[Prospective cohort study on association between peri-conceptional air pollution exposure and gestational diabetes mellitus]

Association between air pollution exposure and gestational diabetes mellitus in pregnant women: a retrospective cohort study

The global prevalence of gestational diabetes mellitus (GDM) is increasing annually, and previous research reports on the relationship between exposure to air pollutants and GDM are not completely consistent. We investigated the association between air pollutant exposure and GDM in pregnant women in a retrospective cohort study in Guangzhou. We found that in the first trimester, exposure to PM_2.5 and CO showed a significant association with GDM. In the second trimester, exposure to PM₁₀ was significantly associated with GDM. In the third trimester, exposure to PM_2.5, PM₁₀, NO₂, SO₂, and CO at IQR4 (odds ratio [OR] = 1.271, 95% confidence interval [CI]: 1.179-1.370; OR = 1.283, 95% CI: 1.191-1.383; OR = 1.230, 95% CI: 1.145-1.322; OR = 1.408, 95% CI: 1.303-1.522; OR = 1.150, 95% CI: 1.067-1.240, respectively) compared with IQR1 was positively associated with GDM. However, exposure to NO₂ was negatively associated with GDM in the first and second trimesters, and O₃ was negatively associated with GDM in the second and third trimesters. We found that the correlation between air pollutants and GDM in different trimesters of pregnancy was not completely consistent in this retrospective cohort study. During pregnancy, there may be an interaction between air pollutant exposure and other factors, such as pregnant women's age, occupation, anemia status, pregnancy-induced hypertension status, and pregnancy season.