Contribution of greenness, air pollution, and residential food environment to excess gestational weight gain: A cross-sectional study in Wuhan, China

被引:0
作者
Wang, Miyuan [1 ,2 ,3 ,4 ]
Wen, Chen [5 ,6 ]
Zhou, Chenmiao [7 ]
Qi, Haiqing [1 ,2 ,3 ,4 ]
Wei, Mengna [1 ,2 ,3 ,4 ]
Xia, Wenqi [1 ,2 ,3 ,4 ]
Wang, Yimin [1 ,2 ,3 ,4 ]
Zhang, Jianduan [1 ,2 ,3 ,4 ]
机构
[1] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Maternal & Child Hlth, 13 Hangkong Rd, Wuhan 430030, Peoples R China
[2] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Key Lab Environm Hlth,Minist Educ, Wuhan 430030, Peoples R China
[3] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Minist Environm Protect, Wuhan 430030, Peoples R China
[4] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, State Key Lab Environm Hlth Incubat, Wuhan 430030, Peoples R China
[5] Huazhong Univ Sci & Technol, Sch Architecture & Urban Planning, Luoyu Rd, Wuhan 430074, Peoples R China
[6] Hubei Engn & Technol Res Ctr Urbanizat, Wuhan 430030, Peoples R China
[7] Hanyang Maternal & Child Hlth Hosp, Wuhan 430030, Peoples R China
关键词
Greenness; Air pollution; Residential food environment; Excessive gestational weight gain; Cluster analysis; SCHOOL-AGED CHILDREN; PARTICULATE MATTER; OBESITY; PREGNANCY; ASSOCIATION; MORTALITY; EXPOSURE; BIRTH; RISK;
D O I
10.1016/j.ypmed.2024.108086
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives: Our goal was to explore how greenness, air pollution, and residential food environment were linked to excessive gestational weight gain (EGWG), and to estimate their combined effects on this condition. Method: This cross-sectional analysis included 51,507 pregnant women from the Wuhan Maternal and Child Health Management Information System between 2016 and 2019. Generalized linear mixed regression models were employed to explore the relationships between greenness, air pollution, residential food environmental exposure, and EGWG; and the combined effects were further estimated by cluster analysis and principal components analysis. Result: We only found a significant association between convenience store density within the 250 m buffer zone (OR = 1.03 and 95% CI: 1.01,1.05) and EGWG. In terms of air pollution, sulfur dioxide(SO2), 2 ), particulate matter with a diameter of 10 mu m or less(PM10), 10 ), and particulate matter with a diameter of 2.5 mu m or less(PM2.5) 2.5 ) were substantially correlated with a higher prevalence of EGWG and higher GWG, with (OR = 1.16 and 95% CI: 1.12,1.21; OR = 1.12 and 95% CI: 1.08,1.16; OR = 1.17 and 95% CI: 1.14,1.21, respectively) per interquartile range(IQR) increase. Cluster analysis revealed the presence of three clusters representing urban exposures. In contrast to urban environment clusters characterized by favourable conditions, those exhibiting elevated air pollution levels, high-density residential food environment and low levels of greenness were found to have increased odds of EGWG (OR = 1.10, 95% CI: 1.03, 1.19). Conclusion: This study emphasizes that exposure to elevated air pollution, high-density residential neighbourhood food environments, and low levels of greenness is a neighbourhood obesogenic environment for pregnant women.
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页数:7
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