Association between maternal exposure to arsenic by drinking water during pregnancy and risk of preterm birth: a systematic review and meta-analysis.

IF 2.2 4区医学 Q3 ENVIRONMENTAL SCIENCES International Journal of Environmental Health Research Pub Date : 2024-08-01 Epub Date: 2023-11-15 DOI:10.1080/09603123.2023.2280155

Ria Margiana, Shadia Hamoud Alshahrani, Dilrabo Kayumova, Ahmed Hussien Radie Alawadi, Ahmed Hjazi, Ali Alsalamy, Qutaiba A Qasim, Ashima Juyal, Nazila Garousi

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Abstract

The relation of exposure to arsenic in drinking water during pregnancy to the risk of preterm birth (PTB) was contradictory. This meta-analysis aimed to examine the association between drinking water arsenic and PTB. A systematic search in PubMed and Scopus was performed to achieve all relevant studies. Odds ratios (OR) and 95% confidence intervals (CI) were used to pool data using the random-effect models. Overall, 11 studies with a total sample size of 3,404,189 participants were included in the meta-analysis. Arsenic exposure through drinking water during pregnancy was related to an increased risk of PTB (OR = 1.06; 95%CI = 1.01-1.10 for highest versus lowest category of arsenic), with significant heterogeneity across the studies (I² = 84.8%, P = 0.001). This finding was supported by cohort studies (OR = 1.05; 95%CI = 1.01-1.10). This meta-analysis proposes that higher arsenic exposure in drinking water may be a risk factor for PTB.

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孕妇在怀孕期间通过饮用水接触砷与早产风险之间的关系:一项系统综述和荟萃分析。

妊娠期饮用水砷暴露与早产风险的关系是矛盾的。这项荟萃分析旨在研究饮用水砷与肺结核之间的关系。在PubMed和Scopus中进行系统检索以获得所有相关研究。使用优势比(OR)和95%置信区间(CI)使用随机效应模型汇总数据。总体而言，荟萃分析纳入了11项研究，总样本量为3,404,189名参与者。怀孕期间通过饮用水接触砷与患肺结核的风险增加有关(OR = 1.06;最高类别与最低类别的95%CI = 1.01-1.10)，研究之间存在显著的异质性(I2 = 84.8%， P = 0.001)。这一发现得到了队列研究的支持(OR = 1.05;95%ci = 1.01-1.10)。这项荟萃分析表明，饮用水中较高的砷暴露可能是肺结核的一个危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Environmental Health Research 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.70

自引率

3.10%

发文量

134

审稿时长

>12 weeks

期刊介绍： International Journal of Environmental Health Research ( IJEHR ) is devoted to the rapid publication of research in environmental health, acting as a link between the diverse research communities and practitioners in environmental health. Published articles encompass original research papers, technical notes and review articles. IJEHR publishes articles on all aspects of the interaction between the environment and human health. This interaction can broadly be divided into three areas: the natural environment and health – health implications and monitoring of air, water and soil pollutants and pollution and health improvements and air, water and soil quality standards; the built environment and health – occupational health and safety, exposure limits, monitoring and control of pollutants in the workplace, and standards of health; and communicable diseases – disease spread, control and prevention, food hygiene and control, and health aspects of rodents and insects. IJEHR is published in association with the International Federation of Environmental Health and includes news from the Federation of international meetings, courses and environmental health issues.