Maternal Exposure to Magnetic Fields During Pregnancy in Relation to the Risk of Asthma in Offspring

被引:34
|
作者
Li, De-Kun [1 ]
Chen, Hong [1 ]
Odouli, Roxana [1 ]
机构
[1] Kaiser Permanente, Div Res, Kaiser Fdn Res Inst, Oakland, CA 94612 USA
来源
关键词
BRAIN GLUCOSE-METABOLISM; IMMUNE;
D O I
10.1001/archpediatrics.2011.135
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective: To determine whether maternal exposure to high levels of magnetic fields (MFs) during pregnancy is associated with the risk of asthma in offspring. Design: A prospective cohort study. Setting: Kaiser Permanente Northern California. Participants: Pregnant Kaiser Permanente Northern California members in the San Francisco area. Main Outcome Measures: Asthma was clinically diagnosed among 626 children who were followed up for as long as 13 years. All participants carried a meter to measure their MF levels during pregnancy. Results: After adjustment for potential confounders, a statistically significant linear dose-response relationship was observed between increasing maternal median daily MF exposure level in pregnancy and an increased risk of asthma in offspring: every 1-mG increase of maternal MF level during pregnancy was associated with a 15% increased rate of asthma in offspring (adjusted hazard ratio [aHR], 1.15; 95% confidence interval [CI], 1.04-1.27). Using the categorical MF level, the results showed a similar dose-response relationship: compared with the children whose mothers had a low MF level (median 24-hour MF level, <= 0.3 mG) during pregnancy, children whose mothers had a highMFlevel (> 2.0 mG) had more than a 3.5-fold increased rate of asthma (aHR, 3.52; 95% CI, 1.68-7.35), while children whose mothers had a medium MF level (> 0.3-2.0 mG) had a 74% increased rate of asthma (aHR, 1.74; 95% CI, 0.93-3.25). A statistically significant synergistic interaction was observed between the MF effect and a maternal history of asthma and birth order (firstborn). Conclusion: Our findings provide new epidemiological evidence that high maternal MF levels in pregnancy may increase the risk of asthma in offspring. Arch Pediatr Adolesc Med. 2011; 165( 10): 945-950. Published online August 1, 2011. doi: 10.1001/archpediatrics.2011.135
引用
收藏
页码:945 / 950
页数:6
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