The Influence of Meteorological Factors and Atmospheric Pollutants on the Risk of Preterm Birth.

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dc.contributor.authorGiorgis-Allemand, Lise
dc.contributor.authorPedersen, Marie
dc.contributor.authorBernard, Claire
dc.contributor.authorAguilera, Inmaculada
dc.contributor.authorBeelen, Rob M J
dc.contributor.authorChatzi, Leda
dc.contributor.authorCirach, Marta
dc.contributor.authorDanileviciute, Asta
dc.contributor.authorDedele, Audrius
dc.contributor.authorvan Eijsden, Manon
dc.contributor.authorEstarlich, Marisa
dc.contributor.authorFernández-Somoano, Ana
dc.contributor.authorFernández, Mariana F
dc.contributor.authorForastiere, Francesco
dc.contributor.authorGehring, Ulrike
dc.contributor.authorGrazuleviciene, Regina
dc.contributor.authorGruzieva, Olena
dc.contributor.authorHeude, Barbara
dc.contributor.authorHoek, Gerard
dc.contributor.authorde Hoogh, Kees
dc.contributor.authorvan den Hooven, Edith H
dc.contributor.authorHåberg, Siri E
dc.contributor.authorIñiguez, Carmen
dc.contributor.authorJaddoe, Vincent W V
dc.contributor.authorKorek, Michal
dc.contributor.authorLertxundi, Aitana
dc.contributor.authorLepeule, Johanna
dc.contributor.authorNafstad, Per
dc.contributor.authorNystad, Wenche
dc.contributor.authorPatelarou, Evridiki
dc.contributor.authorPorta, Daniela
dc.contributor.authorPostma, Dirkje
dc.contributor.authorRaaschou-Nielsen, Ole
dc.contributor.authorRudnai, Peter
dc.contributor.authorSiroux, Valérie
dc.contributor.authorSunyer, Jordi
dc.contributor.authorStephanou, Euripides
dc.contributor.authorSørensen, Mette
dc.contributor.authorEriksen, Kirsten Thorup
dc.contributor.authorTuffnell, Derek
dc.contributor.authorVarró, Mihály J
dc.contributor.authorVrijkotte, Tanja G M
dc.contributor.authorWijga, Alet
dc.contributor.authorWright, John
dc.contributor.authorNieuwenhuijsen, Mark J
dc.contributor.authorPershagen, Göran
dc.contributor.authorBrunekreef, Bert
dc.contributor.authorKogevinas, Manolis
dc.contributor.authorSlama, Rémy
dc.date.accessioned2018-01-24T10:23:52Z
dc.date.available2018-01-24T10:23:52Z
dc.date.issued2017-02-15
dc.description.abstractAtmospheric pollutants and meteorological conditions are suspected to be causes of preterm birth. We aimed to characterize their possible association with the risk of preterm birth (defined as birth occurring before 37 completed gestational weeks). We pooled individual data from 13 birth cohorts in 11 European countries (71,493 births from the period 1994-2011, European Study of Cohorts for Air Pollution Effects (ESCAPE)). City-specific meteorological data from routine monitors were averaged over time windows spanning from 1 week to the whole pregnancy. Atmospheric pollution measurements (nitrogen oxides and particulate matter) were combined with data from permanent monitors and land-use data into seasonally adjusted land-use regression models. Preterm birth risks associated with air pollution and meteorological factors were estimated using adjusted discrete-time Cox models. The frequency of preterm birth was 5.0%. Preterm birth risk tended to increase with first-trimester average atmospheric pressure (odds ratio per 5-mbar increase = 1.06, 95% confidence interval: 1.01, 1.11), which could not be distinguished from altitude. There was also some evidence of an increase in preterm birth risk with first-trimester average temperature in the -5°C to 15°C range, with a plateau afterwards (spline coding, P = 0.08). No evidence of adverse association with atmospheric pollutants was observed. Our study lends support for an increase in preterm birth risk with atmospheric pressure.
dc.identifier.citationThe Influence of Meteorological Factors and Atmospheric Pollutants on the Risk of Preterm Birth. 2017, 185 (4):247-258 Am. J. Epidemiol.en
dc.identifier.doi10.1093/aje/kww141
dc.identifier.issn1476-6256
dc.identifier.journalAmerican journal of epidemiologyAm J Epidemiol 2017; 185(4):247-58en
dc.identifier.pmid28087514
dc.identifier.urihttp://hdl.handle.net/10029/621217
dc.language.isoenen
dc.rightsArchived with thanks to American journal of epidemiologyen
dc.subject.meshAir Pollutants
dc.subject.meshAtmospheric Pressure
dc.subject.meshEurope
dc.subject.meshHumans
dc.subject.meshMeteorological Concepts
dc.subject.meshPremature Birth
dc.subject.meshProportional Hazards Models
dc.subject.meshUrban Health
dc.titleThe Influence of Meteorological Factors and Atmospheric Pollutants on the Risk of Preterm Birth.en
dc.typeArticleen
dspace.entity.typePublication
html.description.abstractAtmospheric pollutants and meteorological conditions are suspected to be causes of preterm birth. We aimed to characterize their possible association with the risk of preterm birth (defined as birth occurring before 37 completed gestational weeks). We pooled individual data from 13 birth cohorts in 11 European countries (71,493 births from the period 1994-2011, European Study of Cohorts for Air Pollution Effects (ESCAPE)). City-specific meteorological data from routine monitors were averaged over time windows spanning from 1 week to the whole pregnancy. Atmospheric pollution measurements (nitrogen oxides and particulate matter) were combined with data from permanent monitors and land-use data into seasonally adjusted land-use regression models. Preterm birth risks associated with air pollution and meteorological factors were estimated using adjusted discrete-time Cox models. The frequency of preterm birth was 5.0%. Preterm birth risk tended to increase with first-trimester average atmospheric pressure (odds ratio per 5-mbar increase = 1.06, 95% confidence interval: 1.01, 1.11), which could not be distinguished from altitude. There was also some evidence of an increase in preterm birth risk with first-trimester average temperature in the -5°C to 15°C range, with a plateau afterwards (spline coding, P = 0.08). No evidence of adverse association with atmospheric pollutants was observed. Our study lends support for an increase in preterm birth risk with atmospheric pressure.
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