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Reduction of short-term and long-term increase in medical costs through prevention of low birthweight infants

Research Project

Project/Area Number 21590587
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionNational Institute of Public Health

Principal Investigator

TAKIMOTO Hidemi  国立保健医療科学院, 生涯健康研究部, 上席主任研究官 (50270690)

Co-Investigator(Kenkyū-buntansha) KATO Noriko  国立保健医療科学院, 統括研究官 (30150171)
SUDO Noriko  お茶の水女子大学, 大学院・人間文化創成科学研究科, 准教授 (40280755)
FUJIWARA Takeo  国立成育医療センター研究所, 成育社会医学部, 部長 (80510213)
Co-Investigator(Renkei-kenkyūsha) TANAKA Tetsuro  長野県長野保健福祉事務所, 所長
Project Period (FY) 2009 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2011: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2010: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2009: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords医療経済学 / 低出生体重 / 医療政策 / 低出生体重児 / 疾患 / 未熟児養育医療 / 医療費 / 保健政策
Research Abstract

In order to determine the most effective health policy for reducing the number of low birthweight(LBW) infants, we compared maternal smoking cessation and folic acid supplementation. Maternal smoking cessation was estimated to halve the risk of LBW, while folic acid supplementation had no clear effects.
The medical costs of LBW infants covered by public fee have been steadily rising since 1997.In recent years, the number of infants has not risen, but the medical costs have risen to nearly two times. Further analyses showed that length of hospital stay increased with birthweight decrease, and the medical cost per day also increased. This phenomenon has also been observed at the national level. Nation-wide efforts should be taken to reduce the current trend of increasing severity of altered health of these Japanese LBW infants.

Report

(4 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (19 results)

All 2012 2011 2010

All Journal Article (10 results) (of which Peer Reviewed: 4 results) Presentation (4 results) Book (5 results)

  • [Journal Article] Elevated maternal serum folate in the third trimester and reduced fetal growth : a longitudinal study2011

    • Author(s)
      Takimoto H, Hayashi F, Kusama K, Kato N, Yoshiike N, Toba M, Ishibashi T, Miyasaka N, Kubota T.
    • Journal Title

      J Nutr Sci Vitaminol

      Volume: 57 Pages: 130-137

    • NAID

      10030028753

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
  • [Journal Article] Maternal antenatal body mass index gains as predictors of large-for-gestational-age infants and cesarean deliveries in Japanese singleton pregnancies2011

    • Author(s)
      Takimoto H, Sugiyama T, Nozue M, Kusama K, Fukuoka H, Kato N, Yoshiike N.
    • Journal Title

      J Obstet Gynecol Res

      Volume: 37(6) Pages: 553-562

    • Related Report
      2011 Final Research Report
  • [Journal Article] Attitudes toward pregnancy related changes and self-judged dieting behavior2011

    • Author(s)
      Takimoto H, Mitsuishi C, Kato N.
    • Journal Title

      Asia Pac J Clin Nutr

      Volume: 20(2) Pages: 212-219

    • Related Report
      2011 Final Research Report
  • [Journal Article] The Cubic Functions for Spline Smoothed L, S and M Values for BMI Reference Data of Japanese Children2011

    • Author(s)
      Kato N, Takimoto H, Sudo N.
    • Journal Title

      Clin Pediatr Endocrinol

      Volume: 20 Pages: 47-49

    • NAID

      10031199625

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
  • [Journal Article] Maternal antenatal body mass index gains as predictors of large-for-gestational-age infants and cesarean deliveries in Japanese singleton pregnancies2011

    • Author(s)
      Takimoto H, Sugiyama T, Nozue M, Kusama K, Fukuoka H, Kato N, Yoshiike N
    • Journal Title

      J Obstet Gynecol Res

      Volume: 7 Pages: 553-562

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Attitudes toward pregnancy related changes and self-judged dieting behavior2011

    • Author(s)
      Takimoto H, Mitsuishi C, Kato N
    • Journal Title

      Asia Pac J Clin Nutr

      Volume: 20 Pages: 212-219

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 東京都多摩地域の結核指定医療機関における地域DOTSの実施状況に関する研究2011

    • Author(s)
      中坪直樹、成田友代、瀧本秀美
    • Journal Title

      結核

      Volume: 86 Pages: 821-828

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Maternal antenatal body mass index gains as predictors of large for-gestational-age infants and cesarean deliveries in Japanese singleton pregnancies.2011

    • Author(s)
      Takimoto H, Sugiyama T, Nozue M, et al.
    • Journal Title

      J Obstet Gynecol Res

      Volume: 37

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 若い女性のやせ志向とダイエット2010

    • Author(s)
      瀧本秀美
    • Journal Title

      公衆衛生

      Volume: 74 Pages: 488-491

    • Related Report
      2011 Final Research Report 2010 Annual Research Report
  • [Journal Article] わが国における低出生体重児増加とその要因-母子保健統計を用いた検討2010

    • Author(s)
      瀧本秀美、吉池信男、加藤則子
    • Journal Title

      医学のあゆみ

      Volume: 235 Pages: 817-821

    • Related Report
      2011 Final Research Report 2010 Annual Research Report
  • [Presentation] 妊娠末期における血漿総ホモシステイン値は胎児発育指標として有用か2011

    • Author(s)
      瀧本秀美、石橋智子、鳥羽三佳代、宮坂尚幸、久保田俊郎
    • Organizer
      第63回日本産科婦人科学会学術講演会
    • Place of Presentation
      東京
    • Year and Date
      2011-08-31
    • Related Report
      2011 Annual Research Report
  • [Presentation] 当院における妊婦の体重増加量と出生体重に関する検討2011

    • Author(s)
      田尻下怜子、瀧本秀美、仁平光彦、金子均、下地祥隆、久保田俊郎
    • Organizer
      第35回日本産科婦人科栄養・代謝研究会
    • Place of Presentation
      東京
    • Year and Date
      2011-08-26
    • Related Report
      2011 Annual Research Report
  • [Presentation] 児の出生体重は母親の妊娠中の体型・体重増加量に対する評価に影響するか2011

    • Author(s)
      瀧本秀美, 加藤則子, 林芙美, 草間かおる, 下浦美佐子, 久保田俊郎
    • Organizer
      第35回日本産科婦人科栄養・代謝研究会
    • Place of Presentation
      東京
    • Year and Date
      2011-08-26
    • Related Report
      2011 Annual Research Report
  • [Presentation] National Nutrition Policy & Programs-Japan2011

    • Author(s)
      Takimoto H
    • Organizer
      X1 Asian Congress of Nutrition, Symposium 1 : Nutrition Policy and National Plan of Action for Nutrition
    • Place of Presentation
      シンガポール
    • Year and Date
      2011-07-12
    • Related Report
      2011 Annual Research Report
  • [Book] Chapter 155 Folate and Fetal Growth. In V. R. Preedy(ed.), Handbook of Growth and Growth Monitoring in Health and Disease2012

    • Author(s)
      Takimoto H, Tamura T.
    • Publisher
      Springer Science+Business Media
    • Related Report
      2011 Final Research Report
  • [Book] Chapter 155 Folate and Fetal Growth. In Handbook of Growth and Growth Monitoring in Health and Disease(V.R.Preedy (ed.))2012

    • Author(s)
      Takimoto H, Tamura T
    • Total Pages
      10
    • Publisher
      Springer Science+Business Media, LLC
    • Related Report
      2011 Annual Research Report
  • [Book] 授乳期の生理的特徴と栄養改訂ライフステージ栄養学(藤田美明・池本真二編)2011

    • Author(s)
      瀧本秀美
    • Total Pages
      5
    • Publisher
      健帛社
    • Related Report
      2011 Annual Research Report
  • [Book] 子どもをとりまく環境と食生活妊娠期からのすこやかな発育・発達のために2010

    • Author(s)
      加藤則子、瀧本秀美、藤原武男、須藤紀子
    • Total Pages
      316
    • Publisher
      日本小児医事出版社
    • Related Report
      2011 Final Research Report
  • [Book] 子どもをとりまく環境と食生活 妊娠期からのすこやかな発育・発達のために2010

    • Author(s)
      加藤則子, 瀧本秀美, 藤原武男, 須藤紀子
    • Total Pages
      316
    • Publisher
      日本小児医事出版社
    • Related Report
      2009 Annual Research Report

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Published: 2009-04-01   Modified: 2016-04-21  

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