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. 2022 Mar 31;107(7):e2862–e2869. doi: 10.1210/clinem/dgac101

Table 3.

Fetal exposure to cannabisa and childhood adiposity in Healthy Start, n = 103

Adjusted means and beta coefficients
Cannabis categories n Fat mass (kg) Fat-free mass (kg) Adiposity (% fat mass) BMI (kg/m2) BMI z-score
Model 1, n = 103b
 Not exposed 88 3.5 (3.2-3.7) 14.2 (13.8-14.6) 19.2 (18.0-20.5) 15.7 (15.2-16.3) 0.0 (-0.3 to 0.2)
 Exposed 15 0.7 (0.2-1.2); P = 0.01 1.1 (0.3-1.9); P < 0.01 1.9 (-0.6 to 4.4); P = 0.13 -0.3 (-1.8 to 1.2); P = 0.65 0.1 (-0.5 to 0.7); P = 0.77
Model 2, n = 90c
 Not exposed 78 3.4 (3.2-3.7) 14.1 (13.7-14.6) 19.3 (18.0-20.6) 15.7 (15.2-16.4) -0.6 (-0.3 to 0.2)
 Exposed 12 1.0 (0.3-1.7); P < 0.01 1.2 (0.4-2.0); P < 0.01 2.6 (0.1-5.2); P = 0.04 -0.1 (-1.6 to 1.5); P = 0.95 0.3 (-0.3 to 1.0); P = 0.33

Abbreviation: BMI, body mass index; LOD, limit of detection.

a Fetal exposure to cannabis was determined by the detection of 12 cannabinoids/metabolites of cannabis in maternal urine collected at ~27 weeks’ gestation. The categories of were as follows: exposed (any of the measured cannabinoids exceeded the LOD) and not exposed (all of cannabinoids measured were below the LOD).

b Model 1 adjusted for maternal age (years), household income (≥$70,000, <$70,000, or missing/declined to answer), maternal race/ethnicity (Hispanic, non-Hispanic Black, non-Hispanic other, and non-Hispanic White), fetal exposure to tobacco (maternal urinary cotinine at ~27 weeks’ gestation < LOD, ≥LOD), prepregnancy BMI (kg/m2), gestational weight gain (kg), offspring sex, gestational age at birth (weeks), birthweight (g), and child age at follow-up visit (years).

c Model 2 adjusted for model 1 covariates, as well as the duration of exclusive breastfeeding (breast milk-months) and childhood exposure to secondhand smoke (urinary cotinine < LOD, ≥LOD).