Childhood obesity is associated with maternal smoking in pregnancy

Toschke, Michael; Koletzko, Berthold; Slikker, William; Hermann, Monika; von Kries, Rüdiger
August 2002
European Journal of Pediatrics;2002, Vol. 161 Issue 8, p445
Academic Journal
Overweight and obesity are major public health issues. Childhood obesity often persists throughout adulthood. Recently a higher prevalence of obesity in adults whose mothers smoked during pregnancy was reported. The aim of this study was to assess whether this association is also detectable in pre-school children in a different setting and to identify the critical period for intrauterine exposure to inhaled smoke products in pregnancy. We analysed questionnaire data on early feeding and lifestyle factors of 8,765 German children aged 5.00 to 6.99 years. Obesity was defined as a body mass index >97th percentile. The prevalence estimates for obesity were: mother never smoked 2.8% (95% CI 2.4%–3.2%), smoked after pregnancy only 1.6% (95%CI 0.4%–4.1%), smoked throughout pregnancy 6.2% (95% CI 4.5%–8.3%), smoked before pregnancy, but not throughout 4.5% (95%CI 3.6%–5.7%). These associations could not be explained by confounding due to a number of constitutional, sociodemographic and lifestyle factors. The unadjusted/adjusted odds ratios were: smoked during pregnancy: 2.32 (95% CI 1.63%–3.30%)/1.92 (95% CI 1.29%–2.86%); smoked before, but not throughout pregnancy: 1.67 (95%CI 1.26%–2.22%)/1.74 (95%CI 1.29%–2.34%). Conclusion: the association of maternal smoking in pregnancy and obesity was also detectable in children at school entry. Since smoking after pregnancy was not associated with childhood obesity, intrauterine exposure rather than family lifestyle factors associated with smoking appears to be instrumental. There appears to be a role for early intrauterine exposure.


Related Articles

  • Is Your Pregnancy Diet Safe For Your Child?  // Oral Health (0974-3960);Nov2013, Vol. 7 Issue 11, p33 

    The article focuses on a study conducted by researchers at the Auckland University which revealed a direct relation between pregnancy diet and child obesity as diet of a mother bring changes in babys' DNA through epigenetic change.

  • Perinatal listeriosis. Spencer, John A.D. // British Medical Journal (Clinical Research Edition);8/8/1987, Vol. 295 Issue 6594, p349 

    Examines the epidemiology of perinatal listeriosis in Europe. Causes of listeriosis; Association of listeria infection with a non-specific, flu like pyrexial illness in the mother; Effectiveness of ampicillin or penicillin with gentamycin or kanamycin in treating listeriosis.

  • VIEWS.  // BMJ: British Medical Journal (International Edition);1/12/91, Vol. 302 Issue 6768, p124 

    Presents views related to medicine. Behavioral treatment of obese children; Issues on health warning for pregnant women; Epidemics of infections due to Mycoplasma pneumoniae.

  • Underweight pregnant women may 'program' offspring to become obese. Wroe, David; Carey, Dorothy // Nutridate;Mar2003, Vol. 14 Issue 1, p8 

    Presents the results of a study by University of Adelaide researchers in Australia on the possible link between the health of underweight pregnant women and obesity in their children. Background on the prevalence of obesity in Australian children; Factors that lead to obesity in children;...

  • The connection between maternal employment and childhood obesity: inspecting the mechanisms. Fertig, Angela; Glomm, Gerhard; Tchernis, Rusty // Review of Economics of the Household;Sep2009, Vol. 7 Issue 3, p227 

    This paper investigates the channels through which maternal employment affects childhood obesity. We use time diaries and interview responses from the Child Development Supplement of the Panel Study of Income Dynamics which combines information on children’s time allocation,...

  • Adult obesity and growth in childhood. Law, Catherine // BMJ: British Medical Journal (International Edition);12/8/2001, Vol. 323 Issue 7325, p1320 

    Editorial. Comments on the prevalence of obesity in adults and children. Discussion of research by Parsons et al in this issue linking body mass index to maternal weight; Suggestion that interventions to prevent obesity in women of childbearing age can give long-term benefit to children;...

  • Early maternal smoking may increase daughters' risk for obesity, diabetes.  // Endocrine Today;Jun2013, Vol. 11 Issue 6, p32 

    The article discusses research which examines maternal smoking and obesity risk in children, conducted by K. Mattsson and colleagues, published in a 2013 issue of "Diabetologia" journal.

  • Relationship between maternal obesity and infant feeding-interactions. Rising, Russell; Lifshitz, Fima // Nutrition Journal;2005, Vol. 4, p17 

    Background: There are no data regarding the relationship between maternal adiposity and interaction and feeding of infants and possible contribution to childhood obesity. In this study we determined the relationship between maternal body weight and composition and infant feeding patterns and...

  • A randomised control trial of low glycaemic index carbohydrate diet versus no dietary intervention in the prevention of recurrence of macrosomia. Walsh, Jennifer; Mahony, Rhona; Foley, Michael; Auliffe, Fionnuala Mc // BMC Pregnancy & Childbirth;2010, Vol. 10, p16 

    Background: Maternal weight and maternal weight gain during pregnancy exert a significant influence on infant birth weight and the incidence of macrosomia. Fetal macrosomia is associated with an increase in both adverse obstetric and neonatal outcome, and also confers a future risk of childhood...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics