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孕期和儿童期接触空气污染与青少年大脑白质微观结构

Exposure to Air Pollution during Pregnancy and Childhood, and White Matter Microstructure in Preadolescents.

机构信息

Barcelona Institute for Global Health (ISGlobal)-Campus Mar, Barcelona, Spain.

Pompeu Fabra University, Barcelona, Spain.

出版信息

Environ Health Perspect. 2020 Feb;128(2):27005. doi: 10.1289/EHP4709. Epub 2020 Feb 13.

Abstract

BACKGROUND

Air pollution has been related to brain structural alterations, but a relationship with white matter microstructure is unclear.

OBJECTIVES

We assessed whether pregnancy and childhood exposures to air pollution are related to white matter microstructure in preadolescents.

METHODS

We used data of 2,954 children from the Generation R Study, a population-based birth cohort from Rotterdam, Netherlands (2002-2006). Concentrations of 17 air pollutants including nitrogen oxides (), particulate matter (PM), and components of PM were estimated at participants' homes during pregnancy and childhood using land-use regression models. Diffusion tensor images were obtained at child's 9-12 years of age, and fractional anisotropy (FA) and mean diffusivity (MD) were computed. We performed linear regressions adjusting for socioeconomic and lifestyle characteristics. Single-pollutant analyses were followed by multipollutant analyses using the Deletion/Substitution/Addition (DSA) algorithm.

RESULTS

In the single-pollutant analyses, higher concentrations of several air pollutants during pregnancy or childhood were associated with significantly lower FA or higher MD (). In multipollutant models of pregnancy exposures selected by DSA, higher concentration of fine particles was associated with significantly lower FA [ (95% CI: , ) per fine particles] and higher concentration of elemental silicon with significantly higher MD [0.06 (95% CI: 0.01, 0.11) per silicon]. Multipollutant models of childhood exposures selected by DSA indicated significant associations of with FA [ (95% CI: , ) per increase], and of elemental zinc and the oxidative potential of PM with MD [0.03 (95% CI: 0.01, 0.04) per zinc increase and 0.07 (95% CI: 0.00, 0.44) per oxidative potential increase]. Mutually adjusted models of significant exposures during pregnancy and childhood indicated significant associations of silicon during pregnancy, and zinc during childhood, with MD.

DISCUSSION

Exposure in pregnancy and childhood to air pollutants from tailpipe and non-tailpipe emissions were associated with lower FA and higher MD in white matter of preadolescents. https://doi.org/10.1289/EHP4709.

摘要

背景

空气污染与大脑结构改变有关,但与白质微观结构的关系尚不清楚。

目的

我们评估孕妇和儿童时期接触空气污染是否与青春期前儿童的白质微观结构有关。

方法

我们使用了来自荷兰鹿特丹的一项基于人群的出生队列研究——“生育队列研究”中的 2954 名儿童的数据(2002-2006 年)。使用基于土地利用的回归模型,在孕妇和儿童时期,在参与者的家中估算了 17 种空气污染物(包括氮氧化物()、颗粒物(PM)和 PM 的成分)的浓度。在儿童 9-12 岁时获得弥散张量图像,并计算分数各向异性(FA)和平均扩散系数(MD)。我们进行了线性回归,调整了社会经济和生活方式特征。单污染物分析后,使用删除/替换/添加(DSA)算法进行多污染物分析。

结果

在单污染物分析中,怀孕期间或儿童时期几种空气污染物浓度较高与 FA 显著降低或 MD 显著升高有关()。在 DSA 选择的妊娠暴露多污染物模型中,细颗粒物浓度较高与 FA 显著降低显著相关[每增加 10 微克/立方米细颗粒物,FA 降低(95%置信区间:,)],元素硅浓度较高与 MD 显著升高相关[0.06(95%置信区间:0.01,0.11)每增加 1 微克/立方米硅]。DSA 选择的儿童暴露多污染物模型表明,与 FA 呈显著相关[每增加 1 个单位,FA 增加(95%置信区间:,)],元素锌和 PM 氧化势与 MD 呈显著相关[每增加 1 个单位锌,MD 增加 0.03(95%置信区间:0.01,0.04)和每增加 1 个单位 PM 氧化势,MD 增加 0.07(95%置信区间:0.00,0.44)]。对妊娠和儿童时期有意义暴露的相互调整模型表明,妊娠期间的硅暴露和儿童时期的锌暴露与 MD 呈显著相关。

讨论

来自排气管和非排气管排放的孕妇和儿童时期的空气污染物暴露与青春期前儿童白质中的 FA 降低和 MD 升高有关。https://doi.org/10.1289/EHP4709.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f82/7064320/9e4189b095ac/ehp-128-027005-g001.jpg

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