Are women who quit smoking at high risk of excess weight gain throughout pregnancy?

Hulmán, Ádám; Lutsiv, Olha; Park, Christina K.; Krebs, L.; Beyene, Joseph; McDonald, Sarah D.

doi:10.1186/s12884-016-1056-z

Cited by 17 publications

(13 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The factor that strongly determined GWG in our study was quitting smoking. The results of several other papers also confirmed that women who quit smoking after conception gain much more weight than women who had never smoked [ 57 – 59 ]. Research carried out in the general population suggests, that heavy smokers (≥25 cigarettes per day) and those who were obese before quitting gain the most weight [ 60 ].…”

Section: Discussionmentioning

confidence: 55%

Factors associated with gestational weight gain: a cross-sectional survey

Suliga

Rokitaⴕ

Adamczyk-Gruszka

et al. 2018

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundThe aim of this study was to describe the dietary patterns in pregnant women and determine the association between diet factors, pre-pregnancy body mass index, socio-demographic characteristics and gestational weight gain.MethodsThe analysis was conducted on a group of 458 women. Cut-off values of gestational weight gain adequacy were based on recommendations published by the US Institute of Medicine and were body mass index-specific. Logistic regression analysis was used to assess the risk of the occurrence of inadequate or excessive gestational weight gain. Dietary patterns were identified by factor analysis.ResultsThree dietary patterns characteristic of pregnant women in Poland were identified: ‘unhealthy’, ‘varied’ and ‘prudent’. The factor associated with increased risk of inadequate gestational weight gain was being underweight pre-pregnancy (OR = 2.61; p = 0.018). The factor associated with increased risk of excessive weight gain were being overweight or obese pre-pregnancy (OR = 7.00; p = 0.031) and quitting smoking (OR = 7.32; p = 0.019). The risk of excessive weight gain was decreased by being underweight pre-pregnancy (OR = 0.20; p = 0.041), being in the third or subsequent pregnancy compared to being in the first (OR = 0.37; p = 0.018), and having a high adherence to a prudent dietary pattern (OR = 0.47; p = 0.033).ConclusionsWomen who were overweight or obese pre-pregnancy and those who quit smoking at the beginning of pregnancy should be provided with dietary guidance to prevent excessive gestational weight gain.Electronic supplementary materialThe online version of this article (10.1186/s12884-018-2112-7) contains supplementary material, which is available to authorized users.

show abstract

Section: Discussionmentioning

confidence: 55%

Factors associated with gestational weight gain: a cross-sectional survey

Suliga

Rokitaⴕ

Adamczyk-Gruszka

et al. 2018

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Women who stop smoking during pregnancy reportedly have higher weight gain compared with women who continue smoking 49 . It is possible that maternal weight in pregnancy increases by number of previous cigarettes.…”

Section: Discussionmentioning

confidence: 97%

Placental weight and birthweight: the relations with number of daily cigarettes and smoking cessation in pregnancy. A population study

Larsen

Haavaldsen

Bjelland

et al. 2018

International Journal of Epidemiology

View full text Add to dashboard Cite

BackgroundWe studied associations of number of daily cigarettes in the first trimester with placental weight and birthweight in women who smoked throughout pregnancy, and in women who stopped smoking after the first trimester.MethodsWe included all women with delivery of a singleton in Norway (n = 698 891) during 1999–2014, by using data from the Medical Birth Registry of Norway. We assessed dose-response associations by applying linear regression with restricted cubic splines.ResultsIn total, 12.6% smoked daily in the first trimester, and 3.7% stopped daily smoking. In women who smoked throughout pregnancy, placental weight and birthweight decreased by number of cigarettes; however, above 11–12 cigarettes we estimated no further decrease (Pnon-linearity < 0.001). Maximum decrease in placental weight in smokers compared with non-smokers was 18.2 g [95% confidence interval (CI): 16.6 to 19.7], and for birthweight the maximum decrease was 261.9 g (95% CI: 256.1 to 267.7). In women who stopped smoking, placental weight was higher than in non-smokers and increased by number of cigarettes to a maximum of 16.2 g (95% CI: 9.9 to 22.6). Birthweight was similar in women who stopped smoking and non-smokers, and we found no change by number of cigarettes (Pnon-linearity < 0.001).ConclusionsIn women who smoked throughout pregnancy, placental weight and birthweight decreased non-linearly by number of cigarettes in the first trimester. In women who stopped smoking, placental weight was higher than in non-smokers and increased linearly by number of cigarettes; birthweight was almost similar to that of non-smokers.

show abstract

“…A gestante com alto peso tende a permanecer acima do peso após o parto e se tornar uma obesa mais tarde. Existe maior risco de o bebê nascer com alto peso, o que dobra o risco de obesidade infanti l 6 . Hulman et al 6 compararam o ganho de peso em gestantes que nunca ti nham fumado com as que pararam de fumar na gravidez e com as que conti nuaram fumando.…”

Section: Intervenções Comportamentaisunclassified

“…Existe maior risco de o bebê nascer com alto peso, o que dobra o risco de obesidade infanti l 6 . Hulman et al 6 compararam o ganho de peso em gestantes que nunca ti nham fumado com as que pararam de fumar na gravidez e com as que conti nuaram fumando. O resultado foi que mulheres com sobrepeso e obesas ganharam peso acima da taxa semanal recomendada no segundo e no terceiro trimestre, independentemente do tabagismo, assim como todas as mulheres que pararam de fumar.…”

Section: Intervenções Comportamentaisunclassified

“…Os bebês têm risco para nascer com baixo peso (redução média de 200g) 2 , o que tem forte associação com o desenvolvimento de doença coronariana, diabetes tipo 2 e obesidade na vida adulta 2 . Além disso, o fumo está associado com risco aumentado de abortamento, má formação congênita, natimorto, maior risco de placenta prévia, gestação ectópica, ruptura prematura de membranas e morte súbita do recém-nascido [3][4][5][6][7] . 8 .…”

Section: Introductionunclassified

See 1 more Smart Citation

Tabagismo e gravidez

Cavalsan¹,

Rennó²,

Rocha³

et al. 2017

Debates em Psiquiatria

View full text Add to dashboard Cite

-revista debates em psiquiatria ResumoOs dados da literatura são unânimes em confirmar os malefícios do fumo na população geral e, sobretudo, em gestantes. Fumo na gestação é preditor para resultados adversos no nascimento, como nascimento prematuro e baixo peso ao nascer, bem como para maior mortalidade fetal e infantil. A abstinência do cigarro sempre deve ser estimulada em gestantes. Para maior sucesso do tratamento, devem-se considerar as vulnerabilidades sociais, as doenças associadas (principalmente depressão e ansiedade), o nível de maturidade emocional, o desejo pela gestação e as incertezas sobre o futuro. O objetivo deste artigo é identificar as gestantes que estão mais propensas a permanecer fumando durante a gestação, orientar sobre a abordagem médica, avaliando se há tratamentos seguros durante a gravidez e qual a melhor modalidade terapêutica a ser oferecida. Atualmente, a terapia comportamental, em especial a terapia cognitiva comportamental, é o melhor tratamento para a abstinência do cigarro, para pacientes gestantes ou não. Em caso de dependência grave de nicotina, é necessária a introdução de medicações. A medicação mais usada é a bupropiona, apesar de os estudos ainda não garantirem a sua segurança em relação ao feto. Na prática, não se observam complicações nas gestantes e nos fetos.Palavras-chave: Gestação, fumo, tratamento. AbstractThe literature is consistent in confirming the harmful effects of smoking in the general population and especially in pregnant women. Smoking during pregnancy is a predictor of adverse birth outcomes, such as preterm birth and low birth weight, as well as of increased fetal and infant mortality. Smoking cessation should always be stimulated in pregnant women. To increase treatment success, it is important to consider social vulnerabilities, associated diseases (especially depression and anxiety), emotional maturity, whether or not the pregnancy was desired, and uncertainties about the future. The objectives of this article were to identify the pregnant women who are more vulnerable to continue smoking during pregnancy, to provide guidance on the management of these cases, evaluating the availability of treatments that can be used safely during pregnancy, and to identify the best treatment to offer to these women. Currently, behavioral therapy, especially cognitive behavioral therapy, is the best treatment available for smoking cessation, both for pregnant women and in general. Severe nicotine dependence may require pharmacotherapy. In these cases, the medication most commonly used is bupropion, despite the lack of evidence regarding its safety for the fetus. In clinical practice, no complications for the fetus or for the pregnant women have been reported.

show abstract

Are women who quit smoking at high risk of excess weight gain throughout pregnancy?

Cited by 17 publications

References 31 publications

Factors associated with gestational weight gain: a cross-sectional survey

Factors associated with gestational weight gain: a cross-sectional survey

Placental weight and birthweight: the relations with number of daily cigarettes and smoking cessation in pregnancy. A population study

Tabagismo e gravidez

Contact Info

Product

Resources

About