Exposure to Environmental Tobacco Smoke in Nonsmoking Pregnant Women in Relation to Birth Weight
The objective of this study was to determine whether birth weight is related to maternal exposure to environmental tobacco smoke. A cohort study was conducted in a sample of 710 nonsmoking women attending a prenatal education program in the third trimester of pregnancy in La Fe Hospital, Valencia, S...
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Veröffentlicht in: | American journal of epidemiology 1995-09, Vol.142 (5), p.531-537 |
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description | The objective of this study was to determine whether birth weight is related to maternal exposure to environmental tobacco smoke. A cohort study was conducted in a sample of 710 nonsmoking women attending a prenatal education program in the third trimester of pregnancy in La Fe Hospital, Valencia, Spain. The duration of exposure to environmental tobacco smoke in the home, at work, and in vehicles and public places was collected by structured questionnaire. Cotinine levels were determined in saliva samples. Multiple regression was used to control for infant's sex and gestationai age and for maternal age, height, prepregnancy weight, parity, education, social class, and episodic illnesses during pregnancy. The mean birth weight of infants of women with cotinine levels >1.7 ng/ml was 87.3 g lower than that of infants of women with cotinine levels in the range 0–0.5 ng/ml (p = 0.048) Birth weight was negatively associated with average weekly duration of exposure in public places (p < 0.05), whereas mothers exposed to the partner's smoke for up to 14 hours/week had infants 177.2 g heavier than those of unexposed mothers. Although the evidence is weak for an effect of exposure to environmental tobacco smoke on the fetus of nonsmoking pregnant women, it may be sufficient to recommend restriction of smoking in enclosed work- and public places to reduce any risk of growth retardation. |
doi_str_mv | 10.1093/oxfordjournals.aje.a117671 |
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A cohort study was conducted in a sample of 710 nonsmoking women attending a prenatal education program in the third trimester of pregnancy in La Fe Hospital, Valencia, Spain. The duration of exposure to environmental tobacco smoke in the home, at work, and in vehicles and public places was collected by structured questionnaire. Cotinine levels were determined in saliva samples. Multiple regression was used to control for infant's sex and gestationai age and for maternal age, height, prepregnancy weight, parity, education, social class, and episodic illnesses during pregnancy. The mean birth weight of infants of women with cotinine levels >1.7 ng/ml was 87.3 g lower than that of infants of women with cotinine levels in the range 0–0.5 ng/ml (p = 0.048) Birth weight was negatively associated with average weekly duration of exposure in public places (p < 0.05), whereas mothers exposed to the partner's smoke for up to 14 hours/week had infants 177.2 g heavier than those of unexposed mothers. Although the evidence is weak for an effect of exposure to environmental tobacco smoke on the fetus of nonsmoking pregnant women, it may be sufficient to recommend restriction of smoking in enclosed work- and public places to reduce any risk of growth retardation.</description><identifier>ISSN: 0002-9262</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/oxfordjournals.aje.a117671</identifier><identifier>PMID: 7677132</identifier><identifier>CODEN: AJEPAS</identifier><language>eng</language><publisher>Cary, NC: Oxford University Press</publisher><subject>Adult ; Biological and medical sciences ; Birth Weight ; Cohort Studies ; cotinine ; Cotinine - analysis ; Environmental Exposure - adverse effects ; Environmental Exposure - statistics & numerical data ; Female ; Humans ; Infant, Newborn ; Interviews as Topic ; Medical sciences ; Pregnancy - metabolism ; Pregnancy - statistics & numerical data ; Prospective Studies ; Regression Analysis ; Saliva - chemistry ; Spain ; tobacco smoke pollution ; Tobacco Smoke Pollution - adverse effects ; Tobacco Smoke Pollution - statistics & numerical data ; Tobacco, tobacco smoking ; Toxicology</subject><ispartof>American journal of epidemiology, 1995-09, Vol.142 (5), p.531-537</ispartof><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c506t-d1d5ad09fbb8582e0542d8ed75fb5b9d883ca0e9f8b3aac269d960c36dc5c9463</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27869,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3647911$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7677132$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rebagliato, M.</creatorcontrib><creatorcontrib>Florey, C. du V.</creatorcontrib><creatorcontrib>Bolumar, F.</creatorcontrib><title>Exposure to Environmental Tobacco Smoke in Nonsmoking Pregnant Women in Relation to Birth Weight</title><title>American journal of epidemiology</title><addtitle>Am J Epidemiol</addtitle><description>The objective of this study was to determine whether birth weight is related to maternal exposure to environmental tobacco smoke. A cohort study was conducted in a sample of 710 nonsmoking women attending a prenatal education program in the third trimester of pregnancy in La Fe Hospital, Valencia, Spain. The duration of exposure to environmental tobacco smoke in the home, at work, and in vehicles and public places was collected by structured questionnaire. Cotinine levels were determined in saliva samples. Multiple regression was used to control for infant's sex and gestationai age and for maternal age, height, prepregnancy weight, parity, education, social class, and episodic illnesses during pregnancy. The mean birth weight of infants of women with cotinine levels >1.7 ng/ml was 87.3 g lower than that of infants of women with cotinine levels in the range 0–0.5 ng/ml (p = 0.048) Birth weight was negatively associated with average weekly duration of exposure in public places (p < 0.05), whereas mothers exposed to the partner's smoke for up to 14 hours/week had infants 177.2 g heavier than those of unexposed mothers. Although the evidence is weak for an effect of exposure to environmental tobacco smoke on the fetus of nonsmoking pregnant women, it may be sufficient to recommend restriction of smoking in enclosed work- and public places to reduce any risk of growth retardation.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Birth Weight</subject><subject>Cohort Studies</subject><subject>cotinine</subject><subject>Cotinine - analysis</subject><subject>Environmental Exposure - adverse effects</subject><subject>Environmental Exposure - statistics & numerical data</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Interviews as Topic</subject><subject>Medical sciences</subject><subject>Pregnancy - metabolism</subject><subject>Pregnancy - statistics & numerical data</subject><subject>Prospective Studies</subject><subject>Regression Analysis</subject><subject>Saliva - chemistry</subject><subject>Spain</subject><subject>tobacco smoke pollution</subject><subject>Tobacco Smoke Pollution - adverse effects</subject><subject>Tobacco Smoke Pollution - statistics & numerical data</subject><subject>Tobacco, tobacco smoking</subject><subject>Toxicology</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><recordid>eNpdkV-PEyEUxYnRrHX1I5hM1Pg2lT8FBt90rVazUaNravYFGWC6dGegAmPqt5emYxN9uiTnd8-93APAEwTnCAryIuy7EM02jNGrPs3V1s4VQpxxdAfM0IKzmmHK7oIZhBDXAjN8HzxIaQshQoLCM3BWWI4InoEfy_0upDHaKodq6X-5GPxgfVZ9dRVapXWovg7h1lbOVx-DT-Xt_Kb6HO3GK5-rdSj0Qfxie5Vd8Aef1y7mm2pt3eYmPwT3urKkfTTVc_Dt7fLqYlVffnr3_uLVZa0pZLk2yFBloOjatqENtpAusGms4bRraStM0xCtoBVd0xKlNGbCCAY1YUZTLRaMnIPnR99dDD9Hm7IcXNK275W3YUwScVj-jmgBn_4H_j2kRAQyRhsqcKFeHikdQ0rRdnIX3aDib4mgPIQg_w1BlhDkFEJpfjyNGNvBmlPrdPWiP5t0lbTqu6i8dumEEbbgAh1s6iPmUrb7k6zirWSccCpX368l_3DN1s0KyjfkDxdfphs</recordid><startdate>19950901</startdate><enddate>19950901</enddate><creator>Rebagliato, M.</creator><creator>Florey, C. du V.</creator><creator>Bolumar, F.</creator><general>Oxford University Press</general><general>School of Hygiene and Public Health of the Johns Hopkins University</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>HVZBN</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>7T2</scope><scope>7TV</scope><scope>7U2</scope><scope>7U7</scope><scope>C1K</scope></search><sort><creationdate>19950901</creationdate><title>Exposure to Environmental Tobacco Smoke in Nonsmoking Pregnant Women in Relation to Birth Weight</title><author>Rebagliato, M. ; Florey, C. du V. ; Bolumar, F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c506t-d1d5ad09fbb8582e0542d8ed75fb5b9d883ca0e9f8b3aac269d960c36dc5c9463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Birth Weight</topic><topic>Cohort Studies</topic><topic>cotinine</topic><topic>Cotinine - analysis</topic><topic>Environmental Exposure - adverse effects</topic><topic>Environmental Exposure - statistics & numerical data</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Interviews as Topic</topic><topic>Medical sciences</topic><topic>Pregnancy - metabolism</topic><topic>Pregnancy - statistics & numerical data</topic><topic>Prospective Studies</topic><topic>Regression Analysis</topic><topic>Saliva - chemistry</topic><topic>Spain</topic><topic>tobacco smoke pollution</topic><topic>Tobacco Smoke Pollution - adverse effects</topic><topic>Tobacco Smoke Pollution - statistics & numerical data</topic><topic>Tobacco, tobacco smoking</topic><topic>Toxicology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rebagliato, M.</creatorcontrib><creatorcontrib>Florey, C. du V.</creatorcontrib><creatorcontrib>Bolumar, F.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Periodicals Index Online Segment 24</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - 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A cohort study was conducted in a sample of 710 nonsmoking women attending a prenatal education program in the third trimester of pregnancy in La Fe Hospital, Valencia, Spain. The duration of exposure to environmental tobacco smoke in the home, at work, and in vehicles and public places was collected by structured questionnaire. Cotinine levels were determined in saliva samples. Multiple regression was used to control for infant's sex and gestationai age and for maternal age, height, prepregnancy weight, parity, education, social class, and episodic illnesses during pregnancy. The mean birth weight of infants of women with cotinine levels >1.7 ng/ml was 87.3 g lower than that of infants of women with cotinine levels in the range 0–0.5 ng/ml (p = 0.048) Birth weight was negatively associated with average weekly duration of exposure in public places (p < 0.05), whereas mothers exposed to the partner's smoke for up to 14 hours/week had infants 177.2 g heavier than those of unexposed mothers. Although the evidence is weak for an effect of exposure to environmental tobacco smoke on the fetus of nonsmoking pregnant women, it may be sufficient to recommend restriction of smoking in enclosed work- and public places to reduce any risk of growth retardation.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>7677132</pmid><doi>10.1093/oxfordjournals.aje.a117671</doi><tpages>7</tpages></addata></record> |
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subjects | Adult Biological and medical sciences Birth Weight Cohort Studies cotinine Cotinine - analysis Environmental Exposure - adverse effects Environmental Exposure - statistics & numerical data Female Humans Infant, Newborn Interviews as Topic Medical sciences Pregnancy - metabolism Pregnancy - statistics & numerical data Prospective Studies Regression Analysis Saliva - chemistry Spain tobacco smoke pollution Tobacco Smoke Pollution - adverse effects Tobacco Smoke Pollution - statistics & numerical data Tobacco, tobacco smoking Toxicology |
title | Exposure to Environmental Tobacco Smoke in Nonsmoking Pregnant Women in Relation to Birth Weight |
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