Review Article

Passive Smoking and the Development of Cardiovascular Disease in Children: A Systematic Review

Table 1

The effects of PS on CVD.

Author [reference]DesignParticipantsResults

Apfelbacher et al. [16]Cohort cross-sectional35,434 children (50.9% boys), 5–7 years oldPS was a predictor of being overweight and/or obese
Öhrig et al. [22]RCT3495 children (age 6 . 5 ± 2 years)In passive smokers the rates of body weight, cholesterol, and triglycerides were higher
Hargrave et al. [25]Controlled Clinical trialChildren-specific numbers not mentionedSignificantly higher concentration of cotinine found in children due to exposure in PS from the mother rather than that from father/friends
Aycicek and Ipek [26]Clinical trialMothers giving birthPS increased oxidative stress in cord blood
Kallio et al. [23]RCT441 children (8–11 years)PS impairs endothelial function in children
Kallio et al. [24]RCT386 children (11 years)PS impairs aortic elasticity
Neufeld et al. [19]Cross-sectional (pilot scale)161 children and adolescence (2–18 years)High density lipoprotein was significantly lower in passive smokers. PS may increase the risk profile for later atherosclerosis
Moskowitz et al. [17]Longitudinal105 PS twin pairs and 111 non-PS twin pairs (all preadolescent children)HDL was lower in PS children. Also, significant adverse alterations were already present in lipoprotein profiles in twin exposed to PS
Moskowitz et al. [18]Cohort analytic408 twins (11 years at baseline)HDL is significantly lower in passive smokers. White males that have a history of higher CVD, or higher weight, and/or blood pressure may be at increased risk for developing premature CVD
Feldman et al. [20]Cross-sectionalHealthy adolescentsLower high density lipoprotein in passive smokers
Işcan et al. [21]Cross-sectional194 healthy children (4–14 years)Total cholesterol, low-density lipoprotein were significantly higher in passive smokers
Cochran-Black et al. [27]Cross-sectional55 mothers exposed to PS and 31 not exposed to PSNo significant differences in counts for total red blood cells, white blood cells, platelets, and lymphocytes. Absolute nucleated RBCs significantly elevated in the PS exposed group.