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Associations between maternal weekly air pollutant exposures and low birth weight

A distributed lag non-linear model

Bibliographic Data

ID15546641
AuthorsHan Wu (0000-0002-0234-3301, Shandong University), Baofa Jiang (Shandong University), Ping Zhu (0000-0001-5627-2011, Jinan Maternity And Care Hospital, corresponding author), Xingyi Geng (0000-0002-5544-0260, Shandong Center for Disease Control and Prevention), Zhong Liu (0000-0003-4096-3170, Shandong Center for Disease Control and Prevention), Liangliang Cui (Shandong Center for Disease Control and Prevention), Liping Yang (0000-0002-2606-6740, Shandong University, corresponding author)
Year2017
Volume13
Issue2
Pages024023-024023
Publication date2017-12-20
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueEnvironmental Research Letters (JOURNAL)
Journal identifiersISSN: 1748-9326 • E-ISSN: 1748-9326
PublisherIOP Publishing (PUBLISHER • GB)
DOI10.1088/1748-9326/aaa346
OpenAlexW2781129830
LanguageEN
Citations received1
References cited71

When discussing the association between birth weight and air pollution, previous studies mainly focus on the maternal trimester-specific exposures during pregnancy, whereas the possible associations between birth weight and weekly-specific exposures have been largely neglected. We conducted a nested 1:4 matched case-control study in Jinan, China to examine the weekly-specific associations during pregnancy between maternal fine particulate matter (aerodynamic diameter < 2.5 μm, PM2.5), nitrogen dioxide (NO2), and sulfur dioxide (SO2) exposure and birth weight, which is under a representative scenario of very high pollution levels. Ambient air monitoring data from thirteen monitoring stations and daily mean temperature data for Jinan during 2013–2016 were continuously collected. Birth data were obtained from the largest maternity and child care hospital of this city during 2014–2016. Individual exposures to PM2.5, NO2, and SO2 during pregnancy were estimated using an inverse distance weighting method. Birth weight for gender-, gestational age-, and parity-specific standard score (BWGAP z-score) was calculated as the outcome of interest. Distributed lag non-linear models (DLNMs) were applied to estimate weekly-specific relationship between maternal air pollutant exposures and birth weight. For an increase of per inter-quartile range in maternal PM2.5 exposure concentration during pregnancy, the BWGAP z-score decreased significantly during the 27th–33th gestational weeks with the strongest association in the 30th gestational weeks (standard deviation units decrease in BWGAP z-score: −0.049, 95% CI: −0.080 −0.017, in three-pollutant model). No significant association between maternal weekly NO2 or SO2 BWGAP z-score was observed. In conclusion, this study provides evidence that maternal PM2.5 exposure during the 27th–33th gestational weeks may reduce the birth weight in the context of very high pollution level of PM2.5

Birth weight · Confidence interval · Gestation · Gestational age · Low birth weight · Obstetrics · Pregnancy · Premature birth · Quartile · Air Quality and Health Impacts · Climate Change and Health Impacts · Energy and Environment Impacts · Medicine · Demography · Internal Medicine

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Unique citing works1
Citations per year0,25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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