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. 2022 Aug 1;5(8):e2224701. doi: 10.1001/jamanetworkopen.2022.24701

Table 2. Associations of Maternal Smoking During Pregnancy With Regional Brain Volumes in Children 10 Years of Agea.

Maternal smoking during pregnancy Cerebral gray matter volume Cerebral white matter volume Cerebellar volume
b (95% CI) P value b (95% CI) P value b (95% CI) P value
Minimally adjusted modelb
Never [Reference] NA [Reference] NA [Reference] NA
Until pregnancy was known 1.8 (−4.9 to 8.4) .60 −0.6 (−6.2 to 5.1) .84 0.6 (−1.0 to 2.2) .48
Continued −15.2 (−20.7 to −9.7) <.001 −10.3 (−15.0 to −5.6) <.001 −2.3 (−3.6 to −1.0) <.001
Fully adjusted modelc
Never [Reference] NA [Reference] NA [Reference] NA
Until pregnancy was known 0.7 (−5.8 to 7.2) .83 −1.1 (−6.8 to 4.6) .70 0.6 (−1.0 to 2.2) .45
Continued −7.8 (−13.4 to −2.3) .006d −5.9 (−10.7 to −1.0) .02d −0.8 (−2.2 to 0.6) .26

Abbreviation: NA, not applicable.

a

Linear regression was used. The b values represent volumetric differences (in cm3) of the group that smoked until pregnancy was known (n = 238) or the group that continued smoking (n = 364) compared with the never smoked (reference) group (n = 2102).

b

Adjusted for child sex and age at brain assessment.

c

Adjusted for child sex and age at brain assessment and maternal ethnicity, age at enrollment, marital status, educational level, psychopathology score, alcohol use during pregnancy, and household income.

d

Indicates P values that survived a false discovery rate correction for multiple comparisons.