Document Detail


Changes in caffeine consumption as a signal of pregnancy.
MedLine Citation:
PMID:  15219624     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: The purpose of this prospective study was to examine caffeine consumption and other signals of early pregnancy. STUDY DESIGN: One hundred and five pregnant, nonsmoking, coffee drinkers ages 18-40 were enrolled by the ninth week after their last menstrual period (LMP). Participants kept daily diaries of beverage and caffeine consumption and symptoms. Urine samples were collected to assess hormone metabolites. Descriptive statistics were generated. RESULTS: During the first trimester, 96% of subjects decreased or quit drinking coffee, 65% of whom reported a unique aversion to coffee. The mean daily caffeine consumption at LMP from coffee alone was 119 mg (S.D., 105), with a range 1-574 mg. There was a 59% decrease of mean daily consumption of caffeine from coffee between weeks 4 and 6, from 96 to 39 mg. The vast majority of subjects experienced nausea (98%) and appetite loss (93%); vomiting was less prevalent (54%). The most common dietary aversions included meat, coffee, spicy foods, and dairy products. Hormone metabolite patterns are reported. CONCLUSION: Signals of early pregnancy included an aversion to coffee in addition to nausea and vomiting, which resulted in decreased caffeine consumption. These symptoms often interfered with daily life and lasted beyond the first trimester for many. Consideration should be given that a decrease in caffeine consumption may be a signal for a healthy pregnancy and acting as a confounder.
Authors:
Christina C Lawson; Grace K LeMasters; Kimberly A Wilson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Reproductive toxicology (Elmsford, N.Y.)     Volume:  18     ISSN:  0890-6238     ISO Abbreviation:  Reprod. Toxicol.     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-06-28     Completed Date:  2005-01-07     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8803591     Medline TA:  Reprod Toxicol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  625-33     Citation Subset:  IM    
Affiliation:
Division of Epidemiology and Biostatistics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA. CLawson@CDC.GOV
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans
Asian Continental Ancestry Group
Caffeine / administration & dosage*
Chorionic Gonadotropin / urine
Coffee*
Eating Disorders / epidemiology,  etiology
European Continental Ancestry Group
Female
Hispanic Americans
Humans
Nausea / epidemiology,  etiology
Ohio / epidemiology
Pregnancy
Pregnancy Trimester, First
Prevalence
Prospective Studies
Questionnaires
Vomiting / epidemiology,  etiology
Grant Support
ID/Acronym/Agency:
ESO6096-07/ES/NIEHS NIH HHS
Chemical
Reg. No./Substance:
0/Chorionic Gonadotropin; 0/Coffee; 58-08-2/Caffeine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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