Evidence map›Paper›PMID 40904630›Full record

SynthesisDepression and anxiety2025

The Impact of Maternal Smoking During Pregnancy on Depressive and Anxiety Behaviors in Offspring: A Meta-analysis.

Kui Zhang, Yu Wang, Zhilong Shu, Ying Huang, Lixiang Feng, Wenxing Yang

Abstract readMeta-Analysis
In one paragraph

Synthesis in Depression and anxiety, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kui ZhangDepartment of Forensic Pathology, West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Chengdu, Sichuan 610041, China.ORCID 0000-0003-2769-1940
Yu WangDepartment of Physiology, West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Chengdu, Sichuan 610041, China.ORCID 0000-0001-8170-1711
Zhilong ShuDepartment of Forensic Pathology, West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Chengdu, Sichuan 610041, China.ORCID 0009-0002-8753-8235
Ying HuangDepartment of Physiology, West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Chengdu, Sichuan 610041, China.ORCID 0009-0006-7806-5746
Lixiang FengDepartment of Physiology, West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Chengdu, Sichuan 610041, China.ORCID 0009-0005-2191-173X
Wenxing YangDepartment of Physiology, West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Chengdu, Sichuan 610041, China.ORCID 0000-0003-0965-787X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Smoking during pregnancy is known to adversely affect offspring health; however, the association between maternal smoking during pregnancy and the risk of depression and anxiety in offspring remains inconsistent. This meta-analysis aimed to clarify this relationship. A systematic search was conducted in PubMed, Web of Science, and OVID databases for articles published between 2000 and 2024. The odds ratio (OR) with a 95% confidence interval (CI) was used to assess the association. A total of 11 studies involving 1,775,220 participants met the inclusion criteria. The meta-analysis revealed that maternal smoking during pregnancy was significantly associated with an increased risk of depression in offspring (OR = 1.33, 95% CI = 1.09-1.63). Stratified analysis by cigaret consumption dose showed that heavy maternal smoking (≥ 10 cigarets/day) further increased the risk of both depression (OR = 1.61, 95% CI = 1.21-2.14) and anxiety (OR = 1.51, 95% CI = 1.32-1.72) in offspring. In conclusion, this meta-analysis provides evidence that maternal smoking during pregnancy may elevate the risk of depression and anxiety in offspring, particularly with heavy smoking. Preventing maternal smoking and reducing exposure to tobacco smoke during pregnancy could have significant benefits for offspring mental health and well-being.

Indexed as

AnxietyDepressionPrenatal Exposure Delayed EffectsSmokingFemaleHumansPregnancyanxietydepressionmaternal smokingmeta-analysispregnancy

Identifiers

PMID40904630
PMCPMC12404838

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.