Evidence map›Paper›PMID 42369196›Full record

ReviewJournal of environmental health science & engineering2026

Air pollution and adverse birth outcomes: a narrative review of epidemiological and mechanistic findings.

Omar Hahad, Marin Kuntic, Sadeer Al-Kindi, Jos Lelieveld, Yafang Cheng, Volker H Schmitt, Lukas Hobohm, Karsten Keller, Jasmin Ghaemi Kerahrodi, Sasan Faridi and 9 more

Abstract readReview
In one paragraph

Review in Journal of environmental health science & engineering, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Omar HahadDepartment of Cardiology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstraße 1, Mainz, 55131 Germany.ORCID 0000-0001-7823-7671
Marin KunticDepartment of Cardiology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstraße 1, Mainz, 55131 Germany.
Sadeer Al-KindiCenter for Health and Nature, Houston, TX USA.
Jos LelieveldAtmospheric Chemistry Department, Max Planck Institute for Chemistry, Mainz, Germany.
Yafang ChengMinerva Research Group, Max Planck Institute for Chemistry, Mainz, Germany.
Volker H SchmittDepartment of Cardiology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstraße 1, Mainz, 55131 Germany.
Lukas HobohmDepartment of Cardiology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstraße 1, Mainz, 55131 Germany.
Karsten KellerDepartment of Cardiology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstraße 1, Mainz, 55131 Germany.
Jasmin Ghaemi KerahrodiDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Sasan FaridiCenter for Air Pollution Research (CAPR), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, Iran.
Nuschin Morakkabati-SpitzDepartment of Radiology, Gemeinschaftskrankenhaus Bonn, Bonn, Germany.
Achim FießDepartment of Ophthalmology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Andreas DaiberDepartment of Cardiology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstraße 1, Mainz, 55131 Germany.
Thomas MünzelDepartment of Cardiology, University Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstraße 1, Mainz, 55131 Germany.
Michelle BousHospital for General Pediatrics and Neonatology, Saarland University Medical Center, Homburg/Saar, Germany.
Sybelle Goedicke-FritzHospital for General Pediatrics and Neonatology, Saarland University Medical Center, Homburg/Saar, Germany.
Michael ZemlinHospital for General Pediatrics and Neonatology, Saarland University Medical Center, Homburg/Saar, Germany.
Nasenien Nourkami-TutdibiHospital for General Pediatrics and Neonatology, Saarland University Medical Center, Homburg/Saar, Germany.
Erol TutdibiHospital for General Pediatrics and Neonatology, Saarland University Medical Center, Homburg/Saar, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Air pollution remains a significant global health challenge and is increasingly recognized as a critical exposomic risk factor for adverse birth outcomes. Although numerous epidemiological studies have linked prenatal air pollution exposure to low birth weight, preterm birth, and stillbirth, important uncertainties remain regarding the underlying biological mechanisms, critical exposure windows, and the interplay between different pollutants and susceptibility factors. This narrative review synthesizes epidemiological findings and mechanistic evidence identified through literature searches in PubMed, Scopus, and Web of Science to provide a comprehensive overview of how maternal exposure to air pollutants affects fetal development and pregnancy outcomes. The reviewed epidemiological evidence largely supports an association between maternal air pollution exposure and adverse birth outcomes. For example, a 10 µg/m Graphical Abstract: Air pollution and adverse birth outcomes.

Identifiers

PMID42369196
PMCPMC13309582

What OpenQuestion holds

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LicenceCC BY
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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.