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This comes in spite of significant differences in chewing practices and participant characteristics between cohort studies with regards to AN consumption and smoking.
First, intensity of AN consumption differed: most women in the Thai study were occasional/light AN users, whilst most PNG women were regular, if not heavy users.
Similarly, AN consumption was associated with reduced birthweight, reduced fetal length as well as LBW in research from Taiwan [ 16, 21, 22].
The majority of studies that have previously evaluated the effect of AN consumption on the health of mother and baby originate from PNG and Taiwan [ 15, 16, 20– 20].
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