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Associations between maternal exposure to incense burning and blood pressure during pregnancy

机译：孕期孕妇暴露于烧香与血压之间的关系

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摘要

Incense burning is a popular practice in Asian and Arabic countries. Previous studies show that incense burning was associated with increased risks of adverse outcomes among non-pregnant population. However, very few studies explored its health effects among pregnant women, who are more susceptible to environmental stressor. We aimed to examine the association between incense burning at home and hypertensive disorders as well as blood pressure levels during pregnancy, using data from 10,563 pregnant women recruited in Born in Guangzhou Cohort Study, China between January 2013 and December 2015. Information on frequency and duration of exposure to incense burning were collected at early and late pregnancy using questionnaire. Data on outcome variables, including hypertensive disorders diagnosis and blood pressure levels at the final antenatal visit before delivery, were extracted from medical records. We used Poisson regression model and general linear model to examine the associations between incense exposure and the outcomes. We found incense use at early pregnancy was not significantly associated with outcomes. Pregnant women who frequently smelled the incense burning at late pregnancy was associated with higher risk of hypertensive disorders (relative risk, 1.84; 95% confidence interval, 1.14-2.98) and higher levels of blood pressure (1.6 mm Hg increase of systolic blood pressure; 95% confidence interval, 0.4-2.8 mm Hg) before delivery, compared to those did not burn incense. These associations tended to more evident among women without active and passive smoking. We did not observe significant dose-response relationship between exposure duration and the risk of hypertensive disorders. We firstly reported exposure to incense burning was associated with the risk of hypertensive disorders and blood pressure levels during pregnancy. Given hypertensive disorders in pregnancy are well-established risk factors for a variety of adverse outcomes and the incense burning is a modifiable factor, our finding may have important public health significance.
机译：在亚洲和阿拉伯国家，焚香是一种流行的做法。先前的研究表明，在未怀孕的人群中，烧香与不良后果的风险增加相关。但是，很少有研究探索其对孕妇的健康影响，因为孕妇更容易受到环境压力的影响。我们的目的是使用2013年1月至2015年12月在中国广州出生的队列研究中招募的10,563名孕妇的数据，研究家庭熏香与高血压疾病以及怀孕期间血压水平之间的关系。有关频率和持续时间的信息使用问卷调查在怀孕早期和晚期收集的熏香量。从医疗记录中提取关于结局变量的数据，包括高血压疾病诊断和分娩前最后一次产前检查时的血压水平。我们使用泊松回归模型和一般线性模型来检验香气暴露与结果之间的关联。我们发现怀孕初期的熏香与结局没有明显关系。孕妇在怀孕后期经常闻到熏香的气味，与高血压疾病的风险较高（相对风险，1.84； 95％置信区间，1.14-2.98）和血压水平较高（收缩压增加1.6 mm Hg）有关。与未烧香者相比，分娩前有95％的置信区间（0.4-2.8毫米汞柱）。在没有主动和被动吸烟的女性中，这些关联往往更为明显。我们没有观察到暴露持续时间和高血压疾病风险之间显着的剂量反应关系。我们首先报道了在怀孕期间接触香火与高血压疾病和血压水平的风险有关。鉴于妊娠高血压疾病是各种不良后果的公认危险因素，并且熏香是可改变的因素，因此我们的发现可能具有重要的公共卫生意义。

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  • 来源
    《The Science of the Total Environment》 |2018年第1期|1421-1427|共7页
  • 作者

    Jian-Rong He; Dong-Mei Wei; Fan-Fan Chan; Yun-Zhu Luan; Si Tu; Jin-Hua Lu; Wei-Dong Li; Ming-Yang Yuan; Nian-Nian Chen; Qiao-Zhu Chen; Kin Bong Hubert Lam; Kar Keung Cheng; Hui-Min Xia; Xiu Qiu;

  • 作者单位

    Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China,Department of Woman and Child Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China;

    Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China,Department of Woman and Child Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China;

    Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China,Department of Woman and Child Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China;

    Hospital Administration office, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China;

    Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China,Department of Woman and Child Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China;

    Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China,Department of Woman and Child Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China;

    Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China,Department of Woman and Child Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China;

    Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China,Department of Woman and Child Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China;

    Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China,Department of Woman and Child Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China;

    Department of Obstetrics and Gynecology, Guangzhou Women and Children Medical Center, Guangzhou Medical University, Guangzhou, China;

    Nuffield Department of Population Health, University of Oxford, Oxford, UK;

    Institute of Applied Health Research, University of Birmingham, Birmingham, UK;

    Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China;

    Division of Birth Cohort Study, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China,Department of Woman and Child Health Care, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Incense burning; Gestational hypertension; Blood pressure; Pregnancy; Birth cohort; China;

    机译：熏香;妊娠高血压;血压;怀孕;出生队列;中国;

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