ArticleFrontiers in endocrinology2026
Relation of climatic exposures with intrahepatic cholestasis of pregnancy in a two-center retrospective cohort.
Article in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To investigate relation between climatic exposures and intrahepatic cholestasis of pregnancy (ICP) in Chinese cities Shanghai and Sanya. Background: ICP is a pregnancy-specific liver disease associated with adverse fetal outcomes. Although the etiology of ICP remains unclear, climatic exposures are increasingly recognized as one of the critical correlates in ICP onset. Methods: This is a two-center retrospective cohort study included 48, 081 pregnant women from Shanghai (31°N, temperate) and Sanya (18°N, tropical). Baseline demographic data, pregnancy outcomes and meteorological data were collected. Generalized additive models (GAMs) were employed to analyze non-linear associations between environmental exposures and ICP risk, with statistical comparisons of baseline characteristics and complications between ICP and non-ICP groups. Results: GAM analysis revealed that temperature, sunlight and PM Conclusion: High temperature, intense sunlight exposure, and high PM
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