ArticleEnvironmental health perspectives2019
Influence of the Urban Exposome on Birth Weight.
Article in Environmental health perspectives, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 5 of them syntheses that pooled 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.
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.
Who cites it
51 citing papers in PubMed, 5 syntheses or guidelines pooled it, 118 citations in OpenAlex.
- Does the biodiversity of urban green spaces impact on human health? A systematic review of literature.BMC public health · 2026Pooled it
- Ambient air pollution and childhood obesity from infancy to late childhood: An individual participant data meta-analysis of 10 European birth cohorts.Environment international · 2025Pooled it
- A Systematic Review and Meta-Analysis of Associations between Green and Blue Spaces and Birth Outcomes.International journal of environmental research and public health · 2020Pooled it
- Road Traffic Noise Exposure and Depression/Anxiety: An Updated Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2019Pooled it
- Road Traffic Noise Exposure and Birth Outcomes: An Updated Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2019Pooled it
- Do maternal self-reported socio-demographic and green space characteristics influence neonatal birth weight? Evidence from Ghana.Maternal health, neonatology and perinatology · 2026Article
- The Human Exposome: Integrating the Environment, Human Health, and Society for the Next 60 years.Environmental science & technology · 2026Review
- The promise and challenges of exposomics in child health research.Pediatric research · 2025Review
- Prenatal greenness exposure and the decreased risk of low birthweight and small for gestational age: modification and mediation effects of air pollution.BMC public health · 2025Article
- Prenatal exposure to residential greenness, fetal growth, and birth outcomes: a cohort study in New York City.American journal of epidemiology · 2025Article
- Critical window of gestational greenspace exposure for the risk of low birth weight.Environmental research letters : ERL [Web site] · 2025Article
- How exposomic tools complement and enrich genomic research.Cell genomics · 2025Review
- A Retrospective Analysis Evaluating the Impact of Neighborhood Deprivation on Birth Weight in Phoenix, Arizona.International journal of environmental research and public health · 2025Article
- Nonacademic predictors of China medical licensing examination.BMC medical education · 2025Article
- The impact of exposure to green or bluespace on dietary intake and food choices among adults-A systematic literature review.Food science & nutrition · 2024Review
- Advancing research on greenspace and climate-sensitive adverse birth outcomes for equity and impact.Environmental epidemiology (Philadelphia, Pa.) · 2024Article
- The Relationship between Exposome and Microbiome.Microorganisms · 2024Review
- Associations between neighborhood characteristics and child well-being before and during the COVID-19 pandemic: A repeated cross-sectional study in the Environmental influences on Child Health Outcomes (ECHO) program.Environmental research · 2024Article
- Associations of Maternal Educational Level, Proximity to Green Space During Pregnancy, and Gestational Diabetes With Body Mass Index From Infancy to Early Adulthood: A Proof-of-Concept Federated Analysis in 18 Birth Cohorts.American journal of epidemiology · 2024Article
- Modifiable factors associated with cognitive performance in Chinese adolescents: a national environment-wide association study.European child & adolescent psychiatry · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
27 authors at 10 institutions in 8 countries.
Funding
Abstract
backgroundThe exposome is defined as the totality of environmental exposures from conception onwards. It calls for providing a holistic view of environmental exposures and their effects on human health by evaluating multiple environmental exposures simultaneously during critical periods of life.
objectiveWe evaluated the association of the urban exposome with birth weight.
methodsWe estimated exposure to the urban exposome, including the built environment, air pollution, road traffic noise, meteorology, natural space, and road traffic (corresponding to 24 environmental indicators and 60 exposures) for nearly 32,000 pregnant women from six European birth cohorts. To evaluate associations with either continuous birth weight or term low birth weight (TLBW) risk, we primarily relied on the Deletion-Substitution-Addition (DSA) algorithm, which is an extension of the stepwise variable selection method. Second, we used an exposure-by-exposure exposome-wide association studies (ExWAS) method accounting for multiple hypotheses testing to report associations not adjusted for coexposures.
resultsThe most consistent statistically significant associations were observed between increasing green space exposure estimated as Normalized Difference Vegetation Index (NDVI) and increased birth weight and decreased TLBW risk. Furthermore, we observed statistically significant associations among presence of public bus line, land use Shannon's Evenness Index, and traffic density and birth weight in our DSA analysis.
conclusionThis investigation is the first large urban exposome study of birth weight that tests many environmental urban exposures. It confirmed previously reported associations for NDVI and generated new hypotheses for a number of built-environment exposures. https://doi.org/10.1289/EHP3971.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.