Journal of Shandong University (Health Sciences) ›› 2021, Vol. 59 ›› Issue (8): 99-106.doi: 10.6040/j.issn.1671-7554.0.2021.0301

Previous Articles     Next Articles

Effect of maternal PM10 and PM2.5 exposure during pregnancy on neonatal birth weight

ZHAI Yifan1, WANG Zhaojun2, BAI Shuoxin1, LIN Shaoqian3, WANG Fangyi1, DU Shuang1, WANG Zhiping1   

  1. 1. School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Shandong Jinan Ecological Environment Monitoring Center, Jinan 250000, Shandong, China;
    3. Jinan Municipal Center for Disease Control and Prevention, Jinan 250021, Shandong, China
  • Published:2021-09-16

Abstract: Objective To explore the association between maternal PM10 and PM2.5 exposure during pregnancy and neonatal birth weight, and further determine the critical window period of maternal PM10 and PM2.5 exposure on neonatal birth weight. Methods The study was based on the baseline study of infant asthma birth cohort in Jinan City, the newborns in the study area were selected as the research subjects, and the birth weight of newborns was obtained. Combined with the particulate matter monitoring data of 17 monitoring stations in Jinan City, the longitude and latitude of the mothers residential address during pregnancy and the longitude and latitude of the monitoring station address, the daily individual exposure concentration of each mother during pregnancy was obtained by using the inverse distance weight method, so as to obtain the exposure dose of each mother during the whole pregnancy, the first trimester, the second trimester and the third trimester. The association between maternal PM10 and PM2.5 exposure during pregnancy and neonatal birth weight was explored by using generalized additive model and negative control exposures analysis method, and the exposure dose of three pregnancy periods were included in the model to find the key window period. Results (1) Totally, 4 602 subjects were included in this study, with an average birth weight of(3 420.98±465.27)g. The average exposure concentrations of PM10 and PM2.5 during pregnancy were 114.15 μg/m3 and 54.71 μg/m3, respectively. (2) For every 10 μg/m3 increase of PM10 and PM2.5 exposure during pregnancy, the birth weight of newborn decreased by 30.46 g (P=0.013)and 51.81 g(P=0.028), respectively; there was no significant association between PM10 and PM2.5 exposure and neonatal birth weight in negative control exposure period(PM10: P=0.166; PM2.5: P=0.650). (3) The results of critical window period analysis showed that the birth weight decreased by 11.56 g(P=0.004)and 43.85 g(P<0.001)for every 10 μg/m3 increase of PM10 and PM2.5 exposure concentration during the first trimester, and decreased by 13.09 g(P=0.001)and 44.04 g(P<0.001)during the third trimester. Conclusion Maternal exposure to PM10 and PM2.5 during pregnancy can reduce neonatal birth weight, and the first trimester and the third trimester are the critical exposure window periods.

Key words: Pregnancy, Inhalable particulate matter, Fine particulate matter, Birth weight, Negative control exposures analysis

CLC Number: 

  • R122.7
[1] Badshah S, Mason L, McKelvie K, et al. Risk factors for low birthweight in the public-hospitals at Peshawar, NWFP-Pakistan[J]. BMC Public Health, 2008, 8(1): 197. doi: 10.1186/1471-2458-8-197.
[2] Risnes KR, Vatten LJ, Baker JL, et al. Birthweight and mortality in adulthood: a systematic review and meta-analysis[J]. Int J Epidemiol, 2011, 40(3): 647-661.
[3] 华琦, 谭静, 刘朝晖,等. 出生体质量与青少年期单纯性肥胖及血脂、血糖、血压相关关系的队列研究[J].中华内科杂志, 2007, 46(11): 923-925. HUA Qi, TAN Jing, LIU Zhaohui, et al. A cohort study on the correlation between birth weight, simple obesity, blood lipids, blood glucose and blood pressure from childhood to adolescence[J]. Chinese Journal of Internal Medicine, 2007, 46(11): 923-925.
[4] Ornoy A. Prenatal origin of obesity and their complications: gestational diabetes, maternal overweight and the paradoxical effects of fetal growth restriction and macrosomia[J]. Reprod Toxicol, 2011, 32(2): 205-212.
[5] Salgado CM, Brandao Veiga Jardim PC, Goncalves Teles FB, et al. Low birth weight as a marker of changes in ambulatory blood pressure monitoring[J]. Arq Bras Cardiol, 2009, 92(2): 113-121.
[6] Zhao Y, Wang SF, Mu M, et al. Birth weight and overweight/obesity in adults: a meta-analysis[J]. Eur J Pediatr, 2012, 171(12): 1737-1746.
[7] Fan CF, Huang TT, Cui FF, et al. Paternal factors to the offspring birth weight: the 829 birth cohort study[J]. Int J Clin Exp Med, 2015, 8(7): 11370-11378.
[8] Slemming W, Bello B, Saloojee H, et al. Maternal risk exposure during pregnancy and infant birth weight[J]. Early Hum Dev, 2016, 99: 31-36. doi: 10.1016/j.earlhumdev.2016.03.012.
[9] Gray SC, Edwards SE, Miranda ML. Assessing exposure metrics for PM and birth weight models[J]. J Expo Sci Environ Epidemiol, 2010, 20(5): 469-477.
[10] Ines Balsa A, Caffera M, Bloomfield J. Exposures to particulate matter from the eruptions of the puyehue volcano and birth outcomes in Montevideo, Uruguay[J]. Environ Health Persp, 2016, 124(11): 1816-1822.
[11] Han YY, Ji YW, Kang SY, et al. Effects of particulate matter exposure during pregnancy on birth weight: a retrospective cohort study in Suzhou, China[J]. Sci Total Environ, 2018, 615: 369-374. doi: 10.1016/j.scitotenv.2017.09.236.
[12] Ye L, Ji YW, Lv W, et al. Associations between maternal exposure to air pollution and birth outcomes: a retrospective cohort study in Taizhou, China[J]. Environ Sci Pollut R, 2018, 25(22): 21927-21936.
[13] Lin LZ, Li Q, Yang J, et al. The associations of particulate matters with fetal growth in utero and birth weight: a birth cohort study in Beijing, China[J]. Sci Total Environ, 2020, 709: 136246. doi: 10.1016/j.scitotenv.2019.136246.
[14] Yang Y, Lin Q, Liang Y, et al. The mediation effect of maternal glucose on the association between ambient air pollution and birth weight in Foshan, China[J]. Environ Pollut, 2020, 266(Pt 1): 115128.. doi: 10.1016/j.envpol.2020.115128.
[15] Lipsitch M, Tchetgen ET, Cohen T. Negative controls a tool for detecting confounding and bias in observational studies[J]. Epidemiology, 2010, 21(3): 383-388.
[16] 阚慧,张淼,郑英杰. 阴性对照法:原理、方法及应用[J].中华流行病学杂志, 2020(4): 594-598. doi: 10.3760/cma.j.cn112338-20191109-00796. KAN Hui, ZHANG Miao, ZHENG Yingjie. On ‘negative control methods’: related principles, methods and applications[J]. Chinese Journal of Epidemiology, 2020(4): 594-598. doi: 10.3760/cma.j.cn112338-20191109-00796.
[17] Liew Z, Kioumourtzoglou MA, Roberts AL, et al. Use of negative control exposure analysis to evaluate confounding: an example of acetaminophen exposure and attention-deficit/hyperactivity disorder in nurses health study II[J]. Am J Epidemiol, 2019, 188(4): 768-775.
[18] Villar J, Ismail LC, Victora CG, et al. International standards for newborn weight, length, and head circumference by gestational age and sex: the Newborn Cross-sectional Study of the INTERGROWTH-21st Project[J]. Lancet, 2014, 384(9946): 857-868.
[19] Jo H, Eckel SP, Chen JC, et al. Associations of gestational diabetes mellitus with residential air pollution exposure in a large Southern California pregnancy cohort[J]. Environ Int, 2019, 130: 104933. doi: 10.1016/j.envint.2019.104933.
[20] Wilcox AJ, Weinberg CR, Basso O. On the pitfalls of adjusting for gestational age at birth[J]. Am J Epidemiol, 2011, 174(9): 1062-1068.
[21] Shang L, Huang LY, Yang WF, et al. Maternal exposure to PM2.5 may increase the risk of congenital hypothyroidism in the offspring: a national database based study in China[J]. BMC Public Health, 2019, 19(1): 1412. doi: 10.1186/s12889-019-7790-1.
[22] 贾梦唯,赵天良,张祥志,等. 南京主要大气污染物季节变化及相关气象分析[J].中国环境科学,2016, 36(9): 2567-2577. JIA Mengwei, ZHAO Tianliang, ZHANG Xiangzhi, et al. Seasonal variations in major air pollutants in Nanjing and their meteorological correlation analyses[J]. China Environmental Science, 2016, 36(9): 2567-2577.
[23] Yu YY, Li HK, Sun XR, et al. Identification and estimation of causal effects using a negative-control exposure in time-series studies with applications to environmental epidemiology [J]. Am J Epidemiol, 2021, 190(3): 468-476.
[24] Roth C, Magnus P, Schjolberg S, et al. Folic acid supplements in pregnancy and severe language delay in children[J]. JAMA, 2011, 306(14): 1566-1573.
[25] Suren P, Roth C, Bresnahan M, et al. Association between maternal use of folic acid supplements and risk of autism spectrum disorders in children[J]. JAMA, 2013, 309(6): 570-577.
[26] Easey KE, Timpson NJ, Munafo MR. Association of prenatal alcohol exposure and offspring depression: a negative control analysis of maternal and partner consumption[J]. Alcohol Clin Exp Res, 2020, 44(5): 1132-1140.
[27] Wilson A, Chiu YHM, Hsu HHL, et al. Potential for bias when estimating critical windows for air pollution in childrens health[J]. Am J Epidemiol, 2017, 186(11): 1281-1289.
[1] Qun LU,Lulu ZHAO. Progress on assisted reproductive technology for women with atypical endometrial hyperplasia and endometrial carcinoma receiving fertilitysparing treatment [J]. Journal of Shandong University (Health Sciences), 2022, 60(9): 35-41.
[2] AILI Aixingzi,Zhengyu GUO,Xiaofei ZHANG. Latest research advances of high intensity focused ultrasound treatment for adenomyosis [J]. Journal of Shandong University (Health Sciences), 2022, 60(7): 36-42.
[3] CAO Danfeng, LIU Zonghua, WANG Junzhi, ZHANG Guoxiang. The independent and cumulative associations of childhood household dysfunction with depressive symptoms during pregnancy [J]. Journal of Shandong University (Health Sciences), 2022, 60(6): 97-101.
[4] WU Richao, LIU Hong, WANG Ze, GAO Shanshan, LI Xiufang, SHI Yuhua. Pregnancy outcomes of in vitro fertilization-intracytoplasmic sperm injection-embryo transfer in women 40 years and above [J]. Journal of Shandong University (Health Sciences), 2022, 60(6): 35-39.
[5] ZHANG Xuan, WU Liuliu, HAN Jing, CHEN Qingyi, MAO Fangxiang, WANG Juan, SUN Jiwei, ZHANG Guoxiang, CAO Danfeng, CAO Fenglin. Reliability and validity test of the Chinese Body Understanding Measure for Pregnancy Scale [J]. Journal of Shandong University (Health Sciences), 2022, 60(10): 87-91.
[6] LI Yan, LIU Jing, LI Juan, YANG Qiuhong. Clinical characteristics and placental pathology of bloodstream infection in 50 pregnant women [J]. Journal of Shandong University (Health Sciences), 2022, 60(1): 48-54.
[7] CHEN Wei, GUO Qingqing, XU Jin, FANG Yuan, SUN Mei, SHENG Yan. A comparative analysis of the effects of natural cycle combined with luteal ovarian stimulation and dual ovarian stimulation [J]. Journal of Shandong University (Health Sciences), 2021, 59(8): 61-66.
[8] ZHANG Jianping, LUO Yinger. Application progress of anticoagulant drugs in the treatment of recurrent adverse pregnancy [J]. Journal of Shandong University (Health Sciences), 2021, 59(8): 14-19.
[9] WU Xiaolin, LI Ping. Effect of Gn stimulation duration on pregnancy outcome of IVF-ET in long GnRHa protocol [J]. Journal of Shandong University (Health Sciences), 2021, 59(7): 32-37.
[10] LONG Yuhan, LUO Xia, JIANG Jie. Abnormal hyperlipidemia during pregnancy: a report of 2 cases and literature review [J]. Journal of Shandong University (Health Sciences), 2021, 59(3): 103-106.
[11] XIAO Yang, TAO Yu, WANG Fangyi, LIANG Yuxiu, ZHANG Jin, JI Xiaokang, WANG Zhiping. Association between PM2.5 and PM10 exposure with gestational diabetes mellitus in certain areas of Shandong Province [J]. Journal of Shandong University (Health Sciences), 2021, 59(12): 101-109.
[12] WANG Liheng, PENG Xiumiao, ZHANG Yingjian, SHAN Bing, CAO Meng, CUI Liangliang. Concentration characteristics and chronic health risk assessment of metal elements in atmospheric PM2.5 in two districts of Jinan from 2016 to 2020 [J]. Journal of Shandong University (Health Sciences), 2021, 59(12): 63-69.
[13] SUN Chengyao, TANG Dajing, CHEN Fengge, ZHAO Chuan, GUAN Mingyang. Trend and health risk assessment of chemical components in atmospheric PM2.5 in Shijiazhuang City from 2016 to 2020 [J]. Journal of Shandong University (Health Sciences), 2021, 59(12): 78-86.
[14] CAO Meng, WANG Liheng, PENG Xiumiao, CUI Liangliang. Concentration characteristics and chronic health risk assessment of polycyclic aromatic hydrocarbons in atmospheric PM2.5 in two districts of Jinan from 2016 to 2020 [J]. Journal of Shandong University (Health Sciences), 2021, 59(12): 87-95.
[15] CHEN Qingyi, ZHANG Xuan, WANG Juan, SUN Jiwei, CAO Danfeng, CAO fenglin. Risk factors and cumulative effects of suicidal ideation in pregnant women [J]. Journal of Shandong University (Health Sciences), 2021, 59(1): 91-94.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] JIANG Bao-dong,MA Xiang-xing,WANG Qing,WANG Qian,FENG Xiao-yuan,LI Ke,YU Fu-hua. Imaging parameters of multislice spiral CT venography in cerebral veins[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(11): 1084 -1086 .
[2] HUANG Fei,WANG Huaijing,XING Yi,GAO Wei,LI Yonggang,XING Ziying,LI Zhenzhong. Protective effects of NGF and GM1 on primary sensory neurons in SD rat with sciatic nerve injury[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2006, 44(4): 332 -335 .
[3] LYU Longfei, LI Lin, LI Shuhai, QI Lei, LU Ming, CHENG Chuanle, TIAN Hui. Application of laparoscopic fine needle catheter jejunostomy in minimally invasive McKeown resection of esophageal cancer[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 77 -81 .
[4] SHAO Haigang, WANG Xuan, WANG Qing. Anatomy of the root canal system of mandibular first premolar in population of Shandong Province[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(9): 85 -89 .
[5] LI Wei,LI Dao-wei,YE Qian,GAO Shun-cui,JIANG Shu-juan.

Diagnostic value of transbronchial needle aspiration in paratracheal mediastinal lesions

[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(11): 1063 -1065 .
[6] LI Yu-liang,WANG Yong-zheng,WANG Xiao-hua,ZHANG Fu-jun,ZHU Li-dong,ZHANG Wang-ming,LI Zheng,LI Zhen-jia,ZHANG Kai-xian. I implantation combined with Gemcitabine in the treatment of advanced pancreatic cancer[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(4): 393 -396 .
[7] WANG Xu-ping,ZHAO Ling,FENG Yu-xin,SHANG Lin-shan,LIU Jin-cheng,. [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2006, 44(6): 564 -567 .
[8] WANG Xue-ping,YANG Hong-ling. [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, (2): 213 .
[9] TANG Fang1,2, ZHANG Yingqian3, WANG Zhiqiang4, KANG Dianmin4,
WANG Jiezhen1, XUE Fuzhong1
. A 2D minimal spanning tree model of the spatial structures of natural focal disease[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(01): 106 -110 .
[10] LIU Hai-Chun, ZHANG Jian-Feng, CHEN Yuan-zhen. Bone collagen and biomechanical propertyies in the femur of osteoporosis rats[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(5): 42 -45 .