dc.contributor.author |
Fano Sizgorich, Diego Alejandro |
|
dc.contributor.author |
Vásquez Velásquez, Cinthya |
|
dc.contributor.author |
Yucra, Sandra |
|
dc.contributor.author |
Vasquez Apéstegui, Bertha Vanessa |
|
dc.contributor.author |
Tokeshi, Patricio |
|
dc.contributor.author |
Aguilar, Julio |
|
dc.contributor.author |
Ramírez Atencio, Claudio |
|
dc.contributor.author |
Barr, Dana |
|
dc.contributor.author |
Gonzales Rengifo, Gustavo Francisco |
|
dc.date.accessioned |
2021-04-13T20:51:05Z |
|
dc.date.available |
2021-04-13T20:51:05Z |
|
dc.date.issued |
2020 |
|
dc.identifier.uri |
https://hdl.handle.net/20.500.12866/9253 |
|
dc.description.abstract |
Inorganic arsenic exposure has been linked to the development of several health conditions, including adverse birth outcomes; and around 150 million of people worldwide are exposed to levels above the WHO suggested limit of 10 μg/L. A recent risk assessment in pregnant women of Tacna, of this same population performed by our group, found that 70.25% were exposed to arsenic concentrations in drinking water ≥25 μg/L. The present study aimed to evaluate the relationship between prenatal total urinary arsenic (U-tAs) and inorganic arsenic (U-iAs) with adverse birth outcomes. A total of 147 pregnant women from the province of Tacna, Peru, during February - March, 2019, were evaluated for U-tAs and U-iAs exposure during their second trimester of pregnancy, while the birth records of their children were collected from the local hospital. The geometric mean U-tAs was 43.97 ± 25.88 μg/L (P(50) 22.30, range 5.99 - 181.94 μg/L) and U-iAs was 5.27 ± 2.91 μg/L. Controlling for maternal age, pre-pregnancy BMI, parity, mother's education and newborn sex, no relationship was observed between tertile of U-tAs and the birth outcomes considered, although we found an apparent but statistically non-significant dose-response relationship for small-for-gestational-age 2.38% ( 95% CI 0.003, 0.16), versus 7.32% (95% CI 0.02, 0.21%), versus 8.57% (0.03, 0.25%). This finding requires further evaluation considering other factors such as metabolic arsenic species, additional maternal covariates and ethnicity. |
en_US |
dc.language.iso |
eng |
|
dc.publisher |
Springer |
|
dc.relation.ispartofseries |
Exposure and Health |
|
dc.rights |
info:eu-repo/semantics/restrictedAccess |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es |
|
dc.subject |
World Health Organization |
en_US |
dc.subject |
risk assessment |
en_US |
dc.subject |
child health |
en_US |
dc.subject |
drinking water |
en_US |
dc.subject |
pregnancy |
en_US |
dc.subject |
public health |
en_US |
dc.subject |
age structure |
en_US |
dc.subject |
arsenic |
en_US |
dc.subject |
Arsenic exposure |
en_US |
dc.subject |
Birth outcomes |
en_US |
dc.subject |
concentration (composition) |
en_US |
dc.subject |
dose-response relationship |
en_US |
dc.subject |
ethnicity |
en_US |
dc.subject |
spatiotemporal analysis |
en_US |
dc.subject |
Tacna |
en_US |
dc.subject |
Urinary arsenic |
en_US |
dc.subject |
womens health |
en_US |
dc.title |
Total Urinary Arsenic and Inorganic Arsenic Concentrations and Birth Outcomes in Pregnant Women of Tacna, Peru: A Cross-Sectional Study |
en_US |
dc.type |
info:eu-repo/semantics/article |
|
dc.identifier.doi |
https://doi.org/10.1007/s12403-020-00377-2 |
|
dc.subject.ocde |
https://purl.org/pe-repo/ocde/ford#5.07.01 |
|
dc.subject.ocde |
https://purl.org/pe-repo/ocde/ford#3.03.05 |
|
dc.relation.issn |
2451-9685 |
|