Maternal exposure to benzene and toluene and preterm birth
A longitudinal study
Palavras-chave:
Benzene, Toluene, Air pollutants, Child health, Prenatal care, Public policyResumo
BACKGROUND: Exposure to air pollutants has several effects on human health, including during pregnancy. OBJECTIVE: To identify whether exposure to benzene and toluene among pregnant women contributes to preterm delivery. DESIGN AND SETTING: Longitudinal study using data on newborns from mothers living in São José dos Campos (SP) in 2016, who had been exposed to benzene and toluene. METHODS: A logistic regression model with three hierarchical levels was constructed using maternal vari-ables relating to newborns, and using benzene and toluene concentrations in quartiles. Occurrences of cesarean births, twins or malformations were excluded. Maternal exposure windows of 5, 10, 15, 30, 60 and 90 days prior to delivery were considered. RESULTS: Out of the 9,562 live births, 3,671 newborns were included and 343 newborns were born at less than 37 weeks of gestation (9.3%). The average birth weight was 3,167.2 g. Exposure to benzene and toluene was significantly associated (P = 0.04) with preterm delivery in the five-day window. There was no association in any of the other exposure windows. CONCLUSIONS: It was possible to identify that maternal exposure to benzene and toluene has an acute effect on preterm delivery.
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Machado LC, Passini Jr R, Rosa IRM. Late prematurity: A systematic review. J Pediat. 2014; 90(3):221-31. PMID: 24508009; doi: 10.1016/j.jped.2013.08.012. https://doi.org/10.1016/j.jped.2013.08.012
Harrison MS, Goldenberg RL. Global burden of prematurity. Semin Fetal Neonatal Med. 2016;21(2):74-9. PMID: 26740166; doi: 10.1016/j.siny.2015.12.007.https://doi.org/10.1016/j.siny.2015.12.007
Silveira MF, Matijasevich A, Horta BL, et al. Prevalência de nascimentos pré-termo por peso ao nascer: revisão sistemática [Prevalence of preterm birth according to birth weight group: a systematic review]. Rev Saude Publica. 2013;47(5):992-1003. PMID: 24626505; doi: 10.1590/S0034-8910.2013047004997.https://doi.org/10.1590/S0034-8910.2013047004997
Mousiolis A, Baroutis G, Sindos M, Costalos C, Antsaklis A. Maternal age as a predictive factor of pre-term birth. An epidemiological study from 1999 to 2008 in Greece. J Obstet Gynaecol. 2013;33(1):28-31. PMID: 23259874; doi: 10.3109/01443615.2012.730078.https://doi.org/10.3109/01443615.2012.730078
Souza RT, Cecatti JG, Passini R, et al. The Burden of Provider-Initiated Preterm Birth and Associated Factors: Evidence from the Brazilian Multicenter Study on Preterm Birth (EMIP). PLoS One. 2016;11(2):e0148244. PMID: 26849228; doi: 10.1371/journal.pone.0148244.https://doi.org/10.1371/journal.pone.0148244
World Health Organization. Air Quality Guidelines: Global Update 2005. Geneva: WHO; 2006.
Rappazzo KM, Daniels JL, Messer LC, Poole C, Lobdell DT. Exposure to Fine Particulate Matter during Pregnancy and Risk of Preterm Birth among Women in New Jersey, Ohio, and Pennsylvania, 2000-2005. Environ Health Perspect. 2014;122(9):992-7. PMID: 24879653; doi: 10.1289/ehp.1307456.https://doi.org/10.1289/ehp.1307456
Estarlich M, Ballester F, Davdand P, et al. Exposure to ambient air pollution during pregnancy and preterm birth: A Spanish multicenter birth cohort study. Environ Res. 2016;147:50-8. PMID: 26851724; doi: 10.1016/j.envres.2016.01.037.https://doi.org/10.1016/j.envres.2016.01.037
Llop S, Ballester F, Estarlich M, Esplugues A, Rebagliato M, Iñiguez C. Preterm birth and exposure to air pollutants during pregnancy. Environ Res. 2010;110(8):778-85. PMID: 20932516; doi: 10.1016/j.envres.2010.09.009.https://doi.org/10.1016/j.envres.2010.09.009
Poirier A, Dodds L, Dummer T, Rainham D, Maguire B, Johnson M. Maternal Exposure to Air Pollution and Adverse Birth Outcomes in Halifax, Nova Scotia. J Occup Environ Med. 2015;57(12):1291-8. PMID: 26641824; doi: 10.1097/JOM.0000000000000604.https://doi.org/10.1097/JOM.0000000000000604
Kampa M, Castanas E. Human health effects of air pollution. Environ Pollut. 2008;151(2):362-7. PMID: 17646040; doi: 10.1016/j.envpol.2007.06.012.https://doi.org/10.1016/j.envpol.2007.06.012
Brasil. Ministério da Saúde Departamento de Informática do Sistema Único de Saúde (DATASUS). Brasil: Ministério da Saúde; 2016. Available from: Available from: http://tabnet.datasus.gov.br Accessed in 2018 (Sep 2).http://tabnet.datasus.gov.br
São Paulo. Companhia Ambiental de São Paulo (Cetesb). 2013. Available from: Available from: http://qualar.cetesb.sp.gov.br Accessed in 2018 (Sep 2).http://qualar.cetesb.sp.gov.br
Zhao N, Qiu J, Zhang Y, et al. Ambient air pollutant PM10 and risk of preterm birth in Lanzhou, China. Environ Intern. 2015;76:71-7. PMID: 25553395; doi: 10.1016/j.envint.2014.12.009.https://doi.org/10.1016/j.envint.2014.12.009
Zhu J, Lee RW, Twum C, Wei Y. Exposure to ambient PM2.5 during pregnancy and preterm birth in metropolitan areas of the state of Georgia. Environ Sci Pollut Res Int. 2019;26(3):2492-2500. PMID: 30471062; doi: 10.1007/s11356-018-3746-8.https://doi.org/10.1007/s11356-018-3746-8
Junger WL, Leon AP. Poluição do ar e baixo peso ao nascer no município do Rio de Janeiro, Brasil, 2002 [Air pollution and low birth weight in the city of Rio de Janeiro, Brazil, 2002]. Cad Saúde Pública. 2007;23 suppl 4:588-98. PMID: 18038040; doi: 10.1590/S0102-311X2007001600019.https://doi.org/10.1590/S0102-311X2007001600019
DeFranco EA, Hall ES, Muglia LJ. Racial disparity in previable birth. Am J Obstet Gynecol. 2016;214(3):394-7. PMID: 26721776; doi: 10.1016/j.ajog.2015.12.034.https://doi.org/10.1016/j.ajog.2015.12.034
Nascimento LFC, Blanco AM, Santos DAA. Are there differences in birth weight according to sex and associations with maternal exposure to air pollutants? A cohort study. Sao Paulo Med J. 2017;135(4):347-54. PMID: 28767987; doi: 10.1590/1516-3180.2016.0262100317.https://doi.org/10.1590/1516-3180.2016.0262100317
Lima TAC, Nascimento LFC, Medeiros APP, Santos VP. Association between maternal exposure to particulate matter and premature birth. Rev Ambient Água. 2014;9(1):27-36. doi: 10.4136/ambi-agua.1262.https://doi.org/10.4136/ambi-agua.1262
Bai Y, Sun Q. Fine Particulate Matter Air Pollution and Atherosclerosis: Mechanistic Insights. Biochim Biophys Acta. 2016;1860(12):2-7. PMID: 27156486; doi: 10.1016/j.bbagen.2016.04.030.https://doi.org/10.1016/j.bbagen.2016.04.030
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