母亲暴露于环境臭氧和胎儿先天性心脏缺陷:中国的一项全国多中心研究
Yaqi Wang1, Yanping Ruan2, Xiaoyu Wan1
1Institute of Child and Adolescent Health, School of Public Health, Peking University, National Health Commission Key Laboratory of Reproductive Health, Beijing, 100191, China.
Journal of exposure science & environmental epidemiology
|August 31, 2024
概括
在怀孕早期,母亲暴露于臭氧 (O3) 显著增加了胎儿先天性心脏缺陷 (CHD) 的风险. 这凸显了提高孕妇对空气污染的认识和保护措施的必要性.
科学领域:
- 环境健康 环境健康
- 生殖毒理学 生殖毒理学
- 心血管流行病学心血管流行病学
背景情况:
- 环境臭氧 (O3) 水平上升与全球变暖有关.
- 关于母亲O3暴露和胎儿先天性心脏缺陷 (CHD) 的数据有限,特别是在受污染的地区.
研究的目的:
- 为了调查母亲在怀孕早期暴露于环境臭氧和胎儿心血管疾病之间的关联.
主要方法:
- 一项在中国进行的国家多中心研究,涉及27,817名高风险参与者 (2013-2021).
- 通过使用验证的网格数据,评估了胚胎,孕前,第一季度和孕期期间的O3暴露.
- 通过胎儿心声学诊断的冠心病.
主要成果:
- 胚胎O3暴露的10μg/m3增加与合并的CHD几率上升12.7%相关 (OR: 1.127,95%CI: 1.098-1.155).
- 在对PM2.5和NO2.2进行调整后,关联仍然很重要.
- 观察到的最强的关联是Fallot四重学 (TOF);发现了VSD,PS,PA,TGA和PLSVC的显著联系.
结论:
- 怀孕早期环境中较高的O3暴露与胎儿心脏病风险增加有显著联系.
- 研究结果强调,孕妇,临床医生和政策制定者需要解决O3暴露,以减轻心脏病风险并改善长期健康结果.
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