Table 3.
Sex-specific associations of maternal and paternal smoking with spinal bone outcomes at age 9.9 years in multiple imputation analysis (boys N = 2,772; girls N = 2,715)
| Mean difference | 95% CI | P value | Mean difference | 95% CI | P value | Mean difference | 95% CI | P value | ||
|---|---|---|---|---|---|---|---|---|---|---|
| Boys | Spine BMC (SD score: 1 SD = 14.8 g) | Spine BA (SD score: 1 SD = 11.7 cm2) | Spine BMD (SD score: 1 SD = 0.076 g/cm2) | |||||||
| Maternal smoking in any trimester | ||||||||||
| Model 1 | 0.03 | −0.06–0.12 | 0.501 | 0.00 | −0.09–0.09 | 0.918 | 0.05 | −0.04–0.14 | 0.304 | |
| Model 2 | 0.07 | −0.02–0.16 | 0.153 | 0.05 | −0.04–0.14 | 0.289 | 0.07 | −0.03–0.16 | 0.171 | |
| Model 3 | 0.01 | −0.05–0.07 | 0.683 | 0.01 | −0.04–0.07 | 0.640 | 0.01 | −0.07–0.09 | 0.829 | |
| Maternal smoking in all trimesters | ||||||||||
| Model 1 | 0.06 | −0.06–0.18 | 0.301 | 0.04 | −0.08–0.15 | 0.534 | 0.07 | −0.05–0.20 | 0.245 | |
| Model 2 | 0.11 | −0.01–0.23 | 0.063 | 0.10 | −0.02–0.21 | 0.100 | 0.10 | −0.03–0.22 | 0.122 | |
| Model 3 | −0.02 | −0.09–0.06 | 0.640 | −0.01 | −0.09–0.06 | 0.745 | −0.01 | −0.12–0.09 | 0.792 | |
| Paternal smoking | ||||||||||
| Model 1 | 0.03 | −0.06–0.11 | 0.535 | 0.03 | −0.05–0.11 | 0.404 | 0.00 | −0.08–0.09 | 0.950 | |
| Model 2 | 0.03 | −0.05–0.11 | 0.421 | 0.04 | −0.04–0.12 | 0.283 | 0.01 | −0.08–0.09 | 0.884 | |
| Model 3 | −0.01 | −0.06–0.04 | 0.634 | 0.01 | −0.04–0.05 | 0.834 | −0.03 | −0.10–0.04 | 0.346 | |
| Combined models | ||||||||||
| Model 1 | Maternal smokinga | 0.05 | −0.05–0.14 | 0.344 | 0.01 | −0.08–0.11 | 0.802 | 0.07 | −0.03–0.17 | 0.166 |
| Paternal smoking | 0.02 | −0.07–0.10 | 0.706 | 0.03 | −0.05–0.11 | 0.458 | −0.01 | −0.10–0.08 | 0.797 | |
| Model 2 | Maternal smokinga | 0.07 | −0.02–0.17 | 0.127 | 0.05 | −0.05–0.14 | 0.311 | 0.08 | −0.02–0.19 | 0.106 |
| Paternal smoking | 0.01 | −0.07–0.09 | 0.774 | 0.03 | −0.05–0.11 | 0.526 | −0.01 | −0.10–0.08 | 0.767 | |
| Model 3 | Maternal smokinga | 0.02 | −0.04–0.08 | 0.537 | 0.02 | −0.05–0.08 | 0.642 | 0.03 | −0.06–0.11 | 0.557 |
| Paternal smoking | −0.02 | −0.07–0.04 | 0.548 | 0.00 | −0.05–0.05 | 0.997 | −0.04 | −0.11–0.04 | 0.330 | |
| Girls | Spine BMC (SD score: 1 SD = 16.7 g) | Spine BA (SD score: 1 SD = 12.3 cm2) | Spine BMD (SD score: 1 SD = 0.086 g/cm2) | |||||||
| Maternal smoking in any trimester | ||||||||||
| Model 1 | 0.13 | 0.03–0.23 | 0.013 | 0.12 | 0.03–0.22 | 0.012 | 0.10 | 0.00–0.21 | 0.049 | |
| Model 2 | 0.15 | 0.05–0.25 | 0.002 | 0.16 | 0.06–0.25 | 0.001 | 0.12 | 0.01–0.22 | 0.025 | |
| Model 3 | 0.02 | −0.03–0.07 | 0.444 | 0.05 | −0.00–0.10 | 0.065 | −0.01 | −0.08–0.06 | 0.799 | |
| Maternal smoking in all trimesters | ||||||||||
| Model 1 | 0.13 | 0.01–0.25 | 0.035 | 0.12 | −0.00–0.23 | 0.055 | 0.11 | −0.01–0.24 | 0.081 | |
| Model 2 | 0.18 | 0.06–0.30 | 0.004 | 0.17 | 0.06–0.29 | 0.004 | 0.14 | 0.01–0.26 | 0.035 | |
| Model 3 | 0.04 | −0.02–0.11 | 0.210 | 0.07 | −0.00–0.13 | 0.054 | 0.01 | −0.09–0.10 | 0.859 | |
| Paternal smoking | ||||||||||
| Model 1 | 0.10 | 0.02–0.18 | 0.014 | 0.08 | −0.01–0.16 | 0.066 | 0.12 | 0.04–0.20 | 0.005 | |
| Model 2 | 0.11 | 0.03–0.19 | 0.009 | 0.08 | 0.00–0.16 | 0.043 | 0.12 | 0.04–0.20 | 0.004 | |
| Model 3 | 0.01 | −0.03–0.06 | 0.580 | 0.00 | −0.04–0.05 | 0.951 | 0.03 | −0.03–0.09 | 0.288 | |
| Combined models | ||||||||||
| Model 1 | Maternal smokinga | 0.11 | 0.01–0.21 | 0.040 | 0.11 | 0.02–0.21 | 0.020 | 0.07 | −0.04–0.18 | 0.186 |
| Paternal smoking | 0.07 | −0.01–0.16 | 0.089 | 0.05 | −0.04–0.13 | 0.293 | 0.10 | 0.01–0.18 | 0.025 | |
| Model 2 | Maternal smokinga | 0.13 | 0.03–0.23 | 0.013 | 0.14 | 0.05–0.24 | 0.003 | 0.08 | −0.02–0.19 | 0.130 |
| Paternal smoking | 0.07 | −0.01–0.15 | 0.101 | 0.04 | −0.04–0.13 | 0.337 | 0.10 | 0.01–0.18 | 0.027 | |
| Model 3 | Maternal smokinga | 0.02 | −0.04–0.07 | 0.545 | 0.06 | −0.00–0.11 | 0.058 | −0.02 | −0.10–0.06 | 0.546 |
| Paternal smoking | 0.01 | −0.04–0.06 | 0.681 | −0.01 | −0.06–0.03 | 0.598 | 0.04 | −0.02–0.11 | 0.197 | |
Reference category for maternal smoking variables is “Never smoked during pregnancy” and for paternal smoking variable is “Non-smoking”
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
BA bone area, BMC bone mineral content, BMD bone mineral density
aMaternal smoking in any trimester