Evidence map›Paper›PMID 34225757›Full record

Trial reportEnvironmental health : a global access science source2021

Portable HEPA filter air cleaner use during pregnancy and children's behavior problem scores: a secondary analysis of the UGAAR randomized controlled trial.

Undarmaa Enkhbat, Enkhjargal Gombojav, Chimeglkham Banzrai, Sarangerel Batsukh, Buyantushig Boldbaatar, Enkhtuul Enkhtuya, Chimedsuren Ochir, David C Bellinger, Bruce P Lanphear, Lawrence C McCandless and 1 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Environmental health : a global access science source, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01741051 (A Randomized Air Filter Intervention Study of Air Pollution and Fetal Growth in a Highly Polluted Community), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.5field-weighted citation impact, top 37% 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.

NCT01741051 nacompletednot on this map

A Randomized Air Filter Intervention Study of Air Pollution and Fetal Growth in a Highly Polluted Community

TypeinterventionalSponsorSimon Fraser UniversityRan2014 to 2019Enrolled540ConditionsFetal Growth RestrictionArmsHEPA Filter
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Health Benefits of Air Purification: A Systematic Review.Environment & health (Washington, D.C.) · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
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 at 4 institutions in 3 countries.

Undarmaa EnkhbatFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Enkhjargal GombojavSchool of Public Health, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
Chimeglkham BanzraiInstitute of Medical Sciences, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
Sarangerel BatsukhSchool of Public Health, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
Buyantushig BoldbaatarSchool of Public Health, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
Enkhtuul EnkhtuyaSchool of Public Health, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
Chimedsuren OchirSchool of Graduate Studies, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
David C BellingerHarvard Medical School, Boston Children's Hospital, Boston, MA, USA.
Bruce P LanphearFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Lawrence C McCandlessFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Ryan W AllenFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada. allenr@sfu.ca.ORCID 0000-0003-0180-9437
Mongolian National University of Medical Sciences · MNSimon Fraser University · CABoston Children's Hospital · USMongolian National University · MN

Funding

CIHR 123441CIHR 142380
6 · The paper itself

Abstract

backgroundDevelopmental exposure to particulate matter (PM) air pollution may impair children's behaviors. Our objectives were to quantify the impact of reducing indoor PM using portable HEPA filter air cleaners during pregnancy on behavioral problems in children and to assess associations between indoor fine PM (PM

methodsThis is a secondary analysis of a single-blind parallel-group randomized controlled trial in which we randomly assigned 540 non-smoking pregnant women to receive 1 or 2 HEPA filter air cleaners or no air cleaners. We administered the Behavior Assessment System for Children (BASC-3) to caregivers when children were a mean age of 23 months, and again at a mean age of 48 months. Primary outcomes were the four BASC-3 composite scales: externalizing problems, internalizing problems, adaptive skills, and the behavioral symptoms index. We imputed missing data using multiple imputation with chained equations. The primary analysis was by intention-to-treat. In a secondary analysis, we evaluated associations between BASC-3 composite indices and modeled trimester-specific PM

resultsWe enrolled participants at a median of 11 weeks gestation. After excluding miscarriages, still births and neonatal deaths, our analysis included 478 children (233 control and 245 intervention). We observed no differences in the mean BASC-3 scores between treatment groups. An interquartile increase (20.1 µg/m

conclusionWe found no benefit of reducing indoor particulate air pollution during pregnancy on parent-reported behaviors in children. Associations between indoor PM

trial registrationClinicalTrials.gov: NCT01741051.

Indexed as

Child BehaviorProblem BehaviorAir FiltersAir PollutantsAir Pollution, IndoorChild, PreschoolFemaleHumansMaleMaternal ExposureParticulate MatterPregnancyPrenatal Exposure Delayed EffectsUltrafiltrationAir PollutantsParticulate MatterDOHaDInterventionPrenatalProgrammingRCT

Identifiers

PMID34225757
PMCPMC8258951
OpenAlexW3179696213

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.