MONDAY, June 28 (HealthDay News) -- Two new studies suggest
there's a connection between parents who smoke and kids who are
heavier or misbehave more than other children.
The researchers haven't definitively proven that lighting up
puts kids at risk for bad behavior and extra pounds. In fact, it
may be impossible to ever prove a cause-and-effect because it's
considered unethical to assign some parents to smoke and then see
what happens.
Still, the findings "tighten the link" between parents who smoke
and physical and mental health problems in their kids, said Dr.
Jonathan Winickoff, an associate professor of pediatrics at
Massachusetts General Hospital, who co-wrote a commentary
accompanying the research.
For decades, doctors have advised pregnant women to avoid
smoking for fear that they would harm their unborn children;
research has linked smoking in mothers to physical problems in
offspring such as low birth weight. If the mother smokes during the
first trimester, the effects are worse than in later trimesters,
said Neil E. Grunberg, a professor of medical and clinical
psychology at the Uniformed Services University of the Health
Sciences, in Bethesda, Md.
But it hasn't been as clear whether there's a connection between
mothers who smoke and other health problems in their kids. And the
influence of fathers who smoke -- exposing their kids to secondhand
smoke or perhaps affecting sperm at conception -- has also remained
a mystery.
In one of the new studies, researchers examined what happened to
kids whose fathers smoked but their mothers did not. Researchers
from the University of Hong Kong studied 7,924 kids from that
region who were born in 1997.
The researchers found that the kids who had fathers who smoked
were more likely to be heavier at ages 7 or 11 after the statistics
were adjusted so they wouldn't be thrown off by factors such as
gender and socioeconomic status.
The study appears in the July print issue of
Pediatrics, as does a study linking pregnant mothers who smoke to misbehaving kids. Both were published online June 28.
In that second study, British and Brazilian researchers studied
509 children in Brazil and 6,735 in England. After adjusting their
statistics to account for possible confounding factors, they
discovered that kids of mothers who smoked while pregnant were more
likely to be deemed aggressive and disruptive.
This isn't the first time researchers have come to this
conclusion, said Grunberg. And if smoking does cause the problems,
the study doesn't say how, he added.
So, what might be the connection between parents who puff
cigarettes and kids who misbehave and weigh more than others?
Winickoff, co-author of the commentary, said it's not true that
smoking makes people skinnier. Instead, it boosts the weight around
their bellies and hips, he explained. One theory is that secondhand
smoke could do the same thing to those who are exposed, like the
kids of dads who light up.
As for pregnant mothers who smoke, their bodies don't act as
filters, he said. Instead, the toxins from smoking affect the
fetus.
"Anyone who's been in the delivery room when a mother who smokes cigarettes delivers can attest to the state of the placenta," he explained. "In general, it's withered, discolored. It's very clear that the blood supply to the child is compromised."
More information
The U.S. National Library of Medicine looks at pregnancy and
smoking and substance abuse.