Effect of in utero tobacco smoke exposure on onset of asthma in offspring

M. R. Slavkovic-Jovanovic, S. Zivanovic, L. Saranac, Z. Zivkovic (Nis, Belgrade, Yugoslavia)

Source: Annual Congress 2002 - Smoking habits in teenagers
Session: Smoking habits in teenagers
Session type: Thematic Poster Session
Number: 899
Disease area: Airway diseases, Paediatric lung diseases

Congress or journal article abstract

Abstract

Parents[scquote] smoking is one of possible factors that can cause asthma in offspring. Intrauterine exposure to tobacco smoke metabolites has a direct effect on lung and airway development. Other reported effects include up regulation of T-helper cell (TH2) responses, possible increased IgE production and induction of inhalant allergy in children. We have tested parents whose children become affected by asthma (126 children: 46 female, 80 male, age 6-17 years - mean age 10.4 years). Exposure to tobacco smoke in utero was assessed retrospectively using questionnaire responses.
Obtained results (number of affected children, onset of asthma, intensity of tobacco exposure) are showed on the following table.

Mother smokingFather smokingBoth parents[scquote] smoking Positive intrauterine exposure to tobacco smoke (one or both parents' smoking) Negative intrauterine exposure to tobacco smoke (non-smoking parents)
Number of affected children 20 (15.87%)52 (41.26%)28 (22.22%)100 (79.35%)26 (20.63%)
Average time of onset of asthma (in months)38 31.26 29.9 32.2441.1
Average number of smoked cigarettes/24h8.22130.5721.160


In group of asthmatic children in utero exposed to tobacco, onset of asthma was related to amount of tobacco smoke (number of smoked cigarettes/24h), no meter if smoker was mother or father.


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M. R. Slavkovic-Jovanovic, S. Zivanovic, L. Saranac, Z. Zivkovic (Nis, Belgrade, Yugoslavia). Effect of in utero tobacco smoke exposure on onset of asthma in offspring. Eur Respir J 2002; 20: Suppl. 38, 899

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