Cited by 251Smoking Behavior and CessationChronic Obstructive Pulmonary Disease (COPD) ResearchAsthma and respiratory diseases

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Parental Smoking and Lung Function in Children

Moshammer, Hanns, Hoek, Gerard, Luttmann-Gibson, Heike, Neuberger, Manfred A., Antova, Temenuga, Gehring, Ulrike, Hruba, Frantiska, Pattenden, Sam, Rudnai, Peter, Slachtova, Hana, Zlotkowska, Renata, Fletcher, Tony·2006·American Journal of Respiratory and Critical Care Medicine

DOI 10.1164/rccm.200510-1552oc

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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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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
ORCID: Moshammer, Hanns
Hoek, Gerard
Neuberger, Manfred A.
Gehring, Ulrike
Fletcher, Tony
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
DOI: 10.1164/rccm.200510-1552oc
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
Licence: academic.oup.com/pages/standard-publication-reuse-rights (vor)
Locations: American Journal of Respiratory and Critical Care Medicine (publishedVersion)
PubMed (publishedVersion)
Site cant be reached (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › 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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Parental Smoking and Lung Function in Children

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