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Prenatal exposure to traffic pollution: associations with reduced fetal growth and rapid infant weight gain
Journal article   Peer reviewed

Prenatal exposure to traffic pollution: associations with reduced fetal growth and rapid infant weight gain

Abby F Fleisch, Sheryl L Rifas-Shiman, Petros Koutrakis, Joel D Schwartz, Itai Kloog, Steven Melly, Brent A Coull, Antonella Zanobetti, Matthew W Gillman, Diane R Gold, …
Epidemiology (Cambridge, Mass.), v 26(1), pp 43-50
Jan 2015
PMID: 25437317
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1097/EDE.0000000000000203View
Published, Version of Record (VoR) Restricted

Abstract

Air Pollution - statistics & numerical data Birth Weight Cohort Studies Female Fetal Growth Retardation - epidemiology Gestational Age Humans Infant Infant, Newborn Male Maternal Exposure - statistics & numerical data Particulate Matter Pediatric Obesity - epidemiology Pregnancy Pregnancy Trimester, Third Prenatal Exposure Delayed Effects - epidemiology Spatio-Temporal Analysis United States - epidemiology Vehicle Emissions Weight Gain
Prenatal air pollution exposure inhibits fetal growth, but implications for postnatal growth are unknown. We assessed weights and lengths of US infants in the Project Viva cohort at birth and 6 months. We estimated 3rd-trimester residential air pollution exposures using spatiotemporal models. We estimated neighborhood traffic density and roadway proximity at birth address using geographic information systems. We performed linear and logistic regression adjusted for sociodemographic variables, fetal growth, and gestational age at birth. Mean birth weight-for-gestational age z-score (fetal growth) was 0.17 (standard deviation [SD] = 0.97; n = 2,114), 0- to 6-month weight-for-length gain was 0.23 z-units (SD = 1.11; n = 689), and 17% had weight-for-length ≥95th percentile at 6 months of age. Infants exposed to the highest (vs. lowest) quartile of neighborhood traffic density had lower fetal growth (-0.13 units [95% confidence interval (CI) = -0.25 to -0.01]), more rapid 0- to 6-month weight-for-length gain (0.25 units [95% CI = 0.01 to 0.49]), and higher odds of weight-for-length ≥95th percentile at 6 months (1.84 [95% CI = 1.11 to 3.05]). Neighborhood traffic density was additionally associated with an infant being in both the lowest quartile of fetal growth and the highest quartile of 0- to 6-month weight-for-length gain (Q4 vs. Q1, odds ratio = 3.01 [95% CI = 1.08 to 8.44]). Roadway proximity and 3rd-trimester black carbon exposure were similarly associated with growth outcomes. For 3rd-trimester particulate matter (PM2.5), effect estimates were in the same direction, but smaller and imprecise. Infants exposed to higher traffic-related pollution in early life may exhibit more rapid postnatal weight gain in addition to reduced fetal growth.

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#11 Sustainable Cities and Communities
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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