Association between exposure to air pollution during intrauterine life and cephalic circumference of the newborn

It has been observed that air pollution can affect newborn health due to the negative effects of pollutants on pregnancy development. However, few studies have evaluated the impact of maternal exposure to urban air pollution on head circumference (HC) at birth. Reduced head growth during pregnancy m...

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Veröffentlicht in:Environmental science and pollution research international 2021-02, Vol.28 (8), p.9701-9711
Hauptverfasser: Carvalho, Mariana Azevedo, Hettfleisch, Karen, Rodrigues, Agatha S, Benachi, Alexandra, Vieira, Sandra Elisabete, Saldiva, Silvia R. D. M., Saldiva, Paulo Hilário N., Francisco, Rossana Pulcineli Vieira, Bernardes, Lisandra Stein
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container_issue 8
container_start_page 9701
container_title Environmental science and pollution research international
container_volume 28
creator Carvalho, Mariana Azevedo
Hettfleisch, Karen
Rodrigues, Agatha S
Benachi, Alexandra
Vieira, Sandra Elisabete
Saldiva, Silvia R. D. M.
Saldiva, Paulo Hilário N.
Francisco, Rossana Pulcineli Vieira
Bernardes, Lisandra Stein
description It has been observed that air pollution can affect newborn health due to the negative effects of pollutants on pregnancy development. However, few studies have evaluated the impact of maternal exposure to urban air pollution on head circumference (HC) at birth. Reduced head growth during pregnancy may be associated with neurocognitive deficits in childhood. The objectives of this study were to evaluate the association between maternal exposure to air pollution and HC at birth and to provide context with a systematic review to investigate this association. This was a prospective study of low-risk pregnant women living in São Paulo, Brazil. Exposure to pollutants, namely, nitrogen dioxide (NO 2 ) and ozone (O 3 ), was measured during each trimester using passive personal samplers. We measured newborn HC until 24 h after birth. We used multiple linear regression models to evaluate the association between pollutants and HC while controlling for known determinants of pregnancy. To perform the systematic review, four different electronic databases were searched through November 2018: CENTRAL, EMBASE, LILACS, and MEDLINE. We selected longitudinal or transversal designs associating air pollution and HC at birth. Two reviewers evaluated the inclusion criteria and risk of bias and extracted data from the included papers. Thirteen studies were selected for the systematic review. We evaluated 391 patients, and we did not observe a significant association between air pollution and HC. Regarding the systematic review, 13 studies were selected for the systematic review, 8 studies showed an inverse association between maternal exposure to pollutants and HC, 4 showed no association, and one observed a direct association. In the city of São Paulo, maternal exposure to pollutants was not significantly associated with HC at birth. The systematic review suggested an inverse association between air pollution and HC at birth.
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The objectives of this study were to evaluate the association between maternal exposure to air pollution and HC at birth and to provide context with a systematic review to investigate this association. This was a prospective study of low-risk pregnant women living in São Paulo, Brazil. Exposure to pollutants, namely, nitrogen dioxide (NO 2 ) and ozone (O 3 ), was measured during each trimester using passive personal samplers. We measured newborn HC until 24 h after birth. We used multiple linear regression models to evaluate the association between pollutants and HC while controlling for known determinants of pregnancy. To perform the systematic review, four different electronic databases were searched through November 2018: CENTRAL, EMBASE, LILACS, and MEDLINE. We selected longitudinal or transversal designs associating air pollution and HC at birth. Two reviewers evaluated the inclusion criteria and risk of bias and extracted data from the included papers. 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subjects Air Pollutants - analysis
Air pollution
Air Pollution - adverse effects
Air Pollution - analysis
Aquatic Pollution
Atmospheric Protection/Air Quality Control/Air Pollution
Brazil
Child
Childbirth & labor
Children
Circumferences
Cognition
Earth and Environmental Science
Ecotoxicology
Emission measurements
Environment
Environmental Chemistry
Environmental Health
Environmental science
Evaluation
Exposure
Female
Humans
Infant, Newborn
Maternal Exposure - adverse effects
Nitrogen dioxide
Nitrogen Dioxide - analysis
Particulate Matter - analysis
Pollutants
Pollution effects
Pregnancy
Prospective Studies
Regression analysis
Regression models
Research Article
Samplers
Systematic review
Waste Water Technology
Water Management
Water Pollution Control
title Association between exposure to air pollution during intrauterine life and cephalic circumference of the newborn
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