Evidence map›Paper›PMID 36997899›Full record

SynthesisBMC public health2023

The correlation between prenatal maternal active smoking and neurodevelopmental disorders in children: a systematic review and meta-analysis.

Danrong Chen, Qing Niu, Shiping Liu, Wenchuan Shao, Yi Huang, Yifan Xu, Yihan Li, Jiani Liu, Xu Wang, Haibo Yang

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 3% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Tourette syndrome.Nature reviews. Disease primers · 2026
    Review
  4. Article
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  13. The role of neuroactive steroids in tic disorders.Neuroscience and biobehavioral reviews · 2024
    Review
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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

10 authors at 3 institutions in 1 country.

Danrong Chen *School of Public Health, Nanjing Medical University, Nanjing, 211166, China.
Qing Niu *Department of Endocrinology, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China.
Shiping Liu *Department of Orthopedics, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China.
Wenchuan ShaoThe First Clinical Medical College, Nanjing Medical University, Nanjing, 210029, China.
Yi HuangDepartment of Orthopedics, the First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Yifan XuSchool of Public Health, Nanjing Medical University, Nanjing, 211166, China.
Yihan LiJiangsu Breast Disease Center, the First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Jiani LiuSchool of Public Health, Nanjing Medical University, Nanjing, 211166, China.
Xu WangDepartment of Endocrinology, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China.
Haibo YangDepartment of Emergency, Pediatric Intensive Care Unit, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China. 44578935@qq.com.
Nanjing Medical University · CNSecond Affiliated Hospital of Nanjing Medical University · CNJiangsu Province Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo systematically evaluate the association between maternal active smoking during pregnancy and Tourette syndrome (TS), chronic tic disorder (CTD), and developmental coordination disorder (DCD) in children, and to provide evidence-based medical references to reduce the incidence of neurodevelopmental disorders in children.

methodWe searched PubMed, Web of Science, Embase, and Cochrane Library to obtain relevant articles published before 4 August 2021. Two reviewers independently assessed the articles for eligibility and extracted data.

resultsWe included eight studies involving a total of 50,317 participants (3 cohort, 3 case-control, and 2 cross-sectional studies). The pooled effect estimates suggested that prenatal maternal active smoking is related to an increased risk of neurodevelopmental disorders (OR = 1.91, 95% CI: 1.30-2.80), especially DCD (OR = 2.25, 95% CI: 1.35-3.75). Maternal active smoking during pregnancy is not associated with TS (OR = 1.07, 95% CI: 0.66-1.73) in children.

conclusionIn this meta-analysis, we found evidence for a correlation between active smoking exposure in pregnant women and neurodevelopmental disorders in children. Owing to the differences in sample size, smoking categories and diagnostic methods, further research is needed to validate our results.

Indexed as

Neurodevelopmental DisordersSmokingChildCross-Sectional StudiesFamilyFemaleHumansPregnancyTobacco SmokingActive smokingChildrenChronic tic disorderDevelopmental coordination disorderMaternalTourette syndrome

Identifiers

PMID36997899
PMCPMC10064745
OpenAlexW4361264993

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.