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Air pollution exposure associates with increased risk of neonatal jaundice

Author

Listed:
  • Liqiang Zhang

    (Beijing Normal University)

  • Weiwei Liu

    (Capital Medical University)

  • Kun Hou

    (Beijing Normal University)

  • Jintai Lin

    (Peking University)

  • Changqing Song

    (Beijing Normal University)

  • Chenghu Zhou

    (Chinese Academy of Sciences)

  • Bo Huang

    (The Chinese University of Hong Kong)

  • Xiaohua Tong

    (Tongji University)

  • Jinfeng Wang

    (Chinese Academy of Sciences)

  • William Rhine

    (Lucile Packard Children’s Hospital Stanford University School of Medicine)

  • Ying Jiao

    (Capital Medical University)

  • Ziwei Wang

    (Peking University)

  • Ruijing Ni

    (Peking University)

  • Mengyao Liu

    (Peking University)

  • Liang Zhang

    (Beijing Normal University)

  • Ziye Wang

    (Beijing Normal University)

  • Yuebin Wang

    (Beijing Normal University)

  • Xingang Li

    (Beijing Normal University)

  • Suhong Liu

    (Beijing Normal University)

  • Yanhong Wang

    (Capital Medical University)

Abstract

Clinical experience suggests increased incidences of neonatal jaundice when air quality worsens, yet no studies have quantified this relationship. Here we reports investigations in 25,782 newborns showing an increase in newborn’s bilirubin levels, the indicator of neonatal jaundice risk, by 0.076 (95% CI: 0.027–0.125), 0.029 (0.014–0.044) and 0.009 (95% CI: 0.002–0.016) mg/dL per μg/m3 for PM2.5 exposure in the concentration ranges of 10–35, 35–75 and 75–200 μg/m3, respectively. The response is 0.094 (0.077–0.111) and 0.161 (0.07–0.252) mg/dL per μg/m3 for SO2 exposure at 10–15 and above 15 μg/m3, respectively, and 0.351 (0.314–0.388) mg/dL per mg/m3 for CO exposure. Bilirubin levels increase linearly with exposure time between 0 and 48 h. Positive relationship between maternal exposure and newborn bilirubin level is also quantitated. The jaundice−pollution relationship is not affected by top-of-atmosphere incident solar irradiance and atmospheric visibility. Improving air quality may therefore be key to lowering the neonatal jaundice risk.

Suggested Citation

  • Liqiang Zhang & Weiwei Liu & Kun Hou & Jintai Lin & Changqing Song & Chenghu Zhou & Bo Huang & Xiaohua Tong & Jinfeng Wang & William Rhine & Ying Jiao & Ziwei Wang & Ruijing Ni & Mengyao Liu & Liang Z, 2019. "Air pollution exposure associates with increased risk of neonatal jaundice," Nature Communications, Nature, vol. 10(1), pages 1-9, December.
    • Handle: RePEc:nat:natcom:v:10:y:2019:i:1:d:10.1038_s41467-019-11387-3
    DOI: 10.1038/s41467-019-11387-3
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    Cited by:

    1. Guohui Yao & Haidong Li & Nan Wang & Lijun Zhao & Hanbei Du & Longjiang Zhang & Shouguang Yan, 2022. "Spatiotemporal Variations and Driving Factors of Ecological Land during Urbanization—A Case Study in the Yangtze River’s Lower Reaches," Sustainability, MDPI, vol. 14(7), pages 1-15, April.
    2. Sultan Ayoub Meo & Thamir Al-khlaiwi & Abdulelah Adnan Abukhalaf & Ali Abdullah Alomar & Omar Mohammed Alessa & Faris Jamal Almutairi & Majed Mohammed Alasbali, 2020. "The Nexus between Workplace Exposure for Wood, Welding, Motor Mechanic, and Oil Refinery Workers and the Prevalence of Prediabetes and Type 2 Diabetes Mellitus," IJERPH, MDPI, vol. 17(11), pages 1-10, June.
    3. Lin Chu & Chong Huang & Qingsheng Liu & Chongfa Cai & Gaohuan Liu, 2019. "Spatial Heterogeneity of Winter Wheat Yield and Its Determinants in the Yellow River Delta, China," Sustainability, MDPI, vol. 12(1), pages 1-21, December.

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