Cited by 230Smoking Behavior and CessationPrenatal Substance Exposure EffectsChronic Obstructive Pulmonary Disease (COPD) Research

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Maternal Smoking during Pregnancy as a Predictor of Lung Function in Children

Cunningham, Joan, Dockery, Douglas W., Speizer, Frank E.·1994·American Journal of Epidemiology

DOI 10.1093/oxfordjournals.aje.a116961

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Abstract

Recent studies have suggested that prenatal exposure to environmental tobacco smoke may lead to lower lung function in infants. The authors examined the relation of maternal smoking during pregnancy to persistent deficits in the lung function of older children. Subjects were 8,863 nonsmoking white children aged 8-12 years from 22 North American communities. Information on maternal smoking was provided by the child's mother. Pulmonary function testing of the children was conducted at school in 1988-1991. Children whose mothers smoked during pregnancy, whether or not they still smoked in the year prior to the study, had significantly lower lung function than did children whose mothers did not smoke in either period. On average, forced expiratory flow between 65 and 75 percent of forced vital capacity (FEF65-75%), forced expiratory flow between 25 and 75 percent of forced vital capacity (FEF25-75%), and forced expiratory volume in 3/4 of a second (FEV0.75) were 5.7%, 4.9%, and 1.7% lower, respectively, for children whose mothers smoked during pregnancy. After adjusting for maternal smoking during pregnancy, the authors found that current maternal smoking was not associated with significant differences on any lung function measure. These results show a persistent deficient in lung function associated with maternal smoking during pregnancy that is not explained by current maternal smoking alone. The strongest effects were observed with pulmonary function measures of flow in the small airways. The authors conclude that the effects of exposure to tobacco smoking by the mother during pregnancy and/or environmental tobacco smoke exposure in the first few years of life persist into childhood and may affect the pulmonary function attained throughout the child's life.

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Authors: Cunningham, J., Dockery, D. W., & Speizer, F. E.
Affiliations: Harvard University (US)
Brigham and Women's Hospital (US)
Corresponding author: Dockery, Douglas W.
ORCID: Dockery, Douglas W.
Venue: American Journal of Epidemiology
Publisher: Oxford University Press (OUP)
Published: 1994-06-15
Volume: 139
Issue: 12
Pages: 1139-1152
ISSN: 0002-9262 (ISSN-L)
1476-6256
DOI: 10.1093/oxfordjournals.aje.a116961
OpenAlex: W1833176788
Cited by: 230
References: 0
Citations by year: 2024: 3 · 2023: 6 · 2022: 2 · 2021: 4 · 2020: 8 · 2019: 7 · 2018: 2 · 2017: 7 · 2016: 11 · 2015: 4 · 2014: 5 · 2013: 3 · 2012: 7
FWCI: 3.63
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Epidemiology (publishedVersion)
PubMed (publishedVersion)
HighWire Press Open Archive (submittedVersion)
Funders: National Institutes of Health (5r01es004595-05)
National Institute of Environmental Health Sciences (ES0002, ES04595, P30ES000002, T32ES007069, ES-07069)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
Keywords: smoking during pregnancy, prenatal tobacco exposure, environmental tobacco smoke, lung function, forced expiratory flow, small airway function, maternal smoking
MeSH terms: Child, Female, Humans, Male, Pregnancy, Prenatal Exposure Delayed Effects, Pulmonary Ventilation, Smoking, Tobacco Smoke Pollution, Vital Capacity

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Maternal Smoking during Pregnancy as a Predictor of Lung Function in Children

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