scholarly journals The effects of water-pipe smoking on birth weight: a population-based prospective cohort study in southern Iran

2018 ◽  
Vol 40 ◽  
pp. e2018008 ◽  
Author(s):  
Shahrzad Nematollahi ◽  
Mohammad Ali Mansournia ◽  
Abbas Rahimi Foroushani ◽  
Mahmood Mahmoodi ◽  
Azin Alavi ◽  
...  
2020 ◽  
Author(s):  
Shahrzad Nematollahi ◽  
Mohammad Ali Mansournia ◽  
Abbas Rahimi-Foroushani ◽  
Ali Mouseli ◽  
Hossein Shabkhiz ◽  
...  

Abstract BackgroundTo estimate Population Attributable Fractions (PAFs) and Generalized Impact Fractions (GIFs) for LBW following scenarios to remove or decrease prenatal use of caffeine or water pipe.Methods‎Using data of 861 pregnant women from a population-based prospective cohort study ‎in suburbs of Bandar Abbas city (2016-2018), PAFs and GIFs were calculated based on the relative risk scale. Practical interventional scenarios to reduce the exposure prevalence were developed for calculation of GIFs. ResultsThe cumulative incidence of LBW was 16.1%. An estimated 19% (95%CI: 6, 30%) of LBW neonates was attributed to dietary caffeine intake of >100 mg/day and 11% (95%CI: 8,14%) to water pipe smoking. Action plans to reduce caffeine intake and water pipe smoking suggested an avoidable burden of LBW cases of approximately 10.7% (95% CI: 6.6, 25.3%) and 5.7% ‎‎(95%CI: ‎5.0, 6.8%), respectively.‎ConclusionsWater pipe smoking and excessive consumption of caffeine during pregnancy decreased birth weight. Practical action plans to control water pipe smoking ‎and to prevent excessive intake of ‎caffeine ‎among pregnant women would substantially reduce LBW burden in the south of Iran. ‎


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Shahrzad Nematollahi ◽  
Koroush Holakouie-Naieni ◽  
Abdolhossain Madani ◽  
Hossein Shabkhiz ◽  
Elham Torabi ◽  
...  

2020 ◽  
Author(s):  
Shahrzad Nematollahi ◽  
Koroush Holakouie-Naieni ◽  
Abdolhossain Madani ◽  
Hossein Shabkhiz ◽  
Elham Torabi ◽  
...  

Abstract Background Evidence on health effects of tobacco cessation in pregnancy is mainly restricted to cigarette, while water pipe smoking is more prevalent among women in the Middle-East. The present ‎study aimed to assess the effects of cessation of water pipe during pregnancy on ‎birth anthropometric measures in South of Iran. Methods Data on 1,120 singleton pregnancies (response rate=93.4%) from a population-based prospective cohort study in suburban communities in Bandar Abbas city was used. Birth measures were used according to infant`s vaccination cards. Study subjects were categorized into three subgroups based on water pipe ‎smoking status during pregnancy, including: 1) mothers who never smoke water pipe ‎‎(never smoker); 2)mothers who stopped water pipe during pregnancy and resumed it postpartum (quitters); 3) mothers who continued smoking water pipe regardless ‎of their pregnancy (always smokers). ‎Generalized Linear Models (GLMs) were utilized for the analyses. Results Compared to never smokers, quitting water pipe in pregnancy would decrease mean birthweight by 99.30 ‎grams (β:-99.30, 95%CI:-204.35,-5.75‎); while an additional decrease by 37.83 grams would occur in always smokers (β:-137.13‎;95%CI:-262.21,-‎‎12.05‎). Mean birth length ‎did not significantly differ among the three water pipe groups. Mean head ‎circumference, however, would significantly increase by 0.79 centimeter in always smokers (β:079,95%CI:0.13,1.45). ‎ Conclusion Quitting water pipe during pregnancy had positive effects on infant growth, especially birth weight. Some suggestions are provided including integration of information on health benefits of quitting smoking into routine prenatal healthcare services and development of awareness programs to encourage smokers to quit early in pregnancy.


2020 ◽  
Author(s):  
Shahrzad Nematollahi ◽  
Koroush Holakouie-Naieni ◽  
Abdolhossain Madani ◽  
Hossein Shabkhiz ◽  
Elham Torabi ◽  
...  

Abstract Background: Evidence regarding health effects of tobacco cessation during pregnancy is mainly restricted to cigarette while water pipe is the preferred method of tobacco smoking among women in the Middle-East. The present ‎study aimed to assess the effects of cessation of water pipe during pregnancy on ‎birth anthropometric measures in the south of Iran. Methods: Data on 1,120 singleton pregnancies (response rate=93.4%) from a population-based prospective cohort study in suburban communities in Bandar Abbas city was used. Based on water pipe ‎smoking status, the study subjects were categorized into: 1) those who never smoke water pipe ‎‎(never smoker); 2)those who stopped water pipe during pregnancy and resumed it postpartum (quitters); 3) those who continued smoking water pipe during their pregnancy (always smokers). The ‎Generalized Linear Models (GLMs) were utilized for the analyses. Results: Compared to never smokers, quitting water pipe in pregnancy decreased mean birthweight of infants by 99.30 ‎grams (β:-99.30, 95%CI:-204.35,-5.75‎) and an additional decrease of 37.83 grams occurred in infants of always smokers (β:-137.13‎;95%CI:-262.21,-‎‎12.05‎). Means of birth length ‎did not significantly differ among the three water pipe groups. Means of head ‎circumference, however, significantly increased by 0.79 centimeter in infants of always smokers (β:079,95%CI:0.13,1.45). ‎ Conclusion: Quitting water pipe during pregnancy had positive effects on infant growth, especially birth weight. Awareness campaigns about health benefits of quitting water pipe during routine prenatal checkups and integration of active follow-up visits into prenatal care protocols for smoking mothers are provided.


2019 ◽  
Author(s):  
Shahrzad Nematollahi ◽  
Koroush Holakouie-Naieni ◽  
Abdolhossain Madani ◽  
Hossein Shabkhiz ◽  
Elham Torabi ◽  
...  

Abstract Background: Evidence on health effects of tobacco cessation in pregnancy is mainly restricted to cigarette, while water pipe smoking is more prevalent among women in the Middle-East. The present ‎study aimed to assess the effects of cessation of water pipe during pregnancy on ‎birth anthropometric measures in South of Iran. Methods: Data on 1,120 singleton pregnancies (response rate=93.4%) from a population-based prospective cohort study in suburban communities in Bandar Abbas city was used. Birth measures were used according to infant`s vaccination cards. Study subjects were categorized into three subgroups based on water pipe ‎smoking status during pregnancy, including: 1) mothers who never smoke water pipe ‎‎(never smoker); 2)mothers who stopped water pipe during pregnancy and resumed it postpartum (quitters); 3) mothers who continued smoking water pipe regardless ‎of their pregnancy (always smokers). ‎Generalized Linear Models (GLMs) were utilized for the analyses. Results: Compared to never smokers, quitting water pipe in pregnancy would decrease mean birthweight by 99.30 ‎grams (β:-99.30, 95%CI:-204.35,-5.75‎); while an additional decrease by 37.83 grams would occur in always smokers (β:-137.13‎;95%CI:-262.21,-‎‎12.05‎). Mean birth length ‎did not significantly differ among the three water pipe groups. Mean head ‎circumference, however, would significantly increase by 0.79 centimeter in always smokers (β:079,95%CI:0.13,1.45). ‎ Conclusions: Quitting water pipe during pregnancy had positive effects on infant growth, especially birth weight. Some suggestions are provided including integration of information on health benefits of quitting smoking into routine prenatal healthcare services and development of awareness programs to encourage smokers to quit early in pregnancy.


2016 ◽  
Vol 94 (6) ◽  
pp. 442-451D ◽  
Author(s):  
Maureen O’Leary ◽  
Sara Thomas ◽  
Lisa Hurt ◽  
Sian Floyd ◽  
Caitlin Shannon ◽  
...  

2020 ◽  
Author(s):  
Shahrzad Nematollahi ◽  
Koroush Holakouie-Naieni ◽  
Abdolhossain Madani ◽  
Hossein Shabkhiz ◽  
Elham Torabi ◽  
...  

Abstract Background: Evidence regarding health effects of tobacco cessation during pregnancy is mainly restricted to cigarette while water pipe is the preferred method of tobacco smoking among women in the Middle-East. The present ‎study aimed to assess the effects of cessation of water pipe during pregnancy on ‎birth anthropometric measures in the south of Iran.Methods: Data on 1,120 singleton pregnancies (response rate=93.4%) from a population-based prospective cohort study in suburban communities in Bandar Abbas city was used. Based on water pipe ‎smoking status, the study subjects were categorized into: 1) those who never smoke water pipe ‎‎(never smoker); 2)those who stopped water pipe during pregnancy and resumed it postpartum (quitters); 3) those who continued smoking water pipe during their pregnancy (always smokers). The ‎Generalized Linear Models (GLMs) were utilized for the analyses.Results: Compared to never smokers, quitting water pipe in pregnancy decreased mean birthweight of infants by 99.30 ‎grams (β:-99.30, 95%CI:-204.35,-5.75‎) and an additional decrease of 37.83 grams occurred in infants of always smokers (β:-137.13‎;95%CI:-262.21,-‎‎12.05‎). Means of birth length ‎did not significantly differ among the three water pipe groups. Means of head ‎circumference, however, significantly increased by 0.79 centimeter in infants of always smokers (β:079,95%CI:0.13,1.45). ‎Conclusion: Quitting water pipe during pregnancy had positive effects on infant growth, especially birth weight. Awareness campaigns about health benefits of quitting water pipe during routine prenatal checkups and integration of active follow-up visits into prenatal care protocols for smoking mothers are provided.


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