Document Detail


Seafood consumption in pregnancy and infant size at birth: results from a prospective Spanish cohort.
MedLine Citation:
PMID:  19710045     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Studies on maternal seafood consumption during pregnancy and the risk of small for gestational age (SGA) births have yielded inconsistent results. As few studies have examined associations with specific seafood subtypes or accounted simultaneously for exposure to persistent organic pollutants (POPs), it is uncertain to what extent intakes of seafood subtypes with variable contaminant or fatty acid content may explain these inconsistencies.
METHODS: A cohort of 657 women recruited during the first trimester of pregnancy from a Mediterranean area with high seafood intakes was followed through birth. Dietary intakes were estimated using a validated questionnaire. Multivariable logistic regression was used to estimate associations between SGA and intakes of fatty fish, lean fish, canned tuna, crustaceans and other shellfish, adjusting for parity, child sex, parental anthropometry, socio-economic factors and serum levels of several POPs, including several polychlorinated biphenyls (PCBs), hexachlorobenzene (HCB) and dichlorodiphenyldichloroethylene (DDE).
RESULTS: Overall, 7.8% of infants were SGA. Maternal consumption of crustaceans (more than once/week) and canned tuna (more than once/week was associated with a significantly increased risk of SGA. Fatty fish (more than once/week) was associated with weaker and generally non-significant increases in risk, while lean fish and other shellfish were not associated with SGA. Adjusting for contaminants did not meaningfully change results.
CONCLUSIONS: Higher maternal intakes of crustaceans and canned tuna, but not other types of seafood, were associated with increased risk of SGA independently of several POPs. Future studies exploring seafood subtypes and additional contaminants are needed to determine whether these associations are causal and identify mechanisms involved.
Authors:
Michelle A Mendez; Estel Plana; Mònica Guxens; Carles M Foradada Morillo; Rosa Martorell Albareda; Raquel Garcia-Esteban; Fernando Goñi; Manolis Kogevinas; Jordi Sunyer
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-08-25
Journal Detail:
Title:  Journal of epidemiology and community health     Volume:  64     ISSN:  1470-2738     ISO Abbreviation:  J Epidemiol Community Health     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-05     Completed Date:  2011-06-20     Revised Date:  2012-10-09    
Medline Journal Info:
Nlm Unique ID:  7909766     Medline TA:  J Epidemiol Community Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  216-22     Citation Subset:  IM    
Affiliation:
CREAL-Centre for Research in Environmental Epidemiology, Barcelona Biomedical Research Park, Dr Aiguader, 88/Barcelona, Spain 08003. mmendez@creal.cat
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MeSH Terms
Descriptor/Qualifier:
Animals
Birth Weight*
Cohort Studies
Crustacea
Dichlorodiphenyl Dichloroethylene / blood
Diet*
Diet Records
Female
Food Contamination*
Gestational Age
Hexachlorobenzene / blood
Humans
Infant, Newborn
Infant, Small for Gestational Age*
Logistic Models
Polychlorinated Biphenyls / blood
Pregnancy
Prospective Studies
Questionnaires
Risk Factors
Seafood / adverse effects*
Spain / epidemiology
Tuna
Young Adult
Grant Support
ID/Acronym/Agency:
R24 HD050924/HD/NICHD NIH HHS
Chemical
Reg. No./Substance:
0/Polychlorinated Biphenyls; 118-74-1/Hexachlorobenzene; 72-55-9/Dichlorodiphenyl Dichloroethylene
Comments/Corrections
Comment In:
J Epidemiol Community Health. 2010 Mar;64(3):190-2   [PMID:  20203120 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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