Evidence map›Paper›PMID 23232494›Full record

ReviewEnvironmental health perspectives2013

Evaluation of the association between maternal smoking, childhood obesity, and metabolic disorders: a national toxicology program workshop review.

Mamta Behl, Deepa Rao, Kjersti Aagaard, Terry L Davidson, Edward D Levin, Theodore A Slotkin, Supriya Srinivasan, David Wallinga, Morris F White, Vickie R Walker and 2 more

Open access · diamondAbstract readReview
In one paragraph

Review in Environmental health perspectives, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 3 pooled it
17.0field-weighted citation impact, top 1% of its field
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

71 citing papers in PubMed, 3 syntheses or guidelines pooled it, 160 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Prenatal Cannabis and Tobacco: Studies in Animal Models.Advances in experimental medicine and biology · 2026
    Review
  6. Feeding Method, Nicotine Exposure, and Growth during Infancy.Journal of pediatrics. Clinical practice · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Prenatal Effects of Nicotine on Obesity Risks: A Narrative Review.International journal of environmental research and public health · 2022
    Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Increased risk for excessive weight gain in infants who sleep less than 12 hours per 24 hours.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  19. Review
  20. Article

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

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

12 authors at 11 institutions in 2 countries.

Mamta BehlKelly Government Solutions, Research Triangle Park, North Carolina, USA.
Deepa Rao
Kjersti Aagaard
Terry L Davidson
Edward D Levin
Theodore A Slotkin
Supriya Srinivasan
David Wallinga
Morris F White
Vickie R Walker
Kristina A Thayer
Alison C Holloway
United States Department of Health and Human Services · USBaylor College of Medicine · USDuke Medical Center · USDuke University · USHoward Hughes Medical Institute · USInstitute for Agriculture and Trade Policy · USMcMaster University · CANational Institutes of Health · USPurdue University West Lafayette · USScripps Research Institute · USTriangle · US

Funding

Regulating IRS-proteins by Ser/Thr PhosphorylationR01DK038712 · NIDDK · JOSLIN DIABETES CENTER · PI WHITE, MORRIS F. · 1992 to 2014
$5.0M
NIDDK NIH HHS R01 DK038712
6 · The paper itself

Abstract

backgroundAn emerging literature suggests that environmental chemicals may play a role in the development of childhood obesity and metabolic disorders, especially when exposure occurs early in life.

objectiveHere we assess the association between these health outcomes and exposure to maternal smoking during pregnancy as part of a broader effort to develop a research agenda to better understand the role of environmental chemicals as potential risk factors for obesity and metabolic disorders.

methodsPubMed was searched up to 8 March 2012 for epidemiological and experimental animal studies related to maternal smoking or nicotine exposure during pregnancy and childhood obesity or metabolic disorders at any age. A total of 101 studies-83 in humans and 18 in animals-were identified as the primary literature. DISCUSSION: Current epidemiological data support a positive association between maternal smoking and increased risk of obesity or overweight in offspring. The data strongly suggest a causal relation, although the possibility that the association is attributable to unmeasured residual confounding cannot be completely ruled out. This conclusion is supported by findings from laboratory animals exposed to nicotine during development. The existing literature on human exposures does not support an association between maternal smoking during pregnancy and type 1 diabetes in offspring. Too few human studies have assessed outcomes related to type 2 diabetes or metabolic syndrome to reach conclusions based on patterns of findings. There may be a number of mechanistic pathways important for the development of aberrant metabolic outcomes following perinatal exposure to cigarette smoke, which remain largely unexplored.

conclusionsFrom a toxicological perspective, the linkages between maternal smoking during pregnancy and childhood overweight/obesity provide proof-of-concept of how early-life exposure to an environmental toxicant can be a risk factor for childhood obesity.

Indexed as

SmokingAnimalsChildConfounding Factors, EpidemiologicEnvironmental PollutantsFemaleHumansMetabolic DiseasesNicotineObesityPregnancyRisk FactorsEnvironmental PollutantsNicotine

Identifiers

PMID23232494
PMCPMC3569686
OpenAlexW35580004

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

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.