Different exposure levels of fine particulate matter and preterm birth: a meta-analysis based on cohort studies

The previous studies estimated the association between PM 2.5 (particulate matter with aerodynamic diameter less than or equal to 2.5 μm) exposure during pregnancy and preterm birth, only considered and highlighted the hazard effects of high levels of air pollutant exposure, and underestimated that...

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Published inEnvironmental science and pollution research international Vol. 24; no. 22; pp. 17976 - 17984
Main Authors Liu, Chenchen, Sun, Jiantao, Liu, Yuewei, Liang, Hui, Wang, Minsheng, Wang, Chunhong, Shi, Tingming
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.08.2017
Springer Nature B.V
Subjects
air pollutants
Air pollution
Air pollution effects
Aquatic Pollution
Atmospheric Protection/Air Quality Control/Air Pollution
Birth
Childbirth & labor
Cohort analysis
cohort studies
Earth and Environmental Science
Ecotoxicology
Environment
Environmental Chemistry
Environmental Health
Environmental science
Exposure
Health policy
Health risk assessment
Health risks
Meta-analysis
Particulate matter
particulates
Pollutants
Pollution levels
Pregnancy
pregnancy outcome
pregnant women
Premature birth
Review Article
Studies
Waste Water Technology
Water Management
Water Pollution Control
Exposure levels
Fine particulate matter
Preterm birth
Cohort study
Meta-analysis
Online AccessGet full text

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Abstract The previous studies estimated the association between PM 2.5 (particulate matter with aerodynamic diameter less than or equal to 2.5 μm) exposure during pregnancy and preterm birth, only considered and highlighted the hazard effects of high levels of air pollutant exposure, and underestimated that low levels of pollutant exposure might also affect pregnancy outcome. We conducted a meta-analysis of 11 cohort studies, a total of more than 1,500,000 subjects. The results of these studies were pooled by exposure levels and study periods. PM 2.5 exposure during pregnancy was positively associated with preterm birth (OR = 1.15, 95% CI = 1.07–1.23), and during the first trimester of pregnancy, low levels of PM 2.5 exposure were also positively associated with preterm birth (OR = 1.17, 95% CI = 1.04–1.30). It is important to protect pregnant women from PM 2.5 exposures, especially during their first trimester of pregnancy even when the ambient PM 2.5 concentration is relatively low. More relevant health policy should be carried out to prevent hazard effect of air pollutants.
AbstractList The previous studies estimated the association between PM 2.5 (particulate matter with aerodynamic diameter less than or equal to 2.5 μm) exposure during pregnancy and preterm birth, only considered and highlighted the hazard effects of high levels of air pollutant exposure, and underestimated that low levels of pollutant exposure might also affect pregnancy outcome. We conducted a meta-analysis of 11 cohort studies, a total of more than 1,500,000 subjects. The results of these studies were pooled by exposure levels and study periods. PM 2.5 exposure during pregnancy was positively associated with preterm birth (OR = 1.15, 95% CI = 1.07–1.23), and during the first trimester of pregnancy, low levels of PM 2.5 exposure were also positively associated with preterm birth (OR = 1.17, 95% CI = 1.04–1.30). It is important to protect pregnant women from PM 2.5 exposures, especially during their first trimester of pregnancy even when the ambient PM 2.5 concentration is relatively low. More relevant health policy should be carried out to prevent hazard effect of air pollutants.
The previous studies estimated the association between PM2.5 (particulate matter with aerodynamic diameter less than or equal to 2.5 [mu]m) exposure during pregnancy and preterm birth, only considered and highlighted the hazard effects of high levels of air pollutant exposure, and underestimated that low levels of pollutant exposure might also affect pregnancy outcome. We conducted a meta-analysis of 11 cohort studies, a total of more than 1,500,000 subjects. The results of these studies were pooled by exposure levels and study periods. PM2.5 exposure during pregnancy was positively associated with preterm birth (OR = 1.15, 95% CI = 1.07-1.23), and during the first trimester of pregnancy, low levels of PM2.5 exposure were also positively associated with preterm birth (OR = 1.17, 95% CI = 1.04-1.30). It is important to protect pregnant women from PM2.5 exposures, especially during their first trimester of pregnancy even when the ambient PM2.5 concentration is relatively low. More relevant health policy should be carried out to prevent hazard effect of air pollutants.
The previous studies estimated the association between PM2.5 (particulate matter with aerodynamic diameter less than or equal to 2.5 μm) exposure during pregnancy and preterm birth, only considered and highlighted the hazard effects of high levels of air pollutant exposure, and underestimated that low levels of pollutant exposure might also affect pregnancy outcome. We conducted a meta-analysis of 11 cohort studies, a total of more than 1,500,000 subjects. The results of these studies were pooled by exposure levels and study periods. PM2.5 exposure during pregnancy was positively associated with preterm birth (OR = 1.15, 95% CI = 1.07-1.23), and during the first trimester of pregnancy, low levels of PM2.5 exposure were also positively associated with preterm birth (OR = 1.17, 95% CI = 1.04-1.30). It is important to protect pregnant women from PM2.5 exposures, especially during their first trimester of pregnancy even when the ambient PM2.5 concentration is relatively low. More relevant health policy should be carried out to prevent hazard effect of air pollutants.The previous studies estimated the association between PM2.5 (particulate matter with aerodynamic diameter less than or equal to 2.5 μm) exposure during pregnancy and preterm birth, only considered and highlighted the hazard effects of high levels of air pollutant exposure, and underestimated that low levels of pollutant exposure might also affect pregnancy outcome. We conducted a meta-analysis of 11 cohort studies, a total of more than 1,500,000 subjects. The results of these studies were pooled by exposure levels and study periods. PM2.5 exposure during pregnancy was positively associated with preterm birth (OR = 1.15, 95% CI = 1.07-1.23), and during the first trimester of pregnancy, low levels of PM2.5 exposure were also positively associated with preterm birth (OR = 1.17, 95% CI = 1.04-1.30). It is important to protect pregnant women from PM2.5 exposures, especially during their first trimester of pregnancy even when the ambient PM2.5 concentration is relatively low. More relevant health policy should be carried out to prevent hazard effect of air pollutants.
The previous studies estimated the association between PM₂.₅ (particulate matter with aerodynamic diameter less than or equal to 2.5 μm) exposure during pregnancy and preterm birth, only considered and highlighted the hazard effects of high levels of air pollutant exposure, and underestimated that low levels of pollutant exposure might also affect pregnancy outcome. We conducted a meta-analysis of 11 cohort studies, a total of more than 1,500,000 subjects. The results of these studies were pooled by exposure levels and study periods. PM₂.₅ exposure during pregnancy was positively associated with preterm birth (OR = 1.15, 95% CI = 1.07–1.23), and during the first trimester of pregnancy, low levels of PM₂.₅ exposure were also positively associated with preterm birth (OR = 1.17, 95% CI = 1.04–1.30). It is important to protect pregnant women from PM₂.₅ exposures, especially during their first trimester of pregnancy even when the ambient PM₂.₅ concentration is relatively low. More relevant health policy should be carried out to prevent hazard effect of air pollutants.
The previous studies estimated the association between PM (particulate matter with aerodynamic diameter less than or equal to 2.5 μm) exposure during pregnancy and preterm birth, only considered and highlighted the hazard effects of high levels of air pollutant exposure, and underestimated that low levels of pollutant exposure might also affect pregnancy outcome. We conducted a meta-analysis of 11 cohort studies, a total of more than 1,500,000 subjects. The results of these studies were pooled by exposure levels and study periods. PM exposure during pregnancy was positively associated with preterm birth (OR = 1.15, 95% CI = 1.07-1.23), and during the first trimester of pregnancy, low levels of PM exposure were also positively associated with preterm birth (OR = 1.17, 95% CI = 1.04-1.30). It is important to protect pregnant women from PM exposures, especially during their first trimester of pregnancy even when the ambient PM concentration is relatively low. More relevant health policy should be carried out to prevent hazard effect of air pollutants.
Author Wang, Minsheng
Liang, Hui
Liu, Yuewei
Liu, Chenchen
Sun, Jiantao
Wang, Chunhong
Shi, Tingming
Author_xml – sequence: 1
  givenname: Chenchen
  surname: Liu
  fullname: Liu, Chenchen
  organization: School of Health Sciences, Wuhan University
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  fullname: Sun, Jiantao
  organization: School of Health Sciences, Wuhan University
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  organization: Hubei Provincial Center for Disease Control and Prevention
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  organization: School of Health Sciences, Wuhan University
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  givenname: Chunhong
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  givenname: Tingming
  surname: Shi
  fullname: Shi, Tingming
  email: tmingshi@hbcdc.com
  organization: Hubei Provincial Center for Disease Control and Prevention
BackLink https://www.ncbi.nlm.nih.gov/pubmed/28616740$$D View this record in MEDLINE/PubMed
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Copyright Springer-Verlag Berlin Heidelberg 2017
Environmental Science and Pollution Research is a copyright of Springer, 2017.
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Keywords Exposure levels
Fine particulate matter
Preterm birth
Cohort study
Meta-analysis
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PublicationTitle Environmental science and pollution research international
PublicationTitleAbbrev Environ Sci Pollut Res
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Publisher Springer Berlin Heidelberg
Springer Nature B.V
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References RomeroRMirandaJPrevalence and clinical significance of sterile intra-amniotic inflammation in patients with preterm labor and intact membranesAm J Reprod Immunol20147254584741:CAS:528:DC%2BC2cXhslSrs73O10.1111/aji.12296
PereiraGEvansKAFine particulates, preterm birth, and membrane rupture in Rochester, NYEpidemiology2016271667310.1097/EDE.0000000000000366
Zeng X-T, Liu H et al (2012) Meta-analysis: quality assessment tools of observational study. Chin J Evid Based Cardiovasc Med 4(4):297–299
HuttunenKSiponenTLow-level exposure to ambient particulate matter is associated with systemic inflammation in ischemic heart disease patientsEnviron Res201211644511:CAS:528:DC%2BC38XotVans78%3D10.1016/j.envres.2012.04.004
Shi L, Zanobetti A, Kloog I, Coull BA, Koutrakis P et al (2015) Low-Concentration PM2.5 and Mortality: Estimating Acute and Chronic Effects in a Population-Based Study. Environ Health Perspect 124(1):46–52
Zhang L, Zhang Y et al (2015) Characteristics of atmospheric PM2.5 and the variation of PAHs in PM2.5 during spring in Hongshan district, Wuhan. China Environ Sci 35(8):2319–2325
HatalaRTips for learners of evidence-based medicine: 4. Assessing heterogeneity of primary studies in systematic reviews and whether to combine their resultsCan Med Assoc J2005172566166510.1503/cmaj.1031920
Sun X-L, Luo X-P et al (2015) The association between fine particulate matter exposure during pregnancy and preterm birth: a meta-analysis. BMC Pregnancy Childbirth 15(1)
GentJFTricheEWAssociation of low-level ozone and fine particles with respiratory symptoms in children with asthmaJAMA200329014185918671:CAS:528:DC%2BD3sXotVWgu7w%3D10.1001/jama.290.14.1859
GlinianaiaSVRankinJParticulate air pollution and fetal healthEpidemiology2004151364510.1097/01.ede.0000101023.41844.ac
XuD-ZResearch design of clinical medicine researchChin J Pract Pediatr2008233237240
SapkotaAChelikowskyAPExposure to particulate matter and adverse birth outcomes: a comprehensive review and meta-analysisAir Qual Atmos Health20105436938110.1007/s11869-010-0106-3
BrauerMLencarCA cohort study of traffic-related air pollution impacts on birth outcomesEnviron Health Perspect2008116568068610.1289/ehp.10952
JedrychowskiWPereraFGender differences in fetal growth of newborns exposed prenatally to airborne fine particulate matterEnviron Res200910944474561:CAS:528:DC%2BD1MXltVymsr0%3D10.1016/j.envres.2009.01.009
GehringUWijgaAHTraffic-related air pollution, preterm birth and term birth weight in the PIAMA birth cohort studyEnviron Res201111111251351:CAS:528:DC%2BC3MXhtVaqsbk%3D10.1016/j.envres.2010.10.004
HeoJSchauerJJFine particle air pollution and mortalityEpidemiology201425337938810.1097/EDE.0000000000000044
DeVries R, Kriebel D et al (2016) Low level air pollution and exacerbation of existing COPD: a case crossover analysis. Environ Health 15(1)
StiebDMChenLEshoulMJudekSAmbient air pollution, birth weight and preterm birth: a systematic review and meta-analysisEnviron Res20121171001111:CAS:528:DC%2BC38XhtF2ku7jI10.1016/j.envres.2012.05.007
LeeP-CRobertsJMFirst trimester exposure to ambient air pollution, pregnancy complications and adverse birth outcomes in Allegheny County, PAMatern Child Health J201217354555510.1007/s10995-012-1028-5
LamichhaneDKLeemJ-HA meta-analysis of exposure to particulate matter and adverse birth outcomesEnviron Health Toxicol201530e201501110.5620/eht.e2015011
RomeroRDeySKPreterm labor: one syndrome, many causesScience201434561987607651:CAS:528:DC%2BC2cXhtlejtL%2FO10.1126/science.1251816
HaSHuHThe effects of air pollution on adverse birth outcomesEnviron Res20141341982041:CAS:528:DC%2BC2cXhtlGmu7%2FJ10.1016/j.envres.2014.08.002
Laurent O, Hu J, Li L, Kleeman MJ, Bartell SM et al (2016) A Statewide Nested Case–Control Study of Preterm Birth and Air Pollution by Source and Composition: California, 2001–2008. Environ Health Perspect 124(9):1479–1486
QianN-SYuH-TAssociation between maternal air pollution exposure during first trimester and birth weight in ShanghaiJ Occup Environ Med2016339827832
WangJ-JZhaoA-LImpact of air pollution on low birth weight and preterm birth: a meta-analysisJ Environ Health20092697957981:CAS:528:DC%2BC3cXnsFWgsL4%3D
Chen Y, Mi BB et al (2016) Prenatal exposure to outdoor air pollution and preterm birth: a Meta-analysis. Chin J Epidemiol 37(6):880–885
Bosetti C, Nieuwenhuijsen MJ et al (2010) Ambient particulate matter and preterm birth or birth weight: a review of the literature. Arch Toxicol 84(6):447–460
HannamKMcNameeRAir pollution exposure and adverse pregnancy outcomes in a large UK birth cohort: use of a novel spatio-temporal modelling techniqueScand J Work Environ Health20144055185301:CAS:528:DC%2BC2cXitFWntbbF10.5271/sjweh.3423
PoirierADoddsLMaternal exposure to air pollution and adverse birth outcomes in Halifax, Nova ScotiaJ Occup Environ Med20155712129112981:CAS:528:DC%2BC2MXitVSlu7fN10.1097/JOM.0000000000000604
LiuJ-PDesign, implementation and methodological issues in cohort studyJ Chin Integr Med20086433133610.3736/jcim20080401
ŠrámRJBinkováBAmbient air pollution and pregnancy outcomes: a review of the literatureEnviron Health Perspect2005113437538210.1289/ehp.6362
PereiraGBellMLFine particulate matter and risk of preterm birth and pre-labor rupture of membranes in Perth, Western Australia 1997–2007: a longitudinal studyEnviron Int20147314314910.1016/j.envint.2014.07.014
StroupDFMeta-analysis of observational studies in epidemiology: a proposal for reportingJAMA20002831520081:STN:280:DC%2BD3c3kvVGgsA%3D%3D10.1001/jama.283.15.2008
ZhuX-XLiuYMaternal exposure to fine particulate matter (PM2.5) and pregnancy outcomes: a meta-analysisEnviron Sci Pollut Res20142253383339610.1007/s11356-014-3458-7
ChaJBartosACombinatory approaches prevent preterm birth profoundly exacerbated by gene-environment interactionsJ Clin Investig20131239406340751:CAS:528:DC%2BC3sXhsVemsrzJ10.1172/JCI70098
Nieuwenhuijsen MJ, Dadvand P, Grellier J, Martinez D, Vrijheid M (2013) Environmental risk factors of pregnancy outcomes: a summary of recent meta-analyses of epidemiological studies. Environ Health 12(6)
QianZ-MLiangS-WAmbient air pollution and preterm birth: a prospective birth cohort study in Wuhan, ChinaInt J Hyg Environ Health201621921952031:CAS:528:DC%2BC2MXhvVyrtrbK10.1016/j.ijheh.2015.11.003
GKSPreterm birth, a known risk factor for infant and childhood death, is an independent risk factor for mortality in early childhood and young adulthoodEvid Based Med20121712112210.1136/ebmed-2011-100361
DerSimonian R, Laird N (2015) Meta-analysis in clinical trials revisited. Contemp Clin Trials 45:139–145
Fleischer NL, Merialdi M et al (2014) Outdoor air pollution, preterm birth, and low birth weight: analysis of the World Health Organization global survey on maternal and perinatal health. Environ Health Perspect 122(4):425–151
DeFranco E, Moravec W et al (2016) Exposure to airborne particulate matter during pregnancy is associated with preterm birth: a population-based cohort study. Environ Health 15(1)
MaisonetMCorreaAA review of the literature on the effects of ambient air pollution on fetal growthEnviron Res20049511061151:CAS:528:DC%2BD2cXivVKnsbY%3D10.1016/j.envres.2004.01.001
PereiraGBelangerKFine particulate matter and risk of preterm birth in Connecticut in 2000-2006: a longitudinal studyAm J Epidemiol20131791677410.1093/aje/kwt216
WegorzewskaMNijagalAFetal intervention increases maternal T cell awareness of the foreign conceptus and can lead to immune-mediated fetal demiseJ Immunol20141924193819451:CAS:528:DC%2BC2cXitFWmsrg%3D10.4049/jimmunol.1302403
CormierSAYeXAcute effects of particulate air pollution on the incidence of coronary heart disease in Shanghai, ChinaPLoS One2016113e015111910.1371/journal.pone.0151119
Matte T, Clougherty JE et al (2016) Ambient fine particulate matter, nitrogen dioxide, and preterm birth in New York City. Environ Health Perspect 124(8)
Jalaludin B, Mannes T et al (2007) Impact of ambient air pollution on gestational age is modified by season in Sydney, Australia. Environ Health 6(1)
JedrychowskiWBendkowskaIEstimated risk for altered fetal growth resulting from exposure to fine particles during pregnancy: an epidemiologic prospective cohort study in PolandEnviron Health Perspect2004112141398140210.1289/ehp.7065
RitzBWilhelmMAmbient air pollution and preterm birth in the environment and pregnancy outcomes study at the University of California, Los AngelesAm J Epidemiol200716691045105210.1093/aje/kwm181
Kannan S, Misra DP, Dvonch JT, Krishnakumar P et al (2006) Exposures to airborne particulate matter and adverse perinatal outcomes: a biologically plausible mechanistic framework for exploring potential effect modification by nutrition. Environ Health Perspect 114(11):1636–1642
U Gehring (9363_CR10) 2011; 111
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J Cha (9363_CR3) 2013; 123
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X-X Zhu (9363_CR50) 2014; 22
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B Ritz (9363_CR35) 2007; 166
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References_xml – reference: HuttunenKSiponenTLow-level exposure to ambient particulate matter is associated with systemic inflammation in ischemic heart disease patientsEnviron Res201211644511:CAS:528:DC%2BC38XotVans78%3D10.1016/j.envres.2012.04.004
– reference: Nieuwenhuijsen MJ, Dadvand P, Grellier J, Martinez D, Vrijheid M (2013) Environmental risk factors of pregnancy outcomes: a summary of recent meta-analyses of epidemiological studies. Environ Health 12(6)
– reference: Zeng X-T, Liu H et al (2012) Meta-analysis: quality assessment tools of observational study. Chin J Evid Based Cardiovasc Med 4(4):297–299
– reference: Sun X-L, Luo X-P et al (2015) The association between fine particulate matter exposure during pregnancy and preterm birth: a meta-analysis. BMC Pregnancy Childbirth 15(1)
– reference: GlinianaiaSVRankinJParticulate air pollution and fetal healthEpidemiology2004151364510.1097/01.ede.0000101023.41844.ac
– reference: PereiraGBelangerKFine particulate matter and risk of preterm birth in Connecticut in 2000-2006: a longitudinal studyAm J Epidemiol20131791677410.1093/aje/kwt216
– reference: HaSHuHThe effects of air pollution on adverse birth outcomesEnviron Res20141341982041:CAS:528:DC%2BC2cXhtlGmu7%2FJ10.1016/j.envres.2014.08.002
– reference: GentJFTricheEWAssociation of low-level ozone and fine particles with respiratory symptoms in children with asthmaJAMA200329014185918671:CAS:528:DC%2BD3sXotVWgu7w%3D10.1001/jama.290.14.1859
– reference: HatalaRTips for learners of evidence-based medicine: 4. Assessing heterogeneity of primary studies in systematic reviews and whether to combine their resultsCan Med Assoc J2005172566166510.1503/cmaj.1031920
– reference: LeeP-CRobertsJMFirst trimester exposure to ambient air pollution, pregnancy complications and adverse birth outcomes in Allegheny County, PAMatern Child Health J201217354555510.1007/s10995-012-1028-5
– reference: Bosetti C, Nieuwenhuijsen MJ et al (2010) Ambient particulate matter and preterm birth or birth weight: a review of the literature. Arch Toxicol 84(6):447–460
– reference: QianZ-MLiangS-WAmbient air pollution and preterm birth: a prospective birth cohort study in Wuhan, ChinaInt J Hyg Environ Health201621921952031:CAS:528:DC%2BC2MXhvVyrtrbK10.1016/j.ijheh.2015.11.003
– reference: SapkotaAChelikowskyAPExposure to particulate matter and adverse birth outcomes: a comprehensive review and meta-analysisAir Qual Atmos Health20105436938110.1007/s11869-010-0106-3
– reference: Shi L, Zanobetti A, Kloog I, Coull BA, Koutrakis P et al (2015) Low-Concentration PM2.5 and Mortality: Estimating Acute and Chronic Effects in a Population-Based Study. Environ Health Perspect 124(1):46–52
– reference: RomeroRMirandaJPrevalence and clinical significance of sterile intra-amniotic inflammation in patients with preterm labor and intact membranesAm J Reprod Immunol20147254584741:CAS:528:DC%2BC2cXhslSrs73O10.1111/aji.12296
– reference: GKSPreterm birth, a known risk factor for infant and childhood death, is an independent risk factor for mortality in early childhood and young adulthoodEvid Based Med20121712112210.1136/ebmed-2011-100361
– reference: Matte T, Clougherty JE et al (2016) Ambient fine particulate matter, nitrogen dioxide, and preterm birth in New York City. Environ Health Perspect 124(8)
– reference: Kannan S, Misra DP, Dvonch JT, Krishnakumar P et al (2006) Exposures to airborne particulate matter and adverse perinatal outcomes: a biologically plausible mechanistic framework for exploring potential effect modification by nutrition. Environ Health Perspect 114(11):1636–1642
– reference: XuD-ZResearch design of clinical medicine researchChin J Pract Pediatr2008233237240
– reference: JedrychowskiWBendkowskaIEstimated risk for altered fetal growth resulting from exposure to fine particles during pregnancy: an epidemiologic prospective cohort study in PolandEnviron Health Perspect2004112141398140210.1289/ehp.7065
– reference: LiuJ-PDesign, implementation and methodological issues in cohort studyJ Chin Integr Med20086433133610.3736/jcim20080401
– reference: RomeroRDeySKPreterm labor: one syndrome, many causesScience201434561987607651:CAS:528:DC%2BC2cXhtlejtL%2FO10.1126/science.1251816
– reference: StiebDMChenLEshoulMJudekSAmbient air pollution, birth weight and preterm birth: a systematic review and meta-analysisEnviron Res20121171001111:CAS:528:DC%2BC38XhtF2ku7jI10.1016/j.envres.2012.05.007
– reference: WegorzewskaMNijagalAFetal intervention increases maternal T cell awareness of the foreign conceptus and can lead to immune-mediated fetal demiseJ Immunol20141924193819451:CAS:528:DC%2BC2cXitFWmsrg%3D10.4049/jimmunol.1302403
– reference: CormierSAYeXAcute effects of particulate air pollution on the incidence of coronary heart disease in Shanghai, ChinaPLoS One2016113e015111910.1371/journal.pone.0151119
– reference: MaisonetMCorreaAA review of the literature on the effects of ambient air pollution on fetal growthEnviron Res20049511061151:CAS:528:DC%2BD2cXivVKnsbY%3D10.1016/j.envres.2004.01.001
– reference: RitzBWilhelmMAmbient air pollution and preterm birth in the environment and pregnancy outcomes study at the University of California, Los AngelesAm J Epidemiol200716691045105210.1093/aje/kwm181
– reference: PoirierADoddsLMaternal exposure to air pollution and adverse birth outcomes in Halifax, Nova ScotiaJ Occup Environ Med20155712129112981:CAS:528:DC%2BC2MXitVSlu7fN10.1097/JOM.0000000000000604
– reference: DeFranco E, Moravec W et al (2016) Exposure to airborne particulate matter during pregnancy is associated with preterm birth: a population-based cohort study. Environ Health 15(1)
– reference: PereiraGBellMLFine particulate matter and risk of preterm birth and pre-labor rupture of membranes in Perth, Western Australia 1997–2007: a longitudinal studyEnviron Int20147314314910.1016/j.envint.2014.07.014
– reference: ŠrámRJBinkováBAmbient air pollution and pregnancy outcomes: a review of the literatureEnviron Health Perspect2005113437538210.1289/ehp.6362
– reference: HeoJSchauerJJFine particle air pollution and mortalityEpidemiology201425337938810.1097/EDE.0000000000000044
– reference: LamichhaneDKLeemJ-HA meta-analysis of exposure to particulate matter and adverse birth outcomesEnviron Health Toxicol201530e201501110.5620/eht.e2015011
– reference: ChaJBartosACombinatory approaches prevent preterm birth profoundly exacerbated by gene-environment interactionsJ Clin Investig20131239406340751:CAS:528:DC%2BC3sXhsVemsrzJ10.1172/JCI70098
– reference: DerSimonian R, Laird N (2015) Meta-analysis in clinical trials revisited. Contemp Clin Trials 45:139–145
– reference: WangJ-JZhaoA-LImpact of air pollution on low birth weight and preterm birth: a meta-analysisJ Environ Health20092697957981:CAS:528:DC%2BC3cXnsFWgsL4%3D
– reference: PereiraGEvansKAFine particulates, preterm birth, and membrane rupture in Rochester, NYEpidemiology2016271667310.1097/EDE.0000000000000366
– reference: GehringUWijgaAHTraffic-related air pollution, preterm birth and term birth weight in the PIAMA birth cohort studyEnviron Res201111111251351:CAS:528:DC%2BC3MXhtVaqsbk%3D10.1016/j.envres.2010.10.004
– reference: HannamKMcNameeRAir pollution exposure and adverse pregnancy outcomes in a large UK birth cohort: use of a novel spatio-temporal modelling techniqueScand J Work Environ Health20144055185301:CAS:528:DC%2BC2cXitFWntbbF10.5271/sjweh.3423
– reference: Chen Y, Mi BB et al (2016) Prenatal exposure to outdoor air pollution and preterm birth: a Meta-analysis. Chin J Epidemiol 37(6):880–885
– reference: StroupDFMeta-analysis of observational studies in epidemiology: a proposal for reportingJAMA20002831520081:STN:280:DC%2BD3c3kvVGgsA%3D%3D10.1001/jama.283.15.2008
– reference: DeVries R, Kriebel D et al (2016) Low level air pollution and exacerbation of existing COPD: a case crossover analysis. Environ Health 15(1)
– reference: Jalaludin B, Mannes T et al (2007) Impact of ambient air pollution on gestational age is modified by season in Sydney, Australia. Environ Health 6(1)
– reference: Laurent O, Hu J, Li L, Kleeman MJ, Bartell SM et al (2016) A Statewide Nested Case–Control Study of Preterm Birth and Air Pollution by Source and Composition: California, 2001–2008. Environ Health Perspect 124(9):1479–1486
– reference: Zhang L, Zhang Y et al (2015) Characteristics of atmospheric PM2.5 and the variation of PAHs in PM2.5 during spring in Hongshan district, Wuhan. China Environ Sci 35(8):2319–2325
– reference: BrauerMLencarCA cohort study of traffic-related air pollution impacts on birth outcomesEnviron Health Perspect2008116568068610.1289/ehp.10952
– reference: JedrychowskiWPereraFGender differences in fetal growth of newborns exposed prenatally to airborne fine particulate matterEnviron Res200910944474561:CAS:528:DC%2BD1MXltVymsr0%3D10.1016/j.envres.2009.01.009
– reference: ZhuX-XLiuYMaternal exposure to fine particulate matter (PM2.5) and pregnancy outcomes: a meta-analysisEnviron Sci Pollut Res20142253383339610.1007/s11356-014-3458-7
– reference: Fleischer NL, Merialdi M et al (2014) Outdoor air pollution, preterm birth, and low birth weight: analysis of the World Health Organization global survey on maternal and perinatal health. Environ Health Perspect 122(4):425–151
– reference: QianN-SYuH-TAssociation between maternal air pollution exposure during first trimester and birth weight in ShanghaiJ Occup Environ Med2016339827832
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Snippet The previous studies estimated the association between PM 2.5 (particulate matter with aerodynamic diameter less than or equal to 2.5 μm) exposure during...
The previous studies estimated the association between PM (particulate matter with aerodynamic diameter less than or equal to 2.5 μm) exposure during pregnancy...
The previous studies estimated the association between PM2.5 (particulate matter with aerodynamic diameter less than or equal to 2.5 [mu]m) exposure during...
The previous studies estimated the association between PM2.5 (particulate matter with aerodynamic diameter less than or equal to 2.5 μm) exposure during...
The previous studies estimated the association between PM₂.₅ (particulate matter with aerodynamic diameter less than or equal to 2.5 μm) exposure during...
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SubjectTerms air pollutants
Air pollution
Air pollution effects
Aquatic Pollution
Atmospheric Protection/Air Quality Control/Air Pollution
Birth
Childbirth & labor
Cohort analysis
cohort studies
Earth and Environmental Science
Ecotoxicology
Environment
Environmental Chemistry
Environmental Health
Environmental science
Exposure
Health policy
Health risk assessment
Health risks
Meta-analysis
Particulate matter
particulates
Pollutants
Pollution levels
Pregnancy
pregnancy outcome
pregnant women
Premature birth
Review Article
Studies
Waste Water Technology
Water Management
Water Pollution Control
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Title Different exposure levels of fine particulate matter and preterm birth: a meta-analysis based on cohort studies
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