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Associations between early-life exposure to PM2.5 and reductions in childhood lung function in two North American longitudinal pregnancy cohort studies.


ABSTRACT: Data integration of epidemiologic studies across different geographic regions can provide enhanced exposure contrast and statistical power to examine adverse respiratory effects of early-life exposure to particulate matter <2.5 microns in diameter (PM2.5). Methodological tools improve our ability to combine data while more fully accounting for study heterogeneity.

Methods

Analyses included children enrolled in two longitudinal birth cohorts in Boston, Massachusetts, and Mexico City. Propensity score matching using the 1:3 nearest neighbor with caliper method was used. Residential PM2.5 exposure was estimated from 2 months before birth to age 6 years using a validated satellite-based spatiotemporal model. Lung function was tested at ages 6-11 years and age, height, race, and sex adjusted z scores were estimated for FEV1, FVC, FEF25-75%, and FEV1/FVC. Using distributed lag nonlinear models, we examined associations between monthly averaged PM2.5 levels and lung function outcomes adjusted for covariates, in unmatched and matched pooled samples.

Results

In the matched pooled sample, PM2.5 exposure between postnatal months 35-44 and 35-52 was associated with lower FEV1 and FVC z scores, respectively. A 5 µg/m3 increase in PM2.5 was associated with a reduction in FEV1 z score of 0.13 (95% CI = -0.26, -0.01) and a reduction in FVC z score of 0.13 (95% CI = -0.25, -0.01). Additionally PM2.5 during postnatal months 23-39 was associated with a reduction in FEF25-75% z score of 0.31 (95% CI = -0.57, -0.05).

Conclusions

Methodological tools enhanced our ability to combine multisite data while accounting for study heterogeneity. Ambient PM2.5 exposure in early childhood was associated with lung function reductions in middle childhood.

SUBMITTER: Rosa MJ 

PROVIDER: S-EPMC9915957 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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Publications

Associations between early-life exposure to PM<sub>2.5</sub> and reductions in childhood lung function in two North American longitudinal pregnancy cohort studies.

Rosa Maria José MJ   Lamadrid-Figueroa Hector H   Alcala Cecilia C   Colicino Elena E   Tamayo-Ortiz Marcela M   Mercado-Garcia Adriana A   Kloog Itai I   Just Allan C AC   Bush Douglas D   Carroll Kecia N KN   Téllez-Rojo Martha María MM   Wright Robert O RO   Gennings Chris C   Wright Rosalind J RJ  

Environmental epidemiology (Philadelphia, Pa.) 20221214 1


Data integration of epidemiologic studies across different geographic regions can provide enhanced exposure contrast and statistical power to examine adverse respiratory effects of early-life exposure to particulate matter <2.5 microns in diameter (PM<sub>2.5</sub>). Methodological tools improve our ability to combine data while more fully accounting for study heterogeneity.<h4>Methods</h4>Analyses included children enrolled in two longitudinal birth cohorts in Boston, Massachusetts, and Mexico  ...[more]

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