Associations of Gestational Exposure to Air Pollution With Maternal Vitamin D Levels: A Meta-Analysis

被引:0
|
作者
Binter, Anne-Claire [1 ,2 ,3 ]
Ghassabian, Akhgar [4 ,5 ]
Zou, Runyu [6 ,7 ]
El Marroun, Hanan [8 ,9 ]
Lertxundi, Aitana [3 ,10 ,11 ]
Switkowski, Karen M. [12 ,13 ]
Estarlich, Marisa [3 ,14 ,15 ]
Rodriguez-Dehli, Ana Cristina [16 ]
Esplugues, Ana [3 ,14 ,15 ]
Vrijkotte, Tanja [17 ,18 ,19 ]
Sunyer, Jordi [1 ,2 ,3 ]
Santa-Marina, Loreto [3 ,11 ]
Fernandez-Somoano, Ana [3 ,20 ]
Polanska, Kinga [21 ]
McEachan, Rosemary R. C. [22 ]
Oken, Emily [12 ,13 ]
Tiemeier, Henning [23 ]
Guxens, Monica [1 ,2 ,3 ,9 ]
机构
[1] ISGlobal, Barcelona 08036, Spain
[2] Univ Pompeu Fabra UPF, Barcelona 08005, Spain
[3] Spanish Consortium Res Epidemiol & Publ Hlth CIBER, Monforte Lemos Ave 3-5, Madrid 28029, Spain
[4] NYU, Grossman Sch Med, Dept Pediat, 227 East 30th St,Room 808, New York, NY 10016 USA
[5] NYU, Grossman Sch Med, Dept Populat Hlth, New York, NY 10016 USA
[6] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Dept Global Publ Hlth & Bioeth, NL-3584 CX Utrecht, Netherlands
[7] Univ Utrecht, Inst Risk Assessment Sci, Div Environm Epidemiol, NL-3584 CJ Utrecht, Netherlands
[8] Erasmus Univ, Erasmus Sch Social & Behav Sci, Dept Psychol Educ & Child Studies, NL-3062 PA Rotterdam, Netherlands
[9] Erasmus MC, Univ Med Ctr, Dept Child & Adolescent Psychiat Psychol, Rotterdam, Netherlands
[10] Univ Basque Country UPV EHU, Dept Prevent Med & Publ Hlth, Leioa 48940, Bizkaia, Spain
[11] Biogipuzkoa Hlth Res Inst, Grp Environm Epidemiol & Child Dev, Donostia San Sebastian 20014, Spain
[12] Harvard Pilgrim Hlth Care Inst, Dept Populat Med, Boston, MA 02215 USA
[13] Harvard Med Sch, Boston, MA 02215 USA
[14] Univ Valencia, Fac Nursing & Chiropody, Ave Blasco Ibanez 13, Valencia 46010, Spain
[15] Univ Valencia, Fdn Promot Hlth & Biomed Res Valencian Reg, Epidemiol & Environm Hlth Joint Res Unit, FISABIO Publ Hlth,FISABIO Univ Jaume I, Av Catalunya 21, Valencia 46020, Spain
[16] Hosp San Agustin, Serv Pediat, Aviles, Asturias, Spain
[17] Univ Amsterdam, Dept Publ & Occupat Hlth, Amsterdam UMC, NL-1081 BT Amsterdam, Netherlands
[18] Amsterdam Publ Hlth Res Inst, NL-1081 BT Amsterdam, Netherlands
[19] Amsterdam Reprod & Dev Res Inst, NL-1081 BT Amsterdam, Netherlands
[20] Univ Oviedo, Univ Inst Oncol Principal Asturias IUOPA, Dept Med, Julian Claveria St s-n, Oviedo 33006, Asturias, Spain
[21] Nofer Inst Occupat Med, Dept Environm & Occupat Hlth Hazards, PL-91348 Lodz, Poland
[22] Bradford Teaching Hosp NHS Fdn Trust, Bradford Inst Hlth Res, Bradford BD9 6DA, England
[23] Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA 02115 USA
来源
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM | 2024年
基金
英国惠康基金; 美国国家卫生研究院;
关键词
vitamin D; pregnancy; air quality; particulate matter; USE REGRESSION-MODELS; D DEFICIENCY; COHORT PROFILE; PREGNANCY; CHILDREN; AREAS; PM2.5; BORN;
D O I
10.1210/clinem/dgae395
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Context Maternal vitamin D level is an important determinant of pregnancy and child health outcomes. Exposure to air pollution is suspected to increase the risk of vitamin D deficiency, but the evidence is scarce.Objective We investigated the association between air pollution during pregnancy and maternal vitamin D levels.Methods A total of 15 935 pregnant women from 5 birth cohorts in Europe and the United States were included. Averaged concentrations of nitrogen oxides, fine and coarse particles, and composition of fine particles from conception until vitamin D measurement were estimated at participants' residential addresses using land-use regression or other spatiotemporal models. Cohorts measured vitamin D as 25(OH)D or 25(OH)D3 levels in serum or plasma at early or mid-pregnancy. We defined suboptimal vitamin D levels as levels below 20 ng/mL. We performed logistic regression models for each cohort to estimate the association between air pollution exposure and suboptimal vitamin D levels and pooled cohort-specific estimates in a random-effect meta-analysis. Models were adjusted for sociodemographic and lifestyle characteristics and month of conception.Results We found an association between particulate matter (PM)2.5 and higher odds of suboptimal vitamin D levels (ie, below 20 ng/mL) (odds ratio per 5 mu g/m3 increase in PM2.5, 1.43; 95% CI: 1.02, 1.99). There was no association between other air pollutant exposure and vitamin D levels.Conclusion PM2.5 exposure might contribute to suboptimal levels of vitamin D in pregnancy. Reducing air pollution exposure should be a priority because vitamin D deficiency may adversely influence offspring development.
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页数:9
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