Prepregnancy Body Mass Index, Smoking During Pregnancy, and Infant Birth Weight

Michele La Merrill, Cheryl R. Stein, Philip Landrigan, Stephanie M. Engel, David A. Savitz

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Purpose: Smoking during pregnancy is strongly associated with increased risk of small for gestational age (SGA) and low birth weight, whereas elevated prepregnancy body mass index (BMI) is associated with a decreased risk of SGA and greater birth weight. We investigated the combined effect of prenatal smoking and prepregnancy BMI on risk of SGA and on birth weight. Methods: A total of 34,928 singleton, term pregnancies in residents of New York City between 1995 and 2003 were evaluated in multivariable regression models of birth weight and risk of SGA. Results: Increasing prepregnancy BMI reduced the risk of SGA and increased birth weight. The effect of prenatal smoking on birth weight and SGA diminished in women as their prepregnancy BMI increased, such that prenatal smoking did not significantly impact the risk of SGA among women who were overweight or obese before pregnancy. Prenatal smoking decreased mean birth weight by 187 g (95% confidence interval [CI] -337, -37) among underweight women, by 129 g(95% CI -170, -87) among normal weight women, by 46 g (95% CI -113, +20) among overweight women, and by 75 g (95% CI -162, +11) among obese women. Conclusions: This study suggests that the effect of smoking during pregnancy on SGA and birth weight is present in underweight and normal weight women but markedly reduced among obese and overweight women.

Original languageEnglish (US)
Pages (from-to)413-420
Number of pages8
JournalAnnals of Epidemiology
Volume21
Issue number6
DOIs
StatePublished - Jun 1 2011
Externally publishedYes

Fingerprint

Birth Weight
Gestational Age
Body Mass Index
Smoking
Pregnancy
Confidence Intervals
Thinness
Weights and Measures
Low Birth Weight Infant

Keywords

  • Birth Weight
  • Body Mass Index
  • Cigarette Smoking
  • Fetal Growth Retardation
  • Infant
  • Small for Gestational Age

ASJC Scopus subject areas

  • Epidemiology

Cite this

Prepregnancy Body Mass Index, Smoking During Pregnancy, and Infant Birth Weight. / La Merrill, Michele; Stein, Cheryl R.; Landrigan, Philip; Engel, Stephanie M.; Savitz, David A.

In: Annals of Epidemiology, Vol. 21, No. 6, 01.06.2011, p. 413-420.

Research output: Contribution to journalArticle

La Merrill, Michele ; Stein, Cheryl R. ; Landrigan, Philip ; Engel, Stephanie M. ; Savitz, David A. / Prepregnancy Body Mass Index, Smoking During Pregnancy, and Infant Birth Weight. In: Annals of Epidemiology. 2011 ; Vol. 21, No. 6. pp. 413-420.
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