Related Experiment Video
Updated: Aug 17, 2025

Measuring Carbon Content in Airway Macrophages Exposed to Carbon-Containing Particulate Matters
Published on: July 12, 2024
Impact of air pollution on stunting among children in Africa
Priyanka N deSouza1,2, Melanie Hammer3,4, Peter Anthamatten5
1Department of Urban and Regional Planning, University of Colorado Denver, Denver, CO, USA. priyanka.desouza@ucdenver.edu.
Insights
Prenatal exposure to fine particulate matter (PM2.5) is linked to increased childhood stunting and lower height-for-age z-scores in Africa. Urgent mitigation of PM2.5 is crucial for addressing child undernutrition across the continent.
Area of Science:
- Environmental Health
- Global Health
- Pediatrics
Background:
- Undernutrition is a major global health crisis, particularly impacting children under five.
- The effects of in-utero and early-childhood air pollution exposure on undernutrition are not well understood.
- This study investigates the link between PM2.5 exposure and child malnutrition in Africa.
Purpose of the Study:
- To evaluate the association between prenatal and early-life exposure to PM2.5 and child malnutrition (stunting and HAZ).
- To identify critical windows of susceptibility during pregnancy to PM2.5 exposure.
- To assess these associations across 32 African countries.
Main Methods:
- Linked nationally representative anthropometric data (58 DHS surveys, 264,207 children) with satellite-derived in-utero PM2.5 concentrations.
- Estimated associations between PM2.5 and stunting/HAZ, controlling for child, mother, and household factors.
- Analyzed trimester-specific PM2.5 exposure and its impact on stunting.
Main Results:
- Higher in-utero PM2.5 exposure was associated with lower height-for-age z-scores and increased stunting.
- A statistically significant association was found for stunting (OR: 1.016 per 10 μg/m³ increase).
- The strongest associations between PM2.5 and stunting occurred during the third trimester of pregnancy.
Conclusions:
- Prenatal and early-life PM2.5 exposure is a significant marker for childhood undernutrition in Africa.
- Findings underscore the urgent need to reduce PM2.5 concentrations to combat child malnutrition on the continent.
- This study provides critical evidence on the impact of air pollution on child health in Africa.
Background:
Undernutrition is a global public health crisis, causing nearly half of deaths for children under age 5 years. Little is known regarding the impact of air pollution in-utero and early childhood on health outcomes related to undernutrition. The aim of our study is to evaluate the association of prenatal and early-life exposure to PM2.5 and child malnutrition as captured by the height-for-age z-score (HAZ), and stunting in 32 countries in Africa. We also evaluated critical windows of susceptibility during pregnancy to each environmental risk.
Methods:
We linked nationally representative anthropometric data from 58 Demographic and Health Surveys (DHS) (n = 264,207 children < 5 years of age) with the average in-utero PM2.5 concentrations derived from satellite imagery. We then estimated associations between PM2.5 and stunting and HAZ after controlling for child, mother and household factors, and trends in time and seasonality.
Results:
We observed lower HAZ and increased stunting with higher in-utero PM2.5 exposure, with statistically significant associations observed for stunting (OR: 1.016 (95% CI: 1.002, 1.030), for a 10 μg/m3 increase). The associations observed were robust to various model specifications. Wald tests revealed that sex, wealth quintile and urban/rural were not significant effect modifiers of these associations. When evaluating associations between trimester-specific PM2.5 levels, we observed that associations between PM2.5 and stunting was the largest.
Conclusions:
This is one of the first studies for the African continent to investigate in-utero and early-life exposure to PM2.5 is an important marker of childhood undernutrition. Our results highlight that PM2.5 concentrations need to be urgently mitigated to help address undernutrition in children on the continent.
More Related Videos
09:33Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India
Published on: December 23, 2022
10:57Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
Published on: August 22, 2012
Related Concept Videos
Nature and Nurture
Environmental Influences on Intelligence
Types of Toxins
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...
Asthma-I: Introduction
Breathing
Chronic Obstructive Pulmonary Disease-II: Pathophysiology
Chronic Inflammation