Smoking during pregnancy may up fracture risk in babies: Study

LONDON: Infants of mothers who smoke during early pregnancy appear to have an increased risk of fractures during the first year of life, according to a study.

The results, published in The BMJ, show no long-lasting effect on fracture risk later in childhood, and up to early adulthood.

This suggests that smoking in pregnancy only has a short term influence on bone health, the researchers said.

Many studies have found a link between smoking during pregnancy and growth problems in infants.

However, evidence of the impact of smoking during pregnancy on bone health and risk of fractures in children at different stages of life is scarce and inconsistent.

The researchers from the Orebro University in Sweden set out to study the impact of maternal smoking during pregnancy on fractures in offspring from infancy to young adulthood.

The findings are based on over 1.6 million people born in Sweden between 1983 and 2000 to women who smoked (377,367) and did not smoke (1,302,940) in early pregnancy.

Offspring were followed up from birth to an average age of 21. During this period 377,970 fractures were identified.

The researchers also carried out sibling comparison analyses to control for any unwanted effects of unmeasured familial — genetic and environmental — factors shared by siblings, making the results more likely to be reliable.

Overall, maternal smoking was associated with a higher rate of fractures in offspring before one year of age. (AGENCIES)