Residential exposure to outdoor air pollution during pregnancy and anthropometric measures at birth in a multicenter cohort in Spain

Estarlich, M; Ballester, F; Aguilera, I; Fernández-Somoano, A; Lertxundi, A; Llop, S; Freire, C; Tardón, A; Basterrechea, M; Sunyer, J; Iñiguez, C

HERO ID

783945

Reference Type

Journal Article

Year

2011

Language

English

PMID

21429861

HERO ID 783945
In Press No
Year 2011
Title Residential exposure to outdoor air pollution during pregnancy and anthropometric measures at birth in a multicenter cohort in Spain
Authors Estarlich, M; Ballester, F; Aguilera, I; Fernández-Somoano, A; Lertxundi, A; Llop, S; Freire, C; Tardón, A; Basterrechea, M; Sunyer, J; Iñiguez, C
Journal Environmental Health Perspectives
Volume 119
Issue 9
Page Numbers 1333-1338
Abstract Background: A growing body of research suggests that prenatal exposure to air pollution may be harmful to fetal development. We assessed the association between exposure to air pollution during pregnancy and anthropometric measures at birth in four areas within the Spanish Children's Health and Environment (INMA) mother and child cohort study. Methods: Exposure to ambient nitrogen dioxide (NO2) and benzene was estimated for the residence of each woman (n = 2,337) for each trimester and for the entire pregnancy. Outcomes included birth weight, length, and head circumference. The association between residential outdoor air pollution exposure and birth outcomes was assessed with linear regression models controlled for potential confounders. We also performed sensitivity analyses for the subset of women who spent more time at home during pregnancy. Finally, we performed a combined analysis with meta-analysis techniques. Results: In the combined analysis, an increase of 10 µg/m3 in NO2 exposure during pregnancy was associated with a decrease in birth length of -0.9 mm [95% confidence interval (CI), -1.8 to -0.1 mm]. For the subset of women who spent ≥ 15 hr/day at home, the association was stronger (-0.16 mm; 95% CI, -0.27 to -0.04). For this same subset of women, a reduction of 22 g in birth weight was associated with each 10-µg/m3 increase in NO2 exposure in the second trimester (95% CI, -45.3 to 1.9). We observed no significant relationship between benzene levels and birth outcomes. Conclusions: NO2 exposure was associated with reductions in both length and weight at birth. This association was clearer for the subset of women who spent more time at home.
Doi 10.1289/ehp.1002918
Pmid 21429861
Wosid WOS:000294478400037
Url https://www.proquest.com/docview/896958067?accountid=171501&bdid=64565&_bd=Y3Xe8oYtttheHzxA6ePkxVLUWh0%3D
Is Certified Translation No
Dupe Override No
Comments Source: Web of Science WOS:000294478400037
Is Public Yes
Language Text English
Keyword air pollution; anthropometry; benzene; birth; birth weight; nitrogen dioxide; pregnancy
Is Qa No