Evidence map›Paper›PMID 29664587›Full record

ArticleEnvironmental health perspectives2018

Maternal Smoking during Pregnancy and Early Childhood and Development of Asthma and Rhinoconjunctivitis - a MeDALL Project.

Jesse D Thacher, Ulrike Gehring, Olena Gruzieva, Marie Standl, Göran Pershagen, Carl-Peter Bauer, Dietrich Berdel, Theresa Keller, Sibylle Koletzko, Gerard H Koppelman and 15 more

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 6% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Prediction of allergic disease trajectories from birth up to adolescence.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  5. Article
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  7. Social inequalities in childhood asthma.The World Allergy Organization journal · 2024
    Review
  8. Asthma Inception: Epidemiologic Risk Factors and Natural History Across the Life Course.American journal of respiratory and critical care medicine · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Air pollution as an early determinant of COPD.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  16. The relationship of early-life household air pollution with childhood asthma and lung function.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  17. Article
  18. Article
  19. Review
  20. Article
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

25 authors at 16 institutions in 5 countries.

Jesse D ThacherInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Ulrike GehringInstitute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, The Netherlands.
Olena GruzievaInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Marie StandlInstitute of Epidemiology, Helmholtz Zentrum München - German Research Centre for Environmental Health, Neuherberg, Germany.
Göran PershagenInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Carl-Peter BauerDepartment of Pediatrics, Technical University of Munich, Munich, Germany.
Dietrich BerdelResearch Institute, Department of Paediatrics, Marien-Hospital-Wesel, Wesel, Germany.
Theresa KellerInstitute for Social Medicine, Epidemiology and Health Economics, Charité – Universitätsmedizin Berlin, Berlin, Germany
Sibylle KoletzkoDr. von Hauner Children's Hospital, Medical Center of Ludwig-Maximilians-University, Munich, Germany.
Gerard H KoppelmanDepartment of Paediatric Pulmonology and Paediatric Allergology, Beatrix Children’s Hospital, University Medical Centre Groningen, University of Groningen, Groningen, Netherlands
Inger KullInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Susanne LauDepartment of Pediatrics, Division of Pneumology and Immunology, Charité-Universitätsmedizin Berlin, Berlin, Germany
Irina LehmannDepartment of Environmental Immunology and Core Facility Studies, Helmholtz Centre for Environmental Research – UFZ, Leipzig, Germany
Dieter MaierBiomax Informatics AG, Munich, Germany
Tamara SchikowskiIUF – Leibniz Research Institute for Environmental Medicine, Düsseldorf, Germany
Ulrich WahnDepartment of Pediatrics, Division of Pneumology and Immunology, Charité-Universitätsmedizin Berlin, Berlin, Germany
Alet H WijgaCentre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment, Bilthoven, Netherlands
Joachim HeinrichInstitute of Epidemiology, Helmholtz Zentrum München - German Research Centre for Environmental Health, Neuherberg, Germany.
Jean BousquetMACVIA-France, Contre les Maladies Chroniques pour un Vieillissement Actif en France European Innovation Partnership on Active and Healthy Ageing Reference Site, Montpellier, France
Josep M AntoISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain
Andrea von BergResearch Institute, Department of Paediatrics, Marien-Hospital-Wesel, Wesel, Germany.
Erik MelénInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Henriette A SmitJulius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, Netherlands
Thomas KeilInstitute for Social Medicine, Epidemiology and Health Economics, Charité – Universitätsmedizin Berlin, Berlin, Germany
Anna BergströmInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Charité - Universitätsmedizin Berlin · DEKarolinska Institutet · SEStockholm County Council · SEHelmholtz Zentrum München · DEMarien Hospital Wesel · DEBiomax Informatics (Germany) · DEHelmholtz Centre for Environmental Research · DEInserm · FRLeibniz Institute of Environmental Medicine · DELudwig-Maximilians-Universität München · DENational Institute for Public Health and the Environment · NLTechnical University of Munich · DEUniversitat Pompeu Fabra · ESUniversity Medical Center Groningen · NLUniversity Medical Center Utrecht · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of tobacco smoke exposure in the development and persistence of asthma and rhinoconjunctivitis through childhood into adolescence is unclear.

objectivesWe assessed the associations of parental smoking from fetal life through adolescence with asthma and rhinoconjunctivitis during childhood and adolescence.

methodsWe analyzed data for 10,860 participants of five European birth cohort studies from the Mechanisms of the Development of Allergy (MeDALL) consortium. Parental smoking habits and health outcomes (early transient, persistent, and adolescent-onset asthma and rhinoconjunctivitis) were based on questionnaires covering the period from pregnancy to 14-16 y of age. Data were combined and analyzed using a one-stage and two-stage individual participant data meta-analysis.

resultsOverall, any maternal smoking during pregnancy tended to be associated with an increased odds of prevalent asthma [adjusted odds ratio (aOR)=1.19 (95% CI: 0.98, 1.43)], but not prevalent rhinoconjunctivitis [aOR=1.05 (95% CI: 0.90, 1.22)], during childhood and adolescence. In analyses with phenotypes related to age of onset and persistence of disease, any maternal smoking during pregnancy was associated with early transient asthma [aOR=1.79 (95% CI: 1.14, 2.83)]. Maternal smoking of ≥10 cigarettes/day during pregnancy was associated with persistent asthma [aOR=1.66 (95% CI: 1.29, 2.15)] and persistent rhinoconjunctivitis [aOR=1.55 (95% CI, 1.09, 2.20)]. Tobacco smoke exposure during fetal life, infancy, childhood, and adolescence was not associated with adolescent-onset asthma or rhinoconjunctivitis.

conclusionsFindings from this combined analysis of five European birth cohorts strengthen evidence linking early exposure to tobacco smoke with asthma during childhood and adolescence. Children with high early-life exposure were more likely than unexposed children to have early transient and persistent asthma and persistent rhinoconjunctivitis. https://doi.org/10.1289/EHP2738.

Indexed as

AdolescentAsthmaChildChild, PreschoolConjunctivitisEuropeFemaleHumansInfantInfant, NewbornMalePregnancyPrenatal Exposure Delayed EffectsRhinitisSmoking

Identifiers

PMID29664587
PMCPMC6071724
OpenAlexW2801620090

What OpenQuestion holds

Textmetadata
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.