Document Detail


Exposures to airborne particulate matter and adverse perinatal outcomes: a biologically plausible mechanistic framework for exploring potential.
MedLine Citation:
PMID:  18813495     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
This article has three objectives: to describe the biologically plausible mechanistic pathways by which exposure to particulate matter (PM) may lead to adverse perinatal outcomes of low birth weight (LBW), intrauterine growth retardation (IUGR), and preterm delivery (PTD); review evidence showing that nutrition affects biologic pathways; and explain mechanisms by which nutrition may modify the impact of PM exposure on perinatal outcomes. We propose an interdisciplinary framework that brings together maternal and infant nutrition, air pollution exposure assessment, and cardiopulmonary and perinatal epidemiology. Five possible biologic mechanisms have been put forth in the emerging environmental sciences literature and provide corollaries for the proposed framework. The literature indicates that the effects of PM on LBW, PTD, and IUGR may manifest through the cardiovascular mechanisms of oxidative stress, inflammation, coagulation, endothelial function, and hemodynamic responses. PM exposure studies relating mechanistic pathways to perinatal outcomes should consider the likelihood that biologic responses and adverse birth outcomes may be derived from both PM and non-PM sources. We present strategies for empirically testing the proposed model and developing future research efforts.
Authors:
Srimathi Kannan; Dawn P Misra; J Timothy Dvonch; Ambika Krishnakumar
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ciência & saúde coletiva     Volume:  12     ISSN:  1678-4561     ISO Abbreviation:  Cien Saude Colet     Publication Date:    2007 Nov-Dec
Date Detail:
Created Date:  2008-09-24     Completed Date:  2008-12-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9713483     Medline TA:  Cien Saude Colet     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  1591-602     Citation Subset:  -    
Affiliation:
Department of Environmental Health Sciences, Human Nutrition Program, University of Michigan, School of Public Health, Ann Arbor, MI 48109-2029, USA. kannans@umich.edu
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Republished from:
Environ Health Perspect. 2006 Nov;114(11):1636-42   [PMID:  17107846 ]

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