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Association Between Maternal Exposure to Arsenic by Drinking Water During Pregnancy and Risk of Preterm Birth: A Systematic Review and Meta-Analysis Publisher Pubmed



Margiana R1, 2, 3, 4 ; Hamoud Alshahrani S5 ; Kayumova D6 ; Hussien Radie Alawadi A7, 8 ; Hjazi A9 ; Alsalamy A10 ; Qasim QA11 ; Juyal A12 ; Garousi N13
Authors
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Authors Affiliations
  1. 1. Department of Anatomy, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  2. 2. Master’s Programme Biomedical Sciences, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  3. 3. Andrology Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
  4. 4. Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  5. 5. Medical Surgical Nursing Department, King Khalid University, Khamis Mushate, Saudi Arabia
  6. 6. Department of Obstetrics and Gynecology, Tashkent Medical Academy, Tashkent, Uzbekistan
  7. 7. College of technical engineering, the Islamic University, Najaf, Iraq
  8. 8. College of technical engineering, the Islamic University of Al Diwaniyah, Al Diwaniyah, Iraq
  9. 9. Department of Medical Laboratory Sciences, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia
  10. 10. College of technical engineering, Imam Ja’afar Al‐Sadiq University, Al‐Muthanna, Iraq
  11. 11. College of pharmacy, Al-Ayen University, Thi-Qar, Iraq
  12. 12. Electronics & Communication engineering, Uttaranchal Institute of Technology, Uttaranchal University, Dehradun, India
  13. 13. Department of Clinical Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran

Source: International Journal of Environmental Health Research Published:2024


Abstract

The relation of exposure to arsenic in drinking water during pregnancy to the risk of preterm birth (PTB) was contradictory. This meta-analysis aimed to examine the association between drinking water arsenic and PTB. A systematic search in PubMed and Scopus was performed to achieve all relevant studies. Odds ratios (OR) and 95% confidence intervals (CI) were used to pool data using the random-effect models. Overall, 11 studies with a total sample size of 3,404,189 participants were included in the meta-analysis. Arsenic exposure through drinking water during pregnancy was related to an increased risk of PTB (OR = 1.06; 95%CI = 1.01–1.10 for highest versus lowest category of arsenic), with significant heterogeneity across the studies (I2 = 84.8%, P = 0.001). This finding was supported by cohort studies (OR = 1.05; 95%CI = 1.01–1.10). This meta-analysis proposes that higher arsenic exposure in drinking water may be a risk factor for PTB. © 2023 Informa UK Limited, trading as Taylor & Francis Group.
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