Table 2.
Sex-specific associations of maternal and paternal smoking with total body less head bone outcomes at age 9.9 years in multiple imputation analysis (boys N = 3,530; girls N = 3,591)
| Mean difference | 95% CI | P value | Mean difference | 95% CI | P value | Mean difference | 95% CI | P value | ||
|---|---|---|---|---|---|---|---|---|---|---|
| Boys | TBLH BMC (SD score: 1 SD = 174.6 g) | TBLH BA (SD score: 1 SD = 154.9 cm2) | TBLH BMD (SD score: 1 SD = 0.053 g/cm2) | |||||||
| Maternal smoking in any trimester | ||||||||||
| Model 1 | 0.01 | −0.07–0.09 | 0.767 | 0.00 | −0.08–0.08 | 0.992 | 0.04 | −0.05–0.12 | 0.419 | |
| Model 2 | 0.05 | −0.03–0.14 | 0.186 | 0.05 | −0.03–0.13 | 0.232 | 0.06 | −0.03–0.15 | 0.177 | |
| Model 3 | 0.00 | −0.05–0.04 | 0.885 | −0.01 | −0.04–0.03 | 0.736 | 0.01 | −0.06–0.08 | 0.752 | |
| Maternal smoking in all trimesters | ||||||||||
| Model 1 | 0.07 | −0.04–0.17 | 0.200 | 0.05 | −0.05–0.15 | 0.356 | 0.10 | −0.01–0.21 | 0.086 | |
| Model 2 | 0.13 | 0.02–0.23 | 0.016 | 0.12 | 0.01–0.22 | 0.025 | 0.13 | 0.02–0.24 | 0.020 | |
| Model 3 | 0.00 | −0.06–0.05 | 0.877 | −0.02 | −0.06–0.03 | 0.482 | 0.03 | −0.06–0.12 | 0.523 | |
| Paternal smoking | ||||||||||
| Model 1 | 0.02 | −0.05–0.10 | 0.519 | 0.03 | −0.04–0.10 | 0.405 | 0.01 | −0.07–0.08 | 0.887 | |
| Model 2 | 0.03 | −0.04–0.10 | 0.425 | 0.04 | −0.03–0.11 | 0.305 | 0.01 | −0.07–0.08 | 0.833 | |
| Model 3 | −0.02 | −0.05–0.02 | 0.357 | −0.01 | −0.04–0.02 | 0.581 | −0.03 | −0.09–0.03 | 0.313 | |
| Combined models | ||||||||||
| Model 1 | Maternal smokinga | 0.01 | −0.08–0.09 | 0.830 | −0.01 | −0.09–0.08 | 0.888 | 0.04 | −0.05–0.13 | 0.396 |
| Paternal smoking | 0.03 | −0.04–0.10 | 0.465 | 0.04 | −0.03–0.11 | 0.298 | 0.00 | −0.08–0.08 | 0.985 | |
| Model 2 | Maternal smokinga | 0.05 | −0.04–0.13 | 0.277 | 0.04 | −0.04–0.12 | 0.369 | 0.06 | −0.03–0.16 | 0.194 |
| Paternal smoking | 0.02 | −0.05–0.09 | 0.588 | 0.03 | −0.04–0.10 | 0.409 | −0.01 | −0.08–0.07 | 0.894 | |
| Model 3 | Maternal smokinga | 0.00 | −0.04–0.05 | 0.925 | 0.00 | −0.04–0.03 | 0.845 | 0.02 | −0.05–0.10 | 0.523 |
| Paternal smoking | −0.02 | −0.06–0.02 | 0.383 | −0.01 | −0.04–0.02 | 0.644 | −0.03 | −0.10–0.03 | 0.266 | |
| Girls | TBLH BMC (SD score: 1 SD = 191.5 g) | TBLH BA (SD score: 1 SD = 172.3 cm2) | TBLH BMD (SD score: 1 SD = 0.055 g/cm2) | |||||||
| Maternal smoking in any trimester | ||||||||||
| Model 1 | 0.13 | 0.05–0.22 | 0.003 | 0.13 | 0.04–0.21 | 0.004 | 0.13 | 0.04–0.22 | 0.005 | |
| Model 2 | 0.17 | 0.08–0.25 | <0.001 | 0.17 | 0.08–0.25 | <0.001 | 0.15 | 0.06–0.24 | 0.001 | |
| Model 3 | 0.02 | −0.02–0.06 | 0.384 | 0.02 | −0.01–0.06 | 0.205 | 0.02 | −0.04–0.08 | 0.528 | |
| Maternal smoking in all trimesters | ||||||||||
| Model 1 | 0.15 | 0.03–0.26 | 0.011 | 0.15 | 0.04–0.26 | 0.009 | 0.13 | 0.01–0.24 | 0.037 | |
| Model 2 | 0.20 | 0.09–0.32 | 0.001 | 0.21 | 0.10–0.32 | <0.001 | 0.16 | 0.04–0.28 | 0.008 | |
| Model 3 | 0.02 | −0.03–0.07 | 0.371 | 0.03 | −0.01–0.08 | 0.127 | 0.01 | −0.07–0.09 | 0.871 | |
| Paternal smoking | ||||||||||
| Model 1 | 0.15 | 0.08–0.22 | <0.001 | 0.14 | 0.08–0.21 | <0.001 | 0.14 | 0.07–0.21 | <0.001 | |
| Model 2 | 0.16 | 0.09–0.23 | <0.001 | 0.15 | 0.09–0.22 | <0.001 | 0.15 | 0.07–0.22 | <0.001 | |
| Model 3 | 0.03 | −0.00–0.07 | 0.058 | 0.03 | 0.00–0.06 | 0.029 | 0.04 | −0.02–0.09 | 0.164 | |
| Combined models | ||||||||||
| Model 1 | Maternal smokinga | 0.10 | 0.01–0.19 | 0.025 | 0.10 | 0.01–0.19 | 0.030 | 0.10 | 0.01–0.19 | 0.032 |
| Paternal smoking | 0.12 | 0.05–0.20 | 0.001 | 0.12 | 0.05–0.19 | 0.002 | 0.12 | 0.04–0.19 | 0.004 | |
| Model 2 | Maternal smokinga | 0.13 | 0.04–0.22 | 0.004 | 0.13 | 0.04–0.22 | 0.003 | 0.12 | 0.03–0.21 | 0.011 |
| Paternal smoking | 0.12 | 0.05–0.19 | 0.001 | 0.12 | 0.05–0.19 | 0.001 | 0.11 | 0.04–0.19 | 0.004 | |
| Model 3 | Maternal smokinga | 0.01 | −0.03–0.05 | 0.670 | 0.01 | −0.02–0.05 | 0.457 | 0.01 | −0.05–0.08 | 0.706 |
| Paternal smoking | 0.03 | −0.01–0.06 | 0.101 | 0.03 | −0.00–0.06 | 0.087 | 0.04 | −0.02–0.10 | 0.198 | |
Model 1 is adjusted for the child’s age, mother’s parity, household social class and maternal/paternal factors (age, height, pre-pregnancy BMI, education).
Model 2 is adjusted additionally for the child’s gestational age and birth weight
Model 3 is adjusted for all these plus the child’s height and weight at age 9.9 years
Reference category for maternal smoking variables is “Never smoked during pregnancy” and for paternal smoking variable is “Non-smoking”
BA bone area, BMC bone mineral content, BMD bone mineral density, TBLH total body less head
aMaternal smoking in any trimester