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© 1984 Oxford University Press

research-article

Passive Smoking and Height Growth of Preadolescent Children

CATHERINE S BERKEY, JAMES H WARE, FRANK E SPEIZER and BENJAMIN G FERRIS, JR

Channing Laboratory, Department of Medicine, Harvard Medical School and Brigham and Women's Hospital; Department of Environmental Science and Physiology and Department of Biostatistics, Harvard School of Public Health.
Requests for reprints should be addressed to Dr B G Ferris Jr, Harvard School of Public Health 665 Huntington Avenue, Boston MA 02115, USA.

Berkey C S (Department of Environmental Science and Physiology, Harvard University School of Public Health, 665 Huntington Avenue, Boston, Massachusetts 02115, USA), Ware J H, Speizer F E, Ferris B G Jr. Passive smoking and height growth of preadolescent children. International Journal of Epidemiology 1984, 13: 454–458. The attained height and height growth rate of 9273 children participating in a longitudinal study of the health effects of air pollutants were analysed to assess the association between passive exposure to cigarette smoke and physical growth between 6 and 11 years of age. Children were measured annually for 2 to 6 years. Each height measurement was adjusted for sex and age by the NCHS anthropometric standards. Each child‘s adjusted heights were then re-expressed as level of attained height and growth rate. Attained height exhibited a dose-response relationship with amount of current maternal cigarette smoking (p<0.001). Children whose mothers smoked ten or more cigarettes daily were approximately 0.65 cm shorter than childen of non-smokers, while children whose mothers smoked between 1 and 9 cigarettes per day were 0.45 cm shorter. However, passive smoking was not correlated with the child's growth rate. Exposure to paternal smoking was not significantly associated with height, either in terms of attained level or growth rate. These results indicate that passive smoking in the 6– to 11-year-old child does not continue to affect the growth rate of height and that the observed association between attained height and maternal smoking behaviour is due to exposures in utero and/or during infancy and the preschool years.


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