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Association Between Smoking and Hypertension in Pregnancy Among Japanese Women: A Meta-analysis of Birth Cohort Studies in the Japan Birth Cohort Consortium (JBiCC) and JECS
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 of maternal smoking with HDP and preeclampsia using a c...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Japan Epidemiological Association
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10483100/ https://www.ncbi.nlm.nih.gov/pubmed/35934789 http://dx.doi.org/10.2188/jea.JE20220076 |
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author | Morisaki, Naho Obara, Taku Piedvache, Aurelie Kobayashi, Sumitaka Miyashita, Chihiro Nishimura, Tomoko Ishikuro, Mami Sata, Fumihiro Horikawa, Reiko Mori, Chisato Metoki, Hirohito Tsuchiya, Kenji J Kuriyama, Shinichi Kishi, Reiko |
author_facet | Morisaki, Naho Obara, Taku Piedvache, Aurelie Kobayashi, Sumitaka Miyashita, Chihiro Nishimura, Tomoko Ishikuro, Mami Sata, Fumihiro Horikawa, Reiko Mori, Chisato Metoki, Hirohito Tsuchiya, Kenji J Kuriyama, Shinichi Kishi, Reiko |
author_sort | Morisaki, Naho |
collection | PubMed |
description | 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 of maternal smoking with HDP and preeclampsia 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, we 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 the 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 that the protective effects of smoking longer and smoking more on HDP and preeclampsia repeatedly observed among Europeans and North Americans likely do not hold for the Japanese. |
format | Online Article Text |
id | pubmed-10483100 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Japan Epidemiological Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-104831002023-10-05 Association Between Smoking and Hypertension in Pregnancy Among Japanese Women: A Meta-analysis of Birth Cohort Studies in the Japan Birth Cohort Consortium (JBiCC) and JECS Morisaki, Naho Obara, Taku Piedvache, Aurelie Kobayashi, Sumitaka Miyashita, Chihiro Nishimura, Tomoko Ishikuro, Mami Sata, Fumihiro Horikawa, Reiko Mori, Chisato Metoki, Hirohito Tsuchiya, Kenji J Kuriyama, Shinichi Kishi, Reiko J Epidemiol Original Article 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 of maternal smoking with HDP and preeclampsia 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, we 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 the 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 that the protective effects of smoking longer and smoking more on HDP and preeclampsia repeatedly observed among Europeans and North Americans likely do not hold for the Japanese. Japan Epidemiological Association 2023-10-05 /pmc/articles/PMC10483100/ /pubmed/35934789 http://dx.doi.org/10.2188/jea.JE20220076 Text en © 2022 Naho Morisaki et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Original Article Morisaki, Naho Obara, Taku Piedvache, Aurelie Kobayashi, Sumitaka Miyashita, Chihiro Nishimura, Tomoko Ishikuro, Mami Sata, Fumihiro Horikawa, Reiko Mori, Chisato Metoki, Hirohito Tsuchiya, Kenji J Kuriyama, Shinichi Kishi, Reiko Association Between Smoking and Hypertension in Pregnancy Among Japanese Women: A Meta-analysis of Birth Cohort Studies in the Japan Birth Cohort Consortium (JBiCC) and JECS |
title | Association Between Smoking and Hypertension in Pregnancy Among Japanese Women: A Meta-analysis of Birth Cohort Studies in the Japan Birth Cohort Consortium (JBiCC) and JECS |
title_full | Association Between Smoking and Hypertension in Pregnancy Among Japanese Women: A Meta-analysis of Birth Cohort Studies in the Japan Birth Cohort Consortium (JBiCC) and JECS |
title_fullStr | Association Between Smoking and Hypertension in Pregnancy Among Japanese Women: A Meta-analysis of Birth Cohort Studies in the Japan Birth Cohort Consortium (JBiCC) and JECS |
title_full_unstemmed | Association Between Smoking and Hypertension in Pregnancy Among Japanese Women: A Meta-analysis of Birth Cohort Studies in the Japan Birth Cohort Consortium (JBiCC) and JECS |
title_short | Association Between Smoking and Hypertension in Pregnancy Among Japanese Women: A Meta-analysis of Birth Cohort Studies in the Japan Birth Cohort Consortium (JBiCC) and JECS |
title_sort | association between smoking and hypertension in pregnancy among japanese women: a meta-analysis of birth cohort studies in the japan birth cohort consortium (jbicc) and jecs |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10483100/ https://www.ncbi.nlm.nih.gov/pubmed/35934789 http://dx.doi.org/10.2188/jea.JE20220076 |
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