Associations Between the Lead Level in Maternal Blood and Umbilical Cord Blood and Congenital Heart Diseases in Offspring

被引:0
作者
Lei Huang
Baohong Mao
Jiayue Li
Nan Nan
Li He
Jie Qiu
Bin Yi
Qing Liu
机构
[1] Gansu Provincial Maternity and Child Care Hospital,
来源
Biological Trace Element Research | 2023年 / 201卷
关键词
Congenital heart disease; Lead exposure; Birth defects; Cardiac development;
D O I
暂无
中图分类号
学科分类号
摘要
The incidence of congenital heart diseases (CHDs) shows an increasing trend and results in large health burdens in China. However, there have been inconsistent results of the relationship between lead (Pb) level and risk of CHDs. We performed a pair-matched case–control study and included 97 cases and 194 controls to investigate the association between pregnancy Pb exposure and the risk of CHDs in a birth cohort study conducted in Lanzhou, China. The results showed that compared to the lowest Pb tertile, both highest tertile levels of maternal blood and umbilical cord blood Pb were associated with an increased risk of CHDs. The similar significant results were found in cases with isolated CHDs. Compared to both lowest tertiles of Pb level in maternal blood and umbilical cord blood, the highest tertile was associated with an increased risk of CHDs, especially for isolated CHDs. Overall, our study suggests a significant association between pregnancy Pb exposure and risk of CHDs, especially for isolated CHDs. Future studies are needed to elucidate the underlying mechanism.
引用
收藏
页码:2191 / 2199
页数:8
相关论文
共 186 条
[1]  
Nicoll R(2018)Environmental contaminants and congenital heart defects: a re-evaluation of the evidence Int J Environ Res Public Health 15 2096-134
[2]  
Szot JO(2018)A screening approach to identify clinically actionable variants causing congenital heart disease in exome data Circ Genom Precis Med 11 e001978-195
[3]  
Cuny H(2016)Incidence of congenital heart disease: the 9-year experience of the Guangdong Registry of Congenital Heart Disease China PLoS One 11 e0159257-1761
[4]  
Blue GM(2021)Environmental risk factors and congenital heart disease: an umbrella review of 165 systematic reviews and meta-analyses with more than 120 million participants Front Cardiovasc Med 8 640729-34
[5]  
Humphreys DT(2019)Associations between the level of trace elements and minerals and folate in maternal serum and amniotic fluid and congenital abnormalities Nutrients 11 328-234
[6]  
Ip E(2017)Associations between toxic and essential trace elements in maternal blood and fetal congenital heart defects Environ Int 106 127-34
[7]  
Harrison K(2015)Prenatal exposure to lead in relation to risk of preterm low birth weight: a matched case-control study in China Reprod Toxicol 57 190-155
[8]  
Qu Y(2019)Trace elements profiles of maternal blood, umbilical cord blood, and placenta in Beijing China J Matern Fetal Neonatal Med 32 1755-489
[9]  
Liu X(2019)Sources of lead exposure in various countries Rev Environ Health 34 25-175
[10]  
Zhuang J(2011)Blood lead at currently acceptable levels may cause preterm labour Occup Environ Med 68 231-102