Evidence map›Paper›PMID 29699913›Full record

Observational studyInternational journal of hygiene and environmental health2018

Prenatal exposure to environmental pollutants and child development trajectories through 7 years.

Ines Gonzalez-Casanova, Aryeh D Stein, Albino Barraza-Villarreal, Raquel Garcia Feregrino, Ann DiGirolamo, Leticia Hernandez-Cadena, Juan A Rivera, Isabelle Romieu, Usha Ramakrishnan

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in International journal of hygiene and environmental health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 15% of its field
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

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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

9 authors at 4 institutions in 3 countries.

Ines Gonzalez-CasanovaDepartment of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. Electronic address: igonza2@emory.edu.
Aryeh D SteinDepartment of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Albino Barraza-VillarrealDepartment of Environmental Health, Population Health Center, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Raquel Garcia FeregrinoCenter for the Study of Nutrition and Health, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Ann DiGirolamoCenter of Excellence for Children's Behavioral Health, Georgia Health Policy Center, Georgia State University, Atlanta, GA, USA.
Leticia Hernandez-CadenaDepartment of Environmental Health, Population Health Center, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Juan A RiveraCenter for the Study of Nutrition and Health, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Isabelle RomieuDepartment of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA; Department of Environmental Health, Population Health Center, National Institute of Public Health, Cuernavaca, Morelos, Mexico; International Agency for Research on Cancer, Lyon, France.
Usha RamakrishnanDepartment of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Instituto Nacional de Salud Pública · MXEmory University · USCentre International de Recherche sur le Cancer · FRGeorgia State University · US

Funding

Effect of Prenatal DHA Supplements on Infant DevelopmentR01HD043099 · NICHD · EMORY UNIVERSITY · PI RAMAKRISHNAN, USHA · 2004 to 2012
$4.1M
Omega fatty acid supplementation and allergic diseases in childrenR01HD058818 · NICHD · MEXICO NATIONAL INSTITUTE OF PUBLIC HLTH · PI ROMIEU, ISABELLE · 2009 to 2012
$768k
The role of FADS genotype on prenatal DHA supplementation and child growth and developmentR03HD087606 · NICHD · EMORY UNIVERSITY · PI RAMAKRISHNAN, USHA · 2017 to 2018
$156k
NICHD NIH HHS R01 HD043099NICHD NIH HHS R01 HD058818NICHD NIH HHS R03 HD087606World Health Organization 001
6 · The paper itself

Abstract

backgroundPrenatal exposure to environmental pollutants such as mold, lead, pesticides, tobacco, and air pollutants has been suggested to impair cognitive development. Evidence is needed from longitudinal studies to understand their joint impact on child development across time.

objectiveTo study associations between exposure to indoor environmental pollutants or outdoor air pollution during pregnancy and offspring cognitive development trajectories through 7 years.

methodsWe included 718 Mexican mother-child pairs. Prenatal exposure to indoor environmental pollutants (mold, ventilation, pesticides, tobacco smoke, and use of vidiartred clay pots) was self-reported by the mothers and integrated into an index, or objectively measured in the case of outdoor air pollutants (nitrogen oxides, benzene, toluene, and xylene). Child global cognitive development was measured at 12, 18, 60, or 84 months. Using Latent Class Growth Analysis, we identified three developmental trajectories (positive = 108, average = 362, low = 248). We used multinomial logistic models to test associations between environmental pollutant score (EPS) or outdoor air pollutants, and cognitive development trajectories.

resultsAfter adjustment for sociodemographic covariates, EPS was associated with the average (OR = 1.26 95%CI = 1.01, 1.55) and low (OR = 1.41 95%CI = 1.11, 1.79) trajectories compared to positive; where a unit increase in EPS means an additional prenatal exposure to a pollutant. There was no association between outdoor air pollutants and cognitive development trajectories.

conclusionChildren of women who reported higher exposure to indoor environmental pollutants during pregnancy were more likely to follow worse developmental trajectories through 7 years. These results support the development and testing of interventions to reduce exposure to environmental pollutants during pregnancy and early childhood as a potential strategy to improve long-term cognitive development.

Indexed as

Prenatal Exposure Delayed EffectsBenzeneChildChild DevelopmentChild, PreschoolCognitionEnvironmental PollutantsFemaleHumansInfantMaternal ExposureMaternal-Fetal ExchangeNitrogen OxidesPregnancyTolueneXylenesBenzeneEnvironmental PollutantsNitrogen OxidesTolueneXylenesAir pollutionHousehold pollutantsLong-Term cognitive developmentMoldPesticidesPrenatal exposure

Identifiers

PMID29699913
PMCPMC5988245
OpenAlexW2800418088

What OpenQuestion holds

Textmetadata
LicenceTDM
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.