The Influence of Meteorological Factors and Atmospheric Pollutants on the Risk of Preterm Birth.
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Authors
Giorgis-Allemand, LisePedersen, 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
Type
ArticleLanguage
en
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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):247-58Publiekssamenvatting
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.PMID
28087514ae974a485f413a2113503eed53cd6c53
10.1093/aje/kww141
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