Document Detail


Is areca innocent? The effect of areca (betel) nut chewing in a population of pregnant women on the Thai-Myanmar border.
MedLine Citation:
PMID:  23024729     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Eight manuscripts have specifically examined the effects of areca (betel) nut use in pregnant women, seven of which have documented adverse effects on birth weight, newborn neurological status, gender ratio and pregnancy outcomes such as anaemia and miscarriage following areca nut use during pregnancy. A retrospective cohort analysis of migrant and refugee pregnant women attending antenatal clinics along the Thai-Myanmar border (July 1997 to November 2006) was conducted to examine the adverse effects of areca nut use routinely recorded on enrolment. Of 7685 women, 2284 (29.7%) never used areca or smoked (cheroots), 2484 (32.3%) only used areca, 438 (5.7%) only smoked cheroots and 2479 (32.3%) used both areca and cheroots. Pieces of ripe areca nut in a leaf with lime, without tobacco, were used particularly among older multigravid women. Adverse pregnancy effects were not observed in areca nut users compared with non-users. Smoking, but not areca nut use, had a dose-related effect on miscarriage. Areca nut use in conjunction with smoking reduced the adverse effects of smoking on birth weight, further supporting a lack of effect of areca nut. Areca (betel) nut-related adverse pregnancy outcomes were not observed in this population, whereas smoking was clearly harmful. Differences from previous reports may result from the amount or types of areca nut, or quid content, consumed between countries. Smoking, but not areca nut, reduction is likely to improve pregnancy outcomes on the Thai-Myanmar border.
Authors:
Amy L Chue; Verena I Carrara; Moo Kho Paw; Mupawjay Pimanpanarak; Jacher Wiladphaingern; Michele van Vugt; Sue J Lee; François Nosten; Rose McGready
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  International health     Volume:  4-172     ISSN:  1876-3413     ISO Abbreviation:  Int Health     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-10-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101517095     Medline TA:  Int Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  204-209     Citation Subset:  -    
Affiliation:
Shoklo Malaria Research Unit, 68/30 Baan Tung Road, P.O. Box 46, Mae Sot, Tak 63110, Thailand ; Faculty of Tropical Medicine, Mahidol University, 420/6 Ratchawithi Road, Ratchathewi, Bangkok 10400, Thailand ; Centre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital, Oxford OX3 7LJ, UK.
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