Adverse Effects of Exposure to Fine Particulate Matters and Ozone on Gestational Hypertension

Rong Yang, Dan Luo, Yi ming Zhang, Ke Hu, Zheng min Qian, Li qin Hu, Long jiao Shen, Hong Xian, Juliet Iwelunmor, Su rong Mei

Research output: Contribution to journalArticle

Abstract

Gestational hypertension (GH) is a common complication during pregnancy. GH is regarded as a potential public health challenge for pregnant women and infants. Limited evidence has linked ambient air pollution to an increased GH risk. However, most of the studies were conducted in developed countries, with inconsistent results obtained. The present study was performed to explore whether exposure to particulate matters with an aerodynamic diameter < 2.5 (PM2.5) and ozone (O3) was related to elevated odds of GH in a Chinese population. This population-based cohort study involved 38 115 pregnant women in Wuhan, China. All information was collected from the Wuhan Maternal and Child Health Management Information System, using standardized quality control. The daily air pollutant data for PM2.5 and O3 were obtained from the 20 monitoring stations of the Wuhan Environmental Monitoring Center during 2014. The nearest monitor approach was applied to individual exposure assessment of PM2.5 and O3 for each participant. After adjusting for major confounders and other air pollutants, a 10 µg/m3 increase in PM2.5 and O3 concentrations was found to correlate to a 1.14-fold [95% confidence interval (95% CI): 1.09, 1.20] and a 1.05-fold (95% CI: 1.02, 1.07) increase in GH risk, respectively. Additionally, stronger relationships between GH risk and PM2.5 and O3 exposure were observed in women who conceived in winter and summer, respectively. These findings suggest that air pollutants may contribute to the development of GH.

Original languageEnglish (US)
Pages (from-to)1019-1028
Number of pages10
JournalCurrent Medical Science
Volume39
Issue number6
DOIs
StatePublished - Dec 1 2019

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Pregnancy Induced Hypertension
Air Pollutants
Particulate Matter
Ozone
Monitoring
Management information systems
Public health
Air pollution
Quality control
Aerodynamics
Pregnant Women
Health
Confidence Intervals
Management Information Systems
Health Information Systems
Pregnancy Complications
Environmental Monitoring
Air Pollution
Developed Countries
Quality Control

All Science Journal Classification (ASJC) codes

  • Biochemistry
  • Genetics

Cite this

Yang, Rong ; Luo, Dan ; Zhang, Yi ming ; Hu, Ke ; Qian, Zheng min ; Hu, Li qin ; Shen, Long jiao ; Xian, Hong ; Iwelunmor, Juliet ; Mei, Su rong. / Adverse Effects of Exposure to Fine Particulate Matters and Ozone on Gestational Hypertension. In: Current Medical Science. 2019 ; Vol. 39, No. 6. pp. 1019-1028.
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abstract = "Gestational hypertension (GH) is a common complication during pregnancy. GH is regarded as a potential public health challenge for pregnant women and infants. Limited evidence has linked ambient air pollution to an increased GH risk. However, most of the studies were conducted in developed countries, with inconsistent results obtained. The present study was performed to explore whether exposure to particulate matters with an aerodynamic diameter < 2.5 (PM2.5) and ozone (O3) was related to elevated odds of GH in a Chinese population. This population-based cohort study involved 38 115 pregnant women in Wuhan, China. All information was collected from the Wuhan Maternal and Child Health Management Information System, using standardized quality control. The daily air pollutant data for PM2.5 and O3 were obtained from the 20 monitoring stations of the Wuhan Environmental Monitoring Center during 2014. The nearest monitor approach was applied to individual exposure assessment of PM2.5 and O3 for each participant. After adjusting for major confounders and other air pollutants, a 10 µg/m3 increase in PM2.5 and O3 concentrations was found to correlate to a 1.14-fold [95{\%} confidence interval (95{\%} CI): 1.09, 1.20] and a 1.05-fold (95{\%} CI: 1.02, 1.07) increase in GH risk, respectively. Additionally, stronger relationships between GH risk and PM2.5 and O3 exposure were observed in women who conceived in winter and summer, respectively. These findings suggest that air pollutants may contribute to the development of GH.",
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Yang, R, Luo, D, Zhang, YM, Hu, K, Qian, ZM, Hu, LQ, Shen, LJ, Xian, H, Iwelunmor, J & Mei, SR 2019, 'Adverse Effects of Exposure to Fine Particulate Matters and Ozone on Gestational Hypertension', Current Medical Science, vol. 39, no. 6, pp. 1019-1028. https://doi.org/10.1007/s11596-019-2137-9

Adverse Effects of Exposure to Fine Particulate Matters and Ozone on Gestational Hypertension. / Yang, Rong; Luo, Dan; Zhang, Yi ming; Hu, Ke; Qian, Zheng min; Hu, Li qin; Shen, Long jiao; Xian, Hong; Iwelunmor, Juliet; Mei, Su rong.

In: Current Medical Science, Vol. 39, No. 6, 01.12.2019, p. 1019-1028.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Adverse Effects of Exposure to Fine Particulate Matters and Ozone on Gestational Hypertension

AU - Yang, Rong

AU - Luo, Dan

AU - Zhang, Yi ming

AU - Hu, Ke

AU - Qian, Zheng min

AU - Hu, Li qin

AU - Shen, Long jiao

AU - Xian, Hong

AU - Iwelunmor, Juliet

AU - Mei, Su rong

PY - 2019/12/1

Y1 - 2019/12/1

N2 - Gestational hypertension (GH) is a common complication during pregnancy. GH is regarded as a potential public health challenge for pregnant women and infants. Limited evidence has linked ambient air pollution to an increased GH risk. However, most of the studies were conducted in developed countries, with inconsistent results obtained. The present study was performed to explore whether exposure to particulate matters with an aerodynamic diameter < 2.5 (PM2.5) and ozone (O3) was related to elevated odds of GH in a Chinese population. This population-based cohort study involved 38 115 pregnant women in Wuhan, China. All information was collected from the Wuhan Maternal and Child Health Management Information System, using standardized quality control. The daily air pollutant data for PM2.5 and O3 were obtained from the 20 monitoring stations of the Wuhan Environmental Monitoring Center during 2014. The nearest monitor approach was applied to individual exposure assessment of PM2.5 and O3 for each participant. After adjusting for major confounders and other air pollutants, a 10 µg/m3 increase in PM2.5 and O3 concentrations was found to correlate to a 1.14-fold [95% confidence interval (95% CI): 1.09, 1.20] and a 1.05-fold (95% CI: 1.02, 1.07) increase in GH risk, respectively. Additionally, stronger relationships between GH risk and PM2.5 and O3 exposure were observed in women who conceived in winter and summer, respectively. These findings suggest that air pollutants may contribute to the development of GH.

AB - Gestational hypertension (GH) is a common complication during pregnancy. GH is regarded as a potential public health challenge for pregnant women and infants. Limited evidence has linked ambient air pollution to an increased GH risk. However, most of the studies were conducted in developed countries, with inconsistent results obtained. The present study was performed to explore whether exposure to particulate matters with an aerodynamic diameter < 2.5 (PM2.5) and ozone (O3) was related to elevated odds of GH in a Chinese population. This population-based cohort study involved 38 115 pregnant women in Wuhan, China. All information was collected from the Wuhan Maternal and Child Health Management Information System, using standardized quality control. The daily air pollutant data for PM2.5 and O3 were obtained from the 20 monitoring stations of the Wuhan Environmental Monitoring Center during 2014. The nearest monitor approach was applied to individual exposure assessment of PM2.5 and O3 for each participant. After adjusting for major confounders and other air pollutants, a 10 µg/m3 increase in PM2.5 and O3 concentrations was found to correlate to a 1.14-fold [95% confidence interval (95% CI): 1.09, 1.20] and a 1.05-fold (95% CI: 1.02, 1.07) increase in GH risk, respectively. Additionally, stronger relationships between GH risk and PM2.5 and O3 exposure were observed in women who conceived in winter and summer, respectively. These findings suggest that air pollutants may contribute to the development of GH.

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