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Gestational Diabetes and Preeclampsia in Association with Air Pollution at Levels below Current Air Quality Guidelines
Open accessAbstract
Background: Several studies have estimated associations between air pollution and birth outcomes, but few have evaluated potential effects on pregnancy complications. Objective: We investigated whether low-level exposure to air pollution is associated with gestational diabetes and preeclampsia. Methods: High-quality registry information on 81,110 singleton pregnancy outcomes in southern Sweden during 1999–2005 was linked to individual-level exposure estimates with high spatial resolution. Modeled exposure to nitrogen oxides (NOx), expressed as mean concentrations per trimester, and proximity to roads of different traffic densities were used as proxy indicators of exposure to combustion-related air pollution. The data were analyzed by logistic regression, with and without adjusting for potential confounders. Results: The prevalence of gestational diabetes increased with each NOx quartile, with an adjusted odds ratio (OR) of 1.69 (95% CI: 1.41, 2.03) for the highest (> 22.7 µg/m3) compared with the lowest quartile (2.5–8.9 µg/m3) of exposure during the second trimester. The adjusted OR for acquiring preeclampsia after exposure during the third trimester was 1.51 (1.32, 1.73) in the highest quartile of NOx compared with the lowest. Both outcomes were associated with high traffic density, but ORs were significant for gestational diabetes only. Conclusion: NOx exposure during pregnancy was associated with gestational diabetes and preeclampsia in an area with air pollution levels below current air quality guidelines.
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“Recently, some studies have discussed the possible association between air pollution and HDP [27, 28].”
From Epidemiological trends of maternal hypertensive disorders of pregnancy at the global, regional, and national levels: a population‐based study (2021) · cites this paper as [28]
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Metadata
- Authors
- Malmqvist, E., Jakobsson, K., Tinnerberg, H., Rignell-Hydbom, A., & Rylander, L.
- Affiliations
- Lund University (SE)
- Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden
- Corresponding author
- Malmqvist, Ebba
- Venue
- Environmental Health Perspectives
- Publisher
- American Chemical Society (ACS)
- Published
- 2013-01-16
- Volume
- 121
- Issue
- 4
- Pages
- 488-493
- ISSN
- 0091-6765 (ISSN-L)
- 1552-9924
- PMC
- PMC3620758
- OpenAlex
- W2059333495
- Cited by
- 158
- References
- 51
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 2 · 2023: 6 · 2022: 14 · 2021: 26 · 2020: 21 · 2019: 15 · 2018: 12 · 2017: 13 · 2016: 12 · 2015: 14 · 2014: 13 · 2013: 1
- FWCI
- 9.80
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- public-domain
- creativecommons.org/licenses/by/4.0/ (vor, 1808 d)
- Locations
- Environmental Health Perspectives (publishedVersion, public-domain)
- Europe PMC (PubMed Central) (publishedVersion, public-domain)
- PubMed Central (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion, other-oa)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
- Keywords
- gestational diabetes mellitus, preeclampsia, air pollution, nitrogen oxides, traffic-related air pollution, pregnancy complications, low-dose exposure, air quality guidelines, road proximity, traffic density, birth outcomes
- MeSH terms
- Adult, Air Pollutants, Vehicle Emissions, Female, Glucose Tolerance Test, Humans, Models, Theoretical, Morbidity, Nitrogen Oxides, Pre-Eclampsia, Pregnancy, Pregnancy Complications, Sweden, Cohort Studies, Prevalence, Logistic Models, Odds Ratio, Diabetes, Gestational, Maternal Exposure, Young Adult
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