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

研究課題

研究課題/領域番号 22K11030
研究種目

基盤研究(C)

配分区分基金
応募区分一般
審査区分 小区分58070:生涯発達看護学関連
研究機関高知大学

研究代表者

JP NawAwn  高知大学, 医学部, 特任助教 (00835093)

研究分担者 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)
研究期間 (年度) 2022-04-01 – 2025-03-31
研究課題ステータス 交付 (2023年度)
配分額 *注記
4,030千円 (直接経費: 3,100千円、間接経費: 930千円)
2024年度: 1,040千円 (直接経費: 800千円、間接経費: 240千円)
2023年度: 1,170千円 (直接経費: 900千円、間接経費: 270千円)
2022年度: 1,820千円 (直接経費: 1,400千円、間接経費: 420千円)
キーワードchest circumference / head circumference / NAFLD / fetal growth restriction / metabolic syndrome
研究開始時の研究の概要

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.

研究実績の概要

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.

現在までの達成度 (区分)
現在までの達成度 (区分)

2: おおむね順調に進展している

理由

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.

今後の研究の推進方策

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.

報告書

(2件)
  • 2023 実施状況報告書
  • 2022 実施状況報告書
  • 研究成果

    (7件)

すべて 2024 2023 2022

すべて 雑誌論文 (6件) (うち国際共著 4件、 査読あり 6件、 オープンアクセス 6件) 学会発表 (1件)

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

    • 著者名/発表者名
      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
    • 雑誌名

      The Journal of Maternal-Fetal & Neonatal Medicine

      巻: 37 号: 1 ページ: 2305678-2305678

    • DOI

      10.1080/14767058.2024.2305678

    • 関連する報告書
      2023 実施状況報告書
    • 査読あり / オープンアクセス
  • [雑誌論文] Association between maternal cholesterol level during pregnancy and placental weight and birthweight ratio: data from the Japan Environment and Children’s Study2023

    • 著者名/発表者名
      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
    • 雑誌名

      BMC Pregnancy and Childbirth

      巻: 23 号: 1 ページ: 484-484

    • DOI

      10.1186/s12884-023-05810-3

    • 関連する報告書
      2023 実施状況報告書
    • 査読あり / オープンアクセス
  • [雑誌論文] Influence of chest/head circumference ratio at birth on obstetric and neonatal outcomes: The Japan environment and children's study2023

    • 著者名/発表者名
      J-P NA, Mitsuda N, Eitoku M, Yamasaki K, Maeda N, Fujieda M, Suganuma N; Japan Environment and Children's Study (JECS) Group
    • 雑誌名

      American Journal of Human Biology

      巻: Online ahead of print 号: 6

    • DOI

      10.1002/ajhb.23875

    • 関連する報告書
      2022 実施状況報告書
    • 査読あり / オープンアクセス / 国際共著
  • [雑誌論文] 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

    • 著者名/発表者名
      Mitsuda N、Eitoku M、Yamasaki K、J-P Naw Awn、Fujieda M、Suganuma N、Japan Environment and Children's Study (JECS) Group
    • 雑誌名

      Placenta

      巻: 128 ページ: 49-56

    • DOI

      10.1016/j.placenta.2022.08.007

    • 関連する報告書
      2022 実施状況報告書
    • 査読あり / オープンアクセス / 国際共著
  • [雑誌論文] 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

    • 著者名/発表者名
      Yamasaki K, Mitsuda N, J-P NA, Eitoku M, Maeda N, Fujieda M, Suganuma N; Japan Environment and Children's Study Group (JECS Group)
    • 雑誌名

      Environmental Research

      巻: 205 ページ: 112470-112470

    • DOI

      10.1016/j.envres.2021.112470

    • 関連する報告書
      2022 実施状況報告書
    • 査読あり / オープンアクセス / 国際共著
  • [雑誌論文] Gestational weight gain mediates the effects of energy intake on birth weight among singleton pregnancies in the Japan Environment and Children’s Study2022

    • 著者名/発表者名
      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
    • 雑誌名

      BMC Pregnancy and Childbirth

      巻: 22 号: 1 ページ: 568-568

    • DOI

      10.1186/s12884-022-04898-3

    • 関連する報告書
      2022 実施状況報告書
    • 査読あり / オープンアクセス / 国際共著
  • [学会発表] Influence of height and weight growth during early childhood on AST:ALT ratio in 8-year-old children2024

    • 著者名/発表者名
      J-P Naw Awn
    • 学会等名
      第94回日本衛生学会
    • 関連する報告書
      2023 実施状況報告書

URL: 

公開日: 2022-04-19   更新日: 2024-12-25  

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