Skip to main content
Intended for healthcare professionals
Free access
Research article
First published April 1999

Hair analysis–a biological marker for passive smoking in pregnancy and childhood

Abstract

Passive smoking has been shown to adversely affect the health of infants and children. We used hair analysis for nicotine and its metabolite cotinine as a biological marker for exposure to smoking in these two groups. Using radioimmunoassay we measured maternal and fetal hair concentrations of nicotine and cotinine in the motherinfant pairs belonging to three different groups based on the mother' smoking habits. The three groups were: active smokers, passive smokers and nonsmokers. There was a significant correlation between maternal and neonatal hair concentration for both, nicotine and cotinine. Mothers and infants in the smoking groups, both active and passive, had significantly higher hair concentrations of both, nicotine and cotinine than in the control, nonsmoking group. In an older cohort, we compared two groups: 78 asthmatic children were compared to 86 healthy children exposed to similar degrees of passive smoking. By using objective, biological markers, our study aimed at verifying whether asthmatic children are different from nonasthmatic children in the way their bodies handle nicotine. Our results show, that, despite the fact that parents of asthmatic children tend to smoke a lower number of cigarettes per day, their children had an average twofold higher concentrations of cotinine in their hair then the control, nonasthmatic children.
These studies document the importance of hair analysis as a tool for measuring exposure to cigarette smoke.

References

1 O'Campo R, Faden RR, Brown H, Gielen AC . The impact of pregnancy on women' prenatal and postpartum smoking behavior . American Journal of Preventive Medicine 1992;; 8: 8-13 .
2 Martin TR, Bracken MB . Association of low birth weight with passive smoke exposure in pregnancy . American Journal of Epidemiology 1986;; 124: 633-642 .
3 Kline J, Stein ZA, Susser M, Warburton D. Smoking: a risk factor for spontaneous abortion . New England Journal of Medicine 1977; 297: 793-796 .
4 Meyer MB, Jonas BS, Tonascia JA . Perinatal events associated with maternal smoking during pregnancy . American Journal of Epidemiology 1976;; 103: 464-476 .
5 Schoendorf KC, Keily JL . Relationship of sudden infant death syndrome to maternal smoking during and after pregnancy . Pediatrics 1992; 90: 905-908 .
6 Fried PA, O'Connell CM, Watkinson B. Sixtyand 72-month follow-up of children prenatally exposed to marijuana, cigarettes and alcohol: cognitive and language assessment . Journal for Development and Behaviour in Pediatrics 1992;; 13: 383-391 .
7 Martineq FD, Cline M, Burrows B. Increased incidence of asthma in children of smoking mothers . Pediatrics 1992;; 89: 21-26 .
8 Chilmonczyk BA et al. Association between exposure to environmental tobacco smoke and exacerbations of asthma in children . New England Journal of Medicine 1993;; 328: 1665-1669 .
9 Koren G, Feldman Y, MacLeod SM . Motherisk II: Analysis of the first year of counselling. In: Koren G (ed.) Maternal-Fetal Toxicology. Marcel Dekker, New York, NY 1990; pp 383-402.
10 Pley EAP et al. Assessment of tobacco-exposure during pregnancy; behavioral and biochemical changes . European Journal of Obstetrics, Gynecology and Reproductive Biology 1991; 40: 197-201 .
11 Benowitz NL, Jacob P, Jones RT, Rosenberg J. Interindividual variability in the metabolism and cardiovascular effects of nicotine in man . Journal of Pharmacology and Experimental Therapeutics 1982;; 221: 368-372 .
12 Koren G, Sharav T, Pastuszak A. A multicenter prospective study of reproductive outcome following carbon monoxide poisoning in pregnancy . Reproductive Toxicology 1991; 5: 397-402 .
13 Eliopoulos C et al. Hair concentrations of nicotine and cotinine in active, passive and nonsmoking mothers and their newborn infants . Journal of American Medical Association 1994; 271: 621-623 .
14 Knight JM et al. Pharmacokinetic predisposition to nicotine from environmental tobacco smoke: A risk factor for pediatric asthma . Journal of Asthma 1998;; 35: 115-119 .
15 Pecoraro V, Astore IPL . Measurements of hair growth under physiological conditions. In: Orfanos CE, Happle R (eds.) Hair and hair Diseases. Springer-Verlag New York 1990: pp 237-254.
16 Langone JJ, Gjika HB, van Vunakis H. Nicotine and its metabolites. Radioimmunoassays for nicotine and cotinine . Biochemistry 1973; 12: 5015-5030 .
17 Makin J, Fried PA, Watkinson B. A comparison of active and passive smoking during pregnancy: Long-term effects . Neurotoxicology Teratology 1991;; 13: 5-12 .

Cite article

Cite article

Cite article

OR

Download to reference manager

If you have citation software installed, you can download article citation data to the citation manager of your choice

Share options

Share

Share this article

Share with email
EMAIL ARTICLE LINK
Share on social media

Share access to this article

Sharing links are not relevant where the article is open access and not available if you do not have a subscription.

For more information view the Sage Journals article sharing page.

Information, rights and permissions

Information

Published In

Article first published: April 1999
Issue published: April 1999

Keywords

  1. smoking
  2. nicotine
  3. cotinine
  4. hair
  5. infants
  6. children

Rights and permissions

Request permissions for this article.
PubMed: 10333315

Authors

Affiliations

G Koren
Division of Clinical Pharmacology and Toxicology, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada

Metrics and citations

Metrics

Journals metrics

This article was published in Human & Experimental Toxicology.

VIEW ALL JOURNAL METRICS

Article usage*

Total views and downloads: 57

*Article usage tracking started in December 2016


Articles citing this one

Receive email alerts when this article is cited

Web of Science: 45 view articles Opens in new tab

Crossref: 39

  1. Drug exposure during pregnancy: Current understanding and approaches t...
    Go to citation Crossref Google Scholar
  2. Hair and nail nicotine levels of mothers and their infants as valid bi...
    Go to citation Crossref Google Scholar
  3. Environmental complex exposure and the risk of influenza-like illness ...
    Go to citation Crossref Google Scholar
  4. Chemical evidence of prehistoric passive tobacco consumption by a huma...
    Go to citation Crossref Google Scholar
  5. Association Between Chronic Exposure to Tobacco Smoke and Accumulation...
    Go to citation Crossref Google Scholar
  6. Hair nicotine at 15 months old, tobacco exposure and wheeze or asthma ...
    Go to citation Crossref Google Scholar
  7. Secondhand Smoke Exposure and Validity of Self-Report in Low-Income Wo...
    Go to citation Crossref Google Scholar
  8. Effectiveness of a brief primary care intervention to reduce passive s...
    Go to citation Crossref Google Scholar
  9. The coordination environment of copper in hair can be altered by treat...
    Go to citation Crossref Google Scholar
  10. Utility and Cutoff Value of Hair Nicotine as a Biomarker of Long-Term...
    Go to citation Crossref Google Scholar
  11. Determination of the coordination environment of Cu(II) in human hair ...
    Go to citation Crossref Google Scholar
  12. Toxicology Testing in Alternative Specimen Matrices
    Go to citation Crossref Google Scholar
  13. Hair as a biomarker of polybrominated diethyl ethers’ exposure in infa...
    Go to citation Crossref Google Scholar
  14. References
    Go to citation Crossref Google Scholar
  15. White blood cell DNA adducts in a cohort of asthmatic children exposed...
    Go to citation Crossref Google Scholar
  16. Effects of HEPA Air Cleaners on Unscheduled Asthma Visits and Asthma S...
    Go to citation Crossref Google Scholar
  17. Determinants of serum cotinine and hair cotinine as biomarkers of chil...
    Go to citation Crossref Google Scholar
  18. The Effects of Prenatal Secondhand Smoke Exposure on Preterm Birth and...
    Go to citation Crossref Google Scholar
  19. Collection of biological samples in forensic toxicology
    Go to citation Crossref Google Scholar
  20. Changes in antidepressant metabolism in pregnancy evidenced by metabol...
    Go to citation Crossref Google Scholar
  21. Measuring prenatal secondhand smoke exposure in mother–baby couplets
    Go to citation Crossref Google Scholar
  22. Biological matrices for the evaluation of exposure to environmental to...
    Go to citation Crossref Google Scholar
  23. Determinants of Hair Nicotine Concentrations in Nonsmoking Women and C...
    Go to citation Crossref Google Scholar
  24. Method validation for measurement of hair nicotine level in nonsmokers
    Go to citation Crossref Google Scholar
  25. An animal model of cigarette smoke-induced in utero growth retardation
    Go to citation Crossref Google Scholar
  26. Hair Nicotine: Cotinine Metabolic Ratio in Pregnant Women: A New Metho...
    Go to citation Crossref Google Scholar
  27. Bioanalytical procedures for monitoring in utero drug exposure
    Go to citation Crossref Google Scholar
  28. The Role of Air Nicotine in Explaining Racial Differences in Cotinine ...
    Go to citation Crossref Google Scholar
  29. Biomarkers of exposure to environmental tobacco smoke in infants
    Go to citation Crossref Google Scholar
  30. Clinical Applications of Hair Analysis
    Go to citation Crossref Google Scholar
  31. Environmental tobacco smoke and sudden infant death syndrome: a review
    Go to citation Crossref Google Scholar
  32. Racial Differences in Exposure to Environmental Tobacco Smoke among Ch...
    Go to citation Crossref Google Scholar
  33. Parental Smoking and Airway Reactivity in Healthy Infants
    Go to citation Crossref Google Scholar
  34. Assessing nicotine metabolism in pregnancy—a novel approach using hair...
    Go to citation Crossref Google Scholar
  35. Recent developments in meconium and hair testing methods for the confi...
    Go to citation Crossref Google Scholar
  36. Occupational exposure of non‐smoking restaurant personnel to environme...
    Go to citation Crossref Google Scholar
  37. Clinical considerations in study designs that use cotinine as a biomar...
    Go to citation Crossref Google Scholar
  38. The miseries of passive smoiong
    Go to citation Crossref Google ScholarPub Med
  39. Objective Assessment of Environmental Tobacco Smoke (ETS) Exposure in ...
    Go to citation Crossref Google Scholar

Figures and tables

Figures & Media

Tables

View Options

View options

PDF/ePub

View PDF/ePub

Get access

Access options

If you have access to journal content via a personal subscription, university, library, employer or society, select from the options below:


Alternatively, view purchase options below:

Purchase 24 hour online access to view and download content.

Access journal content via a DeepDyve subscription or find out more about this option.