第一季度暴露于环境和先天性心脏缺陷之间的关联:加拿大1,342,198名活产儿的基于人口的队列研究
Stéphane Buteau1,2, Paige Veira3, Marianne Bilodeau-Bertrand1
1Institut national de santé publique du Québec, Montreal, Quebec, Canada.
Environmental health perspectives
|June 20, 2023
概括
在怀孕的第一个三个月内,产前暴露于细颗粒物和二氧化,增加了先天性心脏缺陷的风险. 这种关联在具有先前健康状况的母亲中更为强烈.
科学领域:
- 环境健康 环境健康
- 生殖健康 生殖健康
- 儿童心脏病学 儿童心脏病学
背景情况:
- 环境空气污染对先天性心脏缺陷 (CHD) 病原体的贡献尚未完全理解.
- 研究特定空气污染物对胎儿心脏发育的影响对于公共卫生至关重要.
研究的目的:
- 检查第一季度暴露于细颗粒物 (PM2.5) 和二氧化 (NO2) 与心血管疾病风险之间的关联.
- 评估母亲的并发症是否会改变这种关联.
主要方法:
- 在加拿大北克 (2000-2016) 进行了一项基于人口的大规模回顾性队列研究.
- 利用注册数据来识别心脏缺陷,并估计住宅邮政编码级别的污染物暴露量.
- 经过对母婴因素进行调整的后勤回归模型被用于评估关联.
主要成果:
- 第一季度暴露于PM2.5和NO2与心血管疾病的风险增加有关.
- 对于心房隔膜缺陷,观察到与这两种污染物的特定关联.
- 在患有高血压和糖尿病等并发症的母亲中,心血管疾病的风险增加.
结论:
- 产前暴露于环境空气污染,特别是第一季度的PM2.5和NO2,与更高的CHD风险有关.
- 孕产妇的并发症加剧了与空气污染暴露相关的慢性病的风险.
- 研究结果强调了空气质量在怀孕期间对胎儿心脏发育的重要性.
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