Modulatory Effects of Vitamin D: A Possible Approach to Mitigate Air Pollution Related Pregnancy Complications.

Q2 Medicine
Bharti Singhal, Sarthika Chauhan, Nikita Soni, Vikas Gurjar, Vibhor Joshi, Prasan Kaur, Pooja Ratre, Roshani Kumari, Pradyumna Kumar Mishra
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Abstract

Approximately 99% of people on the planet breathe air that exceeds the World Health Organization's permitted threshold for pollution. South Asia is home to the world's most polluted cities. Population-based studies have suggested that women's reproductive health outcomes are worsening due to air pollution. Preeclampsia, miscarriage, gestational diabetes, high blood pressure, and unfavorable birth outcomes, including preterm birth, low birth weight, or even stillbirth are all linked to exposure to air pollution during pregnancy. It is estimated that 0.61 million deaths in India alone were related to indoor air pollution. Females frequently cook in the household using solid fuel as a primary combustion source. Women in the regions with the highest population density are disproportionately affected by high levels of poor-quality indoor air. Recently, it has been proposed that air pollution has a distinct role in the onset of vitamin D deficiency. Numerous studies have explored associations between low vitamin D level and various female reproductive health conditions since the discovery of the vitamin D receptor. It is worthy to note that some of these reproductive health conditions positively correlate with the severity of air pollution. In this study, the evidence has been synthesized on vitamin D's protective properties and dietary and pharmaceutical interventions have been discussed to show their beneficial effects in decreasing the long-term negative impacts of air pollution on women's health.

维生素 D 的调节作用:缓解与空气污染有关的妊娠并发症的可能方法。
地球上约有 99% 的人呼吸着超过世界卫生组织允许的污染临界值的空气。南亚是世界上污染最严重城市的所在地。基于人口的研究表明,由于空气污染,妇女的生殖健康状况正在恶化。先兆子痫、流产、妊娠糖尿病、高血压和不利的分娩结果,包括早产、出生体重不足甚至死胎,都与怀孕期间暴露于空气污染有关。据估计,仅印度就有 61 万人的死亡与室内空气污染有关。女性经常在家中使用固体燃料作为主要燃烧源做饭。在人口密度最高的地区,劣质室内空气对妇女的影响尤为严重。最近,有人提出,空气污染在维生素 D 缺乏症的发病过程中起着独特的作用。自维生素 D 受体被发现以来,已有大量研究探讨了低维生素 D 水平与各种女性生殖健康状况之间的关联。值得注意的是,其中一些生殖健康状况与空气污染的严重程度呈正相关。本研究综述了维生素 D 保护特性的证据,并讨论了饮食和药物干预措施,以显示其在减少空气污染对女性健康的长期负面影响方面的有益作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Reproduction and Infertility
Journal of Reproduction and Infertility Medicine-Reproductive Medicine
CiteScore
2.70
自引率
0.00%
发文量
44
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