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Maternal smoking during pregnancy and offspring executive function: What do we know and what are the next steps?
Lauren Micalizzi1,2, Valerie S Knopik1,3
1Rhode Island Hospital.
Insights
Maternal smoking during pregnancy (MSDP) harms children's executive function (EF) development. This review examines MSDP's impact on EF across childhood, highlighting public health concerns and future research needs.
Area of Science:
- Developmental psychology
- Neuroscience
- Public health
Background:
- Maternal smoking during pregnancy (MSDP) is linked to cognitive deficits in children.
- Executive function (EF) is crucial for lifelong adaptive functioning.
- Understanding the MSDP-EF relationship is vital for public health initiatives.
Purpose of the Study:
- To comprehensively review the literature on MSDP and offspring EF.
- To explore potential biological and genetic pathways underlying this relationship.
- To discuss prevention and intervention strategies and guide future research.
Main Methods:
- Literature review synthesizing existing research on MSDP and EF.
- Inclusion of studies utilizing brain-based assessments and animal models.
- Consideration of genetically informed research designs.
Main Results:
- Consistent evidence links MSDP to impaired EF development from infancy through adolescence.
- Neurobiological and genetic factors likely mediate the effects of MSDP on EF.
- The review synthesizes findings across diverse methodologies.
Conclusions:
- MSDP poses a significant risk to children's executive function development.
- Targeted interventions and public health policies are needed to mitigate these effects.
- Further research is warranted to fully elucidate causal pathways and optimize interventions.
Abstract:
Children exposed to maternal smoking during pregnancy (MSDP) exhibit difficulties in executive function (EF) from infancy through adolescence. Due to the developmental significance of EF as a predictor of adaptive functioning throughout the life span, the MSDP-EF relation has clear public health implications. In this paper, we provide a comprehensive review of the literature on the relationship between MSDP and offspring EF across development; consider brain-based assessments, animal models, and genetically informed studies in an effort to elucidate plausible pathways of effects; discuss implications for prevention and intervention; and make calls to action for future research.
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