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Personal exposure of PM2.5 and metabolic syndrome markers of pregnant women in South Korea: APPO study.


ABSTRACT: We examined the association between exposure to PM2.5, focused on individual exposure level, and metabolic dysfunction during pregnancy. APPO study (Air Pollution on Pregnancy Outcome) was a prospective, multicenter, observational cohort study conducted from January 2021 to March 2023. Individual PM2.5 concentrations were calculated using a time-weighted average model. Metabolic dysfunction during pregnancy was assessed based on a modified definition of metabolic syndrome and its components, accounting for pregnancy-specific criteria. Exposure to PM2.5 during pregnancy was associated with worsened metabolic parameters especially glucose metabolism. In comparison to participants exposed to the low PM2.5 group, those exposed to high PM2.5 levels exhibited increased odds of gestational diabetes mellitus (GDM) after adjusting for confounding variables in different adjusted models. Specifically, in model 1, the adjusted odds ratio (aOR) was 3.117 with a 95% confidence interval (CI) of 1.234-7.870; in model 2, the aOR was 3.855 with a 95% CI of 1.255-11.844; in model 3, the aOR was 3.404 with a 95% CI of 1.206-9.607; and in model 4, the aOR was 2.741 with a 95% CI of 0.712-10.547. Exposure to higher levels of PM2.5 during pregnancy was associated with a tendency to worsen metabolic dysfunction markers specifically in glucose homeostasis. Further research is needed to investigate the mechanisms underlying the effects of ambient PM2.5 on metabolic dysfunction during pregnancy.

SUBMITTER: Jeong Y 

PROVIDER: S-EPMC10746774 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Personal exposure of PM<sub>2.5</sub> and metabolic syndrome markers of pregnant women in South Korea: APPO study.

Jeong Yeonseong Y   Park Sunwha S   Kwon Eunjin E   Hur Young Min YM   You Young-Ah YA   Kim Soo Min SM   Lee Gain G   Lee Kyung A KA   Kim Soo Jung SJ   Cho Geum Joon GJ   Oh Min-Jeong MJ   Na Sung Hun SH   Lee Se Jin SJ   Bae Jin-Gon JG   Kim Yu-Hwan YH   Lee Soo-Jeong SJ   Kim Young-Han YH   Kim Young Ju YJ  

Environmental science and pollution research international 20231123 59


We examined the association between exposure to PM<sub>2.5</sub>, focused on individual exposure level, and metabolic dysfunction during pregnancy. APPO study (Air Pollution on Pregnancy Outcome) was a prospective, multicenter, observational cohort study conducted from January 2021 to March 2023. Individual PM<sub>2.5</sub> concentrations were calculated using a time-weighted average model. Metabolic dysfunction during pregnancy was assessed based on a modified definition of metabolic syndrome a  ...[more]

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