Prenatal tobacco exposure, birthweight, and offspring psychopathology

Ardesheer Talati1, Priya J Wickramaratne2, Rikke Wesselhoeft3

  • 1Department of Psychiatry, Columbia University College of Physicians & Surgeons, New York, NY, USA; Division of Epidemiology, New York State Psychiatric Institute, New York, NY, USA; Sackler Institute for Developmental Psychobiology, Columbia University, New York, NY, USA.

Psychiatry Research
|March 23, 2017
PubMed

Insights

Prenatal tobacco exposure (PTE) is linked to lower birthweight and increased risk of disruptive behavior and substance use disorders in offspring. Birthweight did not explain these long-term mental health effects.

Area of Science:

  • Perinatal mental health
  • Developmental psychology
  • Reproductive health

Background:

  • Prenatal tobacco exposure (PTE) is associated with adverse offspring mental health, but underlying mechanisms are not fully understood.
  • Birthweight is an early indicator of fetal development and may mediate the effects of PTE on later psychopathology.

Purpose of the Study:

  • To investigate whether birthweight mediates the association between prenatal tobacco exposure and offspring psychopathology.
  • To examine the long-term mental health consequences of PTE in offspring.

Main Methods:

  • Analysis of 238 offspring from a family depression study with prenatal smoking histories and adult psychiatric assessments.
  • Exposure defined as maternal smoking of ≥10 cigarettes daily/nearly daily.
  • Clinical interviews and best-estimate diagnostic procedures, blind to exposure, assessed psychiatric problems.

Main Results:

  • PTE was associated with significantly lower birthweight (0.7lb reduction, p=0.0002).
  • PTE increased rates of disruptive behavior disorders in males (OR=2.66) and trended towards increased substance use disorders in females (OR=2.23).
  • PTE decreased rates of mood disorders in males (OR=0.42); birthweight did not mediate these associations.

Conclusions:

  • Birthweight does not mediate the link between prenatal tobacco exposure and offspring psychopathology.
  • Maternal smoking during pregnancy has lasting adverse effects on offspring mental health, independent of birthweight.
  • Smoking cessation interventions for pregnant women are crucial for mitigating both immediate (birthweight) and long-term (mental health) adverse outcomes.

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