Maternal Exposure to Sulfur Dioxide and Risk of Omphalocele in Liaoning Province, China: A Population-Based Case-Control Study

Evidence of the association between maternal sulfur dioxide (SO2) exposure and the risk of omphalocele is limited and equivocal. We aimed to assess the aforementioned topic during the first trimester of pregnancy. A population-based case-control study was carried out in infants consisting of 292 cas...

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Main Authors: Li-Li Li, Yan-Hong Huang, Jing Li, Shu Liu, Yan-Ling Chen, Cheng-Zhi Jiang, Zong-Jiao Chen, Yan-Yan Zhuang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.821905/full
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author Li-Li Li
Yan-Hong Huang
Jing Li
Shu Liu
Yan-Ling Chen
Cheng-Zhi Jiang
Zong-Jiao Chen
Yan-Yan Zhuang
author_facet Li-Li Li
Yan-Hong Huang
Jing Li
Shu Liu
Yan-Ling Chen
Cheng-Zhi Jiang
Zong-Jiao Chen
Yan-Yan Zhuang
author_sort Li-Li Li
collection DOAJ
description Evidence of the association between maternal sulfur dioxide (SO2) exposure and the risk of omphalocele is limited and equivocal. We aimed to assess the aforementioned topic during the first trimester of pregnancy. A population-based case-control study was carried out in infants consisting of 292 cases of omphalocele and 7,950 healthy infant controls. Exposure to SO2, particulate matter with aerodynamic diameters ≤ 10 μm, and nitrogen dioxide was assessed by averaging the concentration from all stations in the mother's residential city. SO2 exposure was categorized into three groups, with the lowest tertile defined as the reference category. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using multivariable logistic regression models. Higher SO2 exposure during the first trimester was significantly associated with omphalocele risk [per standard deviation (42 ug/m3) increment: OR = 1.39, 95% CI = 1.22–1.65]. When focusing on shorter exposure windows, similar positive associations were observed for SO2 exposure in the first and third months of pregnancy. In addition, compared with the lowest tertile, high SO2 exposure in the second month of pregnancy increased the risk of omphalocele (OR = 2.80, 95% CI = 1.61–4.97). Maternal exposure to SO2 during the first trimester may increase the risk of omphalocele in offspring.
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spelling doaj.art-ccf58f49507b4b30906f381dddc8b4182022-12-22T02:54:12ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-05-011010.3389/fpubh.2022.821905821905Maternal Exposure to Sulfur Dioxide and Risk of Omphalocele in Liaoning Province, China: A Population-Based Case-Control StudyLi-Li Li0Yan-Hong Huang1Jing Li2Shu Liu3Yan-Ling Chen4Cheng-Zhi Jiang5Zong-Jiao Chen6Yan-Yan Zhuang7Department of Children's Health Prevention, Shenyang Maternity and Child Health Hospital, Shenyang, ChinaDepartment of Ophthalmology, Shenyang Women's and Children's Hospital, Shenyang, ChinaDepartment of Science and Education, Shenyang Maternity and Child Health Hospital, Shenyang, ChinaDepartment of Atmospheric Environment Monitoring, Liaoning Eco-Environmental Monitoring Center, Shenyang, ChinaOffice of Institution, Liaoning Women and Children's Health Hospital, Shenyang, ChinaSchool of Environmental and Chemical Engineering, Shenyang Ligong University, Shenyang, ChinaDepartment of Atmospheric Environment Monitoring, Liaoning Eco-Environmental Monitoring Center, Shenyang, ChinaDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, ChinaEvidence of the association between maternal sulfur dioxide (SO2) exposure and the risk of omphalocele is limited and equivocal. We aimed to assess the aforementioned topic during the first trimester of pregnancy. A population-based case-control study was carried out in infants consisting of 292 cases of omphalocele and 7,950 healthy infant controls. Exposure to SO2, particulate matter with aerodynamic diameters ≤ 10 μm, and nitrogen dioxide was assessed by averaging the concentration from all stations in the mother's residential city. SO2 exposure was categorized into three groups, with the lowest tertile defined as the reference category. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using multivariable logistic regression models. Higher SO2 exposure during the first trimester was significantly associated with omphalocele risk [per standard deviation (42 ug/m3) increment: OR = 1.39, 95% CI = 1.22–1.65]. When focusing on shorter exposure windows, similar positive associations were observed for SO2 exposure in the first and third months of pregnancy. In addition, compared with the lowest tertile, high SO2 exposure in the second month of pregnancy increased the risk of omphalocele (OR = 2.80, 95% CI = 1.61–4.97). Maternal exposure to SO2 during the first trimester may increase the risk of omphalocele in offspring.https://www.frontiersin.org/articles/10.3389/fpubh.2022.821905/fullair pollutioncase-control studyomphalocelerisksulfur dioxide
spellingShingle Li-Li Li
Yan-Hong Huang
Jing Li
Shu Liu
Yan-Ling Chen
Cheng-Zhi Jiang
Zong-Jiao Chen
Yan-Yan Zhuang
Maternal Exposure to Sulfur Dioxide and Risk of Omphalocele in Liaoning Province, China: A Population-Based Case-Control Study
Frontiers in Public Health
air pollution
case-control study
omphalocele
risk
sulfur dioxide
title Maternal Exposure to Sulfur Dioxide and Risk of Omphalocele in Liaoning Province, China: A Population-Based Case-Control Study
title_full Maternal Exposure to Sulfur Dioxide and Risk of Omphalocele in Liaoning Province, China: A Population-Based Case-Control Study
title_fullStr Maternal Exposure to Sulfur Dioxide and Risk of Omphalocele in Liaoning Province, China: A Population-Based Case-Control Study
title_full_unstemmed Maternal Exposure to Sulfur Dioxide and Risk of Omphalocele in Liaoning Province, China: A Population-Based Case-Control Study
title_short Maternal Exposure to Sulfur Dioxide and Risk of Omphalocele in Liaoning Province, China: A Population-Based Case-Control Study
title_sort maternal exposure to sulfur dioxide and risk of omphalocele in liaoning province china a population based case control study
topic air pollution
case-control study
omphalocele
risk
sulfur dioxide
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.821905/full
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