| Title: | Association Between Maternal Serum Folate Concentrations in the First Trimester and the Risk of Birth Defects : The Hokkaido Study of Environment and Children's Health |
| Authors: | Ito, Kumiko Browse this author →KAKEN DB |
| Hanaoka, Tomoyuki Browse this author →KAKEN DB |
| Tamura, Naomi Browse this author →KAKEN DB |
| Sasaki, Seiko Browse this author →KAKEN DB |
| Miyashita, Chihiro Browse this author →KAKEN DB |
| Araki, Atsuko Browse this author →KAKEN DB |
| Ito, Sachiko Browse this author →KAKEN DB |
| Minakami, Hisanori Browse this author →KAKEN DB |
| Cho, Kazutoshi Browse this author →KAKEN DB |
| Endo, Toshiaki Browse this author →KAKEN DB |
| Baba, Tsuyoshi Browse this author →KAKEN DB |
| Miyamoto, Toshinobu Browse this author →KAKEN DB |
| Sengoku, Kazuo Browse this author →KAKEN DB |
| Tamakoshi, Akiko Browse this author →KAKEN DB |
| Kishi, Reiko Browse this author →KAKEN DB |
| Keywords: | serum folate concentrations |
| folic acid |
| birth defects |
| pregnancy |
| first trimester |
| Issue Date: | 5-Apr-2019 |
| Publisher: | Japan Epidemiological Association |
| Journal Title: | Journal of Epidemiology |
| Volume: | 29 |
| Issue: | 4 |
| Start Page: | 164 |
| End Page: | 171 |
| Publisher DOI: | 10.2188/jea.JE20170185 |
| PMID: | 30318493 |
| Abstract: | Background: Low red blood cell folate concentrations during early pregnancy might cause neural tube defects. However, the association between folate concentrations and birth defects of other neural crest cell-derived organs remains unknown. We investigated the associations between birth defects and first-trimester serum folate concentrations in a birth-cohort study in Japan.Methods: In total, 14,896 women who were prior to 13 weeks of gestation were enrolled from 2003 through 2012. Birth defect information was obtained from medical records and questionnaires. The association between folate levels in the first trimester and birth defects categorized as ICD-10 cord defects and neural crest cell-derived organ defects was examined. The crude and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) per log-transformed folate concentration were calculated using logistic regression.Results: Blood samples were obtained at a mean of 10.8 weeks of gestation. Median serum folate level was 16.5 (interquartile range, 13.4–21.5) nmol/L, and the deficiency level (less than 6.8 nmol/L) was 0.7%. There were 358 infants with birth defects. The adjusted odds ratio for any birth defect, ventricular septal defects, and cleft lip was 0.99 (95% CI, 0.74–1.32), 0.63 (95% CI, 0.30–1.33), and 4.10 (95% CI, 0.96–17.58), respectively. There were no significant associations between first-trimester maternal serum folate and the risk of birth defects.Conclusions: We were unable to demonstrate a relationship between maternal serum folate in the first trimester and birth defects. Potential confounding factors may have influenced our results. |
| Rights: | https://creativecommons.org/licenses/by/4.0/ |
| Type: | article |
| URI: | http://hdl.handle.net/2115/74769 |
| Appears in Collections: | 環境健康科学研究教育センター (Center for Environmental and Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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