Fetal Alcohol Syndrome Prevention Center, Ewha Institute of Convergence Medicine, Ewha Womans University, Mokdong Hospital, Seoul 07985, Korea.
Department of Obstetrics & Gynecology, College of Medicine, Ewha Womans University, Seoul 07985, Korea.
Int J Environ Res Public Health. 2021 Mar 18;18(6):3140. doi: 10.3390/ijerph18063140.
A few studies to date have examined the association between prenatal exposure to alcohol, tobacco, and coffee, and congenital complications/adverse birth outcomes among South Korean populations. Thus, this study analyzed the data of 1675 Korean women with birth experience within the last 3 years for pregnancy-related health and nutritional behaviors and relative outcomes. During their pregnancies, 11.58% of the study population consumed alcohol at least once, 1.43% drank throughout all three trimesters, 1.13% smoked, 25.43% were exposed to secondhand smoking, and 28.18% consumed 3 coffees or more every day. Prenatal alcohol exposure was associated with 11.24 times increased risk of birth defects/disabilities [Odds Ratio (OR): 11.24, 95% Confidence Interval (CI) 1.07-117.86] and 10.66 times increased risk of inherited metabolic diseases (OR: 10.66, 95% CI: 1.08-104.82). Prenatal secondhand smoke exposure (OR: 1.62, 95% CI: 1.01-2.62) and coffee consumption (OR: 1.92, 95% CI: 1.22-3.03) was associated with increased risk of low birth weight. Such results were in alignment with that of previous studies and confirmed that prenatal alcohol, tobacco, and coffee exposure can have detrimental neonatal and maternal consequences.
目前已有一些研究调查了韩国人群中产前暴露于酒精、烟草和咖啡与先天性并发症/不良出生结局之间的关系。因此,本研究分析了最近 3 年内有生育经验的 1675 名韩国女性的与妊娠相关的健康和营养行为及相关结局的数据。在怀孕期间,11.58%的研究人群至少有一次饮酒,1.43%的人在整个三个孕期都饮酒,1.13%的人吸烟,25.43%的人接触二手烟,28.18%的人每天饮用 3 杯或更多咖啡。产前酒精暴露与出生缺陷/残疾的风险增加 11.24 倍相关(比值比 [OR]:11.24,95%置信区间 [CI]:1.07-117.86),与遗传代谢疾病的风险增加 10.66 倍相关(OR:10.66,95% CI:1.08-104.82)。产前二手烟暴露(OR:1.62,95% CI:1.01-2.62)和咖啡摄入(OR:1.92,95% CI:1.22-3.03)与低出生体重风险增加相关。这些结果与之前的研究一致,证实了产前酒精、烟草和咖啡暴露可能对新生儿和产妇产生不利影响。