Association between early gestation passive smoke exposure and neonatal size among self-reported non-smoking women by race/ethnicity: A cohort study

Understanding implications of passive smoke exposure during pregnancy is an important public health issue under the Developmental Origins of Health and Disease paradigm. In a prospective cohort of low-risk non-smoking pregnant women (NICHD Fetal Growth Studies—Singletons, 2009–2013, N = 2055), the a...

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Autores principales:	Melissa M. Amyx, Rajeshwari Sundaram, Germaine M. Buck Louis, Nicole M. Gerlanc, Alaina M. Bever, Kurunthachalam Kannan, Morgan Robinson, Melissa M. Smarr, Dian He, Fasil Tekola-Ayele, Cuilin Zhang, Katherine L. Grantz
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a77a7dd98ff94136954bc6b603acb594
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spelling	oai:doaj.org-article:a77a7dd98ff94136954bc6b603acb5942021-11-25T06:19:43ZAssociation between early gestation passive smoke exposure and neonatal size among self-reported non-smoking women by race/ethnicity: A cohort study1932-6203https://doaj.org/article/a77a7dd98ff94136954bc6b603acb5942021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8601432/?tool=EBIhttps://doaj.org/toc/1932-6203Understanding implications of passive smoke exposure during pregnancy is an important public health issue under the Developmental Origins of Health and Disease paradigm. In a prospective cohort of low-risk non-smoking pregnant women (NICHD Fetal Growth Studies—Singletons, 2009–2013, N = 2055), the association between first trimester passive smoke exposure and neonatal size was assessed by race/ethnicity. Plasma biomarker concentrations (cotinine, nicotine) assessed passive smoke exposure. Neonatal anthropometric measures included weight, 8 non-skeletal, and 2 skeletal measures. Linear regression evaluated associations between continuous biomarker concentrations and neonatal anthropometric measures by race/ethnicity. Cotinine concentrations were low and the percent above limit of quantification varied by maternal race/ethnicity (10% Whites; 14% Asians; 15% Hispanics; 49% Blacks). The association between cotinine concentration and infant weight differed by race/ethnicity (Pinteraction = 0.034); compared to women of the same race/ethnicity, per 1 log-unit increase in cotinine, weight increased 48g (95%CI -44, 139) in White and 51g (95%CI -81, 183) in Hispanic women, but decreased -90g (95%CI -490, 309) in Asian and -93g (95%CI -151, -35) in Black women. Consistent racial/ethnic differences and patterns were found for associations between biomarker concentrations and multiple non-skeletal measures for White and Black women (Pinteraction<0.1). Among Black women, an inverse association between cotinine concentration and head circumference was observed (−0.20g; 95%CI −0.38, −0.02). Associations between plasma cotinine concentration and neonatal size differed by maternal race/ethnicity, with increasing concentrations associated with decreasing infant size among Black women, who had the greatest biomarker concentrations. Public health campaigns should advocate for reducing pregnancy exposure, particularly for vulnerable populations.Melissa M. AmyxRajeshwari SundaramGermaine M. Buck LouisNicole M. GerlancAlaina M. BeverKurunthachalam KannanMorgan RobinsonMelissa M. SmarrDian HeFasil Tekola-AyeleCuilin ZhangKatherine L. GrantzPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Melissa M. Amyx Rajeshwari Sundaram Germaine M. Buck Louis Nicole M. Gerlanc Alaina M. Bever Kurunthachalam Kannan Morgan Robinson Melissa M. Smarr Dian He Fasil Tekola-Ayele Cuilin Zhang Katherine L. Grantz Association between early gestation passive smoke exposure and neonatal size among self-reported non-smoking women by race/ethnicity: A cohort study
description	Understanding implications of passive smoke exposure during pregnancy is an important public health issue under the Developmental Origins of Health and Disease paradigm. In a prospective cohort of low-risk non-smoking pregnant women (NICHD Fetal Growth Studies—Singletons, 2009–2013, N = 2055), the association between first trimester passive smoke exposure and neonatal size was assessed by race/ethnicity. Plasma biomarker concentrations (cotinine, nicotine) assessed passive smoke exposure. Neonatal anthropometric measures included weight, 8 non-skeletal, and 2 skeletal measures. Linear regression evaluated associations between continuous biomarker concentrations and neonatal anthropometric measures by race/ethnicity. Cotinine concentrations were low and the percent above limit of quantification varied by maternal race/ethnicity (10% Whites; 14% Asians; 15% Hispanics; 49% Blacks). The association between cotinine concentration and infant weight differed by race/ethnicity (Pinteraction = 0.034); compared to women of the same race/ethnicity, per 1 log-unit increase in cotinine, weight increased 48g (95%CI -44, 139) in White and 51g (95%CI -81, 183) in Hispanic women, but decreased -90g (95%CI -490, 309) in Asian and -93g (95%CI -151, -35) in Black women. Consistent racial/ethnic differences and patterns were found for associations between biomarker concentrations and multiple non-skeletal measures for White and Black women (Pinteraction<0.1). Among Black women, an inverse association between cotinine concentration and head circumference was observed (−0.20g; 95%CI −0.38, −0.02). Associations between plasma cotinine concentration and neonatal size differed by maternal race/ethnicity, with increasing concentrations associated with decreasing infant size among Black women, who had the greatest biomarker concentrations. Public health campaigns should advocate for reducing pregnancy exposure, particularly for vulnerable populations.
format	article
author	Melissa M. Amyx Rajeshwari Sundaram Germaine M. Buck Louis Nicole M. Gerlanc Alaina M. Bever Kurunthachalam Kannan Morgan Robinson Melissa M. Smarr Dian He Fasil Tekola-Ayele Cuilin Zhang Katherine L. Grantz
author_facet	Melissa M. Amyx Rajeshwari Sundaram Germaine M. Buck Louis Nicole M. Gerlanc Alaina M. Bever Kurunthachalam Kannan Morgan Robinson Melissa M. Smarr Dian He Fasil Tekola-Ayele Cuilin Zhang Katherine L. Grantz
author_sort	Melissa M. Amyx
title	Association between early gestation passive smoke exposure and neonatal size among self-reported non-smoking women by race/ethnicity: A cohort study
title_short	Association between early gestation passive smoke exposure and neonatal size among self-reported non-smoking women by race/ethnicity: A cohort study
title_full	Association between early gestation passive smoke exposure and neonatal size among self-reported non-smoking women by race/ethnicity: A cohort study
title_fullStr	Association between early gestation passive smoke exposure and neonatal size among self-reported non-smoking women by race/ethnicity: A cohort study
title_full_unstemmed	Association between early gestation passive smoke exposure and neonatal size among self-reported non-smoking women by race/ethnicity: A cohort study
title_sort	association between early gestation passive smoke exposure and neonatal size among self-reported non-smoking women by race/ethnicity: a cohort study
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/a77a7dd98ff94136954bc6b603acb594
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Association between early gestation passive smoke exposure and neonatal size among self-reported non-smoking women by race/ethnicity: A cohort study

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