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Chest/head circumference ratio at birth and childhood non-alcoholic fatty liver disease

Research Project

Project/Area Number 22K11030
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 58070:Lifelong developmental nursing-related
Research InstitutionKochi University

Principal Investigator

JP NawAwn  高知大学, 医学部, 特任助教 (00835093)

Co-Investigator(Kenkyū-buntansha) 滿田 直美  高知大学, 医学部, 特任助教 (30611389)
菅沼 成文  高知大学, 教育研究部医療学系連携医学部門, 教授 (50313747)
栄徳 勝光  高知大学, 教育研究部医療学系連携医学部門, 講師 (50552733)
山崎 慶子  高知大学, 医学部, 特任研究員 (90930446)
Project Period (FY) 2022-04-01 – 2025-03-31
Project Status Granted (Fiscal Year 2023)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2024: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2023: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2022: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywordschest circumference / head circumference / NAFLD / fetal growth restriction / metabolic syndrome
Outline of Research at the Start

During intrauterine life, placental insufficiency will cause differential redistribution of fetal cardiac output in favour of the developing brain. The affected fetus will become small overall, but size reduction can be more marked in the body than the head. Thus, the relative size of the chest and head at birth (chest/head circumference ratio) could provide retrospective information of intrauterine growth. We designed this longitudinal birth cohort study to examine how chest/head circumference ratio at birth and catch-up growth during infancy is associated with NAFLD in 8-year-old children.

Outline of Annual Research Achievements

In the first fiscal year of this project, we collected comprehensive health information, anthropometric data, and blood samples from 2190 children. In the second fiscal year, we analyzed a range of biomarkers collected during the initial year. These include levels of liver enzymes (ALT, AST, and GGT), lipids (triglycerides, total cholesterol, HDL, LDL), HbA1c, adiponectin, uric acid, creatinine, and hs-CRP. Additionally, we successfully linked the information obtained at this project and the health data gathered during the stages of pregnancy through infancy. By using this merged dataset, we investigated the relationships between anthropometric data collected during these different stages and analyze how they correlate with liver and cardio-metabolic health outcomes in later childhood.

Current Status of Research Progress
Current Status of Research Progress

2: Research has progressed on the whole more than it was originally planned.

Reason

We are in the process of investigating the relationship between anthropometric fetal growth indicators at birth, height and weight growth in early childhood, markers of adiposity, and liver enzymes in later childhood.

Strategy for Future Research Activity

The integrated information, i.e., collected during pregnancy and infancy with the data obtained at the 8-year follow-up, presents a unique opportunity to explore the long-term effects and developmental trajectories of liver and cardio-metabolic health in children. Specifically, we will examine the relationships between anthropometric data collected during these different stages and analyze how they correlate with liver and cardio-metabolic health outcomes in later childhood.

Report

(2 results)
  • 2023 Research-status Report
  • 2022 Research-status Report
  • Research Products

    (7 results)

All 2024 2023 2022

All Journal Article (6 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 6 results,  Open Access: 6 results) Presentation (1 results)

  • [Journal Article] Association of a low chest-to-head circumference ratio with breech or transverse lie: the Japan Environment and Children’s Study2024

    • Author(s)
      J-P Naw Awn、Watanabe Takafumi、Eitoku Masamitsu、Yamasaki Keiko、Mitsuda Naomi、Maeda Nagamasa、Fujieda Mikiya、Suganuma Narufumi、the Japan Environment and Children’s Study (JECS) Group
    • Journal Title

      The Journal of Maternal-Fetal & Neonatal Medicine

      Volume: 37 Issue: 1 Pages: 2305678-2305678

    • DOI

      10.1080/14767058.2024.2305678

    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Association between maternal cholesterol level during pregnancy and placental weight and birthweight ratio: data from the Japan Environment and Children’s Study2023

    • Author(s)
      Mitsuda Naomi、Eitoku Masamitsu、Yamasaki Keiko、J-P Naw Awn、Fujieda Mikiya、Maeda Nagamasa、Suganuma Narufumi、the Japan Environment and Children’s Study (JECS) Group
    • Journal Title

      BMC Pregnancy and Childbirth

      Volume: 23 Issue: 1 Pages: 484-484

    • DOI

      10.1186/s12884-023-05810-3

    • Related Report
      2023 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Influence of chest/head circumference ratio at birth on obstetric and neonatal outcomes: The Japan environment and children's study2023

    • Author(s)
      J-P NA, Mitsuda N, Eitoku M, Yamasaki K, Maeda N, Fujieda M, Suganuma N; Japan Environment and Children's Study (JECS) Group
    • Journal Title

      American Journal of Human Biology

      Volume: Online ahead of print Issue: 6

    • DOI

      10.1002/ajhb.23875

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Association between the ratio of placental weight to birthweight and the risk of neurodevelopmental delay in 3-year-Olds: The Japan environment and Children's study2022

    • Author(s)
      Mitsuda N、Eitoku M、Yamasaki K、J-P Naw Awn、Fujieda M、Suganuma N、Japan Environment and Children's Study (JECS) Group
    • Journal Title

      Placenta

      Volume: 128 Pages: 49-56

    • DOI

      10.1016/j.placenta.2022.08.007

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Dose-response relationships between maternal urinary cotinine and placental weight and ratio of placental weight to birth weight: The Japan Environment and Children's Study2022

    • Author(s)
      Yamasaki K, Mitsuda N, J-P NA, Eitoku M, Maeda N, Fujieda M, Suganuma N; Japan Environment and Children's Study Group (JECS Group)
    • Journal Title

      Environmental Research

      Volume: 205 Pages: 112470-112470

    • DOI

      10.1016/j.envres.2021.112470

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Gestational weight gain mediates the effects of energy intake on birth weight among singleton pregnancies in the Japan Environment and Children’s Study2022

    • Author(s)
      Minami M, J-P NA, Noguchi S, Eitoku M, Muchanga SMJ, Mitsuda N, Komori K, Yasumitsu-Lovell K, Maeda N, Fujieda M, Suganuma N; Japan Environment and Children’s Study (JECS) Group
    • Journal Title

      BMC Pregnancy and Childbirth

      Volume: 22 Issue: 1 Pages: 568-568

    • DOI

      10.1186/s12884-022-04898-3

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] Influence of height and weight growth during early childhood on AST:ALT ratio in 8-year-old children2024

    • Author(s)
      J-P Naw Awn
    • Organizer
      第94回日本衛生学会
    • Related Report
      2023 Research-status Report

URL: 

Published: 2022-04-19   Modified: 2024-12-25  

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