Is Tobacco Smoking the Most Critical Factor Linked with Stunting in Children?

Synopsis
Key Takeaways
- Tobacco use significantly contributes to child stunting.
- Approximately 150 million children are affected globally.
- The WHO emphasizes the need for stronger tobacco control policies.
- Maternal smoking during pregnancy is a key factor in stunting risks.
- Quitting smoking during pregnancy can improve child growth outcomes.
New Delhi, Sep 15 (NationPress) Tobacco consumption is not just linked to cancers and tuberculosis; it significantly contributes to child stunting, a serious condition impacting nearly 150 million children globally, as reported by the World Health Organization (WHO).
In 2022, out of approximately 148 million stunted children worldwide, 52% resided in Asia and 43% in Africa. Stunting is closely associated with heightened morbidity and mortality rates among children.
The WHO has recently released a document emphasizing the detrimental impact of tobacco use on child stunting.
This publication is the 11th in a series of tobacco knowledge summaries and consolidates the latest evidence on this issue, aimed at health professionals, policymakers, and advocates for public health.
In their findings, the WHO urges governments to enhance tobacco control measures to safeguard children’s health by minimizing their exposure to tobacco smoke, particularly during pregnancy.
“Stunting denies children their fundamental right to grow, learn, and thrive,” stated Dr. Etienne Krug, Director of the Department of Health Determinants, Promotion, and Prevention at WHO. “Children of smoking parents are at a greater risk of stunting.”
Stunting refers to the impaired growth and development that children suffer due to inadequate nutrition, recurrent infections, and insufficient psychosocial stimulation. Children are classified as stunted if their height-for-age is more than two standard deviations below the median of the WHO Child Growth Standards.
The report indicates that children with smoking parents have a higher probability of experiencing stunted growth, with risks escalating with increased exposure. Maternal smoking during pregnancy is particularly associated with preterm births, low birth weights, and restricted fetal development—all key indicators of stunting by the age of two.
Heavy smoking during pregnancy adversely affects the baby, with stronger detrimental effects correlating to the quantity smoked. These effects can continue beyond infancy. Additionally, evidence suggests that ceasing smoking during pregnancy can lead to improved growth outcomes for children.
“Tobacco smoke comprises thousands of toxic substances that jeopardize fetal and child development. Exposure during pregnancy can lead to growth restrictions, congenital defects, and chronic diseases later in life. Second-hand smoke exposure after birth exacerbates respiratory infections and developmental issues, further increasing the risk of stunting,” the report emphasizes.
The WHO calls upon nations to fully enforce the WHO Framework Convention on Tobacco Control (WHO FCTC) along with its MPOWER strategies—effective methods to reduce tobacco use and protect public health. This includes safeguarding pregnant women and children from second-hand smoke, facilitating tobacco cessation programs for expectant mothers, and enforcing smoke-free zones in all indoor public settings.