Intrauterine and early postnatal exposure to outdoor air pollution and lung function at preschool age

Eva Morales1, Raquel Garcia-Esteban1, Oscar Asensio de la Cruz2

  • 1Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Catalonia, Spain Hospital del Mar Medical Research Institute (IMIM), Barcelona, Catalonia, Spain Universitat Pompeu Fabra (UPF), Barcelona, Catalonia, Spain CIBER Epidemiología y Salud Pública (CIBERESP), Spain.

Thorax
|October 22, 2014
PubMed

Insights

Prenatal exposure to traffic-related air pollution, like benzene and nitrogen dioxide (NO₂), is linked to reduced preschool lung function. Postnatal exposure showed no significant effects on lung development.

Area of Science:

  • Environmental Health
  • Pediatric Pulmonology
  • Epidemiology

Background:

  • Prenatal and postnatal air pollution effects on preschool lung function are not well understood.
  • This study investigates the association between air pollution exposure during pregnancy and early life with lung function in preschoolers.

Purpose of the Study:

  • To examine the impact of prenatal and early postnatal exposure to air pollution on lung function in 4.5-year-old children.
  • To identify specific pollutants and exposure windows (trimesters, postnatal periods) associated with lung function deficits.

Main Methods:

  • Spirometry was used to assess lung function in 620 preschoolers from the INMA cohort.
  • Land use regression models estimated residential exposure to benzene and nitrogen dioxide (NO₂) during pregnancy and the first year of life.
  • Recent and current exposures to NO₂ and nitrogen oxides (NOx) were also assessed.

Main Results:

  • Prenatal exposure to benzene and NO₂ was associated with reduced lung function (FEV1).
  • Higher prenatal benzene and NO₂ exposure increased the risk of low lung function (RR 1.22 and 1.30, respectively).
  • Associations were stronger in children with allergies and from lower social classes; no significant effects were found for postnatal exposures.

Conclusions:

  • Prenatal exposure to residential traffic-related air pollution may lead to lasting lung function deficits in preschool children.
  • These findings highlight the critical window of prenatal development for air pollution's impact on respiratory health.
Abstract

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