The Association between Paternal Cannabinoid Use and Congenital Heart Defects in Offspring

Authors

DOI:

https://doi.org/10.47611/jsrhs.v13i4.8287

Keywords:

Congenital Heart Defects, Cannabis, Ecological Study, Sperm Quality, Reproductive Health, Public Health

Abstract

Cannabis consumption in Canada is rising for both recreational and therapeutic purposes. Research shows that cannabis can impact sperm quality, motility, and volume by binding to receptors on sperm. However, the link between paternal cannabis use and congenital heart defects (CHD) in offspring has not been studied. This ecological study examined Canadian national data on male-household cannabis use and CHD rates per 10,000 births from 2010 to 2020, sourced from Statistics Canada and the Canadian Congenital Anomalies Surveillance System. Using RStudio, Shapiro-Wilk, Spearman’s rank correlation coefficient, and multivariate linear regressions were performed to analyze the relationship, adjusting for household smoking. A p-value below 0.05 was deemed statistically significant. Shapiro-Wilk tests showed that the CHD data did not meet normality (p = 0.004427), while paternal cannabis and smoking data did (p = 0.09368, p = 0.3399). Spearman’s tests found no significant link between paternal cannabis use and CHD in offspring (R² = 0.0251). However, multivariate regressions indicated a correlation between paternal cannabis use and a higher risk of CHD in offspring (β1 = 0.04742, R² = 0.1507). This study, the first to explore this correlation with aggregated data, suggests that paternal cannabis use may be associated with an increased risk of CHD, providing important insights for Canadians.

Downloads

Download data is not yet available.

References or Bibliography

Bolin, Elijah H., et al. “Maternal Smoking and Congenital Heart Defects, National Birth Defects Prevention Study, 1997-2011.” The Journal of Pediatrics, vol. 240, Jan. 2022, pp. 79-86.e1. DOI.org (Crossref), https://doi.org/10.1016/j.jpeds.2021.09.005.

Botto, Lorenzo D., et al. “Racial and Temporal Variations in the Prevalence of Heart Defects.” Pediatrics, vol. 107, no. 3, Mar. 2001, pp. e32–e32. DOI.org (Crossref), https://doi.org/10.1542/peds.107.3.e32.

Brar, Bobby K., et al. “Effect of Intrauterine Marijuana Exposure on Fetal Growth Patterns and Placental Vascular Resistance.” The Journal of Maternal-Fetal & Neonatal Medicine, vol. 34, no. 20, Oct. 2021, pp. 3330–34. DOI.org (Crossref), https://doi.org/10.1080/14767058.2019.1683541.

Cannabis Use by Country 2024. https://worldpopulationreview.com/country-rankings/cannabis-use-by-country. Accessed 20 Mar. 2024.

Does Marijuana Impact Men’s Fertility and Sexual Health? - UChicago Medicine. https://www.uchicagomedicine.org/forefront/health-and-wellness-articles/2022/april/does-marijuana-impact-mens-fertility-and-sexual-health. Accessed 21 Mar. 2024.

Duko, Bereket, et al. “The Effect of Prenatal Cannabis Exposure on Offspring Preterm Birth: A Cumulative Meta‐analysis.” Addiction, vol. 118, no. 4, Apr. 2023, pp. 607–19. DOI.org (Crossref), https://doi.org/10.1111/add.16072.

El Marroun, Hanan, et al. “Intrauterine Cannabis Exposure Affects Fetal Growth Trajectories: The Generation R Study.” Journal of the American Academy of Child & Adolescent Psychiatry, vol. 48, no. 12, Dec. 2009, pp. 1173–81. DOI.org (Crossref), https://doi.org/10.1097/CHI.0b013e3181bfa8ee.

Ferencz, Charlotte, et al. “CONGENITAL HEART DISEASE: PREVALENCE AT LIVEBIRTH.” American Journal of Epidemiology, vol. 121, no. 1, Jan. 1985, pp. 31–36. DOI.org (Crossref), https://doi.org/10.1093/oxfordjournals.aje.a113979.

Garg, Vidu, et al. “GATA4 Mutations Cause Human Congenital Heart Defects and Reveal an Interaction with TBX5.” Nature, vol. 424, no. 6947, July 2003, pp. 443–47. DOI.org (Crossref), https://doi.org/10.1038/nature01827.

Government of Canada, Statistics Canada. Analysis of Trends in the Prevalence of Cannabis Use in Canada, 1985 to 2015. 21 Feb. 2018, https://www150.statcan.gc.ca/n1/pub/82-003-x/2018002/article/54908-eng.htm.

Hoffman, Julien I. E., and Samuel Kaplan. “The Incidence of Congenital Heart Disease.” Journal of the American College of Cardiology, vol. 39, no. 12, June 2002, pp. 1890–900. DOI.org (Crossref), https://doi.org/10.1016/S0735-1097(02)01886-7.

Hurd, Y., et al. “Marijuana Impairs Growth in Mid-Gestation Fetuses.” Neurotoxicology and Teratology, vol. 27, no. 2, Mar. 2005, pp. 221–29. DOI.org (Crossref), https://doi.org/10.1016/j.ntt.2004.11.002.

Malik, Sadia, et al. “Maternal Smoking and Congenital Heart Defects.” Pediatrics, vol. 121, no. 4, Apr. 2008, pp. e810–16. DOI.org (Crossref), https://doi.org/10.1542/peds.2007-1519.

Miao, Qun, et al. “Neighbourhood Maternal Socioeconomic Status Indicators and Risk of Congenital Heart Disease.” BMC Pregnancy and Childbirth, vol. 21, no. 1, Dec. 2021, p. 72. DOI.org (Crossref), https://doi.org/10.1186/s12884-020-03512-8.

Myran, Daniel Thomas, et al. “Acute Care Related to Cannabis Use during Pregnancy after the Legalization of Nonmedical Cannabis in Ontario.” Canadian Medical Association Journal, vol. 195, no. 20, May 2023, pp. E699–708. DOI.org (Crossref), https://doi.org/10.1503/cmaj.230045.

Nørregaard, Mette Marie Olsen, et al. “Impact of Maternal Age and Body Mass Index on the Structure and Function of the Heart in Newborns: A Copenhagen Baby Heart Study.” BMC Medicine, vol. 21, no. 1, Dec. 2023, p. 499. DOI.org (Crossref), https://doi.org/10.1186/s12916-023-03207-9.

Obermann-Borst, Sylvia A., et al. “General Maternal Medication Use, Folic Acid, the MDR1 C3435T Polymorphism, and the Risk of a Child with a Congenital Heart Defect.” American Journal of Obstetrics and Gynecology, vol. 204, no. 3, Mar. 2011, p. 236.e1-236.e8. DOI.org (Crossref), https://doi.org/10.1016/j.ajog.2010.10.911.

Oster, Matthew E., et al. “Temporal Trends in Survival Among Infants With Critical Congenital Heart Defects.” Pediatrics, vol. 131, no. 5, May 2013, pp. e1502–08. DOI.org (Crossref), https://doi.org/10.1542/peds.2012-3435.

Patel, Sonali S., and Trudy L. Burns. “Nongenetic Risk Factors and Congenital Heart Defects.” Pediatric Cardiology, vol. 34, no. 7, Oct. 2013, pp. 1535–55. DOI.org (Crossref), https://doi.org/10.1007/s00246-013-0775-4.

Reller, Mark D., et al. “Prevalence of Congenital Heart Defects in Metropolitan Atlanta, 1998-2005.” The Journal of Pediatrics, vol. 153, no. 6, Dec. 2008, pp. 807–13. DOI.org (Crossref), https://doi.org/10.1016/j.jpeds.2008.05.059.

Rokeby, Abbey C. E., et al. “Cannabinoids and the Placenta: Receptors, Signaling and Outcomes.” Placenta, vol. 135, Apr. 2023, pp. 51–61. DOI.org (Crossref), https://doi.org/10.1016/j.placenta.2023.03.002.

Rytkönen, M., et al. “The Incidence of Type 1 Diabetes among Children in Finland—Rural–Urban Difference.” Health & Place, vol. 9, no. 4, Dec. 2003, pp. 315–25. DOI.org (Crossref), https://doi.org/10.1016/S1353-8292(02)00064-3.

Schott, Jean-Jacques, et al. “Congenital Heart Disease Caused by Mutations in the Transcription Factor NKX2-5.” Science, vol. 281, no. 5373, July 1998, pp. 108–11. DOI.org (Crossref), https://doi.org/10.1126/science.281.5373.108.

Slotkin, Theodore A., et al. “Paternal Δ9-Tetrahydrocannabinol Exposure Prior to Mating Elicits Deficits in Cholinergic Synaptic Function in the Offspring.” Toxicological Sciences, vol. 174, no. 2, Apr. 2020, pp. 210–17. DOI.org (Crossref), https://doi.org/10.1093/toxsci/kfaa004.

Turunen, Riitta, et al. “Maternal Diabetes and Overweight and Congenital Heart Defects in Offspring.” JAMA Network Open, vol. 7, no. 1, Jan. 2024, p. e2350579. DOI.org (Crossref), https://doi.org/10.1001/jamanetworkopen.2023.50579.

Yang, Jiaomei, et al. “Dietary Quality during Pregnancy and Congenital Heart Defects.” Nutrients, vol. 14, no. 17, Sept. 2022, p. 3654. DOI.org (Crossref), https://doi.org/10.3390/nu14173654.

Published

11-30-2024

How to Cite

Pan, T., Ostovary, A. B., & Sun, E. (2024). The Association between Paternal Cannabinoid Use and Congenital Heart Defects in Offspring. Journal of Student Research, 13(4). https://doi.org/10.47611/jsrhs.v13i4.8287

Issue

Section

HS Research Projects