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Published on: May 5, 2018
Ambient temperature and congenital heart defects.
K Agay-Shay1, M Friger, S Linn
1School of Public Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Mount Carmel, Haifa 31905, Israel. kagayshay@gmail.com
Maternal exposure to higher ambient temperatures during pregnancy is linked to an increased risk of congenital heart defects (CHDs), particularly during the cold season. This finding highlights potential public health concerns amid climate change.
Area of Science:
- Environmental Health
- Reproductive Epidemiology
- Teratology
Background:
- Hyperthermic insult in animal models demonstrates teratogenic effects.
- Limited data exist on human fetal exposure to elevated ambient temperatures and congenital heart defects (CHDs) risk.
Purpose of the Study:
- To investigate the association between maternal exposure to higher ambient temperatures during pregnancy and the risk of congenital heart defects (CHDs).
- To assess the impact of average ambient temperature and extreme heat events on CHD risk.
Main Methods:
- Population-based cohort study of 135,527 live and stillbirths in Tel-Aviv, Israel (2000-2006).
- Analysis included isolated atrial septal defects, isolated ventricular septal defects, and multiple cardiac defects.
- Logistic models assessed the impact of ambient temperature during weeks 3-8 of pregnancy, adjusted for covariates.
Main Results:
- No overall significant association between ambient temperature and CHDs throughout the year.
- Increased risk for multiple CHDs with continuous exposure to average and peak temperatures during the cold season.
- Increased risk for multiple CHDs and isolated atrial septal defects with extreme heat events.
Conclusions:
- Maternal exposure to higher ambient temperatures during pregnancy, especially in the cold season, is associated with an increased risk of congenital heart defects (CHDs).
- Findings suggest potential public health implications related to climate change, particularly in regions with mild winters and hot summers.
- Limitations include potential exposure misclassification due to registry data and the urban heat island effect.
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