Skip to main content
Top
Published in: BMC Pregnancy and Childbirth 1/2014

Open Access 01-12-2014 | Research article

Alcohol consumption during pregnancy and birth outcomes: the Kyushu Okinawa Maternal and Child Health Study

Authors: Yoshihiro Miyake, Keiko Tanaka, Hitomi Okubo, Satoshi Sasaki, Masashi Arakawa

Published in: BMC Pregnancy and Childbirth | Issue 1/2014

Login to get access

Abstract

Background

A recent meta-analysis showed no relationships between light to moderate alcohol consumption during pregnancy and the risk of low birth weight (LBW), preterm birth (PTB), or small-for-gestational-age (SGA). Here, we present the first epidemiological study on this topic in Japan.

Methods

Study subjects were 1565 Japanese mothers with singleton pregnancies and the babies born from these pregnancies. Alcohol consumption during pregnancy was assessed using a self-administered diet history questionnaire. Alcohol consumption during pregnancy was classified into three categories (none, < 1 g/day, and ≥ 1 g/day).

Results

The mean birth weight of the babies was 3006.3 g. 7.7% were classified as LBW, 4.0% as PTB, and 7.8% as SGA. The range of maternal alcohol consumption during pregnancy was 0.0 to 11.7 g per day: 1356 (86.7%) mothers were abstainers and the 95th percentile value was 0.84 g per day. Compared with abstinence, alcohol consumption of 1.0 g or more per day during pregnancy was significantly associated with an increased risk of PTB with a significant positive linear trend: the adjusted OR for PTB associated with maternal alcohol consumption of 1.0 g or more per day was 2.58 (95% CI: 1.004 - 5.80, P for trend = 0.03). No significant relationships were observed between maternal alcohol consumption during pregnancy and the risk of LBW or SGA, and there was no material association between maternal alcohol consumption during pregnancy and birth weight.

Conclusions

This is the first study in Japan to show that maternal alcohol consumption during pregnancy of 1.0 g or more per day was significantly positively associated with the risk of PTB, but not LBW or SGA.
Literature
1.
go back to reference Henderson J, Gray R, Brocklehurst P: Systematic review of effects of low-moderate prenatal alcohol exposure on pregnancy outcome. BJOG. 2007, 114: 243-252. 10.1111/j.1471-0528.2006.01163.x.CrossRefPubMed Henderson J, Gray R, Brocklehurst P: Systematic review of effects of low-moderate prenatal alcohol exposure on pregnancy outcome. BJOG. 2007, 114: 243-252. 10.1111/j.1471-0528.2006.01163.x.CrossRefPubMed
2.
go back to reference Patra J, Bakker R, Irving H, Jaddoe VW, Malini S, Rehm J: Dose–response relationship between alcohol consumption before and during pregnancy and the risks of low birthweight, preterm birth and small for gestational age (SGA)-a systematic review and meta-analyses. BJOG. 2011, 118: 1411-1121. 10.1111/j.1471-0528.2011.03050.x.CrossRefPubMedPubMedCentral Patra J, Bakker R, Irving H, Jaddoe VW, Malini S, Rehm J: Dose–response relationship between alcohol consumption before and during pregnancy and the risks of low birthweight, preterm birth and small for gestational age (SGA)-a systematic review and meta-analyses. BJOG. 2011, 118: 1411-1121. 10.1111/j.1471-0528.2011.03050.x.CrossRefPubMedPubMedCentral
3.
go back to reference Windham GC, Fenster L, Hopkins B, Swan SH: The association of moderate maternal and paternal alcohol consumption with birthweight and gestational age. Epidemiology. 1995, 6: 591-597. 10.1097/00001648-199511000-00005.CrossRefPubMed Windham GC, Fenster L, Hopkins B, Swan SH: The association of moderate maternal and paternal alcohol consumption with birthweight and gestational age. Epidemiology. 1995, 6: 591-597. 10.1097/00001648-199511000-00005.CrossRefPubMed
4.
go back to reference Lundsberg LS, Bracken MB, Saftlas AF: Low-to-moderate gestational alcohol use and intrauterine growth retardation, low birthweight, and preterm delivery. Ann Epidemiol. 1997, 7: 498-508. 10.1016/S1047-2797(97)00081-1.CrossRefPubMed Lundsberg LS, Bracken MB, Saftlas AF: Low-to-moderate gestational alcohol use and intrauterine growth retardation, low birthweight, and preterm delivery. Ann Epidemiol. 1997, 7: 498-508. 10.1016/S1047-2797(97)00081-1.CrossRefPubMed
5.
go back to reference Aliyu MH, Wilson RE, Zoorob R, Brown K, Alio AP, Clayton H, Salihu HM: Prenatal alcohol consumption and fetal growth restriction: potentiation effect by concomitant smoking. Nicotine Tob Res. 2009, 11: 36-43. 10.1093/ntr/ntn014.CrossRefPubMed Aliyu MH, Wilson RE, Zoorob R, Brown K, Alio AP, Clayton H, Salihu HM: Prenatal alcohol consumption and fetal growth restriction: potentiation effect by concomitant smoking. Nicotine Tob Res. 2009, 11: 36-43. 10.1093/ntr/ntn014.CrossRefPubMed
6.
go back to reference Aliyu MH, Lynch O, Belogolovkin V, Zoorob R, Salihu HM: Maternal alcohol use and medically indicated vs. spontaneous preterm birth outcomes: a population-based study. Eur J Public Health. 2010, 20: 582-587. 10.1093/eurpub/ckq036.CrossRefPubMed Aliyu MH, Lynch O, Belogolovkin V, Zoorob R, Salihu HM: Maternal alcohol use and medically indicated vs. spontaneous preterm birth outcomes: a population-based study. Eur J Public Health. 2010, 20: 582-587. 10.1093/eurpub/ckq036.CrossRefPubMed
7.
go back to reference McDonald AD, Armstrong BG, Sloan M: Cigarette, alcohol, and coffee consumption and prematurity. Am J Public Health. 1992, 82: 87-90. 10.2105/AJPH.82.1.87.CrossRefPubMedPubMedCentral McDonald AD, Armstrong BG, Sloan M: Cigarette, alcohol, and coffee consumption and prematurity. Am J Public Health. 1992, 82: 87-90. 10.2105/AJPH.82.1.87.CrossRefPubMedPubMedCentral
8.
go back to reference Mariscal M, Palma S, Llorca J, Pérez-Iglesias R, Pardo-Crespo R, Delgado-Rodríguez M: Pattern of alcohol consumption during pregnancy and risk for low birth weight. Ann Epidemiol. 2006, 16: 432-438. 10.1016/j.annepidem.2005.07.058.CrossRefPubMed Mariscal M, Palma S, Llorca J, Pérez-Iglesias R, Pardo-Crespo R, Delgado-Rodríguez M: Pattern of alcohol consumption during pregnancy and risk for low birth weight. Ann Epidemiol. 2006, 16: 432-438. 10.1016/j.annepidem.2005.07.058.CrossRefPubMed
9.
go back to reference Ogawa H, Tominaga S, Hori K, Noguchi K, Kanou I, Matsubara M: Passive smoking by pregnant women and fetal growth. J Epidemiol Community Health. 1991, 45: 164-168. 10.1136/jech.45.2.164.CrossRefPubMedPubMedCentral Ogawa H, Tominaga S, Hori K, Noguchi K, Kanou I, Matsubara M: Passive smoking by pregnant women and fetal growth. J Epidemiol Community Health. 1991, 45: 164-168. 10.1136/jech.45.2.164.CrossRefPubMedPubMedCentral
10.
go back to reference Maruoka K, Yagi M, Akazawa K, Kinukawa N, Ueda K, Nose Y: Risk factors for low birthweight in Japanese infants. Acta Paediatr. 1998, 87: 304-309. 10.1111/j.1651-2227.1998.tb01442.x.CrossRefPubMed Maruoka K, Yagi M, Akazawa K, Kinukawa N, Ueda K, Nose Y: Risk factors for low birthweight in Japanese infants. Acta Paediatr. 1998, 87: 304-309. 10.1111/j.1651-2227.1998.tb01442.x.CrossRefPubMed
11.
go back to reference Nagata C, Iwasa S, Shiraki M, Sahashi Y, Shimizu H: Association of maternal fat and alcohol intake with maternal and umbilical hormone levels and birth weight. Cancer Sci. 2007, 98: 869-873. 10.1111/j.1349-7006.2007.00464.x.CrossRefPubMed Nagata C, Iwasa S, Shiraki M, Sahashi Y, Shimizu H: Association of maternal fat and alcohol intake with maternal and umbilical hormone levels and birth weight. Cancer Sci. 2007, 98: 869-873. 10.1111/j.1349-7006.2007.00464.x.CrossRefPubMed
12.
go back to reference Miyake Y, Tanaka K, Okubo H, Sasaki A, Arakawa M: Fish and fat intake and prevalence of depressive symptoms during pregnancy in Japan: baseline data from the Kyushu Okinawa maternal and child health study. J Psychiatr Res. 2013, 47: 572-578. 10.1016/j.jpsychires.2013.01.012.CrossRefPubMed Miyake Y, Tanaka K, Okubo H, Sasaki A, Arakawa M: Fish and fat intake and prevalence of depressive symptoms during pregnancy in Japan: baseline data from the Kyushu Okinawa maternal and child health study. J Psychiatr Res. 2013, 47: 572-578. 10.1016/j.jpsychires.2013.01.012.CrossRefPubMed
13.
go back to reference Sasaki S, Yanagibori R, Amano K: Self-administered diet history questionnaire developed for health education: a relative validation of the test-version by comparison with 3-day diet record in women. J Epidemiol. 1998, 8: 203-215. 10.2188/jea.8.203.CrossRefPubMed Sasaki S, Yanagibori R, Amano K: Self-administered diet history questionnaire developed for health education: a relative validation of the test-version by comparison with 3-day diet record in women. J Epidemiol. 1998, 8: 203-215. 10.2188/jea.8.203.CrossRefPubMed
14.
go back to reference Sasaki S, Ushio F, Amano K, Morihara M, Todoriki T, Uehara Y, Toyooka T: Serum biomarker-based validation of a self-administered diet history questionnaire for Japanese subjects. J Nutr Sci Vitaminol. 2000, 46: 285-296. 10.3177/jnsv.46.285.CrossRefPubMed Sasaki S, Ushio F, Amano K, Morihara M, Todoriki T, Uehara Y, Toyooka T: Serum biomarker-based validation of a self-administered diet history questionnaire for Japanese subjects. J Nutr Sci Vitaminol. 2000, 46: 285-296. 10.3177/jnsv.46.285.CrossRefPubMed
15.
go back to reference Science and Technology Agency: Standard Tables of Food Composition in Japan, Fifth Revised and Enlarged Edition. 2005, Tokyo: Printing Bureau of the Ministry of Finance, (in Japanese) Science and Technology Agency: Standard Tables of Food Composition in Japan, Fifth Revised and Enlarged Edition. 2005, Tokyo: Printing Bureau of the Ministry of Finance, (in Japanese)
16.
go back to reference Itabashi K, Fujimura M, Kusuda S, Tamura M, Hayashi T, Takahashi T, Goishi K, Nimura M, Takahashi Y, Isobe K, Iida K, Uetani Y, Kondo Y, Shirahata S, Sugiura M, Takahashi N, Funato M, Horiuchi T, Yamaguchi S: Introduction of new neonatal standard anthropometric measurements. Nihon Shounikagakkai Zasshi. 2010, 114: 1271-1293. (in Japanese) Itabashi K, Fujimura M, Kusuda S, Tamura M, Hayashi T, Takahashi T, Goishi K, Nimura M, Takahashi Y, Isobe K, Iida K, Uetani Y, Kondo Y, Shirahata S, Sugiura M, Takahashi N, Funato M, Horiuchi T, Yamaguchi S: Introduction of new neonatal standard anthropometric measurements. Nihon Shounikagakkai Zasshi. 2010, 114: 1271-1293. (in Japanese)
17.
go back to reference Statistics Bureau, Ministry of Public Management, Home Affairs, Posts and Telecommunications: 2000 Population Census of Japan, Vol. 3-2-40, Labour Force Status of Population, Industry (Major Groups) of Employed Persons, and Education: Fukuoka-ken. 2002, Tokyo: Statistics Bureau, Ministry of Public Management, Home Affairs, Posts and Telecommunications, (in Japanese) Statistics Bureau, Ministry of Public Management, Home Affairs, Posts and Telecommunications: 2000 Population Census of Japan, Vol. 3-2-40, Labour Force Status of Population, Industry (Major Groups) of Employed Persons, and Education: Fukuoka-ken. 2002, Tokyo: Statistics Bureau, Ministry of Public Management, Home Affairs, Posts and Telecommunications, (in Japanese)
18.
go back to reference Matsumura T, Taniguchi C, Hamagashira N: Current state of smoking and alcohol drinking among pregnant women in Kyoto City. Nihon Koshu Eisei Zasshi. 2009, 56: 655-661. (in Japanese)PubMed Matsumura T, Taniguchi C, Hamagashira N: Current state of smoking and alcohol drinking among pregnant women in Kyoto City. Nihon Koshu Eisei Zasshi. 2009, 56: 655-661. (in Japanese)PubMed
19.
go back to reference Gauderman WJ: Sample size requirements for matched case–control studies of gene-environment interaction. Stat Med. 2002, 21: 35-50. 10.1002/sim.973.CrossRefPubMed Gauderman WJ: Sample size requirements for matched case–control studies of gene-environment interaction. Stat Med. 2002, 21: 35-50. 10.1002/sim.973.CrossRefPubMed
20.
go back to reference Miyake Y, Tanaka K, Arakawa M: Active and passive maternal smoking during pregnancy and birth outcomes: the Kyushu Okinawa maternal and child health study. BMC Pregnancy Childbirth. 2013, 13: 157-10.1186/1471-2393-13-157.CrossRefPubMedPubMedCentral Miyake Y, Tanaka K, Arakawa M: Active and passive maternal smoking during pregnancy and birth outcomes: the Kyushu Okinawa maternal and child health study. BMC Pregnancy Childbirth. 2013, 13: 157-10.1186/1471-2393-13-157.CrossRefPubMedPubMedCentral
Metadata
Title
Alcohol consumption during pregnancy and birth outcomes: the Kyushu Okinawa Maternal and Child Health Study
Authors
Yoshihiro Miyake
Keiko Tanaka
Hitomi Okubo
Satoshi Sasaki
Masashi Arakawa
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2014
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/1471-2393-14-79

Other articles of this Issue 1/2014

BMC Pregnancy and Childbirth 1/2014 Go to the issue