Maternal smoking around birth is associated with an increased risk of offspring constipation: Evidence from a Mendelian randomization study

Introduction This study aimed to investigate the association between maternal smoking around birth and the incidence of offspring constipation. Methods Genome-wide association study (GWAS) data for maternal smoking around birth and offspring constipation were obtained from the Mendelian randomizati...

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Main Authors: Yong Shen<sup>+</sup>, Siqi Xie<sup>+</sup>, Yu Lin<sup>+</sup>, Yifan Fang, Bing Zhang, Jinna Zhang
Format: Article
Language:English
Published: European Publishing 2025-05-01
Series:Tobacco Induced Diseases
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Online Access:https://www.tobaccoinduceddiseases.org/Maternal-smoking-around-birth-is-associated-with-an-increased-risk-of-offspring-constipation,203866,0,2.html
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Summary:Introduction This study aimed to investigate the association between maternal smoking around birth and the incidence of offspring constipation. Methods Genome-wide association study (GWAS) data for maternal smoking around birth and offspring constipation were obtained from the Mendelian randomization (MR) Base platform. Single nucleotide polymorphisms (SNPs) significantly associated with maternal smoking around birth were utilized as instrumental variables in two-sample MR analyses to explore the relationship between maternal smoking and offspring constipation. The analytical methods employed included the inverse-variance weighted (IVW) method, weighted median estimator, and MR-Egger regression. Results Twenty SNPs significantly associated with maternal smoking around birth (p<5×10 -8 ; linkage disequilibrium r 2 <0.001) were identified. Across the different methods, a consistent positive association was observed between maternal smoking around birth and an increased risk of constipation in offspring (IVW: OR=4.35; 95% CI: 1.81–10.45; weighted median estimator: OR=4.23; 95% CI: 1.22–14.75; MR-Egger: OR=0.92; 95% CI: 0.01–122.07), suggesting that higher frequency of maternal smoking is associated with an elevated risk of constipation in offspring. However, we did not detect any potential effect of genetic liability to constipation risk on maternal smoking. Conclusions This study provides evidence suggesting that increased maternal smoking around the time of birth may be linked to a higher risk of constipation in offspring.
ISSN:1617-9625