Prenatal Exposure to Locally Emitted Air Pollutants Is Associated with Birth Weight: An Administrative Cohort Study from Southern Sweden

While prenatal exposure to ambient air pollution has been shown to be associated with reduced birth weight, there is substantial heterogeneity across studies, and few epidemiological studies have utilized source-specific exposure data. The aim of the present study was, therefore, to investigate the...

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Main Authors: Festina Balidemaj, Erin Flanagan, Ebba Malmqvist, Ralf Rittner, Karin Källén, Daniel Oudin Åström, Anna Oudin
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Toxics
Subjects:
Online Access:https://www.mdpi.com/2305-6304/10/7/366
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author Festina Balidemaj
Erin Flanagan
Ebba Malmqvist
Ralf Rittner
Karin Källén
Daniel Oudin Åström
Anna Oudin
author_facet Festina Balidemaj
Erin Flanagan
Ebba Malmqvist
Ralf Rittner
Karin Källén
Daniel Oudin Åström
Anna Oudin
author_sort Festina Balidemaj
collection DOAJ
description While prenatal exposure to ambient air pollution has been shown to be associated with reduced birth weight, there is substantial heterogeneity across studies, and few epidemiological studies have utilized source-specific exposure data. The aim of the present study was, therefore, to investigate the associations between local, source-specific exposure to fine particulate matter (PM<sub>2.5</sub>) during pregnancy and birth weight. An administrative cohort comprising 40,245 singleton births from 2000 to 2009 in Scania, Sweden, was combined with data on relevant covariates. Investigated sources of PM<sub>2.5</sub> included all local sources together as well as tailpipe exhaust, vehicle wear-and-tear, and small-scale residential heating separately. The relationships between these exposures, represented as interquartile range (IQR) increases, and birth weight (continuous) and low birth weight (LBW; <2500 g) were analyzed in crude and adjusted models. Each local PM<sub>2.5</sub> source investigated was associated with reduced birth weight; average decreases varied by source (12–34 g). Only small-scale residential heating was clearly associated with LBW (adjusted odds ratio: 1.14 (95% confidence interval: 1.04–1.26) per IQR increase). These results add to existing evidence that prenatal exposure to ambient air pollution disrupts fetal growth and suggest that PM<sub>2.5</sub> from both vehicles and small-scale residential heating may reduce birth weight.
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spelling doaj.art-e69cf69a292f44b1b90438f9f8dda7922023-11-30T22:00:47ZengMDPI AGToxics2305-63042022-07-0110736610.3390/toxics10070366Prenatal Exposure to Locally Emitted Air Pollutants Is Associated with Birth Weight: An Administrative Cohort Study from Southern SwedenFestina Balidemaj0Erin Flanagan1Ebba Malmqvist2Ralf Rittner3Karin Källén4Daniel Oudin Åström5Anna Oudin6Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, 222 42 Lund, SwedenDivision of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, 222 42 Lund, SwedenDivision of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, 222 42 Lund, SwedenDivision of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, 222 42 Lund, SwedenDivision of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, 222 42 Lund, SwedenDivision of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, 222 42 Lund, SwedenDivision of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, 222 42 Lund, SwedenWhile prenatal exposure to ambient air pollution has been shown to be associated with reduced birth weight, there is substantial heterogeneity across studies, and few epidemiological studies have utilized source-specific exposure data. The aim of the present study was, therefore, to investigate the associations between local, source-specific exposure to fine particulate matter (PM<sub>2.5</sub>) during pregnancy and birth weight. An administrative cohort comprising 40,245 singleton births from 2000 to 2009 in Scania, Sweden, was combined with data on relevant covariates. Investigated sources of PM<sub>2.5</sub> included all local sources together as well as tailpipe exhaust, vehicle wear-and-tear, and small-scale residential heating separately. The relationships between these exposures, represented as interquartile range (IQR) increases, and birth weight (continuous) and low birth weight (LBW; <2500 g) were analyzed in crude and adjusted models. Each local PM<sub>2.5</sub> source investigated was associated with reduced birth weight; average decreases varied by source (12–34 g). Only small-scale residential heating was clearly associated with LBW (adjusted odds ratio: 1.14 (95% confidence interval: 1.04–1.26) per IQR increase). These results add to existing evidence that prenatal exposure to ambient air pollution disrupts fetal growth and suggest that PM<sub>2.5</sub> from both vehicles and small-scale residential heating may reduce birth weight.https://www.mdpi.com/2305-6304/10/7/366ambient air pollutionfine particulate matterlocal air pollutionsource-specific exposuretraffic-related air pollutionresidential burning
spellingShingle Festina Balidemaj
Erin Flanagan
Ebba Malmqvist
Ralf Rittner
Karin Källén
Daniel Oudin Åström
Anna Oudin
Prenatal Exposure to Locally Emitted Air Pollutants Is Associated with Birth Weight: An Administrative Cohort Study from Southern Sweden
Toxics
ambient air pollution
fine particulate matter
local air pollution
source-specific exposure
traffic-related air pollution
residential burning
title Prenatal Exposure to Locally Emitted Air Pollutants Is Associated with Birth Weight: An Administrative Cohort Study from Southern Sweden
title_full Prenatal Exposure to Locally Emitted Air Pollutants Is Associated with Birth Weight: An Administrative Cohort Study from Southern Sweden
title_fullStr Prenatal Exposure to Locally Emitted Air Pollutants Is Associated with Birth Weight: An Administrative Cohort Study from Southern Sweden
title_full_unstemmed Prenatal Exposure to Locally Emitted Air Pollutants Is Associated with Birth Weight: An Administrative Cohort Study from Southern Sweden
title_short Prenatal Exposure to Locally Emitted Air Pollutants Is Associated with Birth Weight: An Administrative Cohort Study from Southern Sweden
title_sort prenatal exposure to locally emitted air pollutants is associated with birth weight an administrative cohort study from southern sweden
topic ambient air pollution
fine particulate matter
local air pollution
source-specific exposure
traffic-related air pollution
residential burning
url https://www.mdpi.com/2305-6304/10/7/366
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