Cigarette smoking during pregnancy and hyperactive-distractible preschooler's: a follow-up study

Karen Markussen Linnet1, Carsten Obel, Else Bonde

  • 1Perinatal Epidemiology Research Unit, Department of Obstetrics and Paediatrics, Aarhus University Hospital, Skejby Sygehus, Denmark. kmlinnet@ki.au.dk

Insights

Maternal smoking during pregnancy is linked to increased hyperactivity and distractibility in preschool children. This study found a 60% increased risk for children exposed to 10 or more cigarettes daily in utero.

Area of Science:

  • Developmental Psychology
  • Prenatal Health
  • Pediatric Behavioral Science

Background:

  • Intrauterine exposure to environmental factors can impact child development.
  • Maternal smoking is a known risk factor for various adverse pregnancy outcomes.

Purpose of the Study:

  • To investigate the association between prenatal tobacco smoke exposure and behavioral disorders in preschoolers.
  • To examine symptoms of inattention, hyperactivity, impulsivity, and aggressive or anxious behaviors.

Main Methods:

  • A follow-up study of 1355 singletons born to Danish mothers.
  • Maternal smoking data collected via questionnaires during pregnancy.
  • Child behavior assessed at approximately 3.5 years using the Preschool Behaviour Questionnaire.

Main Results:

  • Children of mothers smoking 10+ cigarettes daily had a 60% increased risk of hyperactivity/distractibility (OR 1.6).
  • Results remained significant after adjusting for lifestyle, socioeconomic, perinatal, and parental psychiatric factors (OR 1.7).
  • No significant association found between maternal smoking and hostile-aggressive or anxious-fearful behaviors.

Conclusions:

  • Prenatal exposure to tobacco smoke is associated with hyperactive-distractible behavior in preschool children.
  • The findings highlight a specific behavioral risk linked to maternal smoking during gestation.
Abstract

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