Table 1.
Studies included in meta-analysis of maternal smoking during pregnancy and child overweight
Study, 1st author (year), population |
N in analysis (cohort) |
Child age in years at outcome |
Smoking exposure (prevalence) |
Covariates | Outcome (prevalence) |
Unadjusted OR (95% CI) |
Adjusted OR (95% CI) |
---|---|---|---|---|---|---|---|
Adams (2005)14 | 252 | 3 | At initial WIC | Maternal: age, BMI, education, income |
BMI≥85th percentile (40.9%) | 1.74 (1.05, 2.90)a | 2.16 (1.05, 4.47) |
American Indians in Wisconsin enrolled in the Supplemental Program for Women, Infants, and Children (WIC) |
(3015) | visit—‘most 1st or 2nd trimester’ (42.5%) Maternal report at prenatal WIC visit |
Child: birthweight, ever breastfed | Height and weight measured at WIC visit |
|||
Al Mamun (2006)15 | 3253 (7223) |
14 | During pregnancy (36.6%) |
Maternal: age, marital status, income |
85th ≤BMI <95th percentile (19.3%) |
1.30 (1.07, 1.58) | 1.30 (1.05, 1.60) |
Mater University Study of Pregnancy and its Outcomes, Australia |
Maternal report during pregnancy and at birth |
Child: age, sex, breastfeeding, consumption of fast food, salad, soft drinks, red meat, TV viewing, participation in sports and exercise |
BMI≥95th percentile (6.2%) Research measurement of height and weight |
1.41 (1.04, 1.91) | 1.40 (1.01, 1.94) | ||
Bergmann (2003)16 German Multicenter Atopy Study |
480 (1314) |
6 | During pregnancy (19.6%) Not reported how assessed |
Maternal: social status, overweight in pregnancy Child: breastfeeding |
BMI≥90th percentile (9.5%) BMI≥97th percentile (9.5%) Research measurement of height and weight |
1.78 (1.21, 2.64) | 2.08 (1.19, 3.63) 2.30 (1.15, 4.60) |
Chen (2006)17 | 34 866 (44 213) |
8 | During pregnancy (51.4%) |
Maternal: age, race, pre- pregnancy BMI, marital status, education, socioeconomic index, gestational age at recruitment, recruitment site |
BMI≥85th percentile (11%) | 1.23 (1.08, 1.39) Ma 1.29 (1.14, 1.47) Faa |
1.21 (1.05, 1.39) M 1.37 (1.19, 1.58) F |
Collaborative Perinatal Project | Maternal report during pregnancy |
Child: age, birth order, breastfeeding |
BMI≥95th percentile (4%) Research measurement of height and weight |
1.17 (0.96, 1.43) Ma 1.20 (0.99, 1.44) F |
1.21 (0.96, 1.51) M 1.31 (1.06, 1.61) F |
||
Dubois (2006)18 Quebec Longitudinal Study Child Development, Canada |
1550 (2103) |
4.5 | During pregnancy (25.2%) Maternal report at 5 months postpartum |
Maternal: overweight, Child: birth weight, gestational age, weight gain birth to 5 months Other: paternal overweight, household income |
BMI≥95th percentile (8.5%) Not reported how height and weight measured |
1.6 (1.1, 2.4) | 1.8 (1.2, 2.8) |
Oken (2005)19 Project Viva, US |
746 (2128) |
3 | Early pregnancy (10%) Maternal report during pregnancy |
Maternal: pre-pregnancy BMI, gestational weight gain, education, race/ethnicity, parity Child: age, sex, fetal growth, gestation length Other: Paternal BMI, household income |
BMI≥85th percentile (27%) Research measurement of height and weight |
2.5 (1.5, 4.1)a | 2.2 (1.2, 3.9) |
Power (2002)20 National Child and Development Study, UK |
5839 (17 414) |
33 | After the 4th month of pregnancy (33.5%) Maternal report at birth |
Maternal: BMI, Child: social class at birth, age 7, and age 33, birthweight, infant feeding, physical inactivity age 23, diet age 33 (fried foods, chips, biscuits, sweets, chocolates), attained education age 33 |
BMI≥30 Research measurement of height and weight |
1.56 (1.22, 2.00) M 1.41 (1.12, 1.79) F |
1.55 (1.19, 2.00) M 1.45 (1.13, 1.87) F |
Reilly (2005)21 Avon Longitudinal Study of Parents and Children, UK |
5493 (13 971) |
7 | During pregnancy 1-9 cigs/day vs 0 (5.5%) (in total 14% smoked) Maternal report during pregnancy |
Maternal: age, parity, obesity Child: birth weight, sex, season at birth, gestational age, plurality, breast feeding, introduction of solids, number of siblings, ethnicity, in childhood time spent watching TV, in car, sleeping. Dietary pattern in childhood. Other: paternal obesity |
BMI≥95th percentile (8.6%) Research measurement of height and weight |
1.60 (1.17, 2.18) | 1.76 (1.21, 2.52) |
Salsberry (2005)22 National Longitudinal Survey of Youth, US |
3022 (6615) |
6–7 | During pregnancy (29%) Maternal report -not reported when assessed |
Maternal: Age, parity, race/ ethnicity, pre-pregnancy BMI, education, marital status Child: sex, age, birth year, breast feeding, height and weight measured |
BMI≥95th percentile (12%) Not reported how height and weight measured |
1.43 | 1.74 (1.32, 2.29) |
Toschke (2002)23 Bavarian schoolchildren, Germany |
8765 (13 345) |
5–6.9 | Throughout pregnancy (7.5%) Maternal report at outcome assessment |
Child: low birth weight, prematurity, breastfeeding Other: parental education |
BMI≥90th percentile (10%) BMI≥97th percentile (3%) Clinical measurement of height and weight |
1.85 (1.47, 2.33) 2.32 (1.63, 3.30) |
1.58 (1.23, 2.04) 1.92 (1.29, 2.86) |
Toschke (2003)24 Bavarian schoolchildren, Germany |
4974 (7026) |
5–6.9 | Early pregnancy (10.9%) Maternal report at outcome assessment |
Maternal: education, obesity Child: breastfeeding, TV viewing, video games, physical activity, high infant weight gain Other: paternal obesity |
‘Overweight’ (10.4%) ‘Obesity’ (2.7%) Clinical measurement of height and weight |
1.66 (1.27, 2.18) 2.41 (1.41, 3.91) |
1.52 (1.14, 2.01) 2.22 (1.33, 3.69) |
Von Kries (2002)25 Bavarian schoolchildren, Germany |
6483 (9731) |
5–6.9 | During pregnancy (9.8%) Maternal report at outcome assessment |
Maternal: education, overweight Child: birth weight > 90th percentile, any breastfeeding, TV/video game > 1 h daily, eating snacks in front of TV Other: paternal education overweight |
BMI≥90th percentile (10%) BMI≥97th percentile (3%) Clinical measurement of height and weight |
1.97 (1.52, 2.56) 2.96 (1.97, 4.46) |
1.43 (1.07, 1.90) 2.06 (1.31, 3.23) |
Whitaker (2004)26 Ohio children enrolled in WIC, US |
8494 | 2–4 | During pregnancy (32.9%) Birth certificate data |
Maternal: age, BMI, race/ethnicity, parity, pregnancy weight gain, education, marital status Child: fetal growth, sex, year of birth |
BMI≥95th percentile age 2 (9.5%) BMI≥95th percentile age 3 (12.5%) BMI≥95th percentile age 4 (14.8%) Height and weight measured at WIC visit |
1.20 (1.02, 1.42)a 1.09 (0.93, 1.28)a 1.06 (0.90, 1.24)a |
1.43 (1.19, 1.72) 1.25 (1.05, 1.49) 1.21 (1.01, 1.45) |
Wideroe (2003)27 Population based pregnancy cohort in Norway and Sweden |
346 (5722) |
5 | At week 17 (31.3%) Maternal report during pregnancy |
Maternal: age, skinfold thickness, education, total energy intake week 17, fat and carbohydrate intake week 33 Child: birth weight, breastfeeding duration Other: paternal education |
BMI≥85th percentile (15%) Research measurement of height and weight |
3.0 (1.6, 5.6) | 3.8 (2.0, 7.2) |
Unadjusted estimate provided by personal communication from study authors.