Trimester specific PM2.5 exposure and fetal growth in Ohio, 2007–2010
Open accessAbstract
Background Exposure to particulate matter, particularly with aerodynamic diameter < 2.5 µm (PM 2.5), may increase inflammation and oxidative stress in pregnant women and affect fetal growth. We examined trimester specific PM 2.5 exposure levels and small for gestational age (SGA) using the statewide birth registry of Ohio from 2007 to 2010. Methods Exposure to PM 2.5 in each trimester and for each gestational week was determined using data from 57 Environmental Protection Agency network monitoring stations across the state of Ohio. We restricted the data to 224,921 singleton live births, with a gestational age of 20-42 weeks, no genetic disorders or congenital abnormalities, and who had home addresses within a 10 km radius of any PM 2.5 monitoring station. We estimated odds ratios of SGA using Generalized Linear Models (GLMs) and Distributed Lag Models (DLMs), and adjustment for maternal age, race, education, parity, body mass index, insurance type, tobacco use, prenatal care initiation, birth year, season of birth, and sex of the baby. Results Mean PM 2.5 levels during the entire pregnancy were 13.03 µg/m 3 with a standard deviation of 1.57 µg/m 3. Covariates adjusted odds ratios and 95% confidence intervals of a 10 µg/m 3 increase in PM 2.5 levels with a 10 km buffer radius for SGA and trimesters modeled separately were 0.94 (0.88, 1.00) for the first trimester, 0.93 (0.86, 1.00) for the second trimester, 1.07 (1.00, 1.15) for the third trimester, and 0.92 (0.81, 1.06) for the entire pregnancy. When a 5 km buffer radius was used, adjusted odds ratios and 95% confidence intervals for SGA were 0.97 (0.89, 1.05) for the first trimester, 0.96 (0.88, 1.05) for the second trimester, 1.09 (1.02, 1.17) for the third trimester, and 0.99 (0.85, 1.14) for the overall pregnancy, indicating sensitivity to buffer choice. DLMs showed gestational weeks 30-35 to be a particular window of vulnerability. Conclusion Increasing exposure to PM 2.5 during the third trimester of pregnancy was associated with a small increase in risk of SGA in this population-based study. Selection of a buffer radius significantly impacted our results in the first trimester, but not in the third trimester.
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Percy et al. demonstrated increasing exposure to PM2.5 during the third trimester, in particular between 30 and 35 weeks of gestation, was associated with an increased risk for small for gestational age babies.
“Percy et al. [15] demonstrated increasing exposure to PM2.5 during the third trimester, in particular between 30 and 35 weeks of gestation, was associated with an increased risk for small for gestational age babies.”
From Air pollution and children’s health—a review of adverse effects associated with prenatal exposure from fine to ultrafine particulate matter (2021) · cites this paper as [15]
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Maternal exposure to fine particulate matter (PM2.5) and pregnancy outcomes: a meta-analysis
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Johnson, N. M., Hoffmann, A. R., Behlen, J. C., Lau, C., Pendleton, D., Harvey, N., Shore, R., Li, Y., Chen, J., Tian, Y., et al. (2021) · Environmental Health and Preventive Medicine · doi:10.1186/s12199-021-00995-5 · Cited by 339 · see citing works
“[15] demonstrated increasing exposure to PM2.”
- Authors
- Percy, Z., DeFranco, E., Xu, F., Hall, E. S., Haynes, E. N., Jones, D., Muglia, L. J., & Chen, A.
- Affiliations
- University of Cincinnati (US)
- Cincinnati Children's Hospital Medical Center (US)
- Corresponding author
- Chen, Aimin
- ORCID
- Venue
- Environmental Research
- Publisher
- Elsevier BV
- Published
- 2019-04
- Volume
- 171
- Pages
- 111-118
- ISSN
- 0013-9351 (ISSN-L)
- PMC
- PMC6382528
- OpenAlex
- W2909097680
- Cited by
- 41
- References
- 3
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 7 · 2023: 5 · 2022: 10 · 2021: 5 · 2020: 5 · 2019: 5
- FWCI
- 2.70
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Environmental Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Perinatal Institute, Cincinnati Children's Hospital Medical Center
- March of Dimes Foundation (22-FY13-543)
- University of Cincinnati Medical Scientist Training Program (2T32GM063483-1)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
- Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- PM2.5, particulate matter, air pollution exposure, fetal growth, small for gestational age, trimester-specific exposure, prenatal exposure, birth outcomes, Ohio, air quality monitoring stations, distributed lag models, birth registry, oxidative stress, inflammation in pregnancy, gestational age, singleton live births, tobacco use, prenatal care, body mass index
- MeSH terms
- Air Pollutants, Air Pollution, Child, Female, Humans, Infant, Newborn, Male, Ohio, Pregnancy, Maternal Exposure, Fetal Development, Particulate Matter
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