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Published on: July 12, 2024
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.
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.
Background:
Effects of prenatal and postnatal exposure to air pollution on lung function at preschool age remain unexplored. We examined the association of exposure to air pollution during specific trimesters of pregnancy and postnatal life with lung function in preschoolers.
Methods:
Lung function was assessed with spirometry in preschoolers aged 4.5 years (n=620) participating in the INfancia y Medio Ambiente (INMA) cohort. Temporally adjusted land use regression (LUR) models were applied to estimate individual residential exposures to benzene and nitrogen dioxide (NO₂) during specific trimesters of pregnancy and early postnatal life (the first year of life). Recent and current (1 year and 1 week before lung function testing, respectively) exposures to NO₂ and nitrogen oxides (NOx) were also assessed.
Results:
Exposure to higher levels of benzene and NO₂ during pregnancy was associated with reduced lung function. FEV1 estimates for an IQR increase in exposures during the second trimester of pregnancy were -18.4 mL, 95% CI -34.8 to -2.1 for benzene and -28.0 mL, 95% CI -52.9 to -3.2 for NO₂. Relative risk (RR) of low lung function (<80% of predicted FEV1) for an IQR increase in benzene and NO₂ during the second trimester of pregnancy were 1.22, 95% CI 1.02 to 1.46 and 1.30, 95% CI 0.97 to 1.76, respectively. Associations for early postnatal, recent and current exposures were not statistically significant. Stronger associations appeared among allergic children and those of lower social class.
Conclusions:
Prenatal exposure to residential traffic-related air pollution may result in long-term lung function deficits at preschool age.
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