Evidence map›Paper›PMID 21038943›Full record

ArticleDevelopmental psychology2011

Prenatal tobacco exposure: developmental outcomes in the neonatal period.

Kimberly Andrews Espy, Hua Fang, Craig Johnson, Christian Stopp, Sandra A Wiebe

Abstract read
In one paragraph

Article in Developmental psychology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kimberly Andrews EspyOffice of Research, University of Nebraska-Lincoln, 303 Canfield Administration Building, Lincoln, NE 68588-0443, USA. kespy2@unl.edu
Hua Fang
Craig Johnson
Christian Stopp
Sandra A Wiebe

Funding

Executive Function Development in Preschool ChildrenR01MH065668 · NIMH · UNIVERSITY OF NEBRASKA LINCOLN · PI ESPY, KIMBERLY ANDREWS, WIEBE, SANDRA A. · 2004 to 2013
$4.8M
Prenatal smoking and the substrates of disruptive behavior in early lifeR01DA023653 · NIDA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI ESPY, KIMBERLY ANDREWS, WAKSCHLAG, LAUREN S · 2009 to 2013
$4.7M
Prenatal Smoking and Patterns of Youth Problem BehaviorR01DA015223 · NIDA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI WAKSCHLAG, LAUREN S · 2003 to 2007
$3.8M
Early School Progress in <1000g Birthweight ChildrenR01HD050309 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI TAYLOR, HUDSON · 2006 to 2010
$3.2M
Prenatal Tobacco Exposure: Perinatal and Genetic RisksR01DA014661 · NIDA · UNIVERSITY OF NEBRASKA LINCOLN · PI ESPY, KIMBERLY ANDREWS · 2003 to 2007
$2.0M
NICHD NIH HHS HD050309NICHD NIH HHS R01 HD050309NIDA NIH HHS DA015223NIDA NIH HHS DA023653NIDA NIH HHS R01 DA014661NIDA NIH HHS R01 DA015223NIDA NIH HHS R01 DA023653NIMH NIH HHS MH065668NIMH NIH HHS R01 MH065668
6 · The paper itself

Abstract

Smoking during pregnancy is a persistent public health problem that has been linked to later adverse outcomes. The neonatal period--the first month of life--carries substantial developmental change in regulatory skills and is the period when tobacco metabolites are cleared physiologically. Studies to date mostly have used cross-sectional designs that limit characterizing potential impacts of prenatal tobacco exposure on the development of key self-regulatory processes and cannot disentangle short-term withdrawal effects from residual exposure-related impacts. In this study, pregnant participants (N = 304) were recruited prospectively during pregnancy, and smoking was measured at multiple time points, with both self-report and biochemical measures. Neonatal attention, irritable reactivity, and stress dysregulation were examined longitudinally at three time points during the first month of life, and physical growth indices were measured at birth. Tobacco-exposed infants showed significantly poorer attention skills after birth, and the magnitude of the difference between exposed and nonexposed groups attenuated across the neonatal period. In contrast, exposure-related differences in irritable reactivity largely were not evident across the 1st month of life, differing marginally at 4 weeks of age only. Third-trimester smoking was associated with pervasive, deleterious, dose–response impacts on physical growth measured at birth, whereas nearly all smoking indicators throughout pregnancy predicted level and growth rates of early attention. The observed neonatal pattern is consistent with the neurobiology of tobacco on the developing nervous system and fits with developmental vulnerabilities observed later in life.

Indexed as

Child DevelopmentAttentionFemaleFollow-Up StudiesHumansInfant, NewbornIrritable MoodMaleNicotianaPregnancyPrenatal Exposure Delayed EffectsProspective Studies

Identifiers

PMID21038943
PMCPMC3057676

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.