Parental smoking and lung function in children

An international study

Hanns Moshammer, Gerard Hoek, Heike Luttmann-Gibson, Manfred A. Neuberger, Temenuga Antova, Ulrike Gehring, Frantiska Hruba, Sam Pattenden, P. Rudnai, Hana Slachtova, Renata Zlotkowska, Tony Fletcher

Research output: Contribution to journalArticle

173 Citations (Scopus)

Abstract

Rationale: Both prenatal and postnatal passive smoking have been linked with respiratory symptoms and asthma in childhood. Their differential contributions to lung function growth in the general children's population are less clear. Objective: To study the relative impact of pre- and postnatal exposure on respiratory functions of primary school children in a wide range of geographic settings, we analyzed flow and volume data of more than 20,000 children (aged 6-12 yr) from nine countries in Europe and North America. Methods: Exposure information had been obtained by comparable questionnaires, and spirometry followed a protocol of the American Thoracic Society/European Respiratory Society. Linear and logistic regressions were used, controlling for individual risk factors and study area. Heterogeneity between study-specific results and mean effects were estimated using meta-analytic tools. Main Results: Smoking during pregnancy was associated with decreases in lung function parameters between -1% (FEV1) and -6% maximal expiratory flow at 25% of vital capacity left (MEF25). A 4% lower maximal midexpiratory flow (MMEF) corresponded to a 40% increase in the risk of poor lung function (MMEF <75% of expected). Associations with current passive smoking were weaker though still measurable, with effects ranging from -0.5% (FEV1) to -2% maximal expiratory flow (MEF50). Conclusions: Considering the high number of children exposed to maternal smoking in utero and the even higher number exposed to passive smoking after birth, this risk factor for reduced lung function growth remains a serious pediatric and public health issue.

Original languageEnglish
Pages (from-to)1255-1263
Number of pages9
JournalAmerican Journal of Respiratory and Critical Care Medicine
Volume173
Issue number11
DOIs
Publication statusPublished - Jun 1 2006

Fingerprint

Tobacco Smoke Pollution
Smoking
Lung
Spirometry
Vital Capacity
Growth
North America
Linear Models
Asthma
Public Health
Logistic Models
Mothers
Parturition
Pediatrics
Pregnancy
Population

Keywords

  • Child
  • Passive smoking
  • Pregnancy
  • Spirometry
  • Tobacco

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Moshammer, H., Hoek, G., Luttmann-Gibson, H., Neuberger, M. A., Antova, T., Gehring, U., ... Fletcher, T. (2006). Parental smoking and lung function in children: An international study. American Journal of Respiratory and Critical Care Medicine, 173(11), 1255-1263. https://doi.org/10.1164/rccm.200510-1552OC

Parental smoking and lung function in children : An international study. / Moshammer, Hanns; Hoek, Gerard; Luttmann-Gibson, Heike; Neuberger, Manfred A.; Antova, Temenuga; Gehring, Ulrike; Hruba, Frantiska; Pattenden, Sam; Rudnai, P.; Slachtova, Hana; Zlotkowska, Renata; Fletcher, Tony.

In: American Journal of Respiratory and Critical Care Medicine, Vol. 173, No. 11, 01.06.2006, p. 1255-1263.

Research output: Contribution to journalArticle

Moshammer, H, Hoek, G, Luttmann-Gibson, H, Neuberger, MA, Antova, T, Gehring, U, Hruba, F, Pattenden, S, Rudnai, P, Slachtova, H, Zlotkowska, R & Fletcher, T 2006, 'Parental smoking and lung function in children: An international study', American Journal of Respiratory and Critical Care Medicine, vol. 173, no. 11, pp. 1255-1263. https://doi.org/10.1164/rccm.200510-1552OC
Moshammer H, Hoek G, Luttmann-Gibson H, Neuberger MA, Antova T, Gehring U et al. Parental smoking and lung function in children: An international study. American Journal of Respiratory and Critical Care Medicine. 2006 Jun 1;173(11):1255-1263. https://doi.org/10.1164/rccm.200510-1552OC
Moshammer, Hanns ; Hoek, Gerard ; Luttmann-Gibson, Heike ; Neuberger, Manfred A. ; Antova, Temenuga ; Gehring, Ulrike ; Hruba, Frantiska ; Pattenden, Sam ; Rudnai, P. ; Slachtova, Hana ; Zlotkowska, Renata ; Fletcher, Tony. / Parental smoking and lung function in children : An international study. In: American Journal of Respiratory and Critical Care Medicine. 2006 ; Vol. 173, No. 11. pp. 1255-1263.
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