Prenatal exposure to polycyclic aromatic hydrocarbons and blood pressure in the early life of children

Exposure to polycyclic aromatic hydrocarbons (PAHs) has been associated with many adverse health outcomes. This cohort study investigates the association between prenatal exposure to PAHs and blood pressure in children aged 4–6 years. Conducted in Shenyang, China, the study includes 5642 children wh...

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Main Authors: Xiaodong Chen, Lingling Dong, Lina Yang, Yan Yang, Liyu Yang, Sijia Han
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Ecotoxicology and Environmental Safety
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Online Access:http://www.sciencedirect.com/science/article/pii/S0147651325001666
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author Xiaodong Chen
Lingling Dong
Lina Yang
Yan Yang
Liyu Yang
Sijia Han
author_facet Xiaodong Chen
Lingling Dong
Lina Yang
Yan Yang
Liyu Yang
Sijia Han
author_sort Xiaodong Chen
collection DOAJ
description Exposure to polycyclic aromatic hydrocarbons (PAHs) has been associated with many adverse health outcomes. This cohort study investigates the association between prenatal exposure to PAHs and blood pressure in children aged 4–6 years. Conducted in Shenyang, China, the study includes 5642 children whose mothers provided urine samples in the third trimester, which were analyzed for PAH metabolites. Children’s blood pressure indicators, including systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), and pulse pressure (PP), were measured during follow-up. Multivariable regression models, adjusted for key confounders, were used to explore associations between PAH metabolites and blood pressure. Additionally, we applied quantile g-computation (g-comp) and Bayesian kernel machine regression (BKMR) to assess the combined and interaction effects of multiple PAH metabolites. Prenatal exposure to specific PAH metabolites showed significant associations with blood pressure parameters. 2-hydroxynaphthalene, 3-hydroxyfluorene, 9-hydroxyphenanthrene, and 1-hydroxypyrene were positively linked to SBP. For DBP, 2-hydroxynaphthalene, 1-hydroxynaphthalene, and total PAH metabolites revealed strong associations. PP was significantly linked to 3-Hydroxyfluorene, while MAP showed consistent associations with 2-hydroxynaphthalene, 1-hydroxynaphthalene, 9-hydroxyphenanthrene, and 1-hydroxypyrene. G-comp analysis revealed significant associations between prenatal PAH exposure and increases in SBP, DBP, and MAP, with no effect on PP. BKMR showed no strong evidence for SBP or DBP but suggested potential positive associations for PP and MAP at higher exposure quantiles, indicating nuanced, exposure-dependent relationships with blood pressure outcomes. This study, being one of the first to explore these associations in children, provides important insights into the potential long-term health impacts of prenatal PAH exposure on childhood cardiovascular health.
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spelling doaj-art-d71f1a995e54447fb7b53738f737fe0a2025-02-12T05:30:22ZengElsevierEcotoxicology and Environmental Safety0147-65132025-02-01291117830Prenatal exposure to polycyclic aromatic hydrocarbons and blood pressure in the early life of childrenXiaodong Chen0Lingling Dong1Lina Yang2Yan Yang3Liyu Yang4Sijia Han5Department of Oncology, Shengjing Hospital of China Medical University. Shenyang, Liaoning Province, ChinaSecond Department of Cardiovascular Medicine, Shengjing Hospital Affiliated to China Medical University, Shenyang, Liaoning Province, ChinaSecond Department of Cardiovascular Medicine, Shengjing Hospital Affiliated to China Medical University, Shenyang, Liaoning Province, ChinaDepartment of Gastroenterology, the Fourth Affiliated Hospital of China Medical University, Shenyang, Liaoning Province 110032, China; Corresponding authors.Department of Orthopedics, Shengjing Hospital of China Medical University, Shenyang, Liaoning Province, China; Corresponding authors.Department of Oncology, Shengjing Hospital of China Medical University. Shenyang, Liaoning Province, China; Corresponding authors.Exposure to polycyclic aromatic hydrocarbons (PAHs) has been associated with many adverse health outcomes. This cohort study investigates the association between prenatal exposure to PAHs and blood pressure in children aged 4–6 years. Conducted in Shenyang, China, the study includes 5642 children whose mothers provided urine samples in the third trimester, which were analyzed for PAH metabolites. Children’s blood pressure indicators, including systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), and pulse pressure (PP), were measured during follow-up. Multivariable regression models, adjusted for key confounders, were used to explore associations between PAH metabolites and blood pressure. Additionally, we applied quantile g-computation (g-comp) and Bayesian kernel machine regression (BKMR) to assess the combined and interaction effects of multiple PAH metabolites. Prenatal exposure to specific PAH metabolites showed significant associations with blood pressure parameters. 2-hydroxynaphthalene, 3-hydroxyfluorene, 9-hydroxyphenanthrene, and 1-hydroxypyrene were positively linked to SBP. For DBP, 2-hydroxynaphthalene, 1-hydroxynaphthalene, and total PAH metabolites revealed strong associations. PP was significantly linked to 3-Hydroxyfluorene, while MAP showed consistent associations with 2-hydroxynaphthalene, 1-hydroxynaphthalene, 9-hydroxyphenanthrene, and 1-hydroxypyrene. G-comp analysis revealed significant associations between prenatal PAH exposure and increases in SBP, DBP, and MAP, with no effect on PP. BKMR showed no strong evidence for SBP or DBP but suggested potential positive associations for PP and MAP at higher exposure quantiles, indicating nuanced, exposure-dependent relationships with blood pressure outcomes. This study, being one of the first to explore these associations in children, provides important insights into the potential long-term health impacts of prenatal PAH exposure on childhood cardiovascular health.http://www.sciencedirect.com/science/article/pii/S0147651325001666Cardiovascular diseaseHydrocarbonsPrenatal periodBlood pressure
spellingShingle Xiaodong Chen
Lingling Dong
Lina Yang
Yan Yang
Liyu Yang
Sijia Han
Prenatal exposure to polycyclic aromatic hydrocarbons and blood pressure in the early life of children
Ecotoxicology and Environmental Safety
Cardiovascular disease
Hydrocarbons
Prenatal period
Blood pressure
title Prenatal exposure to polycyclic aromatic hydrocarbons and blood pressure in the early life of children
title_full Prenatal exposure to polycyclic aromatic hydrocarbons and blood pressure in the early life of children
title_fullStr Prenatal exposure to polycyclic aromatic hydrocarbons and blood pressure in the early life of children
title_full_unstemmed Prenatal exposure to polycyclic aromatic hydrocarbons and blood pressure in the early life of children
title_short Prenatal exposure to polycyclic aromatic hydrocarbons and blood pressure in the early life of children
title_sort prenatal exposure to polycyclic aromatic hydrocarbons and blood pressure in the early life of children
topic Cardiovascular disease
Hydrocarbons
Prenatal period
Blood pressure
url http://www.sciencedirect.com/science/article/pii/S0147651325001666
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AT yanyang prenatalexposuretopolycyclicaromatichydrocarbonsandbloodpressureintheearlylifeofchildren
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