Evidence map›Paper›PMID 40291789›Full record

ArticleAir quality, atmosphere, & health2023

Prenatal Exposure to Ambient Particle Radioactivity and Fetal Growth in Eastern Massachusetts.

Veronica A Wang, Michael Leung, Longxiang Li, Anna M Modest, Joel Schwartz, Brent A Coull, Michele R Hacker, Blair J Wylie, Petros Koutrakis, Stefania Papatheodorou

Abstract read
In one paragraph

Article in Air quality, atmosphere, & health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

10 authors.

Veronica A WangDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Michael LeungDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Longxiang LiDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Anna M ModestDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Joel SchwartzDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Brent A CoullDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Michele R HackerDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Blair J WylieDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Petros KoutrakisDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Stefania PapatheodorouDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
Estimating acute impacts of unconventional oil and gas development on cause-specific hospitalization via satellite-based exposure assessmentK99ES034459 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI LI, LONGXIANG · 2022 to 2023
$204k
NIEHS NIH HHS K99 ES034459NIEHS NIH HHS P30 ES000002
6 · The paper itself

Abstract

Background: The radioactive component of particulate matter (PM), particle radioactivity (PR), can continue to emit radiation after inhalation. While PR has been associated with other adverse pregnancy outcomes, no studies have examined the association with fetal growth. Methods: Our retrospective cohort included singleton pregnancies that underwent obstetric ultrasounds at an academic medical center in Massachusetts from 2011 through 2016. PR was represented by particle gross β-activity estimated from an ensemble model and was assigned based on residential zip-code. We considered the cumulative (conception until date of fetal growth measurement) and first 16 weeks of gestation PR exposure windows. Standardized z-scores were constructed for biparietal diameter (BPD), head circumference, femur length (FL), abdominal circumference (AC), and birth weight. We used linear mixed regression models adjusted for PM ≤2.5 μm exposure, maternal sociodemographic factors, meteorological variables, and long-term trends. Results: Among 9,404 pregnancies, an interquartile range increase in cumulative PR exposure was associated with reduced BPD (-0.06 [95% CI: -0.12, -0.01] z-score) and FL (-0.06 [95% CI: -0.12, -0.01] z-score) in scans conducted before 24 weeks' gestation, with increased AC (0.05 [95% CI: 0.01, 0.09]) in scans conducted on or after 24 weeks' gestation, and with lower birth weight (-0.05 [95% CI: -0.11, -0.001] z-score). The first 16 weeks of gestation was not a critical exposure window. Conclusions: Prenatal PR was associated with fetal growth, with associations generally negative before 24 weeks' gestation and positive later in pregnancy. Our findings bring awareness to a novel environmental exposure.

Indexed as

air pollutionfetal growthparticle radioactivitypregnancy outcomesradiation

Identifiers

PMID40291789
PMCPMC12029881

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Registered trials

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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.