Evidence map›Paper›PMID 26883477›Full record

ArticleJournal of exposure science & environmental epidemiology2016

Maternal exposure to air pollutant PM2.5 and PM10 during pregnancy and risk of congenital heart defects.

Bin Zhang, Shengwen Liang, Jinzhu Zhao, Zhengmin Qian, Bryan A Bassig, Rong Yang, Yiming Zhang, Ke Hu, Shunqing Xu, Tongzhang Zheng and 1 more

Abstract read
In one paragraph

Article in Journal of exposure science & environmental epidemiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Review
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  9. Observational
  10. Review
  11. Congenital heart diseases: population-based cross-sectional study and spatial analysis, São Paulo, 2012-2022.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2026
    Article
  12. Article
  13. Article
  14. Congenital heart diseases - the forgotten country cousins?Indian journal of thoracic and cardiovascular surgery · 2025
    Article
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  16. Review
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Bin ZhangGuidance Department for General Staff, Wuhan Women and Children Health Care Center, Wuhan, Hubei Province, China.
Shengwen LiangWuhan Environmental Monitoring Center, Wuhan, Hubei Province, China.
Jinzhu ZhaoGuidance Department for General Staff, Wuhan Women and Children Health Care Center, Wuhan, Hubei Province, China.
Zhengmin QianDepartment of Epidemiology, College for Public Health and Social Justice, Saint Louis University, Saint Louis, Missouri, USA.
Bryan A BassigDepartment of Environmental Health Sciences, Yale University School of Public Health, New Haven, Connecticut, USA.
Rong YangGuidance Department for General Staff, Wuhan Women and Children Health Care Center, Wuhan, Hubei Province, China.
Yiming ZhangGuidance Department for General Staff, Wuhan Women and Children Health Care Center, Wuhan, Hubei Province, China.
Ke HuWuhan Environmental Monitoring Center, Wuhan, Hubei Province, China.
Shunqing XuKey Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Tongzhang ZhengDepartment of Environmental Health Sciences, Yale University School of Public Health, New Haven, Connecticut, USA.
Shaoping YangGuidance Department for General Staff, Wuhan Women and Children Health Care Center, Wuhan, Hubei Province, China.

Funding

Research Training for Cancer Epidemiology & Biostatistics in ChinaD43TW008323 · FIC · YALE UNIVERSITY · PI HOLFORD, THEODORE R, ZHENG, TONGZHANG · 2009 to 2013
$1.1M
Research Training for Study of Air Pollution Control in ChinaD43TW007864 · FIC · YALE UNIVERSITY · PI ZHENG, TONGZHANG · 2007 to 2011
$706k
FIC NIH HHS D43 TW007864FIC NIH HHS D43 TW008323
6 · The paper itself

Abstract

Maternal exposure to ambient air pollution has increasingly been linked to congenital heart defects (CHDs). The objective of this study was to evaluate whether high levels of maternal exposure to PM2.5 and PM10 are related to increased risk of CHDs in Wuhan, China. We conducted a cohort study with a total of 105,988 live-born infants, stillbirths, and fetal deaths. The study included mothers living in the urban district of Wuhan during pregnancy over the 2-year period from 10 June 2011 to 9 June 2013. For each study participant, we assigned 1-month and 1-week averages of PM10 and PM2.5 exposure based on measurements obtained from the nearest exposure monitor to the living residence of mothers during their early pregnancy period. Logistic regression analyses were conducted to calculate the adjusted odds ratios (aORs) and 95% confidence intervals (CI) for the association between exposure to these ambient air pollutants during early pregnancy and CHDs. We observed an increased risk of CHDs, particularly ventricular septal defect (VSD), with increasing PM2.5 exposure. Using 1-week averages, we also observed significant monotonically increasing associations between PM2.5 exposure during weeks 7-10 of pregnancy and risk of VSD, with aORs ranging from 1.11 to 1.17 (95% CI: 1.02-1.20, 1.03-1.22, 1.05-1.24, and 1.08-1.26 separately) per a 10 μg/m(3) change in PM2.5 concentration. Our study contributes to the small body of knowledge regarding the association between in utero exposure to air pollution and CHDs, but confirmation of these associations will be needed in future studies.

Indexed as

AdultAir PollutantsAir PollutionChinaCohort StudiesDatabases, FactualFemaleHeart Defects, CongenitalHeart Septal Defects, VentricularHumansInfantInfant, NewbornLogistic ModelsMaleMaternal ExposureParticle SizeAir PollutantsParticulate Matter

Identifiers

PMID26883477
PMCPMC4913168

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.