Tag Archives: Smoking During Pregnancy May Lower Your Child’s Reading Scores

Elsevier study: Novel study links fetal exposure to nicotine and sudden infant death syndrome

31 Mar

There are numerous reasons why smoking is considered bad for an individual and there are numerous research studies which list the reasons. Studies are showing how bad second hand smoke is for children. A MNT article, Smoking During Pregnancy May Lower Your Child’s Reading Scores:

Babies born to mothers who smoke more than a pack of cigarettes a day while pregnant have lower reading scores and a harder time with reading tests, compared with children whose mothers do not smoke.
This is the conclusion of a recent study conducted by researchers at Yale School of Medicine and published in The Journal of Pediatrics in November 2012. The reading tests measured how well children read out loud and understood what they were reading.
This isn’t the first study to suggest that smoking in pregnancy may affect a child’s future health and development. A study released in August 2012 said that smoking during pregnancy increases a child’s risk of asthma. In addition, a 2009 study linked smoking during pregnancy to behavioral problems among 3 and 4 year olds boys…. http://www.medicalnewstoday.com/articles/253100.php

An Inserm and Pierre and Marie Curie University study adds behavior problems to the list of woes children of smokers suffer.

Science Daily reported in Early exposure to tobacco can cause behavioral problems in children:

The consequences of tobacco exposure are widely documented. It leads to many illnesses, including asthma. However, the potential role of environmental tobacco smoke (ETS) is much less well known in terms of its link to behavioural problems in children. In this context, the team led by Isabella Annesi-Maesano, Inserm Research Director at Unit 1136, “Pierre Louis Public Health Institute” (Inserm/UPMC) examined the association between pre- and postnatal ETS exposure and behavioural problems in children….
These observations seem to confirm those carried out in animals, i.e. that the nicotine contained in tobacco smoke may have a neurotoxic effect on the brain. During pregnancy, nicotine in tobacco smoke stimulates acetylcholine receptors, and causes structural changes in the brain. In the first months of life, exposure to tobacco smoke generates a protein imbalance that leads to altered neuronal growth….. http://www.sciencedaily.com/releases/2015/09/150928103029.htm?utm_source=dlvr.it&utm_medium=facebook

Steven Reinberg reported in the Health Day article, Secondhand Smoke in Infancy May Harm Kids’ Teeth. http://consumer.healthday.com/kids-health-information-23/cavities-and-dental-news-118/secondhand-smoke-in-infancy-may-harm-kids-teeth-704482.html

Science Daily reported in Smoking fathers increase asthma-risk in future offspring:

A Norwegian study shows that asthma is three times more common in those who had a father who smoked in adolescence than offspring who didn’t.
It is well known that a mother’s environment plays a key role in child health. However, recent research, including more than 24,000 offspring, suggests that this may also be true for fathers….
Smoking fathers may influence gene control in children
Concerning mother’s smoking, the research found more offspring asthma if the mother smoked around pregnancy, consistent with previous studies. However, no effect of maternal smoking only prior to conception was identified. The difference from father’s smoking suggests effects through male sperm cells.
“Smoking is known to cause genetic and epigenetic damage to spermatozoa, which are transmissible to offspring and have the potential to induce developmental abnormalities,” explains Svanes.
It is previously known that nutritional, hormonal and psychological environment provided by the mother permanently alters organ structure, cellular response and gene expression in her offspring. Father’s lifestyle and age appear, however, to be reflected in molecules that control gene function.
“There is growing evidence from animal studies for so called epigenetic programming, a mechanism whereby the father’s environment before conception could impact on the health of future generations,” Svanes says…. https://www.sciencedaily.com/releases/2016/09/160928135903.h

Another study linked nicotine exposure to sudden infant death syndrome.

Science Daily reported in: Novel study links fetal exposure to nicotine and sudden infant death syndrome:

Fetal exposure to tobacco smoke in utero is associated with sudden infant death syndrome (SIDS) and cardiac arrhythmias in newborns. In a novel study in rabbits, investigators provide the first evidence linking fetal exposure to nicotine to long-term alterations of the cardiac sodium current. These changes may impair adaptation of the cardiac sodium current to sympathetic tone and prevent awakening from sleep apnea, leading to arrhythmias that could potentially be involved in SIDS. They report their findings in HeartRhythm, the official journal of the Heart Rhythm Society and the Cardiac Electrophysiology Society, published by Elsevier.
SIDS, or crib death, is the leading cause of death in the first year of life. In utero exposure to tobacco smoke remains the highest risk factor in 85 percent of cases. It therefore seems logical to prescribe nicotine replacement therapies (NRTs) to pregnant women who wish to quit smoking. Tobacco smoke contains over 3,000 toxic compounds identified so far, but out of all the toxic compounds found in smoke, only nicotine is associated with cardiac arrhythmias in newborns.
“Clinicians often prescribe NRTs to pregnant women who wish to quit smoking in order to reduce the number of crib deaths,” explained lead investigator Robert Dumaine, PhD, Department of Pharmacology and Physiology, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, QC, Canada. “However, our data show that nicotine alone is sufficient to alter electrical currents within the heart and generate arrhythmias leading to crib death.”
In the womb, the fetus cannot breathe on its own and its heart reacts to a reduction in oxygen by slowing the beating rate and its metabolism to preserve energy. This fetal adaptation is known as “diver reflex.” On the other hand, when an infant suffocates during sleep, the brain senses the reduction of oxygen in the blood and will trigger secretion of adrenalin (epinephrine) to accelerate heart rhythm. Once cardiac rhythm accelerates, in part due to increased excitability (sodium current) in the heart, the baby wakes up. This “resuscitation reflex” seems to be absent in babies with SIDS. Instead, those infants display a slowing of heart rate when lacking oxygen, as if their postnatal cardiac development had been delayed and still in a fetal state.
“The importance of this study is that, for the first time, we provide direct evidence that in utero exposure to nicotine has postnatal effects on the development of the heart and its response to adrenalin and may provide a basis to explain why some babies do not wake up during sleep apnea,” commented Dr. Dumaine. “Therefore, it might be worthwhile to revisit the clinical practice of prescribing the nicotine patch and other NRTs to pregnant women….” https://www.sciencedaily.com/releases/2019/03/190328150959.htm

Citation:

Novel study links fetal exposure to nicotine and sudden infant death syndrome
Date: March 28, 2019
Source: Elsevier
Summary:
In utero exposure to nicotine has postnatal effects on development of the heart and its response to adrenalin and may contribute to explanation of why some babies do not wake up during sleep apnea, according to a new study.
Journal Reference:
Michael Biet, Anh Tuan Ton, Jean-Francois Delabre, Nathalie Morin, Robert Dumaine. In utero exposure to nicotine abolishes the postnatal response of the cardiac sodium current to isoproterenol in newborn rabbit atrium. Heart Rhythm, 2019; 16 (4): 494 DOI: 10.1016/j.hrthm.2019.02.013

Here is the press release from Elsevier:

PUBLIC RELEASE: 28-MAR-2019
Novel study links fetal exposure to nicotine and sudden infant death syndrome
In utero exposure to nicotine has postnatal effects on development of the heart and its response to adrenalin and may contribute to explanation of why some babies do not wake up during sleep apnea, according to important new study published in HeartRhythm
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Philadelphia, March 28, 2019 – Fetal exposure to tobacco smoke in utero is associated with sudden infant death syndrome (SIDS) and cardiac arrhythmias in newborns. In a novel study in rabbits, investigators provide the first evidence linking fetal exposure to nicotine to long-term alterations of the cardiac sodium current. These changes may impair adaptation of the cardiac sodium current to sympathetic tone and prevent awakening from sleep apnea, leading to arrhythmias that could potentially be involved in SIDS. They report their findings in HeartRhythm, the official journal of the Heart Rhythm Society and the Cardiac Electrophysiology Society, published by Elsevier.
SIDS, or crib death, is the leading cause of death in the first year of life. In utero exposure to tobacco smoke remains the highest risk factor in 85 percent of cases. It therefore seems logical to prescribe nicotine replacement therapies (NRTs) to pregnant women who wish to quit smoking. Tobacco smoke contains over 3,000 toxic compounds identified so far, but out of all the toxic compounds found in smoke, only nicotine is associated with cardiac arrhythmias in newborns.
“Clinicians often prescribe NRTs to pregnant women who wish to quit smoking in order to reduce the number of crib deaths,” explained lead investigator Robert Dumaine, PhD, Department of Pharmacology and Physiology, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, QC, Canada. “However, our data show that nicotine alone is sufficient to alter electrical currents within the heart and generate arrhythmias leading to crib death.”
In the womb, the fetus cannot breathe on its own and its heart reacts to a reduction in oxygen by slowing the beating rate and its metabolism to preserve energy. This fetal adaptation is known as “diver reflex.” On the other hand, when an infant suffocates during sleep, the brain senses the reduction of oxygen in the blood and will trigger secretion of adrenalin (epinephrine) to accelerate heart rhythm. Once cardiac rhythm accelerates, in part due to increased excitability (sodium current) in the heart, the baby wakes up. This “resuscitation reflex” seems to be absent in babies with SIDS. Instead, those infants display a slowing of heart rate when lacking oxygen, as if their postnatal cardiac development had been delayed and still in a fetal state.
“The importance of this study is that, for the first time, we provide direct evidence that in utero exposure to nicotine has postnatal effects on the development of the heart and its response to adrenalin and may provide a basis to explain why some babies do not wake up during sleep apnea,” commented Dr. Dumaine. “Therefore, it might be worthwhile to revisit the clinical practice of prescribing the nicotine patch and other NRTs to pregnant women.”
Investigators measured the effect of nicotine on the response of cardiac sodium current (INa) to adrenergic stimulation in isolated cardiomyocytes in rabbits. They mated New Zealand female rabbits and after 14 days of gestation, implanted them subcutaneously with two osmotic pumps, each containing 2 ml of nicotine solution. The control group was exposed to saline solution instead of nicotine. Serum concentration of cotinine (nicotine metabolite) was measured every two days.
Results showed that isoproterenol, an analog of epinephrine (adrenaline) and a potent beta-adrenergic agonist, increased INa by 50 percent in newborn rabbits in the control group but had no effect in newborn rabbits that were exposed to nicotine in utero. Exposure of rabbit fetuses to nicotine while still in the womb reduced the response of their heart to adrenalin after birth. More specifically, they observed that the cardiac electrical current carried by sodium and responsible for excitability within the heart did not respond to adrenalin. Therefore, nicotine will impair acceleration of heart rate when adrenalin is released at the onset of sleep apnea, which is a potential mechanism leading to SIDS.
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Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.

See, Prenatal care fact sheet http://www.womenshealth.gov/publications/our-publications/fact-sheet/prenatal-care.html

Our goal as a society should be a healthy child in a healthy family who attends a healthy school in a healthy neighborhood. ©

Resources:

A History of Tobacco
http://archive.tobacco.org/History/Tobacco_History.html

American Lung Association’s Smoking and Teens Fact Sheet Women and Tobacco Use
African Americans and Tobacco Use
American Indians/Alaska Natives and Tobacco Use
Hispanics and Tobacco Use
Asian Americans/Pacific Islanders and Tobacco Use
Military and Tobacco Use
Children/Teens and Tobacco Use
Older Adults and Tobacco Use
http://www.lung.org/stop-smoking/about-smoking/facts-figures/specific-populations.html

Center for Young Women’s Health A Guide for Teens http://www.youngwomenshealth.org/smokeinfo.html

Kroger Resources Teens and Smoking
http://kroger.staywellsolutionsonline.com/Wellness/Smoking/Teens/

Teens Health’s Smoking
http://kidshealth.org/teen/drug_alcohol/tobacco/smoking.html

Quit Smoking Support.com
http://www.quitsmokingsupport.com/teens.htm

Where information leads to Hope. Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

University of Bergen study: Smoking fathers increase asthma-risk in future offspring

3 Oct

There are numerous reasons why smoking is considered bad for an individual and there are numerous research studies which list the reasons. Studies are showing how bad second hand smoke is for children. A MNT article, Smoking During Pregnancy May Lower Your Child’s Reading Scores:

Babies born to mothers who smoke more than a pack of cigarettes a day while pregnant have lower reading scores and a harder time with reading tests, compared with children whose mothers do not smoke.
This is the conclusion of a recent study conducted by researchers at Yale School of Medicine and published in The Journal of Pediatrics in November 2012. The reading tests measured how well children read out loud and understood what they were reading.

This isn’t the first study to suggest that smoking in pregnancy may affect a child’s future health and development. A study released in August 2012 said that smoking during pregnancy increases a child’s risk of asthma. In addition, a 2009 study linked smoking during pregnancy to behavioral problems among 3 and 4 year olds boys…. http://www.medicalnewstoday.com/articles/253100.php

An Inserm and Pierre and Marie Curie University study adds behavior problems to the list of woes children of smokers suffer.

Science Daily reported in Early exposure to tobacco can cause behavioral problems in children:

Researchers from Inserm and Pierre and Marie Curie University (UPMC), in collaboration with the university hospitals of 6 French cities, have analysed data on pre- and postnatal exposure to tobacco in the homes of 5,200 primary school children. They show that this exposure is associated with a risk of behavioural disorders in children, particularly emotional and conduct disorders. The association is stronger when exposure takes place both during pregnancy and after birth. These data show the risk associated with smoking in early life and its behavioural repercussions when the child is of school-going age.These results are published in the journal PLOS ONE.

The consequences of tobacco exposure are widely documented. It leads to many illnesses, including asthma. However, the potential role of environmental tobacco smoke (ETS) is much less well known in terms of its link to behavioural problems in children. In this context, the team led by Isabella Annesi-Maesano, Inserm Research Director at Unit 1136, “Pierre Louis Public Health Institute” (Inserm/UPMC) examined the association between pre- and postnatal ETS exposure and behavioural problems in children….

These observations seem to confirm those carried out in animals, i.e. that the nicotine contained in tobacco smoke may have a neurotoxic effect on the brain. During pregnancy, nicotine in tobacco smoke stimulates acetylcholine receptors, and causes structural changes in the brain. In the first months of life, exposure to tobacco smoke generates a protein imbalance that leads to altered neuronal growth….. http://www.sciencedaily.com/releases/2015/09/150928103029.htm?utm_source=dlvr.it&utm_medium=facebook

Steven Reinberg reported in the Health Day article, Secondhand Smoke in Infancy May Harm Kids’ Teeth.  http://consumer.healthday.com/kids-health-information-23/cavities-and-dental-news-118/secondhand-smoke-in-infancy-may-harm-kids-teeth-704482.html

Science Daily reported in Smoking fathers increase asthma-risk in future offspring:

A Norwegian study shows that asthma is three times more common in those who had a father who smoked in adolescence than offspring who didn’t.

It is well known that a mother’s environment plays a key role in child health. However, recent research, including more than 24,000 offspring, suggests that this may also be true for fathers.

“Offspring with a father who smoked only prior to conception had over three times more early-onset asthma than those whose father had never smoked,” says Professor Cecilie Svanes at the Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen (UiB).

Early debut increases risk

The study shows that both a father’s early smoking debut and a father’s longer smoking duration before conception increased non-allergic early-onset asthma in offspring. This is equally true with mutual adjustment, and adjusting for the number of cigarettes smoked and years since quitting smoking.

“The greatest increased risk for their children having asthma was found for fathers having their smoking debut before age 15. Interestingly, time of quitting before conception was not independently associated with offspring asthma,” Svanes says.

Smoking fathers may influence gene control in children

Concerning mother’s smoking, the research found more offspring asthma if the mother smoked around pregnancy, consistent with previous studies. However, no effect of maternal smoking only prior to conception was identified. The difference from father’s smoking suggests effects through male sperm cells.

“Smoking is known to cause genetic and epigenetic damage to spermatozoa, which are transmissible to offspring and have the potential to induce developmental abnormalities,” explains Svanes.

It is previously known that nutritional, hormonal and psychological environment provided by the mother permanently alters organ structure, cellular response and gene expression in her offspring. Father’s lifestyle and age appear, however, to be reflected in molecules that control gene function.

“There is growing evidence from animal studies for so called epigenetic programming, a mechanism whereby the father’s environment before conception could impact on the health of future generations,” Svanes says….                                                                                                       https://www.sciencedaily.com/releases/2016/09/160928135903.htm

Citation:

Smoking fathers increase asthma-risk in future offspring

Date:         September 28, 2016

Source:     University of Bergen

Summary:

Offspring with a father who smoked prior to conception had more than three times higher chance of early-onset asthma than children whose father had never smoked. Both a father’s early smoking debut and a father’s longer smoking duration before conception increased non-allergic early-onset asthma in offspring. This suggests that not only the mother’s environment plays a key role in child health, but also the father’s lifestyle, shows a new study including 24,000 children.

Journal Reference:

  1. Cecilie Svanes, Jennifer Koplin, Svein Magne Skulstad, Ane Johannessen, Randi Jakobsen Bertelsen, Byndis Benediktsdottir, Lennart Bråbäck, Anne Elie Carsin, Shyamali Dharmage, Julia Dratva, Bertil Forsberg, Thorarinn Gislason, Joachim Heinrich, Mathias Holm, Christer Janson, Deborah Jarvis, Rain Jögi, Susanne Krauss-Etschmann, Eva Lindberg, Ferenc Macsali, Andrei Malinovschi, Lars Modig, Dan Norbäck, Ernst Omenaas, Eirunn Waatevik Saure, Torben Sigsgaard, Trude Duelien Skorge, Øistein Svanes, Kjell Torén, Carl Torres, Vivi Schlünssen, Francisco Gomez Real. Father’s environment before conception and asthma risk in his children: a multi-generation analysis of the Respiratory Health In Northern Europe study. International Journal of Epidemiology, 2016; dyw151 DOI: 10.1093/ije/dyw151

Here is the press release from the University of Bergen:

Smoking fathers increase asthma-risk in future offspring.

A Norwegian study shows that asthma is three times more common in those who had a father who smoked in adolescence than offspring who didn’t.

SMOKING FATHERS: If you smoke as a young man, your future offspring will have a higher risk of getting asthma.

By Kim E. AndreassenPublished: 22.09.2016 (Last updated: 28.09.2016)

It is well known that a mother’s environment plays a key role in child health. However, recent research, including more than 24,000 offspring, suggests that this may also be true for fathers.

“Offspring with a father who smoked only prior to conception had over three times more early-onset asthma than those whose father had never smoked,” says Professor Cecilie Svanes at the Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen (UiB).

Early debut increases risk

The study shows that both a father’s early smoking debut and a father’s longer smoking duration before conception increased non-allergic early-onset asthma in offspring. This is equally true with mutual adjustment, and adjusting for the number of cigarettes smoked and years since quitting smoking.

“The greatest increased risk for their children having asthma was found for fathers having their smoking debut before age 15. Interestingly, time of quitting before conception was not independently associated with offspring asthma,” Svanes says.

The study is published in the scientific magazine International Journal of Epidemiology

Smoking fathers may influence gene control in children

Concerning mother’s smoking, the research found more offspring asthma if the mother smoked around pregnancy, consistent with previous studies. However, no effect of maternal smoking only prior to conception was identified. The difference from father’s smoking suggests effects through male sperm cells.

“Smoking is known to cause genetic and epigenetic damage to spermatozoa, which are transmissible to offspring and have the potential to induce developmental abnormalities,” explains Svanes.

It is previously known that nutritional, hormonal and psychological environment provided by the mother permanently alters organ structure, cellular response and gene expression in her offspring. Father’s lifestyle and age appear, however, to be reflected in molecules that control gene function.

“There is growing evidence from animal studies for so called epigenetic programming, a mechanism whereby the father’s environment before conception could impact on the health of future generations,” Svanes says.

Welding increases risk

Svanes and her team also investigated whether parental exposure to welding influenced asthma risk in offspring, with a particular focus on exposures in fathers prior to conception.

The study shows that paternal welding increased offspring asthma risk even if the welding stopped prior to conception. Smoking and welding independently increased offspring asthma risk, and mutual adjustment did not alter the estimates of either.

“For smoking and welding starting after puberty, exposure duration appeared to be the most important determinant for the asthma risk in offspring,” says Cecilie Svanes.

FACTS

Smoking fathers study

  • Cecilie Svanes investigated whether parental smoking and exposure to welding influenced asthma risk in offspring, with a particular focus on exposures in fathers prior to conception.
  • The study was conducted on a population-based cohort from seven Northern European research centres (RHINE study).
  • The experiences of more than 24,000 offspring, of which over 6000 had smoking and/or welding fathers, were included in the study The participants were from Norway, Sweden, Denmark, Iceland, Estonia.
  • The researches wanted to identify  vulnerable periods during male reproductive development by addressing whether potential preconception effects were related to exposure age, exposure duration, and time from quitting exposure until conception.
  • This research is part of the ECRHS study, and contributes to the large EU funded project “Ageing Lungs in European Cohorts.

http://www.uib.no/en/news/100994/smoking-fathers-increase-asthma-risk-future-offspring

See, Prenatal care fact sheet http://www.womenshealth.gov/publications/our-publications/fact-sheet/prenatal-care.html

Our goal as a society should be a healthy child in a healthy family who attends a healthy school in a healthy neighborhood. ©

Resources:

  1. A History of Tobacco
    http://archive.tobacco.org/History/Tobacco_History.html
  2. American Lung Association’s Smoking and Teens Fact Sheet Women and Tobacco Use
    African Americans and Tobacco Use
    American Indians/Alaska Natives and Tobacco Use
    Hispanics and Tobacco Use
    Asian Americans/Pacific Islanders and Tobacco Use
    Military and Tobacco Use
    Children/Teens and Tobacco Use
    Older Adults and Tobacco Use
    http://www.lung.org/stop-smoking/about-smoking/facts-figures/specific-populations.html
  3. Center for Young Women’s Health A Guide for Teens http://www.youngwomenshealth.org/smokeinfo.html
  4. Kroger Resources Teens and Smoking
    http://kroger.staywellsolutionsonline.com/Wellness/Smoking/Teens/
  5. Teens Health’s Smoking
    http://kidshealth.org/teen/drug_alcohol/tobacco/smoking.html
  6. Quit Smoking Support.com
    http://www.quitsmokingsupport.com/teens.htm

Where information leads to Hope. Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

Dr. Wilda ©
https://drwilda.com/

 

Inserm and Pierre and Marie Curie University study: Early exposure to tobacco can cause behavioral problems in children

28 Sep

There are numerous reasons why smoking is considered bad for an individual and there are numerous research studies which list the reasons. Studies are showing how bad second hand smoke is for children. A MNT article, Smoking During Pregnancy May Lower Your Child’s Reading Scores:

Babies born to mothers who smoke more than a pack of cigarettes a day while pregnant have lower reading scores and a harder time with reading tests, compared with children whose mothers do not smoke.
This is the conclusion of a recent study conducted by researchers at Yale School of Medicine and published in The Journal of Pediatrics in November 2012. The reading tests measured how well children read out loud and understood what they were reading.

This isn’t the first study to suggest that smoking in pregnancy may affect a child’s future health and development. A study released in August 2012 said that smoking during pregnancy increases a child’s risk of asthma. In addition, a 2009 study linked smoking during pregnancy to behavioral problems among 3 and 4 year olds boys.

Jeffrey Gruen, M.D., professor of pediatrics and genetics at Yale and his team examined data from over 5,000 kids enrolled in the Avon Longitudinal Study of Parents and Children (ALSPAC), which is an extensive trial of 15,211 kids from the years 1990 to 1992 at the University of Bristol in the U.K.

The experts compared 7 different areas with smoking during pregnancy:
• single-word identification
• reading speed
• spelling
• accuracy
• reading comprehension
• real reading
• non-word reading

The researchers adjusted for socioeconomic status, how the mother and child interacted with one another, and 14 other impacting factors.

This latest study is another in a line of studies suggesting that giving up smoking could play an important role in your child’s future health and wellbeing.

Experts discovered through their experiments that the children whose mothers smoked at least one pack a day while pregnant, had reading scores that were 21% lower than the children whose mothers did not smoke while pregnant. The reading tests were given to the kids when they were 7 years old, and again when they were 9.

On average, kids who were born to mothers who smoked during pregnancy were ranked 7 spots lower in terms of reading accuracy and capability to comprehend reading material than their classmates whose mothers did not smoke…. http://www.medicalnewstoday.com/articles/253100.php

An Inserm and Pierre and Marie Curie University study adds behavior problems to the list of woes children of smokers suffer.

Science Daily reported in Early exposure to tobacco can cause behavioral problems in children:

Researchers from Inserm and Pierre and Marie Curie University (UPMC), in collaboration with the university hospitals of 6 French cities, have analysed data on pre- and postnatal exposure to tobacco in the homes of 5,200 primary school children. They show that this exposure is associated with a risk of behavioural disorders in children, particularly emotional and conduct disorders. The association is stronger when exposure takes place both during pregnancy and after birth. These data show the risk associated with smoking in early life and its behavioural repercussions when the child is of school-going age.These results are published in the journal PLOS ONE.

The consequences of tobacco exposure are widely documented. It leads to many illnesses, including asthma. However, the potential role of environmental tobacco smoke (ETS) is much less well known in terms of its link to behavioural problems in children. In this context, the team led by Isabella Annesi-Maesano, Inserm Research Director at Unit 1136, “Pierre Louis Public Health Institute” (Inserm/UPMC) examined the association between pre- and postnatal ETS exposure and behavioural problems in children….

These data come from the 6 Cities Study (see box), which targeted 5,221 primary school children. Prenatal (in utero smoking) and postnatal exposure to tobacco smoke in the home was assessed using a standardised questionnaire completed by the parents. Behavioural disorders were assessed via the Strengths and Difficulties Questionnaire (SDQ) used to assess the behavioural and psychosocial functioning of the children, which was also completed by the parents.

In greater detail, emotional disorders are associated with exposure to ETS during both the prenatal and postnatal periods, which concerns 21% of the children in the study. Conduct disorders are also associated with ETS exposure in these children. The association also exists in cases of prenatal or postnatal exposure alone, but is less pronounced.

These observations seem to confirm those carried out in animals, i.e. that the nicotine contained in tobacco smoke may have a neurotoxic effect on the brain. During pregnancy, nicotine in tobacco smoke stimulates acetylcholine receptors, and causes structural changes in the brain. In the first months of life, exposure to tobacco smoke generates a protein imbalance that leads to altered neuronal growth….. http://www.sciencedaily.com/releases/2015/09/150928103029.htm?utm_source=dlvr.it&utm_medium=facebook

Citation:

Early exposure to tobacco can cause behavioral problems in children
Date: September 28, 2015

Source: INSERM

Summary:
Researchers have analyzed data on pre- and postnatal exposure to tobacco in the homes of 5,200 primary school children, and have found that early exposure to tobacco can lead to behavioral problems in children.

Journal Reference:
1. Julie Chastang, Nour Baïz, Jean Sébastien Cadwallader, Sarah Robert, John L Dywer, Denis André Charpin, Denis Caillaud, Frédéric de Blay, Chantal Raherison, François Lavaud, Isabella Annesi-Maesano. Correction: Postnatal Environmental Tobacco Smoke Exposure Related to Behavioral Problems in Children. PLOS ONE, 2015; 10 (9): e0138164 DOI: 10.1371/journal.pone.0138164

Here is the summary of the research from PLOS:

Postnatal Environmental Tobacco Smoke Exposure Related to Behavioral Problems in Children
Julie Chastang,#1,2,3 Nour Baïz,#1,3,* Jean Sébastien Cadwalladder,2 Sarah Robert,2 John Dywer,1 Denis André Charpin,4 Denis Caillaud,5 Frédéric de Blay,6 Chantal Raherison,7 François Lavaud,8 and Isabella Annesi-Maesano1,3
Kenji Hashimoto, Editor
Author information ► Article notes ► Copyright and License information ►
This article has been corrected. See PLoS One. 2015 September 9; 10(9): e0138164.
This article has been cited by other articles in PMC.

Go to:
Abstract
Objective

The purpose of this study was to examine the association between pre and post environmental tobacco smoke (ETS) exposure and behavioral problems in schoolchildren.

Methods
In the cross-sectional 6 cities Study conducted in France, 5221 primary school children were investigated. Pre- and postnatal exposure to secondhand tobacco smoke at home was assessed using a parent questionnaire. Child’s behavioral outcomes (emotional symptoms and conduct problems) were evaluated by the Strengths and Difficulties Questionnaire (SDQ) completed by the parents.

Results
ETS exposure during the postnatal period and during both pre- and postnatal periods was associated with behavioral problems in children. Abnormal emotional symptoms (internalizing problems) were related to ETS exposure in children who were exposed during the pre- and postnatal periods with an OR of 1.72 (95% Confidence Interval (CI)= 1.36-2.17), whereas the OR was estimated to be 1.38 (95% CI= 1.12-1.69) in the case of postnatal exposure only. Abnormal conduct problems (externalizing problems) were related to ETS exposure in children who were exposed during the pre- and postnatal periods with an OR of 1.94 (95% CI= 1.51-2.50), whereas the OR was estimated to be 1.47 (95% CI=1.17-1.84) in the case of postnatal exposure only. Effect estimates were adjusted for gender, study center, ethnic origin, child age, low parental education, current physician diagnosed asthma, siblings, preterm birth and single parenthood.

Conclusion
Postnatal ETS exposure, alone or in association with prenatal exposure, increases the risk of behavioral problems in school-age children.
Go to:
Introduction
The consequences of childhood environmental tobacco smoke (ETS) exposure have often been described [1, 2] and include many physical symptoms or diseases such as asthma or sudden infant death syndrome. However, much less is known about the potential role of ETS exposure in the development of behavioral problems in children. Association between behavioral problems and ETS exposure during fetal development has been suggested in several studies [3–5]. Recently, a dose-response relationship was reported between postnatal ETS exposure at home and hyperactivity/inattention as well as conduct problems in preschool children [6]. Furthermore, in a prospective birth cohort study, Tiesler et al. investigates the impact of passive smoking on behavioral problems. In this study, they found that not only maternal smoking during pregnancy but also paternal smoking at home is associated with hyperactivity/inattention problems in children [7].
Few studies have investigated the relationship between postnatal ETS and emotional symptoms or conduct problems. The purpose of this study was to investigate, in a large population-based sample of children and using internationally referenced instruments, the relationships between behavioral problems (emotional symptoms and conduct problems) and exposure to pre- and mostly postnatal ETS exposure.
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Materials and Methods
Participants
9615 children were recruited in primary school (CM1 and CM2 in France) in the frame of the French 6 Cities Study (6C Study) according to a protocol described in a previous study [8]. The sample was taken from all pupils in the 401 relevant classes from 108 schools randomly selected in the six French communities (Bordeaux, Clermont-Ferrand, Creteil, Marseille, Strasbourg and Reims), which were chosen for the contrast in their air quality.
7781 questionnaires have been collected. A total of 5221 children (54.3%), for whom complete data on ETS exposure and at least one of the two outcome variables (emotional symptoms or conduct problems) were available, have been included in the present study.

Behavioral problems
The Strengths and Difficulties Questionnaire (SDQ) is a validated questionnaire used to assess mental and behavioral strengths and difficulties in 3–16 years old children, which has been endorsed in France [9]. All the questionnaires were completed by the parents of the children. Emotional symptoms and conduct problems were measured through the SDQ on childrens’ behavior in the past 6 months. In each scale, five items were scored, using a three-point Likert scale: 0 for « not true », 1 for « somewhat true » or 2 for « very true » and summed up into score ranging from 0 to 10. According to the normative banding method for parent-reported SDQ scores in France [9], the scores were categorized to « normal », « borderline » or « abnormal » using the following cut-off points: 0–3, 4 and 5–10 respectively for emotional problems and 0–2, 3, 4–10 for conduct problems.

Exposure to environmental tobacco smoke (ETS)
Active smoking behavior of the mother, the father and any other household members at home during pregnancy, at 1 year of age and at the moment of the study was reported in the questionnaire. Children were defined as « never » being exposed to ETS when the mother reported no smoking during pregnancy, and when no smoking at home (mother, father and other members) was reported at 1 year of age and at the moment of the study.
Children were classified as being only prenatally exposed to ETS when the mother reported smoking during pregnancy but no smoking at home was reported at 1 year of age and at the moment of the study. Children were classified as being only postnatally exposed to ETS when smoking at home at 1 year of age or at the moment of the study was reported, but when the mother did not smoke during pregnancy. Pre- and postnatal ETS exposure was defined for children whose mothers had smoked during pregnancy and whose family had reported smoking at home at 1 year of age or at the moment of the study.

Statistical analysis
The characteristics of our study population (N = 5221) were compared to the sample of children without complete data (N = 2560), by using Chi-square tests. We also compared these characteristics in children according to their emotional symptoms and conduct problems, using Kruskal-Wallis tests.
In the unadjusted models, a total of 5077 children were included in the analyses of emotional symptoms and of 5126 children in the analyses of conduct problems.
We used a multinomial logistic regression model to analyze the association between behavioral problems and ETS exposure [10]. The dependent variables (emotional symptoms and conduct problems) were classified in three categories (normal, borderline and abnormal). Results are presented as odds ratios (OR) and 95% confidence intervals (95% CI). Covariate selection was based on the statistical significance of comparison tests between our study population and the rest of the population, and based on the known relationships to behavioral problems and/or ETS exposure. Parental education was defined as high if both parents attained tertiary level and low otherwise (primary and/or secondary). Children were considered to have a recent asthma diagnosis if they had been diagnosed by a doctor with asthma in the last 12 months. The variable “siblings” was classified into “presence of one or more siblings” and “no sibling”. Preterm birth was defined as a live birth before 37 completed weeks of gestation.
The final models were adjusted for gender, study center, ethnic origin, child age, low parental education, current physician diagnosed asthma, siblings, preterm birth and single parenthood.
In addition, interactions between ETS exposure and the covariates have been tested.
Dataset used in this work is given in S1 Dataset. All statistical analyses were performed using the statistical software SAS version 9.3 (SAS Institute Inc., Cary, NC, USA).

See, Prenatal care fact sheet http://www.womenshealth.gov/publications/our-publications/fact-sheet/prenatal-care.html

Our goal as a society should be a healthy child in a healthy family who attends a healthy school in a healthy neighborhood. ©

Resources:

1. A History of Tobacco
http://archive.tobacco.org/History/Tobacco_History.html

2. American Lung Association’s Smoking and Teens Fact Sheet Women and Tobacco Use
African Americans and Tobacco Use
American Indians/Alaska Natives and Tobacco Use
Hispanics and Tobacco Use
Asian Americans/Pacific Islanders and Tobacco Use
Military and Tobacco Use
Children/Teens and Tobacco Use
Older Adults and Tobacco Use
http://www.lung.org/stop-smoking/about-smoking/facts-figures/specific-populations.html

3. Center for Young Women’s Health A Guide for Teens http://www.youngwomenshealth.org/smokeinfo.html

4. Kroger Resources Teens and Smoking

http://kroger.staywellsolutionsonline.com/Wellness/Smoking/Teens/

5. Teens Health’s Smoking

http://kidshealth.org/teen/drug_alcohol/tobacco/smoking.html

6. Quit Smoking Support.com
http://www.quitsmokingsupport.com/teens.htm

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