Evidence map›Paper›PMID 30732669›Full record

ArticlePublic health nutrition2020

Smoking during pregnancy reduces vitamin D levels in a Finnish birth register cohort.

A Inkeri Lokki, Jenni Heikkinen-Eloranta, Hanna Öhman, Seppo Heinonen, Heljä-Marja Surcel, Henriette Svarre Nielsen

Open access · greenAbstract read
In one paragraph

Article in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  6. Commonalities in Metabolic Reprogramming between Tobacco Use and Oral Cancer.International journal of environmental research and public health · 2022
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  11. Review
  12. Maternal Vitamin D Levels and the Risk of Offspring Attention-Deficit/Hyperactivity Disorder.Journal of the American Academy of Child and Adolescent Psychiatry · 2021
    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

6 authors at 4 institutions in 2 countries.

A Inkeri LokkiImmunobiology Research Programs Unit, University of Helsinki, Helsinki, Finland.
Jenni Heikkinen-ElorantaObstetrics and Gynaecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Hanna ÖhmanFaculty of Medicine, University of Oulu, Oulu, Finland.
Seppo HeinonenObstetrics and Gynaecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Heljä-Marja SurcelFaculty of Medicine, University of Oulu, Oulu, Finland.
Henriette Svarre NielsenFertility Clinic, Rigshospitalet, University Hospital Copenhagen, Copenhagen, Denmark.
Helsinki University Hospital · FIBorealis (Finland) · FIRigshospitalet · DKUniversity of Oulu · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMaternal vitamin D level in pregnancy may have implications for both the mother and fetus. Deficiency of vitamin D has been linked to several pregnancy complications and fetal skeletal health. Smoking has been associated with reduced serum level of the vitamin D metabolite, 25-hydroxyvitamin D (25(OH)D).

designA nested case-control study within the Finnish Maternity Cohort, a population-based cohort which includes first-trimester sera from 98 % of pregnancies in Finland since 1987. The selection consisted of women with uncomplicated pregnancies. We studied serum concentration of 25(OH)D in 313 non-smoking and forty-six self-reported smoking pregnant women.

settingWe hypothesize that pregnant smokers may have an increased risk of low 25(OH)D levels especially during winter months.

participantsA control group from an unpublished pregnancy complication study consisting of 359 uncomplicated pregnancies. Individuals who reported that they do not smoke were considered 'non-smokers' (n 313) and those who reported continued smoking after the first trimester of pregnancy were considered 'smokers' (n 46).

resultsSmokers had significantly lower levels of 25(OH)D irrespective of sampling time (P<0·0001). Furthermore, during the low sun-exposure season, only 14 % of smokers met the guideline level of 40 nmol/l for serum 25(OH)D in comparison with 31 % of non-smokers.

conclusionsExpectant mothers who smoke have an increased risk of vitamin D deficiency during low sun-exposure months in northern regions. Further studies are needed to assess the associated risks for maternal and fetal health as well as possible long-term implications for the infant.

Indexed as

AdultCase-Control StudiesCohort StudiesFemaleFinlandHumansPregnancyPregnancy ComplicationsPregnancy Trimester, FirstRisk FactorsSeasonsSmokingSunlightVitamin DVitamin D DeficiencyYoung Adult25-hydroxyvitamin DVitamin D25-Hydroxyvitamin DPregnancySmokingVitamin D

Identifiers

PMID30732669
PMCPMC10200425
OpenAlexW2914485917

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.