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2011 Fiscal Year Final Research Report

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

Research Project

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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
Keywords医療経済学 / 低出生体重 / 医療政策
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.

  • Research Products

    (8 results)

All 2012 2011 2010

All Journal Article (6 results) Book (2 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

  • [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

  • [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

  • [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

  • [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

  • [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

  • [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
  • [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

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Published: 2013-07-31  

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