Evidence map›Paper›PMID 35934789›Full record

SynthesisJournal of epidemiology2023

Association Between Smoking and Hypertension in Pregnancy Among Japanese Women: A Meta-analysis of Birth Cohort Studies in the Japan Birth Cohort Consortium (JBiCC) and JECS.

Naho Morisaki, Taku Obara, Aurelie Piedvache, Sumitaka Kobayashi, Chihiro Miyashita, Tomoko Nishimura, Mami Ishikuro, Fumihiro Sata, Reiko Horikawa, Chisato Mori and 4 more

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Review
  8. Association between urinary cotinine levels and hypertensive disorders of pregnancy in women with uterine fibrosis.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Article
  9. Article
  10. Article
  11. Review
  12. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 2 countries.

Naho MorisakiDepartment of Social Medicine, National Center for Child Health and Development.ORCID 0000-0001-6151-4513
Taku ObaraTohoku Medical Megabank Organization, Tohoku University.
Aurelie PiedvacheDepartment of Social Medicine, National Center for Child Health and Development.ORCID 0000-0002-2737-0461
Sumitaka KobayashiCenter for Environmental and Health Sciences, Hokkaido University.
Chihiro MiyashitaCenter for Environmental and Health Sciences, Hokkaido University.
Tomoko NishimuraCenter for Child Mental Development, Hamamatsu University School of Medicine.ORCID 0000-0002-4776-5153
Mami IshikuroTohoku Medical Megabank Organization, Tohoku University.ORCID 0000-0002-2884-0023
Fumihiro SataHealth Center, Chuo University.
Reiko HorikawaDivision of Endocrinology and Metabolism, National Center for Child Health and Development.
Chisato MoriDepartment of Bioenvironmental Medicine, Graduate School of Medicine, Chiba University.
Hirohito MetokiDivision of Public Health, Hygiene and Epidemiology, Tohoku Medical and Pharmaceutical University Faculty of Medicine.
Kenji J TsuchiyaCenter for Child Mental Development, Hamamatsu University School of Medicine.
Shinichi KuriyamaTohoku Medical Megabank Organization, Tohoku University.
Reiko KishiCenter for Environmental and Health Sciences, Hokkaido University.ORCID 0000-0001-8173-9269
Hokkaido University · JPNational Center For Child Health and Development · JPTohoku University · JPHamamatsu University School of Medicine · JPChiba University · JPChuo University · JPTohoku Medical and Pharmaceutical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent literature suggest the effect of maternal smoking on risk of hypertensive disorders in pregnancy (HDP) and preeclampsia may differ by ethnicity; however, studies on Asians are limited.

methodsWe investigated the association of maternal smoking with HDP and preeclampsia using a common analysis protocol to analyze the association in six birth cohorts participating in a Japanese consortium of birth cohorts (JBiCC). Results were compared with-published results from cohorts not included in this consortium, and, where possible, we produced a meta-analysis including these studies.

resultsMeta-analysis of four cohort studies including 28,219 participants produced an odds ratio (OR) of 1.24 (95% confidence interval [CI], 0.88-1.87) for the effect of smoking beyond early pregnancy compared to women who did not smoke during pregnancy. These results combined with those from the Japan Environment and Children's Study (JECS) yielded an OR of 1.19 (95% CI, 1.00-1.43, P = 0.056). Meta-analysis results for categories of smoking volume were insignificant, but when combined with JECS yielded an OR of 0.86 (95% CI, 0.65-1.12) for smoking 1-4 cigarettes, 1.25 (95% CI, 0.98-1.60) for smoking 5-9 cigarettes, and 1.27 (95% CI, 1.04-1.54) for smoking 10 or more cigarettes per day. All effects were insignificant for preeclampsia.

conclusionOur results suggest that the protective effects of smoking longer and smoking more on HDP and preeclampsia repeatedly observed among Europeans and North Americans likely do not hold for the Japanese.

Indexed as

HypertensionPre-EclampsiaSmokingBirth CohortCohort StudiesEast Asian PeopleFemaleHumansJapanPregnancybirth cohorthypertensive disorders of pregnancymeta-analysispreeclampsiasmoking

Identifiers

PMID35934789
PMCPMC10483100
OpenAlexW4290097420

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.