The Influence of Meteorological Factors and Atmospheric Pollutants on the Risk of Preterm Birth
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The Influence of Meteorological Factors and Atmospheric Pollutants on the Risk of Preterm Birth. / 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.
In: American Journal of Epidemiology, Vol. 185, No. 4, 15.02.2017, p. 247–258.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The Influence of Meteorological Factors and Atmospheric Pollutants on the Risk of Preterm Birth
AU - Giorgis-allemand, Lise
AU - Pedersen, Marie
AU - Bernard, Claire
AU - Aguilera, Inmaculada
AU - Beelen, Rob M. J.
AU - Chatzi, Leda
AU - Cirach, Marta
AU - Danileviciute, Asta
AU - Dedele, Audrius
AU - Van Eijsden, Manon
AU - Estarlich, Marisa
AU - Fernández-somoano, Ana
AU - Fernández, Mariana F.
AU - Forastiere, Francesco
AU - Gehring, Ulrike
AU - Grazuleviciene, Regina
AU - Gruzieva, Olena
AU - Heude, Barbara
AU - Hoek, Gerard
AU - De Hoogh, Kees
AU - Van Den Hooven, Edith H.
AU - Håberg, Siri E.
AU - Iñiguez, Carmen
AU - Jaddoe, Vincent W. V.
AU - Korek, Michal
AU - Lertxundi, Aitana
AU - Lepeule, Johanna
AU - Nafstad, Per
AU - Nystad, Wenche
AU - Patelarou, Evridiki
AU - Porta, Daniela
AU - Postma, Dirkje
AU - Raaschou-nielsen, Ole
AU - Rudnai, Peter
AU - Siroux, Valérie
AU - Sunyer, Jordi
AU - Stephanou, Euripides
AU - Sørensen, Mette
AU - Eriksen, Kirsten Thorup
AU - Tuffnell, Derek
AU - Varró, Mihály J.
AU - Vrijkotte, Tanja G. M.
AU - Wijga, Alet
AU - Wright, John
AU - Nieuwenhuijsen, Mark J.
AU - Pershagen, Göran
AU - Brunekreef, Bert
AU - Kogevinas, Manolis
AU - Slama, Rémy
PY - 2017/2/15
Y1 - 2017/2/15
N2 - 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.
AB - 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.
U2 - 10.1093/aje/kww141
DO - 10.1093/aje/kww141
M3 - Journal article
C2 - 28087514
VL - 185
SP - 247
EP - 258
JO - American Journal of Epidemiology
JF - American Journal of Epidemiology
SN - 0002-9262
IS - 4
ER -
ID: 173750176