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Shen X, Meng X, Wang C, Chen X, Chen Q, Cai J, Zhang J, Zhang Q, Fan L. Prenatal exposure to fine particulate matter and newborn anogenital distance: a prospective cohort study. Environ Health 2023; 22:16. [PMID: 36755317 PMCID: PMC9909868 DOI: 10.1186/s12940-023-00969-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Accepted: 02/06/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Considerable attention has been paid to reproductive toxicity of fine particulate matter (PM2.5). However, the relationship between prenatal PM2.5 exposure and anogenital distance (AGD) has not been well studied. We aim to investigate the potential effects of prenatal exposure to PM2.5 on newborn AGD. METHODS Prenatal PM2.5 exposure of 2332 participates in Shanghai (2013-2016) was estimated using high-performance machine learning models. Anoscrotal distance (AGDas) in male infants and anofourchette distance (AGDaf) in female infants were measured by well-trained examiners within 3 days after birth. We applied multiple linear regression models and multiple informant models to estimate the association between prenatal PM2.5 exposure and AGD. RESULTS Multiple linear regression models showed that a 10 μg/m3 increase in PM2.5 exposure during full pregnancy, the second and third trimesters was inversely associated with AGDas (adjusted beta = - 1.76, 95% CI: - 2.21, - 1.31; - 0.73, 95% CI: - 1.06, - 0.40; and - 0.52; 95% CI: - 0.87, - 0.18, respectively) in males. A 10 μg/m3 increase in PM2.5 exposure during the full pregnancy, the first, second, and third trimesters was inversely associated with AGDaf (adjusted beta = - 4.55; 95% CI: - 5.18, - 3.92; - 0.78; 95% CI: - 1.10, - 0.46; - 1.11; 95% CI: - 1.46, - 0.77; - 1.45; 95% CI: - 1.78, - 1.12, respectively) in females after adjusting for potential confounders. Multiple informant models showed consistent but slightly attenuated associations. CONCLUSION Our study observed a significant association between gestational PM2.5 exposure during pregnancy and shortened AGD in newborns, and provided new evidence on potential reproductive toxicity of prenatal PM2.5 exposure.
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Affiliation(s)
- Xiaoli Shen
- Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xia Meng
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education and NHC Key Lab of Health Technology Assessment, Fudan University, Shanghai, 200032, China
| | - Cuiping Wang
- Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xiangfeng Chen
- Center for Reproductive Medicine, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200135, China
- Shanghai Key Laboratory for Assisted Reproduction and Reproductive Genetics, Shanghai, 200135, China
- Shanghai Human Sperm Bank, Shanghai, 200135, China
| | - Qian Chen
- Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jing Cai
- School of Public Health, Key Lab of Public Health Safety of the Ministry of Education and NHC Key Lab of Health Technology Assessment, Fudan University, Shanghai, 200032, China
| | - Jun Zhang
- Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Qianlong Zhang
- Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
| | - Lichun Fan
- Women and Children's Medical Center of Hainan Province, No.75, Longkunnan Road, Haikou, 570100, Hainan, China.
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GENDER DIFFERENCES IN EFFECTS OF PRENATAL AND POSTNATAL EXPOSURE TO ELECTROMAGNETIC FIELD AND PRENATAL ZINC ON BEHAVIOUR AND SYNAPTIC PROTEINS IN RATS. J Chem Neuroanat 2022; 122:102092. [DOI: 10.1016/j.jchemneu.2022.102092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 03/25/2022] [Accepted: 03/25/2022] [Indexed: 11/21/2022]
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Migault L, Garlantézec R, Piel C, Marchand-Martin L, Orazio S, Cheminat M, Zaros C, Carles C, Cardis E, Ancel PY, Charles MA, de Seze R, Baldi I, Bouvier G. Maternal cumulative exposure to extremely low frequency electromagnetic fields, prematurity and small for gestational age: a pooled analysis of two birth cohorts. Occup Environ Med 2019; 77:22-31. [DOI: 10.1136/oemed-2019-105785] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Revised: 08/12/2019] [Accepted: 11/06/2019] [Indexed: 01/29/2023]
Abstract
BackgroundData on the effects of extremely low frequency electromagnetic fields (ELF-EMF) on pregnancy outcomes are inconclusive.ObjectiveTo study the relation between maternal cumulative exposure to ELF-EMF during pregnancy and the risk of prematurity or small for gestational age (SGA) in a pooled analysis of two French birth cohorts.MethodsElfe and Epipage2 are both population-based birth cohorts initiated in 2011 and included 18 329 and 8400 births, respectively. Health data and household, mother and child characteristics were obtained from medical records and questionnaires at maternity and during follow-up. A job exposure matrix was used to assess cumulative exposure to ELF-EMF during three periods: (1) until 15 weeks of gestation, (2) until 28 weeks of gestation and (3) until 32 weeks of gestation. Analyses were restricted to single live births in mainland France and to mothers with documented jobs (N=19 894). Adjusted logistic regression models were used.ResultsAccording to the period studied, 3.2%–4% of mothers were classified as highly exposed. Results were heterogeneous. Increased risks of prematurity were found among low exposed mothers for the three periods, and no association was observed among the most exposed (OR1=0.92 (95% CI 0.74 to 1.15); OR2=0.98 (95% CI 0.80 to 1.21); OR3=1.14 (95% CI 0.92 to 1.41)). For SGA, no association was observed with the exception of increased risk among the low exposed mothers in period 2 and the most exposed in period 3 (OR=1.25 (95% CI 1.02 to 1.53)).ConclusionSome heterogeneous associations between ELF-EMF exposure and prematurity and SGA were observed. However, due to heterogeneity (ie, their independence regarding the level of exposure), associations cannot be definitely explained by ELF-EMF exposure.
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Huang I, Mak D, Cheung P, Abraham M, Clemens T, Turner S. A systematic review of associations between maternal exposures during pregnancy other than smoking and antenatal fetal measurements. ENVIRONMENTAL RESEARCH 2019; 173:528-538. [PMID: 30991176 DOI: 10.1016/j.envres.2019.04.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Revised: 03/30/2019] [Accepted: 04/05/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND Reduced birth weight is associated with many maternal environmental exposures during pregnancy, but the gestational age at onset of this association is unknown. We have previously reported associations between maternal smoking and fetal size. OBJECTIVE To report on our systematic review of the literature describing associations between antenatal size and growth and maternal exposures during pregnancy. DATA SOURCES Electronic databases (OVID and EMBASE) and web sites for cohort studies were searched. Studies were eligible if they examined associations between maternal environmental exposures (including ambient air exposure, diet and alcohol) and antenatal fetal ultrasound measurements. The Navigation Guide was used to assess the strength of evidence. RESULTS There were 451 abstracts identified and 36 papers were included of which maternal diet was the exposure of interest in 15, maternal ambient air exposure in 10, maternal alcohol in 3 and other exposures in 8. The first paper was published in 2006. Associations were present between exposures and fetal measurements in 18% of comparisons with second trimester measurements and in 46% of comparisons with third trimester measurements. In the third trimester, when an association was present, reduced head size was most commonly (58%) associated with current or previous maternal exposure, with reduced length being least commonly (32%) associated and reduced weight being intermediate (52%). In the third trimester, increased maternal nitrogen dioxide exposure was associated with reduced head size was associated with in all seven studies identified and reduced fetal weight in five out of six studies. CONCLUSION There is sufficient evidence of toxicity in the context of maternal exposure to nitrogen dioxide and reduced third trimester fetal head size. There is currently insufficient evidence of toxicity with regard to maternal exposures to dietary factors, alcohol and environmental chemicals and reduced fetal size.
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Affiliation(s)
- Ivory Huang
- Child Health, University of Aberdeen, Aberdeen, UK
| | - Diane Mak
- Child Health, University of Aberdeen, Aberdeen, UK
| | | | | | - Tom Clemens
- School of Geosciences, University of Edinburgh, UK
| | - Steve Turner
- Child Health, University of Aberdeen, Aberdeen, UK.
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Migault L, Piel C, Carles C, Delva F, Lacourt A, Cardis E, Zaros C, de Seze R, Baldi I, Bouvier G. Maternal cumulative exposure to extremely low frequency electromagnetic fields and pregnancy outcomes in the Elfe cohort. ENVIRONMENT INTERNATIONAL 2018; 112:165-173. [PMID: 29275242 DOI: 10.1016/j.envint.2017.12.025] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2017] [Revised: 12/15/2017] [Accepted: 12/15/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVES To study the relations between maternal cumulative exposure to extremely low frequency electromagnetic fields (ELF EMF) and the risk of moderate prematurity and small for gestational age within the Elfe cohort. METHODS The Elfe study included 18,329 infants born at 33weeks of gestation or more in France in 2011 and was designed to follow the children until 20years of age. Gestational age and anthropometric data at birth were collected in medical records and small for gestational age was defined according to a French customized growth standard. During interviews, mothers were asked to report their job status during pregnancy. If employed, their occupation was coded according to the International Standard Classification of Occupations 1988 and the date on which they stopped their work was recorded. Cumulative exposure to ELF EMF during pregnancy was assessed, for both mothers who worked and those who did not during pregnancy, using a recently-updated job-exposure matrix (JEM). Cumulative exposure was considered as a categorical variable (<17.5, 17.5-23.8, 23.8-36.2, 36.2-61.6 or ≥61.6μT-days), a binary variable (<44.1 and ≥44.1μT-days) and a continuous variable. Associations were analyzed by logistic regression, adjusting for the mother's lifestyle factors, sociodemographic characteristics and some mother's medical history during and before pregnancy. Analyses were restricted to single births and to complete values for the pregnancy outcomes (n=16,733). RESULTS Cumulative exposure was obtained for 96.0% of the mothers. Among them, 37.5% were classified in the 23.8-36.2μT-days category, but high exposures were rare: 1.3% in the ≥61.6μT-days category and 5.5% in the ≥44.1μT-days category. No significant association was observed between maternal cumulative exposure and moderate prematurity and small for gestational age in this exposure range. CONCLUSION This large population-based study does not suggest that maternal exposure to ELF EMF during pregnancy is highly associated with risks of moderate prematurity or small for gestational age.
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Affiliation(s)
- L Migault
- University of Bordeaux, Inserm U1219 EPICENE Team, Bordeaux Population Health Research Center, 146 rue Leo Saignat, 33076 Bordeaux Cedex, France.
| | - C Piel
- University of Bordeaux, Inserm U1219 EPICENE Team, Bordeaux Population Health Research Center, 146 rue Leo Saignat, 33076 Bordeaux Cedex, France
| | - C Carles
- University of Bordeaux, Inserm U1219 EPICENE Team, Bordeaux Population Health Research Center, 146 rue Leo Saignat, 33076 Bordeaux Cedex, France; Bordeaux University Hospital, Service de Médecine du Travail et pathologie professionnelle, 608 avenue Léon Duguit, 33600 Pessac, France
| | - F Delva
- University of Bordeaux, Inserm U1219 EPICENE Team, Bordeaux Population Health Research Center, 146 rue Leo Saignat, 33076 Bordeaux Cedex, France
| | - A Lacourt
- University of Bordeaux, Inserm U1219 EPICENE Team, Bordeaux Population Health Research Center, 146 rue Leo Saignat, 33076 Bordeaux Cedex, France
| | - E Cardis
- Barcelona Institute for Global Health (ISGlobal), Doctor Aiguader, 88, 08003 Barcelona, Spain; Universitat Pompeu Fabra Barcelona, Spain; CIBER Epidemiologia y Salud Pública (CIBERESP), Madrid, Spain
| | - C Zaros
- Joint research unit Elfe, Ined-Inserm-EFS, 133 Boulevard Davout, 75020 Paris, France
| | - R de Seze
- TOXI PERITOX UMR-I-01 unit, INERIS, Parc ALATA BP2, 60550 Verneuil en Halatte, UPJV, Amiens, France
| | - I Baldi
- University of Bordeaux, Inserm U1219 EPICENE Team, Bordeaux Population Health Research Center, 146 rue Leo Saignat, 33076 Bordeaux Cedex, France; Bordeaux University Hospital, Service de Médecine du Travail et pathologie professionnelle, 608 avenue Léon Duguit, 33600 Pessac, France
| | - G Bouvier
- University of Bordeaux, Inserm U1219 EPICENE Team, Bordeaux Population Health Research Center, 146 rue Leo Saignat, 33076 Bordeaux Cedex, France
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Calvente I, Vázquez-Pérez A, Fernández MF, Núñez MI, Múñoz-Hoyos A. Radiofrequency exposure in the Neonatal Medium Care Unit. ENVIRONMENTAL RESEARCH 2017; 152:66-72. [PMID: 27741450 DOI: 10.1016/j.envres.2016.09.019] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2016] [Revised: 09/22/2016] [Accepted: 09/24/2016] [Indexed: 06/06/2023]
Abstract
The aims of this study were to characterize electromagnetic fields of radiofrequency (RF-EMF) levels generated in a Neonatal Medium Care Unit and to analyze RF-EMF levels inside unit's incubators. Spot and long-term measurements were made with a dosimeter. The spot measurement mean was 1.51±0.48V/m. Higher values were found in the proximity to the window and to the incubator evaluated. Mean field strength for the entire period of 17h was 0.81 (±0.07)V/m and the maximum value was 1.58V/m for long-term RF-EMF measurements in the incubator. Values found during the night period were higher than those found during the day period. It is important to consider RF-EMF exposure levels in neonatal care units, due to some evidence of adverse health effects found in children and adults. Characterization of RF-EMF exposure may be important to further investigate the mechanisms and underlying effects of electromagnetic fields (EMF) on infant health. A prudent avoidance strategy should be adopted because newborns are at a vulnerable stage of development and the actual impact of EMF on premature infants is unknown.
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Affiliation(s)
- I Calvente
- Unit Research Support of the San Cecilio University Hospital, Biosanitary Institute of Granada (ibs.GRANADA), University Hospitals of Granada/University of Granada, Granada, Spain; Department of Radiology and Physical Medicine, School of Medicine, University of Granada, Av. de la Investigación, 11, torre A, planta 11, 18016 Granada, Spain
| | | | - M F Fernández
- Unit Research Support of the San Cecilio University Hospital, Biosanitary Institute of Granada (ibs.GRANADA), University Hospitals of Granada/University of Granada, Granada, Spain; Department of Radiology and Physical Medicine, School of Medicine, University of Granada, Av. de la Investigación, 11, torre A, planta 11, 18016 Granada, Spain; CIBER en Epidemiología y Salud Pública (CIBERESP), Spain
| | - M I Núñez
- Unit Research Support of the San Cecilio University Hospital, Biosanitary Institute of Granada (ibs.GRANADA), University Hospitals of Granada/University of Granada, Granada, Spain; Department of Radiology and Physical Medicine, School of Medicine, University of Granada, Av. de la Investigación, 11, torre A, planta 11, 18016 Granada, Spain; Biopathology and Regenerative Medicine Institute (IBIMER), University of Granada, Spain; CIBER en Epidemiología y Salud Pública (CIBERESP), Spain.
| | - A Múñoz-Hoyos
- Department of Pediatrics, University of Granada, Spain
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Lewis RC, Hauser R, Maynard AD, Neitzel RL, Wang L, Kavet R, Morey P, Ford JB, Meeker JD. PERSONAL MEASURES OF POWER-FREQUENCY MAGNETIC FIELD EXPOSURE AMONG MEN FROM AN INFERTILITY CLINIC: DISTRIBUTION, TEMPORAL VARIABILITY AND CORRELATION WITH THEIR FEMALE PARTNERS' EXPOSURE. RADIATION PROTECTION DOSIMETRY 2016; 172:401-408. [PMID: 26705359 PMCID: PMC5204365 DOI: 10.1093/rpd/ncv515] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2015] [Revised: 09/29/2015] [Accepted: 11/17/2015] [Indexed: 05/08/2023]
Abstract
Power-frequency magnetic field exposure science as it relates to men and couples have not been explored despite the advantage of this information in the design and interpretation of reproductive health epidemiology studies. This analysis examined the distribution and temporal variability of exposures in men, and the correlation of exposures within couples using data from a longitudinal study of 25 men and their female partners recruited from an infertility clinic. The average and 90th percentile demonstrated fair to good reproducibility, whereas the maximum showed poor reproducibility over repeated sampling days, each separated by a median of 4.6 weeks. Average magnetic field exposures were also strongly correlated within couples, suggesting that one partner's data could be used as a surrogate in the absence of data from the other for this metric. Environment was also an important effect modifier in these explored matters. These issues should be considered in future relevant epidemiology studies.
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Affiliation(s)
- Ryan C Lewis
- Department of Environmental Health Sciences, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, USA
- Center for Occupational & Environmental Health Risk Assessment, Exponent, Inc., 475 14th Street, Suite 400, Oakland, CA 94612, USA
| | - Russ Hauser
- Departments of Environmental Health and Epidemiology, Harvard T. H. Chan School of Public Health, Building I, 14th Floor, 665 Huntington Avenue, Boston, MA 02115, USA
- Vincent Memorial Obstetrics and Gynecology Service, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA
| | - Andrew D Maynard
- Department of Environmental Health Sciences, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, USA
| | - Richard L Neitzel
- Department of Environmental Health Sciences, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, USA
| | - Lu Wang
- Department of Biostatistics, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, USA
| | - Robert Kavet
- Electric Power Research Institute, 3420 Hillview Avenue, Palo Alto, CA 94304, USA
| | - Patricia Morey
- Departments of Environmental Health and Epidemiology, Harvard T. H. Chan School of Public Health, Building I, 14th Floor, 665 Huntington Avenue, Boston, MA 02115, USA
| | - Jennifer B Ford
- Departments of Environmental Health and Epidemiology, Harvard T. H. Chan School of Public Health, Building I, 14th Floor, 665 Huntington Avenue, Boston, MA 02115, USA
| | - John D Meeker
- Department of Environmental Health Sciences, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109, USA
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Eskelinen T, Roivainen P, Mäkelä P, Juutilainen J. Reply to Comment on "Maternal exposure to extremely low frequency magnetic fields: Association with time to pregnancy and foetal growth". ENVIRONMENT INTERNATIONAL 2016; 96:192. [PMID: 27612999 DOI: 10.1016/j.envint.2016.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2016] [Accepted: 09/01/2016] [Indexed: 06/06/2023]
Affiliation(s)
- Tuomo Eskelinen
- University of Eastern Finland, Department of Environmental and Biological Sciences, Kuopio, Finland; Savonia University of Applied Sciences, Kuopio, Finland.
| | - Päivi Roivainen
- University of Eastern Finland, Department of Environmental and Biological Sciences, Kuopio, Finland
| | - Pentti Mäkelä
- Savonia University of Applied Sciences, Kuopio, Finland
| | - Jukka Juutilainen
- University of Eastern Finland, Department of Environmental and Biological Sciences, Kuopio, Finland
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de Vocht F, Burstyn I. Comments on "Maternal exposure to extremely low frequency magnetic fields: Association with time to pregnancy and foetal growth". ENVIRONMENT INTERNATIONAL 2016; 96:190-191. [PMID: 27613000 DOI: 10.1016/j.envint.2016.09.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/05/2016] [Revised: 08/19/2016] [Accepted: 09/01/2016] [Indexed: 06/06/2023]
Affiliation(s)
- Frank de Vocht
- School of Social and Community Medicine, University of Bristol, Bristol, UK.
| | - Igor Burstyn
- Department of Environmental and Occupational Health and Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
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Eskelinen T, Roivainen P, Mäkelä P, Keinänen J, Kauhanen O, Saarikoski S, Juutilainen J. Maternal exposure to extremely low frequency magnetic fields: Association with time to pregnancy and foetal growth. ENVIRONMENT INTERNATIONAL 2016; 94:620-625. [PMID: 27395334 DOI: 10.1016/j.envint.2016.06.027] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2015] [Revised: 04/23/2016] [Accepted: 06/22/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND Data on reproductive and developmental effects of extremely low frequency magnetic fields (ELF MFs) are inconclusive. This study tested the hypothesis that maternal exposure to ELF MFs is associated with increased time to pregnancy (TTP), reduced birthweight or small for gestational age (SGA). METHODS The study cohort consisted of 373 mothers who gave birth between 1990 and 1994 in Kuopio University Hospital, Finland. To increase prevalence of high ELF MF exposure, women living in buildings near known ELF MF sources were included. Maternal exposure to ELF MF before and during pregnancy was assessed with short term measurements in residences and questionnaires. Associations between ELF MF exposure and TTP, low birth weight and SGA were analysed by logistic regression (or linear regression for continuous variables), adjusting for factors known to be associated with the selected pregnancy outcomes, such as maternal smoking, alcohol consumption and socioeconomic status. RESULTS The MF exposure of the mothers was slightly higher than in Finnish residences in general, but very high exposures (>0.4μT) were rare. No consistent association of ELF MF with TTP, birth weight or SGA was found. CONCLUSIONS ELF MF exposure is not likely to be associated with TTP or prenatal growth at residential exposure levels that were observable in this study.
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Affiliation(s)
- Tuomo Eskelinen
- University of Eastern Finland, Department of Environmental and Biological Sciences, Kuopio, Finland.
| | - Päivi Roivainen
- University of Eastern Finland, Department of Environmental and Biological Sciences, Kuopio, Finland
| | - Pentti Mäkelä
- Finnish Institute of Occupational Health, Research and Development Centre for Occupational Health Services, Kuopio, Finland
| | - Jari Keinänen
- University of Eastern Finland, Department of Environmental and Biological Sciences, Kuopio, Finland
| | - Olavi Kauhanen
- Kuopio University Hospital, Department of Obstetrics and Gynaecology, Kuopio, Finland
| | - Seppo Saarikoski
- Kuopio University Hospital, Department of Obstetrics and Gynaecology, Kuopio, Finland
| | - Jukka Juutilainen
- University of Eastern Finland, Department of Environmental and Biological Sciences, Kuopio, Finland
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Hansson Mild K, Friberg S, Frankel J, Wilén J. Exposure to the magnetic field from an induction loop pad for a hearing aid system. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2016; 23:143-145. [PMID: 27541365 DOI: 10.1080/10803548.2016.1226597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
As a case study we have measured the magnetic field from an induction loop pad designed for hearing aid assistance. The magnitude of the field was high, although well below international guidelines. We recorded values up to 70% of the recommended standard in some instances. However, in view of the many reports indicating health effects of low-level exposure, we recommend that the precautionary principle is applied when such pads are given to people who might be especially vulnerable, such as children, pregnant women and women on breast cancer medication.
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Affiliation(s)
| | - Stefan Friberg
- b Department of Audiology , University Hospital of Umeå , Sweden
| | | | - Jonna Wilén
- a Department of Radiation Sciences , Umeå University , Sweden
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Preconception Care: A New Standard of Care within Maternal Health Services. BIOMED RESEARCH INTERNATIONAL 2016; 2016:6150976. [PMID: 27314031 PMCID: PMC4903143 DOI: 10.1155/2016/6150976] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2015] [Accepted: 04/18/2016] [Indexed: 12/13/2022]
Abstract
Emerging research suggests that much pediatric affliction has origins in the vulnerable phase of fetal development. Prenatal factors including deficiency of various nutrients and exposure to assorted toxicants are major etiological determinants of myriad obstetrical complications, pediatric chronic diseases, and perhaps some genetic mutations. With recent recognition that modifiable environmental determinants, rather than genetic predestination, are the etiological source of most chronic illness, modification of environmental factors prior to conception offers the possibility of precluding various mental and physical health conditions. Environmental and lifestyle modification through informed patient choice is possible but evidence confirms that, with little to no training in clinical nutrition, toxicology, or environmental exposures, most clinicians are ill-equipped to counsel patients about this important area. With the totality of available scientific evidence that now exists on the potential to modify disease-causing gestational determinants, failure to take necessary precautionary action may render members of the medical community collectively and individually culpable for preventable illness in children. We advocate for environmental health education of maternity health professionals and the widespread adoption and implementation of preconception care. This will necessitate the translation of emerging knowledge from recent research literature, to health professionals, to reproductive-aged women, and to society at large.
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Li L, Laurent O, Wu J. Spatial variability of the effect of air pollution on term birth weight: evaluating influential factors using Bayesian hierarchical models. Environ Health 2016; 15:14. [PMID: 26850268 PMCID: PMC4744429 DOI: 10.1186/s12940-016-0112-5] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2015] [Accepted: 02/01/2016] [Indexed: 05/05/2023]
Abstract
BACKGROUND Epidemiological studies suggest that air pollution is adversely associated with pregnancy outcomes. Such associations may be modified by spatially-varying factors including socio-demographic characteristics, land-use patterns and unaccounted exposures. Yet, few studies have systematically investigated the impact of these factors on spatial variability of the air pollution's effects. This study aimed to examine spatial variability of the effects of air pollution on term birth weight across Census tracts and the influence of tract-level factors on such variability. METHODS We obtained over 900,000 birth records from 2001 to 2008 in Los Angeles County, California, USA. Air pollution exposure was modeled at individual level for nitrogen dioxide (NO2) and nitrogen oxides (NOx) using spatiotemporal models. Two-stage Bayesian hierarchical non-linear models were developed to (1) quantify the associations between air pollution exposure and term birth weight within each tract; and (2) examine the socio-demographic, land-use, and exposure-related factors contributing to the between-tract variability of the associations between air pollution and term birth weight. RESULTS Higher air pollution exposure was associated with lower term birth weight (average posterior effects: -14.7 (95 % CI: -19.8, -9.7) g per 10 ppb increment in NO2 and -6.9 (95 % CI: -12.9, -0.9) g per 10 ppb increment in NOx). The variation of the association across Census tracts was significantly influenced by the tract-level socio-demographic, exposure-related and land-use factors. Our models captured the complex non-linear relationship between these factors and the associations between air pollution and term birth weight: we observed the thresholds from which the influence of the tract-level factors was markedly exacerbated or attenuated. Exacerbating factors might reflect additional exposure to environmental insults or lower socio-economic status with higher vulnerability, whereas attenuating factors might indicate reduced exposure or higher socioeconomic status with lower vulnerability. CONCLUSIONS Our Bayesian models effectively combined a priori knowledge with training data to infer the posterior association of air pollution with term birth weight and to evaluate the influence of the tract-level factors on spatial variability of such association. This study contributes new findings about non-linear influences of socio-demographic factors, land-use patterns, and unaccounted exposures on spatial variability of the effects of air pollution.
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Affiliation(s)
- Lianfa Li
- Program in Public Health, College of Health Sciences, University of California, Anteater Instruction & Research Bldg (AIRB) # 2034, 653 East Peltason Drive, Irvine, CA 92697-3957 USA
- State Key Lab of Resources and Environmental Information Systems, Institute of Geographical Sciences and Natural Resources Research, Chinese Academy of Sciences, A11 Datun Road, Anwai, Chaoyang, Beijing, 100101 China
| | - Olivier Laurent
- Program in Public Health, College of Health Sciences, University of California, Anteater Instruction & Research Bldg (AIRB) # 2034, 653 East Peltason Drive, Irvine, CA 92697-3957 USA
| | - Jun Wu
- Program in Public Health, College of Health Sciences, University of California, Anteater Instruction & Research Bldg (AIRB) # 2034, 653 East Peltason Drive, Irvine, CA 92697-3957 USA
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Lewis RC, Hauser R, Maynard AD, Neitzel RL, Wang L, Kavet R, Meeker JD. Exposure to Power-Frequency Magnetic Fields and the Risk of Infertility and Adverse Pregnancy Outcomes: Update on the Human Evidence and Recommendations for Future Study Designs. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART B, CRITICAL REVIEWS 2016; 19:29-45. [PMID: 27030583 PMCID: PMC4848457 DOI: 10.1080/10937404.2015.1134370] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Infertility and adverse pregnancy outcomes are significant public health concerns with global prevalence. Over the past 35 years, research has addressed whether exposure to power-frequency magnetic fields is one of the etiologic factors attributed to these conditions. However, no apparent authoritative reviews on this topic have been published in the peer-reviewed literature for nearly 15 years. This review provides an overview and critical analysis of human studies that were published in the peer-reviewed literature between 2002 and July 2015. Using PubMed, 13 epidemiology studies published during this time frame that concern exposure to magnetic fields and adverse prenatal (e.g., miscarriage), neonatal (e.g., preterm birth or birth defects), and male fertility (e.g., poor semen quality) outcomes were identified. Some of these studies reported associations whereas others did not, and study design limitations may explain these inconsistencies. Future investigations need to be designed with these limitations in mind to address existing research gaps. In particular, the following issues are discussed: (1) importance of selecting the appropriate study population, (2) need for addressing confounding due to unmeasured physical activity, (3) importance of minimizing information bias from exposure measurement error, (4) consideration of alternative magnetic field exposure metrics, and (5) implications and applications of personal exposure data that are correlated within female-male couples. Further epidemiologic research is needed, given the near ubiquitous exposures to power-frequency magnetic fields in the general population.
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Affiliation(s)
- Ryan C. Lewis
- University of Michigan School of Public Health, Department of Environmental Health Sciences, 1415 Washington Heights, Ann Arbor, Michigan 48109, USA
- Exponent, Inc., Center for Occupational & Environmental Health Risk Assessment, 475 14 Street, Suite 475, Oakland, California 94612, USA
| | - Russ Hauser
- Harvard T.H. Chan School of Public Health, Departments of Environmental Health and Epidemiology, Building I, 14 Floor, 665 Huntington Avenue, Boston, Massachusetts 02115, USA
- Massachusetts General Hospital, Vincent Memorial Obstetrics and Gynecology Service, 55 Fruit Street, Boston, Massachusetts 02114, USA
| | - Andrew D. Maynard
- University of Michigan School of Public Health, Department of Environmental Health Sciences, 1415 Washington Heights, Ann Arbor, Michigan 48109, USA
| | - Richard L. Neitzel
- University of Michigan School of Public Health, Department of Environmental Health Sciences, 1415 Washington Heights, Ann Arbor, Michigan 48109, USA
| | - Lu Wang
- University of Michigan School of Public Health, Department of Biostatistics, 1415 Washington Heights, Ann Arbor, Michigan 48109, USA
| | - Robert Kavet
- Electric Power Research Institute, 3420 Hillview Avenue, Palo Alto, California 94304, USA
| | - John D. Meeker
- University of Michigan School of Public Health, Department of Environmental Health Sciences, 1415 Washington Heights, Ann Arbor, Michigan 48109, USA
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