Influences of maternal cigarette smoking on infant arousability
Abstract
Since the reduction in the incidence of the prone sleeping position, maternal cigarette smoking has become the strongest modifiable risk factor for Sudden Infant Death Syndrome (SIDS). This risk is dose dependent. Various mechanisms have been postulated to explain the increased risk of SIDS associated with maternal smoking, among these, impairment of arousal from sleep. This paper reviews the effects of maternal smoking on infant arousability from sleep, cardiorespiratory controls and sleep architecture. Infants exposed to maternal smoking have been shown to have both decreased spontaneous and evoked arousability from sleep. Such impairment of arousal has been demonstrated to be associated with changes in control of autonomic cardiac function. Sleep architecture appears not to be altered by smoking. During arousal, heart rate, blood pressure and breathing movements increase, while gross body movements occur to avoid the stimulus. Any impairment in arousability from sleep could occur when infants are exposed to maternal cigarette smoking, and could possibly contribute to the final pathway to SIDS.
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Tobacco exposure during pregnancy impairs infant cardiorespiratory function.
“Maternal smoking and smokeless tobacco use during pregnancy are associated with increased risk of neonatal apnea, while maternal smoking is also associated with a decreased arousal response.”
From Developmental toxicity of nicotine: A transdisciplinary synthesis and implications for emerging tobacco products (2017) · cites this paper as [114]
Maternal smoking is associated with a reduced arousal response.
“while maternal smoking is also associated with a decreased arousal response.”
From Developmental toxicity of nicotine: A transdisciplinary synthesis and implications for emerging tobacco products (2017) · cites this paper as [114]
Maternal smoking and smokeless tobacco use during pregnancy are associated with increased neonatal apnea.
“Maternal smoking and smokeless tobacco use during pregnancy are associated with increased risk of neonatal apnea”
From Developmental toxicity of nicotine: A transdisciplinary synthesis and implications for emerging tobacco products (2017) · cites this paper as [114]
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- Authors
- Horne, R. S. C., Franco, P., Adamson, T. M., Groswasser, J., & Kahn, A.
- Affiliations
- Monash University (AU)
- Queen Fabiola Children's University Hospital (BE)
- Corresponding author
- Horne, Rosemary S.C
- Venue
- Early Human Development
- Publisher
- Elsevier BV
- Published
- 2004-08
- Volume
- 79
- Issue
- 1
- Pages
- 49-58
- ISSN
- 0378-3782 (ISSN-L)
- OpenAlex
- W2167169139
- Cited by
- 72
- References
- 57
- Citations by year
- 2024: 2 · 2023: 1 · 2020: 1 · 2019: 4 · 2018: 5 · 2016: 4 · 2015: 3 · 2014: 3 · 2012: 3
- FWCI
- 1.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Early Human Development (publishedVersion)
- PubMed (publishedVersion)
- Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Keywords
- maternal cigarette smoking, sudden infant death syndrome, arousal from sleep, cardiorespiratory control, sleep architecture, heart rate, blood pressure, respiratory motion, prone sleeping
- MeSH terms
- Acoustic Stimulation, Arousal, Autonomic Nervous System, Female, Humans, Infant, Infant, Newborn, Pregnancy, Prenatal Exposure Delayed Effects, Sleep, Smoking, Sudden Infant Death, Sleep Apnea, Obstructive
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