Can 'early programming' be partly explained by smoking? Results from a prospective, population-based cohort study
Liv Grimstvedt Kvalvik1, Rolv Skjaerven, Kari Klungsøyr
1Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Low birthweight is linked to adult smoking. This connection may explain why low birthweight is associated with later cardiovascular disease, suggesting a shared environmental influence.
Area of Science:
- Epidemiology
- Public Health
- Reproductive Health
Background:
- Established link between low birthweight and subsequent diseases.
- Investigating potential mechanisms connecting birthweight to adult health outcomes.
Purpose of the Study:
- To examine the association between birthweight and adult smoking habits.
- To explore if smoking behavior mediates the low birthweight-disease relationship.
Main Methods:
- Prospective, population-based cohort study using The Medical Birth Registry of Norway.
- Analysis of birthweight in relation to women's later smoking and partners' smoking habits.
- Examination of maternal mortality risk based on daughters' smoking status.
Main Results:
- Women with low birthweight (<2000 g) had a higher prevalence of adult daily smoking (20%) compared to normal birthweight (11%).
- Significant associations were observed between men's birthweight and their partners' smoking habits.
- Mothers of women who smoked as adults had double the risk of death from lung cancer and cardiovascular disease.
Conclusions:
- Low birthweight is a predictor of adult smoking.
- Shared smoking environments may explain associations between birthweight, partner smoking, and maternal mortality.
- This pathway may contribute to the known link between low birthweight and cardiovascular disease.
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