Effect of maternal active smoking during pregnancy on the trajectory of childhood body mass index: A multilevel analysis using quartiles of birthweight

Introduction Maternal active smoking during pregnancy is associated with childhood obesity; however, whether maternal active smoking affects childhood body mass index (BMI) according to birthweight has not been examined. Methods The study participants were 1955 women and their single-born infants,...

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Main Authors: Miho Kamiya, Kohta Suzuki, Zentaro Yamagata
Format: Article
Language:English
Published: European Publishing 2020-04-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.journalssystem.com/tid/Effect-of-Maternal-Active-Smoking-During-Pregnancy-on-the-Trajectory-of-Childhood,119117,0,2.html
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author Miho Kamiya
Kohta Suzuki
Zentaro Yamagata
author_facet Miho Kamiya
Kohta Suzuki
Zentaro Yamagata
author_sort Miho Kamiya
collection DOAJ
description Introduction Maternal active smoking during pregnancy is associated with childhood obesity; however, whether maternal active smoking affects childhood body mass index (BMI) according to birthweight has not been examined. Methods The study participants were 1955 women and their single-born infants, born between 1 April 1991 and 31 March 2003, in Koshu City, Japan, for whom complete data for birthweight, pre-pregnancy maternal BMI and pregnancy smoking status were available. Maternal smoking status during pregnancy was recorded using a questionnaire at the time of pregnancy registration. Childhood BMI was estimated by the BMI z-score, established by the World Health Organisation. Birthweight quartiles were grouped by sex and parity (first vs second or higher). Multilevel analysis, including both the individual and time as different level variables by each birthweight quartile, was used to describe the trajectories of BMI z-scores for statistical analyses. Results In every quartile group, although children born to smoking mothers were leaner at birth, their BMI z-score increased around the age of 3 years. These children were larger than children born to non-smoking mothers. Significant interactions between maternal active smoking during pregnancy and child’s age were seen in those in the first and second quartiles of birthweight. Moreover, rapid growth in infancy was observed in the second quartile of birthweight. Conclusions The effect of maternal active smoking during pregnancy on childhood growth was more apparent among children in the second quartile of birthweight.
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spelling doaj.art-a74e03fd4eed4f30ab0e35232d749a802022-12-22T03:13:11ZengEuropean PublishingTobacco Induced Diseases1617-96252020-04-0118April10.18332/tid/119117119117Effect of maternal active smoking during pregnancy on the trajectory of childhood body mass index: A multilevel analysis using quartiles of birthweightMiho Kamiya0Kohta Suzuki1Zentaro Yamagata2Department of Health and Psychosocial Medicine, Aichi Medical University School of Medicine, Nagakute, JapanDepartment of Health and Psychosocial Medicine, Aichi Medical University School of Medicine, Nagakute, JapanDepartment of Health Sciences, Graduate School of Medicine, University of Yamanashi, Chuo, JapanIntroduction Maternal active smoking during pregnancy is associated with childhood obesity; however, whether maternal active smoking affects childhood body mass index (BMI) according to birthweight has not been examined. Methods The study participants were 1955 women and their single-born infants, born between 1 April 1991 and 31 March 2003, in Koshu City, Japan, for whom complete data for birthweight, pre-pregnancy maternal BMI and pregnancy smoking status were available. Maternal smoking status during pregnancy was recorded using a questionnaire at the time of pregnancy registration. Childhood BMI was estimated by the BMI z-score, established by the World Health Organisation. Birthweight quartiles were grouped by sex and parity (first vs second or higher). Multilevel analysis, including both the individual and time as different level variables by each birthweight quartile, was used to describe the trajectories of BMI z-scores for statistical analyses. Results In every quartile group, although children born to smoking mothers were leaner at birth, their BMI z-score increased around the age of 3 years. These children were larger than children born to non-smoking mothers. Significant interactions between maternal active smoking during pregnancy and child’s age were seen in those in the first and second quartiles of birthweight. Moreover, rapid growth in infancy was observed in the second quartile of birthweight. Conclusions The effect of maternal active smoking during pregnancy on childhood growth was more apparent among children in the second quartile of birthweight.http://www.journalssystem.com/tid/Effect-of-Maternal-Active-Smoking-During-Pregnancy-on-the-Trajectory-of-Childhood,119117,0,2.htmlbirthweightpregnancyactive smokingchildhood growthbody mass index
spellingShingle Miho Kamiya
Kohta Suzuki
Zentaro Yamagata
Effect of maternal active smoking during pregnancy on the trajectory of childhood body mass index: A multilevel analysis using quartiles of birthweight
Tobacco Induced Diseases
birthweight
pregnancy
active smoking
childhood growth
body mass index
title Effect of maternal active smoking during pregnancy on the trajectory of childhood body mass index: A multilevel analysis using quartiles of birthweight
title_full Effect of maternal active smoking during pregnancy on the trajectory of childhood body mass index: A multilevel analysis using quartiles of birthweight
title_fullStr Effect of maternal active smoking during pregnancy on the trajectory of childhood body mass index: A multilevel analysis using quartiles of birthweight
title_full_unstemmed Effect of maternal active smoking during pregnancy on the trajectory of childhood body mass index: A multilevel analysis using quartiles of birthweight
title_short Effect of maternal active smoking during pregnancy on the trajectory of childhood body mass index: A multilevel analysis using quartiles of birthweight
title_sort effect of maternal active smoking during pregnancy on the trajectory of childhood body mass index a multilevel analysis using quartiles of birthweight
topic birthweight
pregnancy
active smoking
childhood growth
body mass index
url http://www.journalssystem.com/tid/Effect-of-Maternal-Active-Smoking-During-Pregnancy-on-the-Trajectory-of-Childhood,119117,0,2.html
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