Does maternal smoking during pregnancy have a direct effect on future offspring obesity? Evidence from a prospective
Abdullah Al Mamun1, Debbie A Lawlor, Rosa Alati
1Longitudinal Studies Unit, School of Population Health, University of Queensland, Brisbane, Australia. mamun@sph.uq.edu.au
Insights
Maternal smoking during pregnancy is linked to higher childhood overweight and obesity. Quitting smoking during pregnancy mitigates this risk, highlighting the importance of smoking cessation for child health.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Maternal smoking during pregnancy is a significant public health concern.
- The long-term effects of prenatal smoke exposure on offspring's metabolic health remain a critical research area.
- Understanding the specific impact of smoking timing is crucial for targeted interventions.
Purpose of the Study:
- To prospectively investigate the association between maternal smoking patterns during and around pregnancy and offspring overweight and obesity.
- To determine if smoking cessation during pregnancy alters the risk of adolescent obesity.
- To provide evidence supporting anti-smoking initiatives for pregnant women and young women.
Main Methods:
- Utilized a population-based birth cohort of 3,253 children born in Brisbane, Australia (1981-1984).
- Compared mean body mass index (BMI) and prevalence of overweight/obesity at age 14 years based on maternal smoking patterns (never, only outside pregnancy, during pregnancy).
- Adjusted for a range of potential confounding factors to isolate the effect of maternal smoking.
Main Results:
- Offspring of mothers who smoked during pregnancy exhibited significantly greater adolescent body mass index (BMI) and higher rates of overweight and obesity compared to offspring of non-smokers.
- Adolescents whose mothers ceased smoking during pregnancy showed BMI and obesity levels similar to those whose mothers never smoked.
- These findings remained consistent after accounting for confounding variables.
Conclusions:
- Maternal smoking during pregnancy has a direct and detrimental effect on offspring's risk of developing overweight and obesity in adolescence.
- Smoking cessation during pregnancy appears to eliminate the increased risk of adolescent obesity associated with maternal smoking.
- The study reinforces the critical need for smoking cessation programs targeting pregnant women and prevention strategies for young women.
Abstract:
The authors used a population-based birth cohort of 3,253 children (52% males) born in Brisbane, Australia, between 1981 and 1984 to prospectively examine whether maternal smoking during pregnancy was associated with offspring overweight and obesity. The authors compared mean body mass indexes (weight (kg)/height (m)2) and levels of overweight and obesity at age 14 years among offspring by patterns of maternal smoking (never smoked, smoked before and/or after pregnancy but not during pregnancy, or smoked during pregnancy). Adolescent body mass index and prevalences of overweight and obesity were greater in offspring whose mothers had smoked during pregnancy than in those whose mothers had never smoked. Body mass index and levels of overweight and obesity among adolescent offspring whose mothers stopped smoking during pregnancy but smoked at other times in the child's life were similar to those among offspring whose mothers had never smoked. These results were independent of a range of potentially confounding factors and suggest a direct effect of maternal smoking during pregnancy on adolescent overweight and obesity. They provide yet another incentive for pregnant women to be persuaded not to smoke and for young women to be encouraged to never take up smoking.
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