Relation between children's height and outdoor air pollution from coal-burning sources in the British 1946 birth
Martin Bobak1, Marcus Richards, Michael Wadsworth
1International Centre for Health and Society, Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London, WC1E 6BT, UK. m.bobak@ucl.ac.uk
Insights
Childhood air pollution exposure was linked to shorter height, particularly at age 7. The effect lessened with age, disappearing by 15 years. Further research is needed to confirm causality.
Area of Science:
- Environmental Health
- Pediatric Growth Studies
- Public Health Research
Background:
- Childhood air pollution exposure is a growing concern with known links to various health issues.
- Previous studies suggest environmental factors can influence child development, but specific impacts on height require further investigation.
Purpose of the Study:
- To investigate the relationship between air pollution levels and children's height.
- To determine if air pollution exposure affects linear growth in children.
Main Methods:
- Utilized data from the 1946 British birth cohort study, including 5,362 children.
- Measured child height at multiple ages (2, 4, 6, 7, 11, 15 years).
- Categorized residential areas into four air pollution levels based on coal consumption data, controlling for socio-economic factors.
Main Results:
- Air pollution was inversely associated with children's height at several ages, even after adjusting for socio-economic factors.
- The strongest association was observed at age 7, with children in highly polluted areas being 1.2 cm shorter.
- The impact of air pollution on height diminished after age 7 and was not apparent by age 15.
Conclusions:
- Children's height shows an inverse relationship with air pollution exposure, with age-dependent effects.
- The biological mechanisms underlying this association remain unclear.
- Further studies are necessary to confirm the causality of the observed relationship between air pollution and child growth.
Objective:
Air pollution is associated with a number of health outcomes in childhood. In this study, we investigated whether air pollution is related to children's height.
Methods:
The 1946 British birth cohort study recruited 5,362 children born in 1 week in March 1946. Height was measured when the children were aged 2, 4, 6, 7, 11 and 15 years. Data on socio-economic conditions and other characteristics were obtained in interviews. Areas of children's residence were categorised into four groups of air pollution on the basis of published coal-consumption data.
Results:
After controlling for socio-economic factors, we found that air pollution was associated with children's height at several ages. The association, adjusted for socio-economic factors, was strongest at the age of 7 years, when children in the most polluted areas were 1.2 (95% confidence interval 0.5-1.8) cm shorter than those in the least polluted areas. After the age of 7 years the effect of air pollution diminished and disappeared by the age of 15 years. Further adjustment for birth weight and respiratory illness in childhood did not change this pattern.
Conclusions:
Children's height was inversely associated with air pollution, but the magnitude of the effect depended on age. However, the biological mechanisms linking children's growth with air pollution are not evident, and it remains to be confirmed whether the relationship is genuine and causal.
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