Evidence map›Paper›PMID 18653646›Full record

ArticleAmerican journal of epidemiology2008

Maternal smoking during pregnancy and children's cognitive and physical development: a causal risk factor?

Stephen E Gilman, Hannah Gardener, Stephen L Buka

Abstract read
In one paragraph

Article in American journal of epidemiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
  7. Feeding Method, Nicotine Exposure, and Growth during Infancy.Journal of pediatrics. Clinical practice · 2024
    Article
  8. Article
  9. Prenatal tobacco exposure associations with physical health and neurodevelopment in the ABCD cohort.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. A Follow-Up Study of Cognitive Development in Low Risk Preterm Children.International journal of environmental research and public health · 2020
    Article
  18. Article
  19. Association between tobacco and/or alcohol consumption during pregnancy and infant development: BRISA Cohort.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2020
    Article
  20. Familial confounding of the association between maternal smoking in pregnancy and autism spectrum disorder in offspring.Autism research : official journal of the International Society for Autism Research · 2020
    Article

21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Stephen E GilmanDepartment of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA 02115, USA. sgilman@hsph.harvard.edu
Hannah Gardener
Stephen L Buka

Funding

Statistical Sciences CoreP50CA084719 · NCI · MIRIAM HOSPITAL · PI CLARK, MELISSA A · 1999 to 2008
$17.8M
Training Program in Psychiatric Genetics and Translational ResearchT32MH017119 · NIMH · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI KARESTAN C KOENEN, Jukka-Pekka Onnela · 1985 to 2026
$8.9M
NCI NIH HHS P50 CA084719NIMH NIH HHS T32 MH017119NIMH NIH HHS T32 MH17119
6 · The paper itself

Abstract

There remains considerable debate regarding the effects of maternal smoking during pregnancy on children's growth and development. Evidence that exposure to maternal smoking during pregnancy is associated with numerous adverse outcomes is contradicted by research suggesting that these associations are spurious. The authors investigated the relation between maternal smoking during pregnancy and 14 developmental outcomes of children from birth through age 7 years, using data from the Collaborative Perinatal Project (1959-1974; n = 52,919). In addition to adjusting for potential confounders measured contemporaneously with maternal smoking, the authors fitted conditional fixed-effects models among siblings that controlled for unmeasured confounders. Results from the conditional analyses indicated a birth weight difference of -85.63 g associated with smoking of >or=20 cigarettes daily during pregnancy (95% confidence interval: -131.91, -39.34) and 2.73 times' higher odds of being overweight at age 7 years (95% confidence interval: 1.30, 5.71). However, the associations between maternal smoking and 12 other outcomes studied (including Apgar score, intelligence, academic achievement, conduct problems, and asthma) were entirely eliminated after adjustment for measured and unmeasured confounders. The authors conclude that the hypothesized effects of maternal smoking during pregnancy on these outcomes either are not present or are not distinguishable from a broader range of familial factors associated with maternal smoking.

Indexed as

MothersPregnancy ComplicationsBehaviorBostonChildChild DevelopmentChild, PreschoolCognitionCohort StudiesConfidence IntervalsFemaleFloridaGrowthHumansInfantInfant, Newborn

Identifiers

PMID18653646
PMCPMC2597003

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.