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Exposure to polycyclic aromatic hydrocarbons and newborn biometric indicators
Kinga Polańska1, Wojciech Hanke, Wojciech Sobala
1Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, Łódź, Poland. kinga@imp.lodz.pl
Insights
Polycyclic aromatic hydrocarbons (PAH) exposure during pregnancy negatively impacts fetal development, affecting birth weight and circumference. However, this association disappears when accounting for tobacco smoking.
Area of Science:
- Environmental Health
- Reproductive Toxicology
- Pediatrics
Background:
- Polycyclic aromatic hydrocarbons (PAH) are environmental pollutants linked to adverse health outcomes.
- Prenatal exposure to environmental toxins can significantly impact fetal development.
- Identifying sources of PAH exposure during pregnancy is crucial for public health.
Purpose of the Study:
- To investigate the association between prenatal exposure to polycyclic aromatic hydrocarbons (PAH) and fetal growth parameters.
- To assess the role of active and passive smoking as a source of PAH exposure in pregnant women.
Main Methods:
- Prospective cohort study involving 449 mother-child pairs in Poland.
- Biomarker for PAH exposure: 1-hydroxypyrene (1-HP) in urine, measured via HPLC.
- Assessment of smoking exposure using saliva cotinine levels via LC-ESI+MS/MS.
Main Results:
- PAH exposure, measured by 1-HP, was significantly associated with lower birth weight, chest circumference, and cephalisation index.
- These associations remained significant after adjusting for multiple confounding factors.
- After controlling for active and passive smoking (cotinine levels), the statistical significance of PAH associations with fetal growth was lost.
Conclusions:
- Prenatal PAH exposure can adversely affect fetal development, including birth weight and circumference.
- Tobacco smoking is a significant source of PAH exposure.
- The observed negative impacts of PAH on fetal growth may be largely explained by concurrent tobacco smoke exposure.
Objectives:
The aim of the study was to examine the impact of polycyclic aromatic hydrocarbons (PAH) on foetal growth.
Materials And Methods:
The prospective Polish Mother and Child Cohort study was performed in 8 regions of Poland. The study population consisted of 449 mother-child pairs All women were interviewed three times during pregnancy (once in each trimester). 1-hydroxypyrene (1-HP) concentration in urine was chosen as the biomarker of exposure to PAH. The urine sample collected from the participant women between 20-24 weeks of pregnancy was analysed using high performance liquid chromatography (HPLC). The active and passive smoking exposure was verified by determination of saliva cotinine level using high performance liquid chromatography coupled with tandem mass spectrometry/positive electrospray ionisation (LC-ESI+MS/MS) and isotope dilution method.
Results:
The exposure to PAH measured by 1-HP level in urine of pregnant women was significantly associated with child birth weight (β = -158.3; p = 0.01), chest circumference (β = -0.7; p = 0.02) and cephalisation index (β = 4.2; p = 0.01) after adjustment for gestational age, child gender, pregnant woman marital status, educational level, season of last menstruation period (LMP), prepregnancy body mass index (BMI), and weight gain in pregnancy. After inclusion salivary cotinine levels into the analysis, the results were not statistically significant.
Conclusions:
Prenatal exposures to PAH adversely influence foetal development including child weight, length, head and chest circumference. Tobacco smoking is the important source of PAH. After controlling for active and passive smoking, the observed associations were not statistically significant.
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