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논문 기본 정보

자료유형
학술저널
저자정보
Koo Eun-jung (Division of Pediatric Surgery Department of Surgery Keimyung University School of Medicine Daegu Ko) 배진곤 (계명대학교) Kim Eun Jung (Department of Urban Planning Keimyung University Daegu Korea.) 조용훈 (부산대학교)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.38
발행연도
2021.10
수록면
1 - 13 (13page)
DOI
10.3346/jkms.2021.36.e236

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Background: Fine particulate matter (PM2.5) can easily penetrate blood vessels and tissues through the human respiratory tract and cause various health problems. Some studies reported that particular matter (PM) exposure during pregnancy is associated with low birth weight or congenital cardiovascular anomalies. This study aimed to investigate the correlation between the degree of exposure to PM ≤ 2.5 μm (PM2.5) during pregnancy and congenital anomalies relevant to the field of pediatric surgery. Methods: Mother-infant dyads with registered addresses in the Metropolitan City were selected during 3 years. The electronic medical records of mothers and neonates were retrospectively analyzed, with a focus on maternal age at delivery, date of delivery, gestation week, presence of diabetes mellitus (DM) or hypertension, parity, the residence of the mother and infant, infant sex, birth weight, Apgar score, and presence of congenital anomaly. The monthly PM2.5 concentration from the first month of pregnancy to the delivery was computed based on the mothers' residences. Results: PM2.5 exposure concentration in the second trimester was higher in the congenital anomaly group than in the non-congenital anomaly group (24.82 ± 4.78 μg/m3 , P = 0.023). PM2.5 exposure concentration did not affect the incidence of nervous, cardiovascular, and gastrointestinal anomalies. While statistically insignificant, the groups with nervous, cardiovascular, gastrointestinal, musculoskeletal, and other congenital anomalies were exposed to higher PM2.5 concentrations in the first trimester compared with their respective counterparts. The effect of PM2.5 concentration on the incidence of congenital anomalies was significant even after adjusting for the mother's age, presence of DM, hypertension, and parity. The incidence of congenital anomalies increased by 26.0% (95% confidence interval of 4.3% and 49.2%) per 7.23 μg/m3 elevation of PM2.5 interquartile range in the second trimester. Conclusions: The congenital anomaly group was exposed to a higher PM2.5 concentration in the second trimester than the non-congenital anomaly group. The PM2.5 exposure concentration level in the first trimester tended to be higher in groups with anomalies than those without anomalies. This suggests that continuous exposure to a high PM2.5 concentration during pregnancy influences the incidence of neonatal anomalies in surgical respects.
#Air Pollution #Congenital Anomaly #Particulate Matter #Pregnancy #Surgical

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참고문헌 (30)

참고문헌 신청
Ministry of Environment / What if fine dust? google schola World Health Organization / Air pollution and cancer google schola Téllez-Rojo MM / 2000 / Daily respiratory mortality and PM10 pollution in Mexico City : importance of considering place of death / Eur Respir J 16(3):391~396 google schola Du Y / 2016 / Air particulate matter and cardiovascular disease : the epidemiological, biomedical and clinical evidence / J Thorac Dis 8(1):E8~E19 google schola Brook RD / 2010 / Particulate matter air pollution and cardiovascular disease : an update to the scientific statement from the American Heart Association / Circulation 121(21):2331~2378 google schola

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