Novel trace elements detected in multiple stages of pregnancy impact neonatal birth weight by affecting gestational

Liangmin Wei1, Xin Chen1, Hui Huang1

  • 1Department of Biostatistics, School of Public Health, Nanjing Medical University, Nanjing 211166, China.

Insights

Prenatal exposure to certain elements like cobalt, antimony, and strontium is linked to higher birth weights, while barium is associated with lower birth weights. Gestational age partially mediates these element-birth weight associations, especially in smaller infants.

Area of Science:

  • Environmental Health
  • Perinatal Epidemiology
  • Toxicology

Background:

  • Prenatal exposure to environmental elements is a potential determinant of birth weight.
  • Gestational age is a critical factor influencing infant birth weight.
  • Understanding element-specific impacts on birth outcomes is crucial for public health.

Purpose of the Study:

  • To investigate the association between prenatal exposure to 15 elements and birth weight.
  • To explore the mediating role of gestational age in the relationship between prenatal element exposure and birth weight.
  • To identify specific elements that may influence birth outcomes in a Bangladeshi prospective birth cohort.

Main Methods:

  • Analysis of maternal serum samples from 780 (first trimester) and 610 (second trimester) participants in a Bangladesh birth cohort (2008-2011).
  • Quantification of 15 elements using inductively coupled plasma mass spectrometry.
  • Mediation analyses to assess the relationships between elements, gestational age, and birth weight, controlling for false discovery rate (FDR).

Main Results:

  • Positive associations with birth weight were found for cobalt (Co), antimony (Sb), and strontium (Sr) in specific trimesters.
  • Negative associations with birth weight were observed for barium (Ba) in both trimesters.
  • Gestational age partially mediated the effects of these elements on birth weight, with a more pronounced impact on smaller infants.

Conclusions:

  • Specific prenatal elemental exposures, including cobalt, antimony, strontium, and barium, are associated with birth weight.
  • Gestational age plays a mediating role in these associations.
  • Findings suggest potential targets for interventions aimed at preventing low birth weight.