Associations between maternal exposure to incense burning and blood pressure during pregnancy

被引：20

作者：

He, Jian-Rong ^{[1
,2
]}

Wei, Dong-Mei ^{[1
,2
]}

Chan, Fan-Fan ^{[1
,2
]}

Luan, Yun-Zhu ^{[3
]}

Tu, Si ^{[1
,2
]}

Lu, Jin-Hua ^{[1
,2
]}

Li, Wei-Dong ^{[1
,2
]}

Yuan, Ming-Yang ^{[1
,2
]}

Chen, Nian-Nian ^{[1
,2
]}

Chen, Qiao-Zhu ^{[4
]}

Lam, Kin Bong Hubert ^{[5
]}

Cheng, Kar Keung ^{[6
]}

Xia, Hui-Min ^{[1
]}

Qiu, Xiu ^{[1
,2
]}

机构：

[1] Guangzhou Med Univ, Guangzhou Women & Childrens Med Ctr, Div Birth Cohort Study, Guangzhou, Guangdong, Peoples R China

[2] Guangzhou Med Univ, Guangzhou Women & Childrens Med Ctr, Dept Woman & Child Hlth Care, Guangzhou, Guangdong, Peoples R China

[3] Guangzhou Med Univ, Guangzhou Women & Childrens Med Ctr, Hosp Adm Off, Guangzhou, Guangdong, Peoples R China

[4] Guangzhou Med Univ, Guangzhou Women & Childrens Med Ctr, Dept Obstet & Gynecol, Guangzhou, Guangdong, Peoples R China

[5] Univ Oxford, Nuffield Dept Populat Hlth, Oxford, England

[6] Univ Birmingham, Inst Appl Hlth Res, Birmingham, W Midlands, England

来源：

SCIENCE OF THE TOTAL ENVIRONMENT | 2018年 / 610卷

基金：

中国国家自然科学基金;

关键词：

Incense burning; Gestational hypertension; Blood pressure; Pregnancy; Birth cohort; China; AMBIENT AIR-POLLUTION; NASOPHARYNGEAL CARCINOMA; HYPERTENSIVE DISORDERS; PARTICULATE MATTER; PERSONAL EXPOSURE; CHINESE; EMISSIONS; INHALANTS; COOKING; WOMEN;

D O I：

10.1016/j.scitotenv.2017.08.134

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

Incense burning is a popular practice in Asian and Arabic countries. Previous studies show that incense burning was associated with increased risks of adverse outcomes among non-pregnant population. However, very few studies explored its health effects among pregnant women, who are more susceptible to environmental stressor. We aimed to examine the association between incense burning at home and hypertensive disorders as well as blood pressure levels during pregnancy, using data from 10,563 pregnantwomen recruited in Born in Guangzhou Cohort Study, China between January 2013 and December 2015. Information on frequency and duration of exposure to incense burning were collected at early and late pregnancy using questionnaire. Data on outcome variables, including hypertensive disorders diagnosis and blood pressure levels at the final antenatal visit before delivery, were extracted from medical records. We used Poisson regression model and general linear model to examine the associations between incense exposure and the outcomes. We found incense use at early pregnancy was not significantly associated with outcomes. Pregnantwomenwho frequently smelled the incense burning at late pregnancy was associated with higher risk of hypertensive disorders (relative risk, 1.84; 95% confidence interval, 1.14-2.98) and higher levels of blood pressure (1.6mm Hg increase of systolic blood pressure; 95% confidence interval, 0.4-2.8 mm Hg) before delivery, compared to those did not burn incense. These associations tended to more evident among women without active and passive smoking. We did not observe significant dose-response relationship between exposure duration and the risk of hypertensive disorders. We firstly reported exposure to incense burning was associated with the risk of hypertensive disorders and blood pressure levels during pregnancy. Given hypertensive disorders in pregnancy are well-established risk factors for a variety of adverse outcomes and the incense burning is a modifiable factor, our finding may have important public health significance. (C) 2017 Elsevier B.V. All rights reserved.

引用

页码：1421 / 1427

页数：7

共 34 条

[31] Glutathione S-transferase, incense burning and asthma in children [J].