Publications by authors named "Teruomi Tsukahara"

Despite numerous studies, the associations between per- and polyfluoroalkyl substances (PFAS) exposure and various lipid levels in pregnant women remain ambiguous, especially concerning the association with cord blood lipids. This analysis included 20,960 pregnant women enrolled in the Japan Environment and Children's Study, recruited between 2011 and 2014. Non-fasting plasma samples collected before 22 weeks of gestation were examined for PFAS concentrations.

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  • This study investigated the relationship between blood lead levels (PbB) and urinary δ-aminolevulinic acid (ALAU) in male factory workers over a 10-year period, focusing on PbB levels below 40 μg/dL.
  • The analysis of 1396 records revealed a significant positive correlation, where increases in PbB were associated with increased ALAU, particularly at PbB levels of 20-24 μg/dL and ≥25 μg/dL.
  • Overall, the research concluded that even at lower PbB levels, there is a nonlinear positive association with ALAU, suggesting potential health implications for workers exposed to lead.
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  • Maternal exposure to per- and polyfluoroalkyl substances (PFAS) during pregnancy may increase the risk of chromosomal abnormalities in offspring, based on recent experimental and epidemiological evidence.
  • A study using data from the Japan Environment and Children's Study found 44 cases of chromosomal abnormalities in over 24,000 births, with certain PFAS like PFNA and PFOS showing strong associations with these abnormalities.
  • The analysis indicated that a doubling of PFAS concentrations, particularly PFOS, was significantly linked to chromosomal issues, highlighting concerns about environmental exposure implications for fetal health.
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Background: Prolonged postpartum amenorrhea is a sign of secondary infertility. However, there are no reports on postpartum menstrual resumption delay in Japanese women. We conducted an Adjunct Study of the Japan Environment and Children's Study (JECS) to elucidate the actual state of postpartum menstrual resumption delay in Japan and related factors.

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  • Prior studies on prenatal mercury (Hg) exposure's effects on the secondary sex ratio have been inconsistent, and cord blood Hg measurement hasn't been previously utilized.
  • This research used data from the Japan Environment and Children's Study to analyze mercury and selenium (Se) levels in mother-child pairs, focusing on their relationship to the secondary sex ratio.
  • The findings suggest that higher Hg levels in cord blood (not maternal blood) were linked to a greater likelihood of male births, with no significant differences based on selenium levels.
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  • Intrauterine exposure to hypertensive disorders of pregnancy (HDP) may increase the likelihood of children experiencing febrile seizures (FS) by age three.
  • A study analyzed data from 77,699 mother-child pairs in Japan, revealing FS prevalence rates of 10.6% in mild HDP exposure and 10.4% in severe HDP exposure, compared to 8.4% in those without HDP.
  • The findings suggest that full-term children exposed to HDP are at a higher risk for FS, highlighting the importance of monitoring maternal health during pregnancy for child's neurodevelopment.
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  • This study explored how owning a dog or cat in early childhood influenced the likelihood of developing functional constipation (FC) by the age of 3.
  • The researchers analyzed data from 73,936 births, finding that 11.6% of toddlers had FC, and most participants had never owned a pet.
  • The results suggested that owning a dog or cat during infancy might increase the risk of FC, particularly for those who had pets before 6 months of age.
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Objectives: To investigate the association between the number of teeth and the new onset of pre-diabetes.

Design: Retrospective cohort study.

Setting: The National Database of Health Insurance Claims and Specific Health Checkups of Japan, which holds information from both the yearly health check-up programme known as the 'Specific Health Checkup' and health insurance claims data.

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Background: There is a lack of large, nationwide, birth cohort studies in Japan that examine the relationships of initial feeding habits and breastfeeding period duration with offspring functional constipation at 3 years of age. This study assessed the impact of breastfeeding during infancy on early childhood functional constipation.

Methods: The fixed data of 70,078 singleton births from the ongoing Japan Environment and Children's Study cohort study that commenced in 2011 were used to identify functional constipation as estimated by Rome III at 3 years of age.

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The effects of early-life exposure to per- and polyfluoroalkyl substances (PFAS) on the onset of asthma in children have been unclear. We examined the association between prenatal PFAS exposure and wheezing and asthma symptoms among 4-year-old children in a total of 17,856 mother-child pairs from the Japan Environment and Children's Study. Maternal first-trimester serum concentrations of six PFAS were used for the exposure assessment.

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Background: The effectiveness of the long-term care service in Japan has been unclear, and most of the relevant studies of this service have been limited to a single region and relatively small samples, necessitating large-scale studies. We examined the associations between long-term care service use and the service/care-need level progression at the national scale in Japan.

Methods: We conducted a nationwide retrospective cohort study using data from the Japanese Long-Term Care Insurance Claims database.

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There have been few studies in non-western countries on the relationship between low levels of daily fine particulate matter (PM) exposure and morbidity or mortality, and the impact of PM concentrations below 15 μg/m, which is the latest World Health Organization Air Quality Guideline (WHO AQG) value for the 24-h mean, is not yet clear. We assessed the associations between low-level PM exposure and cardiorespiratory admissions in Japan. We collected the daily hospital admission count data, air pollutant data, and meteorological condition data recorded from April 2016 to March 2019 in 139 Japanese cities.

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The short-term association between ambient air pollution and hospital admissions for ischemic stroke is not fully understood. We examined the association between four regularly measured major ambient air pollutants, i.e.

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  • The study investigates how maternal cholesterol levels during early pregnancy might affect neurodevelopment in infants by analyzing data from a large birth cohort of 31,797 singleton births.
  • It uses the Ages and Stages Questionnaire (ASQ-3) to identify developmental disorders at 12 months and employs logistic regression to evaluate the relationship between maternal cholesterol levels and developmental outcomes.
  • Findings suggest that higher cholesterol levels in early pregnancy are linked to an increased risk of communication and gross motor skill delays in infants by one year of age.
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Epidemiological evidence indicates that ambient exposure to particulate matter ⩽2.5 μm in aerodynamic diameter (PM) has adverse effects on lung function growth in children, but it is not actually clear whether exposure to low-level PM results in long-term decrements in lung function growth in pre- to early-adolescent schoolchildren. To examine long-term effects of PM within the 4-year average concentration range of 10-19 μg/m on lung function growth with repeated measurements of lung function tests.

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  • Abnormal maternal gestational weight gain (GWG) can lead to complications during pregnancy and potentially impact infant development, specifically neurodevelopmental outcomes assessed at 12 months.
  • A study using data from the Japan Environment and Children's Study analyzed the relationship between GWG categorized as below, within, or above recommended guidelines and infant developmental delays using the Ages and Stages Questionnaire (ASQ-3).
  • Results indicated that inadequate GWG is linked to a higher risk of delays in various developmental areas, suggesting that not gaining enough weight during pregnancy can harm infant neurodevelopment.*
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The short-term association between ambient particulate matter ≤2.5 microns in diameter (PM) and hospital admissions is not fully understood. Studies of this association with hospital admission costs are also scarce, especially in entire hospitalized populations.

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This study investigated the preventive effects of lactoferrin (LF) on subjective acute gastrointestinal symptoms during the winter in a randomized, double-blinded, placebo-controlled parallel-group comparative trial. The eligible subjects were healthy adults working at kindergartens and nursery schools. We randomized the subjects to the Placebo group (0 mg/day), the Low LF group (200 mg/day), and the High LF group (600 mg/day) for 12 weeks.

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Background: The association between fetal exposure to alcohol and congenital structural disorders remains inconclusive. The present study searched for relationships between maternal alcohol consumption during pregnancy and the risk of congenital malformations.

Methods: We evaluated the fixed dataset of a large national birth cohort study including 73,595 mothers with a singleton live birth.

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Purpose: To investigate preliminarily the effect of lactoferrin (LF)-fortified formula on sleep conditions in children.

Study Design: A preliminary, randomized, double-blind, placebo-controlled trial.

Methods: Healthy children between the ages of 12 and 32 months who attended nursery schools in Japan were divided into two groups and assigned a placebo or LF (48 mg/day)-fortified formula.

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  • Maternal exposure to pesticides during pregnancy may lead to neonatal hyperbilirubinemia, a condition where there is a high level of bilirubin that may require phototherapy for treatment.
  • The study utilized data from a large Japanese birth cohort involving 61,751 live births to analyze the relationship between maternal pesticide or repellent use and neonatal hyperbilirubinemia.
  • Findings indicated a significant association between the frequent use of indoor insecticide spray and an increased risk of neonatal hyperbilirubinemia, while the use of insect repellents showed a protective effect against the condition.
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We investigated the effects of lactoferrin (LF)-fortified formula on acute gastrointestinal and respiratory symptoms in children. Randomized, double-blind, placebo-controlled trial. Children aged 12-32 months in Japan.

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Mount Ontake in Nagano Prefecture, Japan erupted on 27 September 2014. Many police officers were called in for duty as a disaster-support task force. We investigated the association between the peritraumatic situation and posttraumatic stress disorder (PTSD) symptoms in these police officers.

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  • - A study was conducted with 1,296 nursery school children to assess the impact of yogurt containing bovine lactoferrin (LF) on gastroenteritis during winter, with children divided into an LF group (661) and a control group (635) consuming fruit jelly instead of yogurt.
  • - After 15 weeks, analysis showed that the LF group had significantly fewer school absences due to vomiting (4.3%) compared to the control group (8.4%).
  • - The findings suggest that consuming LF-containing yogurt at least 3 times a week can reduce vomiting symptoms in children, potentially aiding in the management of gastroenteritis.
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Objective: To investigate the effects of lactoferrin (LF) on subjective skin conditions in winter.

Design: A preliminary, randomized, double-blinded, placebo-controlled trial.

Setting And Subjects: Healthy adults in Japan.

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