Short and long term health effects of parental tobacco smoking during pregnancy and lactation: a descriptive review.
Short and long term health effects of parental tobacco smoking during pregnancy and lactation: a descriptive review.
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DOI：
10.1186/s12967-015-0690-y
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发表时间：
2015-10-15
影响因子：
7.4
通讯作者：
Verduci E
中科院分区：
文献类型：
--
作者：
Banderali G;Martelli A;Landi M;Moretti F;Betti F;Radaelli G;Lassandro C;Verduci E
吸烟对受孕、妊娠、胎儿和儿童健康的不利影响已引起了大量关注。本文的目的是讨论目前的证据关于父母吸烟对儿童健康的短期和长期的健康影响，在怀孕和哺乳期间和潜在的潜在机制。在MEDLINE®和Cochrane数据库中检索研究，分别使用布尔值和or值插入“妊娠”、“人类哺乳期”、“胎儿生长”、“代谢结果”、“肥胖”、“心血管结果”、“血压”、“大脑发育”、“呼吸结果”、“母亲或父亲或父母吸烟”、“尼古丁”。MEDLINE也考虑了来自研究参考列表的出版物。所有资料检索时间为2015-01-03 - 2015-31-05。关于父母吸烟对胎儿和产后的负面影响的文献总体上是一致的：早产、胎儿生长受限、低出生体重、婴儿猝死综合征、神经发育和行为问题、肥胖、高血压、2型糖尿病、肺功能受损、哮喘和喘息。虽然孕妇在怀孕期间吸烟对不利的产后结果起主要作用，但它也可能与哺乳期吸烟和接触二手烟一起累积。虽然这篇综述并不是严格设计为系统综述，也没有完全应用PRISMA声明，但它可能会使读者受益，及时和友好的可读更新的问题。这一综述强调了制定人口健康政策的必要性，这些政策旨在实施教育计划，以期最大限度地减少孕期和哺乳期的烟草接触。
A great deal of attention has been focused on adverse effects of tobacco smoking on conception, pregnancy, fetal, and child health. The aim of this paper is to discuss the current evidence regarding short and long-term health effects on child health of parental smoking during pregnancy and lactation and the potential underlying mechanisms. Studies were searched on MEDLINE® and Cochrane database inserting, individually and using the Boolean ANDs and ORs, ‘pregnancy’, ‘human lactation’, ‘fetal growth’, ‘metabolic outcomes’, ‘obesity’, ‘cardiovascular outcomes’, ‘blood pressure’, ‘brain development’, ‘respiratory outcomes’, ‘maternal or paternal or parental tobacco smoking’, ‘nicotine’. Publications coming from the reference list of studies were also considered from MEDLINE. All sources were retrieved between 2015-01-03 and 2015-31-05. There is overall consistency in literature about negative effects of fetal and postnatal exposure to parental tobacco smoking on several outcomes: preterm birth, fetal growth restriction, low birth weight, sudden infant death syndrome, neurodevelopmental and behavioral problems, obesity, hypertension, type 2 diabetes, impaired lung function, asthma and wheezing. While maternal smoking during pregnancy plays a major role on adverse postnatal outcomes, it may also cumulate negatively with smoking during lactation and with second-hand smoking exposure. Although this review was not strictly designed as a systematic review and the PRISMA Statement was not fully applied it may benefit the reader with a promptly and friendly readable update of the matter. This review strengthens the need to plan population health policies aimed to implement educational programs to hopefully minimize tobacco smoke exposure during pregnancy and lactation.