New reference values for ultrasound fetal biometry in Japanese population and comparison with other studies
Abstract
Abstract Given the decline in birthweights over the past 30 years in Japan and advancements in ultrasound technology, this study aimed to establish new reference values for ultrasound fetal biometry in Japan and to compare them with international and Asian studies. We conducted a cross-sectional prospective study involving singleton pregnancies who received prenatal checkups at obstetric facilities across Japan. During routine prenatal care, ultrasound measurements—biparietal diameter (BPD), head circumference (HC), abdominal circumference (AC), and femur length (FL)—were recorded. Estimated fetal weight (EFW) was calculated using both the Shinozuka formula, commonly used in Japan, and the Hadlock-3 formula, widely used internationally. Using the collected data, we developed gestational-age-specific reference values for BPD, HC, AC, FL, and EFW by applying best-fitted fractional polynomial regression, and compared them with existing international standards and reference values from other Asian countries. The mean EFW calculated by the Hadlock formula in this study tended to be smaller than that reported in other international studies, and BPD, HC, AC, and FL were also generally smaller than those observed in other Asian references. These findings indicate that fetal biometry values in the Japanese population are smaller not only than international standards but also compared with those from other Asian countries, and suggest that these population-specific data may contribute to improving the accuracy of fetal growth assessment in Japan and other parts of Asia.
Article Details
Authors (113)
Sumito Nagasaki
Keisuke Ishii
Yoshitaka Murakami
Anna Tsutsui
Nobuhiro Hidaka
Hironori Takahashi
Kiyotake Ichizuka
Kei Miyakoshi
Kiyonori Miura
Susumu Miyashita
Yoshimasa Kamei
Masahiko Nakata
Yohei Onodera
Center for Basic Research on Materials, National Institute for Materials Science (NIMS), 1-2-1 Sengen, Tsukuba, Ibaraki 305-0047, Japan
Hiroaki Aoki
Atsuo Kiuchi
Mariko Inoue
Ritsuko K. Pooh
Katsuhiko Naruse
Shigenori Iwagaki
Akihito Morita
Mariko Serizawa
Kotaro Iino
Satoru Ikenoue
Shigeru Inoue
Jun Yamauchi
Tomohiko Ishida
Kazuya Abe
Madoka Tsuzuki
Sumiko Hasegawa
Asuka Higuchi
Mariko Tomosaka
Momo Kawanami
Ikumo Tanaka
Masamichi Hoshino
Hirotada Suzuki
Manabu Ogoyama
Kenji Horie
Kayo Takahashi
Tomoyuki Kuwata
Yuka Yamamoto
Nana Matsuzawa
Koyo Yoshida
Naoko Suga
Ai Takamizu
Akari Koizumi
Kenji Kanenishi
Yasuyuki Fujita
Ryo Kiyokoba
Hiroshi Masaoka
Hideo Matsuda
Maki Sekihara
Atsushi Yoshida
Neuronal Networks Section, Laboratory of Sensorimotor Research, National Eye Institute, National Institutes of Health
Shintaro Maki
Tomoaki Ikeda
Kayo Tanaka
Hiroaki Tanaka
Eiji Kondo
Masafumi Nii
Shoichi Magawa
Sho Takakura
Mizuki Yamaguchi
Mikiko Nishioka
Toshiyuki Hata
Aya Koyanagi
Ken Miyazaki
Katsusuke Ozawa
Rika Sugibayashi
Seiji Wada
Department of Biology, Graduate School of Science, Osaka Metropolitan University
Jin Muromoto
Yuri Hasegawa
Naoki Okimoto
Kazufumi Haino
Shoji Satoh
Naoko Koyama
Hisashi Masuyama
Eriko Eto
Akiko Ohira
Kazumasa Tani
Yoko Nagayasu
Tetsu Wakimoto
Akihiko Kikuchi
Sachi Kijima
Shunsuke Tamaru
Shigeru Itoh
Saori Tanaka
Masayuki Someya
Takeshi Murakoshi
Hiroko Konno
Norihiko Kikuchi
Ryu Matsuoka
Yuka Yamashita
Maya Machi
Katsufumi Otsuki
Reina Komatsu
Minako Goto
Ayumi Okuyama
Junichi Hasegawa
Natsumi Furuya
Chika Homma
Hajime Ota
Takashi Yoshimasu
Eijiro Hayata
Makiko Shimabukuro
Hikari Kotaki
Mayumi Takano
Misako Iwata
Rie Oi
Mao Sakura
Arihiro Shiozaki
Akitoshi Nakashima
Emi Kondo
Hidetaka Hayashi
Hirokazu Yorioka