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High serum lead concentration in the first trimester is associated with an elevated risk of small-for-gestational-age
Hua Wang1, Jun Li2, Jia-Hu Hao3
1Department of Toxicology, School of Public Health, Anhui Medical University, Hefei, China; Anhui Provincial Key Laboratory of Population Health & Aristogenics, Anhui Medical University, Hefei, China; Laboratory of Environmental Toxicology, Anhui Medical University, Hefei, China.
Insights
High lead (Pb) exposure during pregnancy is linked to an increased risk of small-for-gestational-age (SGA) births. This risk is particularly elevated with high lead levels in the first trimester.
Area of Science:
- Environmental Health
- Reproductive Toxicology
- Pediatric Health
Background:
- Gestational exposure to lead (Pb) is a growing concern.
- Previous studies suggest a link between lead exposure and adverse birth outcomes.
- The specific impact of lead on small-for-gestational-age (SGA) births requires further investigation, especially in diverse populations.
Purpose of the Study:
- To investigate the association between maternal serum lead (Pb) concentration during pregnancy and the risk of small-for-gestational-age (SGA) births.
- To analyze the impact of different lead exposure levels on SGA risk in a Chinese population.
- To determine if lead exposure in the first trimester poses a specific risk for SGA.
Main Methods:
- A cohort of 3125 mother-infant pairs from the China-Anhui Birth Cohort Study (C-ABCS) was analyzed.
- Maternal serum lead (Pb) concentrations were measured using graphite furnace atomic absorption spectrometry (GFAAS).
- Participants were categorized into low, medium, and high serum lead groups based on tertile distribution.
Main Results:
- No significant differences in birth length or circumference were observed across lead exposure groups.
- The rate of small-for-gestational-age (SGA) births increased with higher maternal serum lead levels.
- Elevated SGA risk was associated with medium (OR=1.45) and high (OR=1.69) lead concentrations.
- High lead levels specifically in the first trimester showed a significant association with increased SGA risk (OR=2.13).
Conclusions:
- Maternal serum lead (Pb) concentration during pregnancy is associated with an increased risk of small-for-gestational-age (SGA) births.
- High lead exposure, particularly during the first trimester, is a significant risk factor for SGA.
- These findings highlight the importance of monitoring and reducing lead exposure in pregnant women to improve fetal growth outcomes.
Abstract:
A recent study found that gestational serum Pb concentration is associated with an increased risk of preterm birth. The purpose of this study was to analyze whether gestational Pb exposure elevates risk of small-for-gestational-age (SGA) births in a Chinese population. In the present study, total 3125 mother-infant pairs were recruited from the China-Anhui Birth Cohort Study (C-ABCS). Pb concentration in maternal serum was detected by GFAAS. All subjects were classified into three groups according to the tertile division of serum Pb concentration: L-Pb (low-Pb, <1.18μg/dl), M-Pb (medium-Pb, 1.18-1.70μg/dl), and H-Pb (high-Pb, ≥1.71μg/dl). There was no difference on birth length, head circumference and chest circumference among different groups. The rate of SGA was 6.2% in subjects with L-Pb, 8.7% in subjects with M-Pb, and 10.1% in subjects with H-Pb, respectively. The adjusted OR of SGA was 1.45 (95%CI: 1.04, 2.02; P=0.03) in subjects with M-Pb and 1.69 (95%CI: 1.22, 2.34; P=0.002) in subjects with H-Pb. Interestingly, the rate of SGA infants was elevated only in subjects with H-Pb in the first trimester (adjusted OR: 2.13; 95%CI: 1.24, 3.38; P=0.007). Collectively, high serum Pb level in the first trimester is associated with an elevated risk of SGA infants.
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