Evidence map›Paper›PMID 40682665›Full record

SynthesisNeuroradiology2025

Impact of prenatal tobacco exposure on brain structure and function in offspring: a systematic review and meta-analysis of MRI findings.

Mohammadamin Parsaei, Pegah Rashidian, Ali Parsaei, Mishka Terplan, Azadeh Tarafdari, Mahdi Masrour, Alireza Beikmarzehei, Parveneh Hassani, Mohsen Motevaselian, Hossein Sanjari Moghaddam

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

10 authors.

Mohammadamin ParsaeiBreastfeeding Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of. amin.parsaei890@gmail.com.
Pegah RashidianReproductive Health Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran, Islamic Republic of.
Ali ParsaeiIslamic Azad University Medical Branch of Tehran, Tehran, Iran, Islamic Republic of.
Mishka TerplanFriends Research Institute, Baltimore, Maryland, United States.
Azadeh TarafdariDepartment of Obstetrics and Gynecology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of.
Mahdi MasrourSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of.
Alireza BeikmarzeheiEye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of.
Parveneh HassaniDepartment of Diagnostic Radiology and Nuclear Medicine, University of Maryland, Baltimore, Maryland, United States.
Mohsen MotevaselianSchool of Medicine, Kerman University of Medical Sciences, Kerman, Iran, Islamic Republic of.
Hossein Sanjari MoghaddamPsychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe increasing global prevalence of maternal smoking during pregnancy raises concerns about lasting effects on fetal neurological development. This review of brain magnetic resonance imaging studies aims to analyze existing literature on the influence of maternal prenatal tobacco exposure on the structure and function of the offspring's brain.

methodsA systematic search was conducted in PubMed, Web of Science, and Embase for relevant articles published before May 24, 2025. The inclusion criteria consisted of peer-reviewed original articles comparing brain magnetic resonance imaging data of offspring born to mothers with and without prenatal tobacco exposure. A coordinate-based meta-analysis using the activation likelihood estimation was also performed.

resultsOur search resulted in 471 records, with 56 articles undergoing full-text screening. Ultimately, 27 articles comparing the brain magnetic resonance imaging of 15,913 offspring, from fetus to adulthood stages, with and without prenatal tobacco exposure, were included. While the findings of the studies were heterogeneous, multiple regional and global structural (e.g., volume, cortical thickness, and surface area) and functional (task-based) alterations were identified, specifically within the frontal, temporal, and parietal regions. Also, altered white matter tract volume and diffusivity indices were repeatedly reported. Furthermore, our meta-analysis identified reduced neural activity in the right inferior frontal gyrus of tobacco-exposed offspring.

conclusionThis review highlights a considerable association between maternal smoking during pregnancy and altered offspring brain development. Further studies are essential to discern precise causal effects on the offspring's brain, development, behavior, and function.

Indexed as

BrainMagnetic Resonance ImagingPrenatal Exposure Delayed EffectsFemaleHumansPregnancyCigaretteFunctional MRIMagnetic resonance imagingPregnancySmokingTobacco

Identifiers

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Registered trials

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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.