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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.
Abstract:
Prenatal exposure to elements may be associated with birth weight via shortening of gestation. This study aimed to determine if prenatal exposure is associated with birth weight, and to explore the potential mediating role of gestational age in the association. Within an established Bangladesh prospective birth cohort (2008-2011), we analyzed the concentrations of 15 elements in maternal serum samples collected during the first (n = 780) and second (n = 610) trimesters using inductively coupled plasma mass spectrometry. Mediation analyses explored the relationships between these elements, gestational age, and birth weight. Serum concentrations of cobalt (Co) (first trimester: b = 56.5; 95% confidence interval [CI]: 13.5-99.0; false discovery rate [FDR]-q = 0.035; second trimester: b = 73.3; 95% CI: 20.4-130.2; FDR-q = 0.037) and antimony (Sb) in both trimesters (first trimester:b = 92.1; 95% CI: 66.0-118.9; FDR-q < 0.001; second trimester: b = 93.3; 95% CI: 67.3-118.4; FDR-q < 0.001), and strontium (Sr) in the first trimester (b = 142.4; 95% CI: 41.6-247.9; FDR-q = 0.035) were positively associated with birth weight, while negative associations were observed for barium (Ba) (first trimester: b = -154.8; 95% CI: -217.9 to 91.8; FDR-q <0.001; second trimester: b = -26.7; 95% CI: -44.9 to 10.2; FDR-q < 0.001). These elements act partially by affecting gestation age and appear to have heightened impact among smaller infants. Further research is needed to determine the biological underpinnings of these effects, which may inform strategies to avert low birth weight.
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