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空气污染与妊娠。

Air pollution and pregnancy.

机构信息

Department of Health Promotion and Behavioral Sciences, University of Texas Health Science Center at Houston, School of Public Health, El Paso, Texas.

Department of Pediatrics, Stanford University, Palo Alto, CA.

出版信息

Semin Perinatol. 2023 Dec;47(8):151838. doi: 10.1016/j.semperi.2023.151838. Epub 2023 Oct 10.

Abstract

Increased fossil fuel usage and extreme climate change events have led to global increases in greenhouse gases and particulate matter with 99% of the world's population now breathing polluted air that exceeds the World Health Organization's recommended limits. Pregnant women and neonates with exposure to high levels of air pollutants are at increased risk of adverse health outcomes such as maternal hypertensive disorders, postpartum depression, placental abruption, low birth weight, preterm birth, infant mortality, and adverse lung and respiratory effects. While the exact mechanism by which air pollution exerts adverse health effects is unknown, oxidative stress as well as epigenetic and immune mechanisms are thought to play roles. Comprehensive, global efforts are urgently required to tackle the health challenges posed by air pollution through policies and action for reducing air pollution as well as finding ways to protect the health of vulnerable populations in the face of increasing air pollution.

摘要

化石燃料的使用增加和极端气候变化事件导致全球温室气体和颗粒物增加,现在世界上 99%的人口呼吸的污染空气超过世界卫生组织建议的限值。孕妇和新生儿接触高水平的空气污染物,患母体高血压疾病、产后抑郁、胎盘早剥、低出生体重、早产、婴儿死亡率以及肺部和呼吸道不良影响的风险增加。虽然空气污染产生不良健康影响的确切机制尚不清楚,但氧化应激以及表观遗传和免疫机制被认为起作用。迫切需要通过减少空气污染的政策和行动以及寻找保护面对日益严重的空气污染时弱势群体健康的方法,开展全面的全球努力来应对空气污染带来的健康挑战。

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