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. 2008 Nov 3;337:a2332. doi: 10.1136/bmj.a2332

Table 5.

 Stratification of risk of fetal growth restriction among offspring of 2635 pregnant women according to caffeine intake during pregnancy and caffeine half life (proxy for clearance)

Caffeine intake (mg/day) Risk of fetal growth restriction*
Odds ratio (95% CI) Test for trend
Shorter caffeine half life (n=774)†
<100 1 P=0.02
100-199 1.6 (0.9 to 3.0)
200-299 2.4 (1.3 to 4.4)
≥300 1.7 (0.9 to 3.3)
Longer caffeine half life (n=764)†
<100 1 P=0.8
100-199 1.1 (0.6 to 1.7)
200-299 0.6 (0.3 to1.3)
≥300 1.5 (0.7 to 2.9)
Test for interaction of half life P=0.06

*Adjusted for maternal age, weight, height, ethnicity, parity, smoking status (salivary cotinine concentration), and alcohol intake and neonatal gestational age at delivery and sex.

†Shorter caffeine half life (≤median value)=faster clearance; longer half life (>median value)=slower clearance).