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. Author manuscript; available in PMC: 2009 Feb 1.
Published in final edited form as: Int J Obes (Lond). 2007 Nov 27;32(2):201–210. doi: 10.1038/sj.ijo.0803760

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)
a

Unadjusted estimate provided by personal communication from study authors.