Parental Smoking and Lung Function in Children
Abstract
RATIONALE: Both prenatal and postnatal passive smoking have been linked with respiratory symptoms and asthma in childhood. Their differential contributions to lung function growth in the general children's population are less clear. OBJECTIVE: To study the relative impact of pre- and postnatal exposure on respiratory functions of primary school children in a wide range of geographic settings, we analyzed flow and volume data of more than 20,000 children (aged 6-12 yr) from nine countries in Europe and North America. METHODS: Exposure information had been obtained by comparable questionnaires, and spirometry followed a protocol of the American Thoracic Society/European Respiratory Society. Linear and logistic regressions were used, controlling for individual risk factors and study area. Heterogeneity between study-specific results and mean effects were estimated using meta-analytic tools. MAIN RESULTS: Smoking during pregnancy was associated with decreases in lung function parameters between -1% (FEV1) and -6% maximal expiratory flow at 25% of vital capacity left (MEF25). A 4% lower maximal midexpiratory flow (MMEF) corresponded to a 40% increase in the risk of poor lung function (MMEF < 75% of expected). Associations with current passive smoking were weaker though still measurable, with effects ranging from -0.5% (FEV1) to -2% maximal expiratory flow (MEF50). CONCLUSIONS: Considering the high number of children exposed to maternal smoking in utero and the even higher number exposed to passive smoking after birth, this risk factor for reduced lung function growth remains a serious pediatric and public health issue.
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Tobacco exposure during pregnancy reduces pulmonary function.
“Maternal smoking during pregnancy has adverse effects outside the central nervous system, most notably on lung development, causing lifelong decreases in pulmonary function.”
From Developmental toxicity of nicotine: A transdisciplinary synthesis and implications for emerging tobacco products (2017) · cites this paper as [196]
Maternal smoking during pregnancy causes lifelong decreases in pulmonary function.
“Maternal smoking during pregnancy has adverse effects outside the central nervous system, most notably on lung development, causing lifelong decreases in pulmonary function.”
From Developmental toxicity of nicotine: A transdisciplinary synthesis and implications for emerging tobacco products (2017) · cites this paper as [196]
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- Authors
- Moshammer, H., Hoek, G., Luttmann-Gibson, H., Neuberger, M. A., Antova, T., Gehring, U., Hruba, F., Pattenden, S., Rudnai, P., Slachtova, H., Zlotkowska, R., & Fletcher, T.
- Affiliations
- Utrecht University (NL)
- Institute Environmental Health, ZPH, Medical University, Vienna, Austria; Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands; Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts; Environmental Health Unit, National Center of Public Health Protection, Sofia, Bulgaria; GSF–National Research Center for Environment and Health, Institute of Epidemiology, Neuherberg, Germany; Department of Health Statistics and Informatics, Regional Authority of Public Health, Banska Bystrica, Slovakia; Public and Environmental Health Research Unit, London School of Hygiene and Tropical Medicine, London, United Kingdom; National Institute of Environmental Health, “József Fodor” National Center for Public Health, Budapest, Hungary; Institute of Public Health, Ostrava, Czech Republic; and Department of Epidemiology, Institute of Occupational Medicine and Environmental Health, Sosnowiec, Poland
- Venue
- American Journal of Respiratory and Critical Care Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-06-01
- Volume
- 173
- Issue
- 11
- Pages
- 1255-1263
- ISSN
- 1073-449X (ISSN-L)
- 1535-4970
- OpenAlex
- W2096234961
- Cited by
- 251
- References
- 36
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 10 · 2023: 4 · 2022: 3 · 2021: 11 · 2020: 15 · 2019: 7 · 2018: 13 · 2017: 8 · 2016: 11 · 2015: 11 · 2014: 16 · 2013: 14 · 2012: 28
- FWCI
- 13.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Respiratory and Critical Care Medicine (publishedVersion)
- PubMed (publishedVersion)
- Site cant be reached (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Keywords
- parental smoking, maternal smoking, passive smoking, lung function, children, spirometry, FEV1, maximal expiratory flow, smoking during pregnancy, children's respiratory health
- MeSH terms
- Child, Europe, Female, Humans, Infant, Male, North America, Parents, Pregnancy, Prenatal Exposure Delayed Effects, Surveys and Questionnaires, Pulmonary Ventilation, Respiratory Tract Diseases, Tobacco Smoke Pollution, Vital Capacity, Linear Models, Logistic Models
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