Maternal smoking during pregnancy and offspring overweight: is there a dose-response relationship? An individual patient data meta-analysis

BACKGROUND/OBJECTIVES

A number of meta-analyses suggest an association between any maternal smoking in pregnancy and offspring overweight obesity. Whether there is a dose-response relationship across number of cigarettes and whether this differs by sex remains unclear.

SUBJECT/METHODS

Studies reporting number of cigarettes smoked during pregnancy and offspring BMI published up to May 2015 were searched. An individual patient data meta-analysis of association between the number of cigarettes smoked during pregnancy and offspring overweight (defined according to the International Obesity Task Force reference) was computed using a generalized additive mixed model with non-linear effects and adjustment for confounders (maternal weight status, breastfeeding, and maternal education) and stratification for sex.

RESULTS

Of 26 identified studies, 16 authors provided data on a total of 238,340 mother-child-pairs. A linear positive association was observed between the number of cigarettes smoked and offspring overweight for up to 15 cigarettes per day with an OR increase per cigarette of 1.03, 95% CI = [1.02-1.03]. The OR flattened with higher cigarette use. Associations were similar in males and females. Sensitivity analyses supported these results.

CONCLUSIONS

A linear dose-response relationship of maternal smoking was observed in the range of 1-15 cigarettes per day equally in boys and girls with no further risk increase for doses above 15 cigarettes.

Evaluation of residual levels of benomyl, methyl parathion, diuron, and vamidothion in pineapple pulp and bagasse (Smooth cayenne)

The objective of this research was to study the residual levels of benomyl, methyl parathion, diuron, and vamidothion in pineapple bagasse and pulp. Benomyl (benlate), methyl parathion (Folidol 600), diuron (Krovar), and Vamidothion (Kilval 300) were applied pre-harvest to pineapples (smooth cayenne). After harvesting, the fruits were washed (100 ppm sodium hypochlorite) and the pulp was separated from the sub-products (peel, core, tops, and tails). The pulp was not submitted to any heat treatment. The sub-products and the juice expressed from them, were submitted to a blanching process (95 degrees C for 1 min). After separating the juice, the bagasse and pulp were analyzed for residues of diuron and benomyl by high performance liquid chromatography, and for residues of vamidothion and methyl parathion by gas chromatography using a TSD detector. No residues of benomyl, diuron, vamidothion, or methyl parathion were detected in the pulp within the quantification limits of the methods (0.1 mg/kg, 0.1 mg/kg, 0.005 mg/kg, and 0.005 mg/kg, respectively). Only methyl parathion (0.052 mg/kg) and vamidothion (0.021 mg/kg) were detected in the bagasse. The presence of these residues in the bagasse was probably due to the action of the wax found in the peel, which prevented the methyl parathion and vamidothion from dissolving in the juice. According to these results, the pulp was fit for human consumption, as far as pesticide residues were concerned, and the bagasse was fit for animal feed and similar applications, because the residual levels found were below the limits established for these compounds.