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Association between gestational arsenic exposure and infant physical development: a prospective cohort study
Panyuan Cai1, Hongning He2,3, Xiaoyue Song2,3
1Experimental Teaching Center of Preventive Medicine, School of Public Health, Anhui Medical University, Hefei, 230032, China.
BMC Public Health
|August 22, 2024
Summary
Gestational arsenic exposure, particularly in late pregnancy, is linked to increased risk of small for gestational age infants and negatively impacts infant growth up to one year, especially in boys.
Area of Science:
- Environmental Health
- Reproductive Health
- Pediatric Health
Background:
- Arsenic pollution is a global issue with known associations between maternal arsenic exposure during pregnancy and adverse birth outcomes.
- Limited research has explored the long-term effects of gestational arsenic exposure on infant growth and development post-birth.
Purpose of the Study:
- To investigate the association between arsenic exposure during pregnancy and newborn birth size.
- To determine if these associations persist and affect infant growth in the first year of life.
Main Methods:
- A prospective cohort study involving 1100 pregnant women was conducted.
- Urinary arsenic concentrations were measured in the 2nd and 3rd trimesters using atomic fluorescence spectrometry.
- Relationships between arsenic levels and fetal growth parameters, Small for Gestational Age (SGA), and infant physical development up to one year were analyzed.
Main Results:
- Third-trimester urinary arsenic concentration was associated with a higher incidence of SGA (OR = 2.860, P = 0.021).
- Late pregnancy arsenic exposure adversely affected infant physical development before age one.
- Infant boys' weight and length at 6 and 12 months showed a negative correlation with maternal urinary arsenic levels in late pregnancy.
Conclusions:
- Third-trimester arsenic exposure negatively impacts fetal growth and continues to affect offspring growth within the first year of life.
- The findings highlight the critical window of late pregnancy for arsenic's detrimental effects on child development.
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