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.

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