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Koshy, Gibby, Delpisheh, Ali and Brabin, Bernard (2011) 'Dose response association of pregnancy cigarette smoke exposure, childhood stature, overweight and obesity'. The European Journal of Public Health, Vol 21, Issue 3, pp. 286-291.
Full text not available from this repository.Abstract
Background: The combined dose response effects of pregnancy cigarette smoke exposure on childhood overweight, obesity and short stature have not been reported. Method: A community based cross-sectional survey of 3038 children aged 5–11 years from 15 primary schools in Merseyside, UK. Self-completed parental questionnaires were used for family characteristics, socio-economic status and parental smoking practices. Children were measured for height and weight and z-scores calculated for parental smoking categories. Results: Of 689 (34.0%) mothers who smoked during pregnancy 50.5% smoked ten or more cigarettes daily (heavy smokers). Children of maternal non-smokers had prevalence estimates for overweight, obesity and short stature of 25, 9.6 and 3.2%, respectively. Prevalence estimates were higher in children of mothers who were heavy smokers during pregnancy, 31.5% (P = 0.001), 15.6% (P < 0.001) and 5.5% (P = 0.001), respectively. Mean height for age z-scores was lower among heavy maternal (P < 0.001) and paternal smokers (P < 0.01) compared to non-smokers. Childhood overweight, obesity or short stature were all associated with heavy maternal smoking during pregnancy (all P < 0.001). Mean body mass index (BMI) z-scores were higher in boys of mothers who smoked (P = 0.043). The adjusted odds ratio for short stature in children of heavy maternal smokers was 2.76 (95% CI 1.21–6.33) and 4.28 (1.37–13.37) if both parents were heavy smokers. The adjusted OR for obesity in children of maternal smokers was 1.61(1.19–2.18). The population attributable risk for short stature was 8.8% (1.1–22.7) for heavy maternal smokers. Conclusion: A dose-response association was observed between pregnancy smoking exposure, short stature and obesity.
| Item Type: | Article |
|---|---|
| Subjects: | QV Pharmacology > Autonomic Agents. Nonmetallic Elements. Neuromuscular Agents > QV 137 Nicotine WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare WQ Obstetrics > Pregnancy > WQ 200 General works WS Pediatrics > Child Care. Nutrition. Physical Examination > WS 115 Nutritional requirements. Nutrition disorders |
| Digital Object Identifer (DOI): | https://doi.org/10.1093/eurpub/ckq173 |
| Depositing User: | Lynn Roberts-Maloney |
| Date Deposited: | 14 Mar 2014 11:46 |
| Last Modified: | 16 Dec 2020 12:05 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/3605 |
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