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Prenatal exposure to cigarette smoking is associated with a decrease in arousal in infants
Abstract
Objective Sudden infant death syndrome has been related to both exposure to prenatal cigarette smoke and impaired arousability from sleep. We evaluated whether healthy infants born to mothers who smoked during pregnancy had higher auditory arousal thresholds than those born to mothers who did not smoke and whether the effects of smoking occurred before birth. Study design Twenty-six newborns were studied with polygraphic recordings for 1 night: 13 were born to mothers who did not smoke, and 13 were born to mothers who smoked (>9 cigarettes per day). Other infants with a median postnatal age of 12 weeks were also studied, 21 born to nonsmoking mothers and 21 born to smoking mothers. White noise of increasing intensity was administered during rapid eye movement sleep to evaluate arousal and awakening thresholds. Results More intense auditory stimuli were needed to induce arousals in newborns (P =.002) and infants (P =. 044) of smokers than in infants of nonsmokers. Behavioral awakening occurred significantly less frequently in the newborns of smokers (P =.002) than of nonsmokers. Conclusions Newborns and infants born to smoking mothers had higher arousal thresholds to auditory challenges than those born to nonsmoking mothers. The impact of exposure to cigarette smoke occurred before birth.
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“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 [113]
In the citing paper
“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 [113]
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“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 [113]
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Self-citationInteraction between apnea, prone sleep position and gliosis in the brainstems of victims of SIDS
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Self-citationDecreased spontaneous arousability in preterm newborns with impaired neurological outcome
Thiriez, G., Tournoud, M., Wermenbol, V., Vermeylen, D., Écochard, R., Iwaz, J., Lin, J., & Franco, P. (2012) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2012.01004.x · Cited by 11
Self-citationDevelopmental Anatomy and Physiology of the Respiratory System
Gaultier, C., & Denjean, A. (2008) · Elsevier eBooks · doi:10.1016/b978-032304048-8.50007-4 · Cited by 11
Prenatal cigarette smoke exposure: Are we sleeping through the alarm?
Weese‐Mayer, D. E. (1999) · The Journal of Pediatrics · doi:10.1016/s0022-3476(99)70318-5 · Cited by 11
SIDS Risk: It's More Than Just the Sleep Environment
Moon, R. Y., & Hauck, F. R. (2015) · PEDIATRICS · doi:10.1542/peds.2015-3665 · Cited by 10
Cardiovascular autonomic dysfunction in sudden infant death syndrome
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Sawaguchi, T., Franco, P., Kato, I., Shimizu, S., Kadhim, H. J., Groswasser, J., Sottiaux, M., Togari, H., Kobayashi, M., Takashima, S., et al. (2002) · Forensic Science International · doi:10.1016/s0379-0738(02)00137-8 · Cited by 10
Self-citationThe Effect of In Utero Cigarette Smoke Exposure on Development of Respiratory Control: A Review
Sawnani, H., Olsen, E., & Simakajornboon, N. (2010) · Pediatric Allergy Immunology and Pulmonology · doi:10.1089/ped.2010.0036 · Cited by 10
Metadata
- Authors
- Franco, P., Groswasser, J., Hassid, S., Lanquart, J. P., Scaillet, S., & Kahn, A.
- Affiliations
- Erasmus Hospital (BE)
- Université Libre de Bruxelles (BE)
- ORCID
- Franco, Patricia
- Venue
- The Journal of Pediatrics
- Publisher
- Elsevier BV
- Published
- 1999-07
- Volume
- 135
- Issue
- 1
- Pages
- 34-38
- ISSN
- 0022-3476 (ISSN-L)
- OpenAlex
- W2084739803
- Cited by
- 146
- References
- 22
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2022: 1 · 2020: 2 · 2018: 4 · 2017: 3 · 2016: 7 · 2015: 4 · 2014: 1 · 2013: 5 · 2012: 5
- FWCI
- 11.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
- Keywords
- smoking during pregnancy, infant arousal, sudden infant death syndrome, neonates, infants, REM sleep
- MeSH terms
- Arousal, Auditory Threshold, Female, Humans, Infant, Infant, Newborn, Male, Pregnancy, Prenatal Exposure Delayed Effects, Tobacco Smoke Pollution, Case-Control Studies, Polysomnography, Statistics, Nonparametric
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