产前接触多环芳烃与生长参数。

IF 2 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Journal of applied biomedicine Pub Date : 2024-03-01 Epub Date: 2024-03-13 DOI:10.32725/jab.2024.004
Radim J Sram, Ivo Solansky, Anna Pastorkova, Milos Veleminsky, Milos Veleminsky, Katerina Honkova, Hana Barosova, Jana Schmuczerova, Katerina Urbancova, Darina Dvorakova, Jana Pulkrabova
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引用次数: 0

摘要

背景和目的:众所周知,空气中的多环芳烃(PAHs)会对妊娠和分娩结果(如出生体重、胎儿发育和胎盘生长因子)产生负面影响。然而,类似的研究却得出了不同的结果。我们的目标是估算孕妇/母亲及其新生儿尿液中单羟基多环芳烃(OH-PAH)代谢物的含量与胎盘重量、Apgar 5'和两岁以下儿童生长参数等出生结果的关系:研究对象为 2013 年和 2014 年夏季和冬季在捷克共和国卡尔维纳市(144 人)和切斯克布杰约维采市(198 人)出生的两组儿童。通过空气中苯并[a]芘(B[a]P)的浓度以及新生儿和母亲尿液中 11 种 OH-PAH 代谢物的浓度来评估多环芳烃的暴露情况。生长参数和出生结果来自婴儿出生后的医疗调查问卷和随后 24 个月的儿科调查问卷:结果:卡尔维纳的 B[a]P 浓度明显更高(p < 0.001)。在卡尔维纳和冬季,母亲和新生儿尿液中的 OH-PAH 代谢物含量都明显较高。卡尔维纳的新生儿出生时身长较短(p < 0.001),但在接下来的 3 至 24 个月中,这一差异趋于平稳。与České Budějovice相比,卡尔维纳的新生儿从出生到产后三个月的体重增长明显较低。母亲或新生儿尿液中的 OH-PAH 代谢物不会影响出生体重。新生儿尿液中的七种 OH-PAH 代谢物(浓度高于中位数的前 25%)与新生儿身长减少有关。9种OH-PAH代谢物会降低胎盘重量,这一点最为显著,而7种OH-PAH代谢物会降低Apgar 5':结论:我们的研究表明,新生儿尿液中 OH-PAH 代谢物浓度较高与新生儿身长、头围、胎盘重量和 Apgar 5'下降之间可能存在联系,但与出生体重无关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prenatal exposure to polycyclic aromatic hydrocarbons and growth parameters.

Background and objectives: It has long been known that airborne polycyclic aromatic hydrocarbons (PAHs) can negatively affect pregnancy and birth outcomes, such as birth weight, fetal development, and placental growth factors. However, similar studies yield divergent results. Our goal was to estimate the amount of monohydroxylated PAH (OH-PAH) metabolites in the urine of pregnant women/mothers and their newborns in relation to birth outcomes, such as placenta weight, Apgar 5', and the growth parameters of children up to the age of two.

Methods: Two cohorts of children born in 2013 and 2014 during the summer and winter seasons in the Czech Republic in the cities Karviná (N = 144) and České Budějovice (N = 198), which differ significantly in the level of air pollution, were studied. PAH exposure was assessed by the concentration of benzo[a]pyrene (B[a]P) in the air and the concentration of 11 OH-PAH metabolites in the urine of newborns and mothers. Growth parameters and birth outcomes were obtained from medical questionnaires after birth and from pediatric questionnaires during the following 24 months of the child's life.

Results: Concentrations of B[a]P were significantly higher in Karviná (p < 0.001). OH-PAH metabolites were significantly higher in the mothers' as well as in the newborns' urine in Karviná and during the winter season. Neonatal length was shorter in newborns in Karviná (p < 0.001), but this difference evened out during the next 3 to 24 months. Compared to České Budějovice, newborns in Karviná showed significantly lower weight gain between birth and three months after delivery. The OH-PAH metabolites in mothers' or newborns' urine did not affect birth weight. The presence of seven OH-PAH (top 25% of values of concentrations higher than the median) metabolites in the newborns' urine is associated with decreased length of newborn. Nine OH-PAH metabolites decreased placenta weight, which was the most significant, while seven OH-PAH metabolites decreased Apgar 5'.

Conclusion: We have shown a possible connection between higher concentration of OH-PAH metabolites in newborns' urine and decreased length, head circumference, placenta weight, and Apgar 5', but not birth weight.

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来源期刊
Journal of applied biomedicine
Journal of applied biomedicine PHARMACOLOGY & PHARMACY-
CiteScore
2.40
自引率
7.70%
发文量
13
审稿时长
>12 weeks
期刊介绍: Journal of Applied Biomedicine promotes translation of basic biomedical research into clinical investigation, conversion of clinical evidence into practice in all medical fields, and publication of new ideas for conquering human health problems across disciplines. Providing a unique perspective, this international journal publishes peer-reviewed original papers and reviews offering a sensible transfer of basic research to applied clinical medicine. Journal of Applied Biomedicine covers the latest developments in various fields of biomedicine with special attention to cardiology and cardiovascular diseases, genetics, immunology, environmental health, toxicology, neurology and oncology as well as multidisciplinary studies. The views of experts on current advances in nanotechnology and molecular/cell biology will be also considered for publication as long as they have a direct clinical impact on human health. The journal does not accept basic science research or research without significant clinical implications. Manuscripts with innovative ideas and approaches that bridge different fields and show clear perspectives for clinical applications are considered with top priority.
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