Abstract
Air pollution is a serious environmental problem in China. Birth defects are particularly vulnerable to outdoor air pollution. Our study was to evaluate the association between short-term exposure to air pollutants and the risk of birth defects. Daily data including the air pollutants, meteorological characteristics, and birth records were obtained in Hefei, China, during January 2013 to December 2016. The findings showed that PM2.5, PM10, SO2, NO2, and O3 exposures were positively correlated with the risk of birth defects. Maternal exposure to PM2.5 and SO2 during the 4th to 13th gestational weeks was observed to have a significant association with the risk of birth defects, with the maximum effect in the 7th or 8th week for PM2.5 and the maximum effect in the 7th week for SO2. The positively significant exposure windows were the 4th to 14th weeks for PM10, the 4th to 12th weeks for NO2, and the 26th to 35th weeks for O3, respectively. The strongest associations were observed in the 8th week for PM10, the 7th week for NO2, and in the 31st or 32nd week for O3. The findings of this study demonstrate that air pollutants increase the risk of birth defects among women during pregnancy in Hefei, China, which provide evidence for improving the health of pregnant women and neonates in developing countries, and uncovered potential opportunities to reduce or prevent birth defects by proactive measures during pregnancy.
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Abbreviations
- DLNM:
-
Distributed lag nonlinear model
- RR:
-
Relative risk
- 95%CI:
-
95% Confidential intervals
- CHDs:
-
Congenital heart defects
- CPO:
-
Cleft palate only
- EOM:
-
Extractable organic matter
- NAQS:
-
The National Ambient Air Quality Standard
- DLM:
-
Distributed lag model
- PM:
-
Particulate matter
- BDNF:
-
Brain-derived neurotrophic factor
- ROS:
-
Reactive oxygen species
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Acknowledgements
The authors wish to thank all the staff members at the Department of Occupational Health and Environmental Health and Department of Teaching Center for Preventive Medicine, School of Public Health, Anhui Medical University, for their strong support of this study.
Funding
This work was supported by the National Natural Science Foundation of China (No. 81872580), the Natural Science Foundation of Anhui Province (No. 1708085MH220), Anhui Province Science and Technology Innovation Project Demonstration Project (No. 201707d08050003), the Foundation of Natural Science for Colleges and Universities in Anhui Province (No. KJ2018A0167), the Project Foundation for the Young Talents in Colleges of Anhui Province (No. gxyq2017003), the Grant for Scientific Research of BSKY from Anhui Medical University (No. XJ201621), the Student's Platform for Innovation and Entrepreneurship Training Program of China (No. 201810366031), and the “Early Contact scientific Research Training” Training Program of Anhui Medical University (No. 2019ZQKY71).
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Sun, S., Zhang, Q., Sui, X. et al. Associations between air pollution exposure and birth defects: a time series analysis. Environ Geochem Health 43, 4379–4394 (2021). https://doi.org/10.1007/s10653-021-00886-2
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DOI: https://doi.org/10.1007/s10653-021-00886-2