Associations of lung function parameters in preschoolers aged 4.5 years with exposure levels of air pollutants in utero and early postnatal (during the first year of life)
FVC (mL) | FEV1 (mL) | PEF (mL/s) | FEF25–75 (mL/s) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Exposure | Coef | (95% CI) | p Value | Coef | (95% CI) | p Value | Coef | (95% CI) | p Value | Coef | (95% CI) | p Value |
Base model* | ||||||||||||
Benzene | ||||||||||||
Entire pregnancy (n=605) | −13.4 | (−31.7 to 4.8) | 0.149 | −14.9 | (−30.9 to 1.1) | 0.069 | −26.1 | (−71.6 to 19.3) | 0.259 | −30.1 | (−65.9 to 5.7) | 0.100 |
First trimester | −6.8 | (−24.6 to 11.0) | 0.454 | −10.6 | (−26.3 to 5.0) | 0.182 | −27.1 | (−71.4 to 17.3) | 0.231 | −19.9 | (−54.9 to 15.1) | 0.264 |
Second trimester | −16.7 | (−34.8 to 1.30) | 0.069 | −18.1 | (−33.9 to −2.3) | 0.025 | −51.1 | (−95.9 to −6.2) | 0.026 | −30.4 | (−65.9 to 5.1) | 0.093 |
Third trimester | −13.3 | (−31.3 to 4.8) | 0.149 | −13.2 | (−29.1 to 2.6) | 0.101 | −22.6 | (−67.6 to 22.4) | 0.324 | −24.4 | (−59.9 to 11.1) | 0.177 |
First year of life (n=599) | −1.9 | (−19.8 to 15.9) | 0.832 | −7.5 | (−23.2 to 8.2) | 0.347 | −13.5 | (−57.9 to 30.9) | 0.550 | −22.3 | (−57.4 to 12.9) | 0.214 |
NO2 | ||||||||||||
Entire pregnancy (n=607) | −24.4 | (−52.4 to 3.5) | 0.087 | −21.5 | (−46.1 to 3.0) | 0.086 | −32.6 | (−102.3 to 37.2) | 0.360 | −34.0 | (−89.0 to 21.0) | 0.225 |
First trimester | −12.9 | (−40.4 to 14.6) | 0.358 | −13.9 | (−38.2 to 10.2) | 0.256 | −24.9 | (−93.5 to 43.7) | 0.476 | −20.8 | (−74.9 to 33.4) | 0.452 |
Second trimester | −29.4 | (−56.4 to −2.4) | 0.033 | −25.7 | (−49.4 to −2.0) | 0.033 | −68.0 | (−135.2 to −0.8) | 0.047 | −32.6 | (−85.7 to 20.6) | 0.230 |
Third trimester | −23.1 | (−50.8 to 4.6) | 0.102 | −19.2 | (−43.5 to 5.1) | 0.120 | −26.6 | (−95.7 to 42.4) | 0.449 | −29.1 | (−83.6 to 25.3) | 0.294 |
First year of life (n=601) | −10.1 | (−36.3 to 16.1) | 0.449 | −13.7 | (−36.7 to 9.3) | 0.244 | −25.7 | (−91.0 to 39.6) | 0.440 | −32.1 | (−83.8 to 19.5) | 0.222 |
Adjusted model† | ||||||||||||
Benzene | ||||||||||||
Entire pregnancy (n=566) | −15.0 | (−33.9 to 4.0) | 0.123 | −16.3 | (−32.9 to 0.2) | 0.054 | −21.6 | (−68.6 to 25.5) | 0.368 | −32.6 | (−70.0 to 4.7) | 0.087 |
First trimester | −10.2 | (−28.6 to 8.3) | 0.280 | −13.4 | (−29.5 to 2.7) | 0.103 | −26.5 | (−72.1 to 19.1) | 0.254 | −22.3 | (−58.6 to 13.9) | 0.227 |
Second trimester | −18.0 | (−36.7 to 0.7) | 0.060 | −18.4 | (−34.8 to −2.1) | 0.027 | −45.2 | (−91.5 to 1.0) | 0.055 | −28.8 | (−65.7 to 8.1) | 0.125 |
Third trimester | −13.9 | (−32.6 to 4.9) | 0.147 | −13.8 | (−30.2 to 2.6) | 0.099 | −16.1 | (−62.5 to 30.4) | 0.497 | −24.7 | (−61.7 to 12.2) | 0.188 |
First year of life (n=560) | −3.2 | (−21.7 to 15.2) | 0.733 | −8.8 | (−24.9 to 7.3) | 0.283 | −8.6 | (−54.2 to 36.9) | 0.710 | −25.0 | (−61.3 to 11.3) | 0.176 |
NO2 | ||||||||||||
Entire pregnancy (n=567) | −28.9 | (−58.5 to 0.6) | 0.055 | −26.1 | (−51.9 to −0.2) | 0.048 | −26.9 | (−100.2 to 46.4) | 0.471 | −44.8 | (−103.0 to 13.5) | 0.132 |
First trimester | −19.8 | (−48.7 to 9.0) | 0.177 | −20.4 | (−45.6 to 4.8) | 0.113 | −25.4 | (−96.9 to 46.1) | 0.486 | −31.3 | (−88.1 to 25.6) | 0.280 |
Second trimester | −32.8 | (−61.2 to −4.4) | 0.024 | −28.0 | (−52.9 to −3.2) | 0.027 | −61.6 | (−132.0 to 8.8) | 0.086 | −36.4 | (−92.5 to 19.7) | 0.203 |
Third trimester | −25.5 | (−54.4 to 3.5) | 0.085 | −21.9 | (−47.2 to 3.4) | 0.090 | −17.8 | (−89.6 to 53.9) | 0.626 | −35.0 | (−92.1 to 22.0) | 0.228 |
First year of life (n=561) | −13.5 | (−41.3 to 14.3) | 0.342 | −18.1 | (−42.4 to 6.2) | 0.145 | −19.7 | (−88.5 to 49.1) | 0.574 | −44.5 | (−99.3 to 10.2) | 0.111 |
*Base model adjusted for area of study, child's sex, and child`s age, height and weight at assessment and ethnic background.
†Base model further adjusted for birth weight, maternal social class, maternal education level, maternal smoking in pregnancy and paternal smoking in pregnancy, environmental tobacco smoke 0–14 months, and lower respiratory tract infections 0–14 months.
Coef (95% CI), Coefficient and 95% CI for an IQR increase in exposure estimated by linear regression models.
NO2, nitrogen dioxide; PEF, peak expiratory flow.