Risks of preterm birth and low birth weight and maternal exposure to NO2/PM2.5 acquired by dichotomous evaluation: a systematic review and meta-analysis

Tai Ho Hung, Pei Hung Chen, Tao Hsin Tung, Jie Hsu, Te Yao Hsu, Gwo Hwa Wan*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

No consistent results from past studies have been found on the relationship between the effects of air pollutant exposure, preterm birth (PTB) and low birth weight (LBW) in fetuses. This study aimed to analyze the impact of high concentrations of air pollutants on the health outcomes of fetuses, especially regarding PTB and LBW. This study used keywords related to air pollutants, pregnancy, and birth outcomes, to search the literature within the databases of the Cochrane Library, PubMed, and Embase, which were published as of July 26, 2022. A total of 24 studies were included in this meta-analysis. This meta-analysis revealed that nitrogen dioxide (NO2) exposure throughout pregnancy was associated with an increased risk of PTB. Maternal exposure to PM2.5 (particulate matter sized less than 2.5 μm) during gestation was associated with the risk of LBW. The findings of this meta-analysis provide an important foundation for evaluating the relationship between exposure of air pollutants and fetal birth outcomes in countries with severe air pollution in the future.

Original languageEnglish
Pages (from-to)9331-9349
Number of pages19
JournalEnvironmental Science and Pollution Research
Volume30
Issue number4
DOIs
StatePublished - 01 2023

Bibliographical note

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Keywords

  • Low birth weight
  • Meta-analysis
  • NO
  • PM
  • Pregnant woman
  • Preterm birth
  • Nitrogen Dioxide/analysis
  • Infant, Low Birth Weight
  • Humans
  • Maternal Exposure
  • Air Pollution/analysis
  • Pregnancy
  • Birth Weight
  • Air Pollutants/analysis
  • Premature Birth/epidemiology
  • Female
  • Particulate Matter/analysis
  • Infant, Newborn

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