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Tobacco smoke exposure in early life and adolescence in relation to lung function

Thacher, Jesse D LU ; Schultz, Erica S ; Hallberg, Jenny ; Hellberg, Ulrika ; Kull, Inger ; Thunqvist, Per ; Pershagen, Göran ; Gustafsson, Per M ; Melén, Erik and Bergström, Anna (2018) In The European respiratory journal 51(6).
Abstract

Maternal smoking during pregnancy is associated with impaired lung function among young children, but less is known about long-term effects and the impact of adolescents' own smoking. We investigated the influence of maternal smoking during pregnancy, secondhand smoke exposure and adolescent smoking on lung function at age 16 years.The BAMSE (Barn/Child, Allergy, Milieu, Stockholm, Epidemiology) birth cohort collected information on participants' tobacco smoke exposure through repeated questionnaires, and measured saliva cotinine concentrations at age 16 years. Participants performed spirometry and impulse oscillometry (IOS) at age 16 years (n=2295).Exposure to maternal smoking during pregnancy was associated with reduced forced... (More)

Maternal smoking during pregnancy is associated with impaired lung function among young children, but less is known about long-term effects and the impact of adolescents' own smoking. We investigated the influence of maternal smoking during pregnancy, secondhand smoke exposure and adolescent smoking on lung function at age 16 years.The BAMSE (Barn/Child, Allergy, Milieu, Stockholm, Epidemiology) birth cohort collected information on participants' tobacco smoke exposure through repeated questionnaires, and measured saliva cotinine concentrations at age 16 years. Participants performed spirometry and impulse oscillometry (IOS) at age 16 years (n=2295).Exposure to maternal smoking during pregnancy was associated with reduced forced expiratory volume in 1 s (FEV1)/forced vital capacity (FVC) ratio of -1.1% (95% CI -2.0 to -0.2%). IOS demonstrated greater resistance at 5-20 Hz (R5-20) in participants exposed to maternal smoking during pregnancy. Adolescents who smoked had reduced FEV1/FVC ratios of -0.9% (95% CI -1.8 to -0.1%) and increased resistance of 6.5 Pa·L-1·s (95% CI 0.7 to 12.2 Pa·L-1·s) in R5-20 Comparable associations for FEV1/FVC ratio were observed for cotinine concentrations, using ≥12 ng·mL-1 as a cut-off for adolescent smoking.Maternal smoking during pregnancy was associated with lower FEV1/FVC ratios and increased airway resistance. In addition, adolescent smoking appears to be associated with reduced FEV1/FVC ratios and increased peripheral airway resistance.

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author
; ; ; ; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adolescent, Biomarkers/analysis, Cotinine/analysis, Female, Forced Expiratory Volume, Humans, Linear Models, Lung/physiopathology, Male, Pregnancy, Prenatal Exposure Delayed Effects/epidemiology, Saliva/chemistry, Sex Distribution, Smoking/epidemiology, Spirometry, Tobacco Smoke Pollution/adverse effects, Vital Capacity
in
The European respiratory journal
volume
51
issue
6
article number
1702111
publisher
European Respiratory Society
external identifiers
  • scopus:85048248461
  • pmid:29748304
ISSN
1399-3003
DOI
10.1183/13993003.02111-2017
language
English
LU publication?
no
additional info
Copyright ©ERS 2018.
id
62fcbfa0-6da0-4fb2-9806-43332f7f0c55
date added to LUP
2023-05-08 10:56:56
date last changed
2024-04-05 19:15:15
@article{62fcbfa0-6da0-4fb2-9806-43332f7f0c55,
  abstract     = {{<p>Maternal smoking during pregnancy is associated with impaired lung function among young children, but less is known about long-term effects and the impact of adolescents' own smoking. We investigated the influence of maternal smoking during pregnancy, secondhand smoke exposure and adolescent smoking on lung function at age 16 years.The BAMSE (Barn/Child, Allergy, Milieu, Stockholm, Epidemiology) birth cohort collected information on participants' tobacco smoke exposure through repeated questionnaires, and measured saliva cotinine concentrations at age 16 years. Participants performed spirometry and impulse oscillometry (IOS) at age 16 years (n=2295).Exposure to maternal smoking during pregnancy was associated with reduced forced expiratory volume in 1 s (FEV1)/forced vital capacity (FVC) ratio of -1.1% (95% CI -2.0 to -0.2%). IOS demonstrated greater resistance at 5-20 Hz (R5-20) in participants exposed to maternal smoking during pregnancy. Adolescents who smoked had reduced FEV1/FVC ratios of -0.9% (95% CI -1.8 to -0.1%) and increased resistance of 6.5 Pa·L-1·s (95% CI 0.7 to 12.2 Pa·L-1·s) in R5-20 Comparable associations for FEV1/FVC ratio were observed for cotinine concentrations, using ≥12 ng·mL-1 as a cut-off for adolescent smoking.Maternal smoking during pregnancy was associated with lower FEV1/FVC ratios and increased airway resistance. In addition, adolescent smoking appears to be associated with reduced FEV1/FVC ratios and increased peripheral airway resistance.</p>}},
  author       = {{Thacher, Jesse D and Schultz, Erica S and Hallberg, Jenny and Hellberg, Ulrika and Kull, Inger and Thunqvist, Per and Pershagen, Göran and Gustafsson, Per M and Melén, Erik and Bergström, Anna}},
  issn         = {{1399-3003}},
  keywords     = {{Adolescent; Biomarkers/analysis; Cotinine/analysis; Female; Forced Expiratory Volume; Humans; Linear Models; Lung/physiopathology; Male; Pregnancy; Prenatal Exposure Delayed Effects/epidemiology; Saliva/chemistry; Sex Distribution; Smoking/epidemiology; Spirometry; Tobacco Smoke Pollution/adverse effects; Vital Capacity}},
  language     = {{eng}},
  number       = {{6}},
  publisher    = {{European Respiratory Society}},
  series       = {{The European respiratory journal}},
  title        = {{Tobacco smoke exposure in early life and adolescence in relation to lung function}},
  url          = {{http://dx.doi.org/10.1183/13993003.02111-2017}},
  doi          = {{10.1183/13993003.02111-2017}},
  volume       = {{51}},
  year         = {{2018}},
}