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Maternal alcohol and tobacco consumption and the association with their 9-14 year old childrens body mass index
JOINT EVENT 10th International Conference on Childhood Obesity and Nutrition & 2nd International Conference on Metabolic and Bariatric Surgery
Rejane Figueiredo, Eva Roos, Johan G Eriksson, Sabina Simola-Strom and Elisabete Weiderpass
Folkh�¤lsan Research Center, Finland
University of Helsinki, Finland
Helsinki University Hospital, Finland
Karolinska Institute, Sweden
Cancer Registry of Norway, Norway
University of Troms�¸, Norway
Aim: Little is known about impact of maternal alcohol and tobacco consumption on adolescents� body size. The purpose of this
study was to evaluate whether maternal alcohol or tobacco consumption is associated with their children�s body size in adolescence,
assessed by Body Mass Index (BMI).
Methods: This study was conducted in subjects recruited into the Finnish Health in Teens cohort (Fin-HIT) between 2011 and 2014.
A total of 4,525 subjects aged between 9 and 14 years and their mothers or female adults responsible for the children were analyzed.
Relative risks (RR) and 95% confidence intervals (CI) were estimated using multinomial logistic regression.
Results: Most children were normal weight (74.5%), 10.6% were underweight and 14.9% were overweight or obese. Among mothers,
50.6% were never smokers, 35.7% were former smokers, and 13.7% were current smokers. Alcohol consumption was classified by
Alcohol Use Disorders Identification Test (AUDIT), 12.7% were abstainers (score=0), 65.0% were low-moderate drinkers (scores 1-4)
and 22.3% were harmful drinkers (scores�5). There were statistically significant associations between currently smoking mothers
and children�s overweight (RR=1.36; 95% CI: 1.05-1.75). There was an inverse association between maternal former smoking and
children�s underweight (RR=0.70; CI: 0.56-0.87) compared to never smoker mothers. Among children in puberty, abstainer mothers
were more likely to have underweight children compared to low-moderate mothers (RR=1.57; 95% CI: 1.03-2.41).
Conclusion: Current smoker mothers were associated with children�s overweight and former-smoker mothers were inversely
associated with the children�s underweight. Being an abstainer mother was associated with the children�s underweight in puberty
stage. If other studies confirm these results, public health interventions aiming at healthy weight of adolescents should target the
whole family, not only the adolescents themselves.