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. 2022 Feb 23;37(4):696–707. doi: 10.1093/humrep/deac018

Table IV.

Associations between smoking (continuous and categorical variable) and fetal growth parameters: second trimester head circumference, abdominal circumference femur length and birth weight.

Model 1a P Model 2b P
Effect estimate (β), 95% CI Effect estimate (β), 95% CI
Head circumference
Cigarettes/day 0.010 (−0.051; 0.071) 0.743 −0.003 (−0.064; 0.058) 0.924
Smoking None 0 (Reference) 0 (Reference)
 1–9 cigarettes/day 0.283 (0.056; 0.510) 0.015* 0.290 (0.065; 0.514) 0.012*
 ≥10 cigarettes/day −0.069 (−0.353; 0.214) 0.631 −0.134 (−0.413; 0.144) 0.345
Abdominal circumference
Cigarettes/day −0.043 (−0.110; 0.031) 0.279 −0.053 (−0.121; 0.015) 0.129
Smoking None 0 (Reference) 0 (Reference)
 1–9 cigarettes/day 0.000 (−0.250; 0.249) 0.997 0.023 (−0.231; 0.277) 0.861
 ≥10 cigarettes/day −0.199 (−0.511; 0.113) 0.211 −0.261 (−0.576; 0.054) 0.104
Femur length
Cigarettes/day −0.077 (−0.144; −0.011) 0.022* −0.077 (−0.147; −0.008) 0.029*
Smoking None 0 (Reference) 0 (Reference)
 1–9 cigarettes/day −0.111 (−0.360; 0.137) 0.380 −0.095 (−0.353; 0.163) 0.471
 ≥10 cigarettes/day −0.323 (−0.633; −0.012) 0.042* −0.321 (−0.641; −0.001) 0.049*
Birth weight
Cigarettes/day −0.145 (−0.227; −0.063) 0.001* −0.150 (−0.233; −0.068) 0.000*
 None 0 (Reference) 0 (Reference)
 1–9 cigarettes/day −0.314 (−0.621; −0.008) 0.044* −0.306 (−0.612; 0.001) 0.050
 ≥10 cigarettes/day −0.519 (−0.904; −0.135) 0.008* −0.560 (−0.941; −0.178) 0.004*

Growth parameters are expressed as Z-scores, which are corrected for gestational age. Birth weight is expressed as Z-score, which is corrected for gender and gestational age.

*

P < 0.05 (bold text).

a

Crude model.

b

Fully adjusted model adjusted for alcohol use, educational level, folic acid supplement use, maternal age, mode of conception, ethnicity, fetal gender, maternal BMI, parity and vitamin use.