Prenatal weight gain following smoking cessation

Abstract Objective To evaluate the association of changes in smoking habit with maternal weight gain. Study design We questioned 4000 pregnant women ≥20 years about previous and current smoking habits during a second trimester visit to general prenatal clinics in 6 Brazilian cities, from 1991 to 199...

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Published in:European journal of obstetrics & gynecology and reproductive biology 2007-12, Vol.135 (2), p.149-153
Main Authors: Favaretto, Ana L, Duncan, Bruce B, Mengue, Sotero S, Nucci, Luciana B, Barros, Enrique F, Kroeff, Locimara R, Vigo, Alvaro, Schmidt, Maria I
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Body weight changes
Cohort Studies
Female
Gynecology. Andrology. Obstetrics
Humans
Linear Models
Medical sciences
Obstetrics and Gynecology
Pregnancy
Pregnancy - physiology
Pregnancy outcome
Prospective Studies
Smoking Cessation
Socioeconomic Factors
Tobacco, tobacco smoking
Toxicology
Weight gain
Weight Gain - physiology
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Summary:Abstract Objective To evaluate the association of changes in smoking habit with maternal weight gain. Study design We questioned 4000 pregnant women ≥20 years about previous and current smoking habits during a second trimester visit to general prenatal clinics in 6 Brazilian cities, from 1991 to 1995, and followed their weight, through chart review, to term. Results Of women who reported stopping smoking (915, 23% of the total), 240 (26.2%) stopped during pregnancy. The median number of cigarettes smoked/day among those who reported continued smoking (717, 18%) decreased from 10 to 5 with pregnancy. In linear regression models adjusting for age, educational attainment, ethnicity, prepregnancy body mass index, parity and clinical center, ex-smokers gained 1.03 kg (95%CI 0.59–1.46) more than those reporting never smoking, this difference being greater: 1.54 kg (95%CI 0.78–2.30) in those who reported quitting while pregnant. The size of weight gain in both continuing smokers and ex-smokers was proportional to the reduction in daily number of cigarettes smoked during pregnancy, being 0.38 kg (95%CI 0.07–0.68) greater for each 10 cigarettes reduced ( p = 0.007). Conclusion Decreasing the quantity of cigarettes smoked in pregnancy, although important for maternal and child health, is associated with maternal weight gain.
ISSN:0301-2115
1872-7654
DOI:10.1016/j.ejogrb.2006.11.014