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

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    Authors
    Giorgis-Allemand, Lise
    Pedersen, Marie
    Bernard, Claire
    Aguilera, Inmaculada
    Beelen, Rob M J
    Chatzi, Leda
    Cirach, Marta
    Danileviciute, Asta
    Dedele, Audrius
    van Eijsden, Manon
    Estarlich, Marisa
    Fernández-Somoano, Ana
    Fernández, Mariana F
    Forastiere, Francesco
    Gehring, Ulrike
    Grazuleviciene, Regina
    Gruzieva, Olena
    Heude, Barbara
    Hoek, Gerard
    de Hoogh, Kees
    van den Hooven, Edith H
    Håberg, Siri E
    Iñiguez, Carmen
    Jaddoe, Vincent W V
    Korek, Michal
    Lertxundi, Aitana
    Lepeule, Johanna
    Nafstad, Per
    Nystad, Wenche
    Patelarou, Evridiki
    Porta, Daniela
    Postma, Dirkje
    Raaschou-Nielsen, Ole
    Rudnai, Peter
    Siroux, Valérie
    Sunyer, Jordi
    Stephanou, Euripides
    Sørensen, Mette
    Eriksen, Kirsten Thorup
    Tuffnell, Derek
    Varró, Mihály J
    Vrijkotte, Tanja G M
    Wijga, Alet
    Wright, John
    Nieuwenhuijsen, Mark J
    Pershagen, Göran
    Brunekreef, Bert
    Kogevinas, Manolis
    Slama, Rémy
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    Type
    Article
    Language
    en
    
    Metadata
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    Title
    The Influence of Meteorological Factors and Atmospheric Pollutants on the Risk of Preterm Birth.
    Published in
    American journal of epidemiologyAm J Epidemiol 2017; 185(4):247-58
    Publiekssamenvatting
    Atmospheric 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.
    DOI
    10.1093/aje/kww141
    PMID
    28087514
    URI
    http://hdl.handle.net/10029/621217
    ae974a485f413a2113503eed53cd6c53
    10.1093/aje/kww141
    Scopus Count
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