Sendai Medical Center Hospital. A total of 11569 infants we...
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| Published in | Japanese Journal of Tobacco Control Vol. 15; no. 5; pp. 102 - 108 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan Society for Tobacco Control
30.12.2020
特定非営利活動法人 日本禁煙学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1882-6806 |
| DOI | 10.14950/jstc.15.102 |
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| Abstract | Recently, the birth rate of small for gestational age (SGA) neonate has increased in Japan. The aim of this study is to investigate the prognosis of SGA neonate associated with parental smoking. A retrospective cohort study was conducted at Sendai Medical Center Hospital. A total of 11569 infants were born in ourhospital during a 12-year period, 514 of whom were SGA neonates. The subjects comprised 137 SGA neonates whose prognoses could be estimated, about half of whom had smoking-related complications, including 2 cases of sudden infant death syndrome (SIDS). Many mothers (73%) quit smoking during pregnancy, but most fathers (98%) continued to smoke. Bronchial asthma was significantly present in the group whom mother and/or father smoked compared to the group whom they did not smoke (odds ratio 6.896, p＜0.05). We conclude that smoking cessation guidance in early pregnancy for parents are necessary to prevent various complications and SIDS in their infant. |
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| AbstractList | Recently, the birth rate of small for gestational age (SGA) neonate has increased in Japan. The aim of this study is to investigate the prognosis of SGA neonate associated with parental smoking. A retrospective cohort study was conducted at Sendai Medical Center Hospital. A total of 11569 infants were born in ourhospital during a 12-year period, 514 of whom were SGA neonates. The subjects comprised 137 SGA neonates whose prognoses could be estimated, about half of whom had smoking-related complications, including 2 cases of sudden infant death syndrome (SIDS). Many mothers (73%) quit smoking during pregnancy, but most fathers (98%) continued to smoke. Bronchial asthma was significantly present in the group whom mother and/or father smoked compared to the group whom they did not smoke (odds ratio 6.896, p＜0.05). We conclude that smoking cessation guidance in early pregnancy for parents are necessary to prevent various complications and SIDS in their infant.
【目 的】 当院で出生したSmall for gestational age （SGA）児の長期予後と、両親の喫煙との関連について検討する。【方 法】 当院の分娩簿・診療録を用いて、児の長期予後や両親の喫煙を調査した。詳細が不明な場合は調査用紙を郵送し、必要に応じて外来を受診していただいた。【結 果】 長期追跡可能なSGA児は137例であった。そのうち約半数が喫煙関連合併症を有しており、乳幼児突然死症候群（SIDS）が2例含まれていた。妊娠初期に両親または両親のいずれかが喫煙していたのは74例（54%）で、妊娠中に多くの母（73％）は禁煙したが、ほとんどの父（98％）は喫煙を継続していた。両親または両親のいずれかが喫煙している群は、喫煙していない群に比し、有意に気管支喘息を発症していた（オッズ比6.896, p＜0.05）。【考 察】 SGA児はさまざまな合併症を有していた。児へのさまざまな合併症や悲劇的なSIDSを防ぐため、両親への妊娠早期からの禁煙指導が必要である。【結 語】 周産期における禁煙指導は重要である。 Recently, the birth rate of small for gestational age (SGA) neonate has increased in Japan. The aim of this study is to investigate the prognosis of SGA neonate associated with parental smoking. A retrospective cohort study was conducted at Sendai Medical Center Hospital. A total of 11569 infants were born in ourhospital during a 12-year period, 514 of whom were SGA neonates. The subjects comprised 137 SGA neonates whose prognoses could be estimated, about half of whom had smoking-related complications, including 2 cases of sudden infant death syndrome (SIDS). Many mothers (73%) quit smoking during pregnancy, but most fathers (98%) continued to smoke. Bronchial asthma was significantly present in the group whom mother and/or father smoked compared to the group whom they did not smoke (odds ratio 6.896, p＜0.05). We conclude that smoking cessation guidance in early pregnancy for parents are necessary to prevent various complications and SIDS in their infant. |
| Author | Kamada, Fumiaki Nakamura, Rie Matsuki, Shigenobu Kaga, Akimune Watanabe, Hiroshi |
| Author_FL | 中村 理恵 渡邉 浩司 鎌田 文顕 松木 茂伸 加賀 元宗 |
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| Author_xml | – sequence: 1 fullname: Matsuki, Shigenobu organization: Division of Neonatology, Tohoku Kosai Hospital – sequence: 1 fullname: Nakamura, Rie organization: Division of Neonatology, Tohoku Kosai Hospital – sequence: 1 fullname: Kamada, Fumiaki organization: Department of Pediatrics, Town Clinic en – sequence: 1 fullname: Watanabe, Hiroshi organization: Division of Neonatology, National Hospital Organization Sendai Medical Center – sequence: 1 fullname: Kaga, Akimune organization: Division of Neonatology, Tohoku Kosai Hospital |
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| References_xml | – reference: 22) McGeachie MJ, Yates KP, Zhou X et al.: Patterns of growth and decline in lung function in persistent childhood asthma. N Engl J Med 2016; 374: 1842-1852. – reference: 24) 泉信夫：電気加熱式たばこから小児を守る―特にニコチンと三次エアロゾル曝露について―．小児科臨床 2019；72：49-54. – reference: 9) Silvestri M, Franchi S, Pistorio A, et al.: Smoke exposure, wheezing, and asthma development: a systematic review and meta-analysis in unselected birth cohorts. Pediatr Pulmonol 2015; 50: 353-362. – reference: 12) Mitchell EA, Milerad J: Smoking and the sudden infant death syndrome. Rev Environ Health 2006; 21: 81-103. – reference: 21) 吉田幸一：疫学．In：日本小児アレルギー学会編．小児気管支喘息治療・管理ガイドライン2017．恒陽社印刷所，東京，2017；40-49. – reference: 5) 工藤多佳子，加賀元宗，渡邉浩司，ほか：当院で出生したSGA児の産科因子に関する検討．日周 産・新生児会誌 2017; 53: 30-35. – reference: 6) 加賀元宗，工藤多佳子，渡邉浩司：当院で出生したSGA児の身長予後に関する検討. 日周産・新生児会誌 2017; 53: 1060-1066. – reference: 14) Ekblad M, Korkeila J, Parkkola R, et al: Maternal smoking during pregnancy and regional brain volumes in preterm infants. J Pediatr 2010; 156: 185-190. – reference: 7) 田中敏章，横谷進，西美和，ほか：SGA性低身長症におけるGH治療のガイドライン．日児誌 2007; 111: 641-646. – reference: 1) 日本小児科学会新生児委員会：新生児に関する用語についての勧告．日児誌 1994; 98: 1946-1950. – reference: 8) Maessen SE, Ahlsson F, Lundgren M, et al: Maternal smoking early in pregnancy is associated with increased risk of short stature and obesity in adult daughters. Scientific reports 2019; 9: 4290. – reference: 11) Moon RY: SIDS and other sleep-related infant deaths: evidence base for 2016 updated recom mendations for a safe infant sleeping environment. Pediatrics 2016; 138: e20162940. – reference: 13) Zhu JL, Olsen J, Liew Z, et al.: Parental smoking during pregnancy and ADHD in children: the Danish national birth cohort. Pediatrics 2014; 134: e382-e388. – reference: 23) 長田まり絵，黒沢和夫，井埜利博：妊婦の喫煙．小児科 2018; 59: 1879-1887. – reference: 3) 板橋家頭夫：SGA児の予後．日周産・新生児会誌 2010; 46: 949-951. – reference: 19) 山下健，鹿庭寛子，中村春樹，ほか：妊婦や同居家族の喫煙状況、喫煙に対する意識の評価と禁煙啓発講義前後の変化について．禁煙会誌 2019; 14: 4-11. – reference: 10) Burke H, Leonardi-Bee J, Hashim A, et al.: Prena tal and passive exposure and incidence of asthma and wheeze: systematic review and meta-analysis. Pediatrics 2012; 129: 735-744. – reference: 15) Vardavas CI, Chatzi L, Patelarou E, et al: Smoking and smoking cessation during early pregnancy and its effect on adverse pregnancy outcomes and fetal growth. Eur J Pediatr 2010; 169: 741-748. – reference: 4) 河井昌彦：SGA児のNICU入院中の合併症と管理内分泌・代謝．周産期医学 2010; 40: 225-227. – reference: 18) 塩﨑有宏，齋藤滋：SGA児の発症原因．産科と婦人科 2017; 84: 1209-1214. – reference: 20) 平井康太：定義，病態生理，診断，重症度分類．In：日本小児アレルギー学会編．小児気管支喘息治療・管理ガイドライン2017．恒陽社印刷所，東京，2017；24-37. – reference: 16) Hirabayashi M, Yoshinaga M, Nomura Y, et al.: Environmental risk factors for sudden infant death syndrome in Japan. Eur J Pediatr 2016; 175: 1921-1926. – reference: 17) 中村敬：わが国における出生体重の減少とその要因 a.母子保健統計．In：DOHaDその基礎と臨床．金原出版株式会社，東京，2014；90-97. – reference: 2) Gluckman PD, Hanson MA, Cooper C, et al.: Effect of in utero and early-life conditions on adult health and disease. N Engl J Med 2008; 359: 61-73. |
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| SubjectTerms | bronchial asthma SGA short stature small for gestational age smoking during pregnancy sudden infant death syndrome 乳幼児突然死症候群 低身長 喫煙 気管支喘息 |
| Title | Prognosis of small-for-gestational-age neonates and parental smoking: A single-center retrospective analysis |
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