4.5 Article

Snus users had high levels of nicotine, cotinine and 3-hydroxycotinine in their breastmilk, and the clearance was slower than in smoking mothers

Journal

ACTA PAEDIATRICA
Volume 108, Issue 7, Pages 1250-1255

Publisher

WILEY
DOI: 10.1111/apa.14602

Keywords

Breastmilk; Cotinine; Nicotine; Oral moist tobacco; Snus

Categories

Funding

  1. Swedish Medical Research Council [521-2009-4884]
  2. Swedish Council for Working Life and Social Research [209-1619]
  3. Samaritan Foundation
  4. Odd Fellow Orden Stockholm
  5. Swedish Freemasons Foundation

Ask authors/readers for more resources

Aim Using snus, an oral moist tobacco, has increased among pregnant women in Sweden, the only European Union country where sales are legal. This study evaluated whether snus generated similar concentrations of nicotine and its metabolites in breastmilk to cigarette smoking. Methods We analysed 49 breastmilk samples from 33 nursing mother - 13 snus users, six cigarette smokers and 14 controls - for concentrations of nicotine, cotinine and 3-hydroxycotinine. The mothers were recruited at antenatal clinics in Sweden from 2007 to 2012. Results The median nicotine concentration in breastmilk of the snus users was 38.7 ng/mL (0-137) versus 24.0 ng/mL (0-56) in smokers, with median cotinine levels of 327.6 ng/mL (37-958) versus 164.4 ng/mL and median 3-hydroxycotinine levels of 202.7 ng/mL (28-452) versus 112.4 (0-231), respectively. Nicotine was still detected in the breastmilk of eight of the 13 snus users after abstaining from tobacco for a median duration of 11 hours (0.6-12.5), while the breastmilk of the smokers was nicotine-free after four hours' abstinence. Conclusion Snus users had high levels of nicotine and metabolites in their breastmilk and nicotine was found even after 12.5 hours of abstinence.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Substance Abuse

Prenatal Exposure to Snus Alters Heart Rate Variability in the Infant

Felicia Nordenstam, Bo Lundell, Gary Cohen, Mesfin K. Tessma, Pauline Raaschou, Ronny Wickstrom

NICOTINE & TOBACCO RESEARCH (2017)

Article Cardiac & Cardiovascular Systems

Blood Pressure and Heart Rate Variability in Preschool Children Exposed to Smokeless Tobacco in Fetal Life

Felicia Nordenstam, Mikael Norman, Ronny Wickstrom

JOURNAL OF THE AMERICAN HEART ASSOCIATION (2019)

Review Pediatrics

Prenatal nicotine exposure was associated with long-term impact on the cardiovascular system and regulation-Review

Felicia Nordenstam

Summary: This structured review aimed to discuss the knowledge of nicotine use during pregnancy and its long-term effects on children's cardiovascular function. The 34 original papers included in the review covered 172,696 subjects from foetuses to 19 years of age, showing an association between prenatal nicotine exposure and long-term developmental changes in the cardiovascular system and regulation. It is recommended that women abstain from nicotine products when planning a pregnancy due to the lack of safe periods, doses, or products.

ACTA PAEDIATRICA (2021)

Editorial Material Medicine, General & Internal

Cardiovascular Health in Pregnant Women and Their Off-Spring

Gizem Seyda Erbas, Felicia Nordenstam, Renate Oberhoffer-Fritz, Christina Sitzberger, Annette Wacker-Gussmann

JOURNAL OF CLINICAL MEDICINE (2023)

No Data Available