Unitat de Recerca Infància i Entorn (URIE), Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, Spain.
PLoS One. 2012;7(11):e50463. doi: 10.1371/journal.pone.0050463. Epub 2012 Nov 28.
Increasing awareness of the potential chronic health effects of arsenic (As) at low exposure levels has motivated efforts to better understand impaired child development during pregnancy by biomarkers of exposure. The aims of this study were to evaluate the prenatal exposure to As by analysis of an alternative matrix (meconium), to examine its effects on neonatal outcomes and investigate the association with maternal lifestyle and dietary habits during pregnancy.
A transversal descriptive study was conducted in Tenerife (Spain). A total of 96 mother-child pairs participated in the study. A questionnaire on sociodemographic, lifestyle and dietary habits during pregnancy was administered the day after the delivery. Analysis of total As in meconium was performed by inductively coupled plasma-optical emission spectrometer.
Total As was detected in 37 (38.5%) meconium samples. The univariate logistic regression model indicates that prenatal exposure to As was associated with a low intake of eggs per week (OR 0.56; CI (95%): 0.34-0.94) during pregnancy. Conversely, frequent intake of vegetables was associated with prenatal As exposure (OR: 1.19; CI (95%): 1.01-1.41) and frequent intake of processed meat (as bacon, Frankfurt's sausage, and hamburger) shows a trend to As prenatal exposure (OR: 8.54; CI (95%): 0.80-90.89). The adjusted multivariate logistic regression model indicates that only frequent intake of vegetables maintains the association (OR: 1.31; CI (95%): 1.02-1.68).
The studied population presented a low As exposure and was not associated with neonatal effects. Maternal consumption of vegetables during pregnancy was associated with detectable meconium As levels; however the concentration detected in meconium was too low to be considered a major public health concern in this geographical area.
由于认识到低水平暴露砷(As)可能会对慢性健康造成影响,因此人们努力通过暴露生物标志物更好地了解妊娠期间儿童发育受损的情况。本研究的目的是通过分析替代基质(胎粪)来评估孕期砷暴露情况,检验其对新生儿结局的影响,并探讨其与孕期母亲生活方式和饮食习惯的关系。
在特内里费岛(西班牙)进行了一项横断面描述性研究。共有 96 对母婴参与了研究。在分娩后第二天,对母亲进行了一份关于社会人口统计学、生活方式和孕期饮食习惯的问卷。采用电感耦合等离子体-原子发射光谱法分析胎粪中的总砷含量。
在 37 个(38.5%)胎粪样本中检测到总砷。单变量逻辑回归模型表明,孕期每周摄入鸡蛋量低(OR 0.56;95%置信区间(CI):0.34-0.94)与孕期暴露于砷有关。相反,经常摄入蔬菜与孕期砷暴露有关(OR:1.19;95%CI:1.01-1.41),经常摄入加工肉类(如培根、法兰克福香肠和汉堡)则显示出与孕期砷暴露的趋势(OR:8.54;95%CI:0.80-90.89)。调整后的多变量逻辑回归模型表明,只有经常摄入蔬菜才能保持相关性(OR:1.31;95%CI:1.02-1.68)。
本研究人群的砷暴露水平较低,且与新生儿影响无关。孕期母亲食用蔬菜与胎粪中可检测到的砷水平有关;然而,胎粪中检测到的浓度太低,在该地理区域内不太可能成为主要的公共卫生问题。