Environment and child health

Silva, Giselia Alves Pontes da; Cunha, Antonio José Ledo Alves da

doi:10.1016/j.jped.2021.12.001

Cited by 3 publications

(3 citation statements)

References 12 publications

(8 reference statements)

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“…Regarding the second shared risk factor, namely cesarean section delivery, it may not be the cesarean section itself, but rather the reasons behind the need for this mode of delivery (e.g. emergency cesarean section delivery due to fetal distress and stalled labor) that pose a more fundamental risk of NDDs in offspring [ 39 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

Pre-/perinatal reduced optimality and neurodevelopment at 1 month and 3 years of age: Results from the Japan Environment and Children’s Study (JECS)

et al. 2023

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Neurodevelopmental disorders (NDDs) in children are associated with a complex combination of genetic and/or environmental factors. Pre-/perinatal events are major known environmental suboptimal factors, and their individual and combined contributions vary. This study investigated the association between pre-/perinatal reduced optimality and child development observed by parents at 1 month, as well as NDDs at 3 years of age (i.e., motor delay, intellectual disability, developmental language disorder, and autism spectrum disorder), in the context of the Japan Environment and Children’s Study. The study also assessed whether child development at 1 month predicted NDDs at 3 years of age. Associations between 25 pre-/perinatal factors and (a) developmental concerns at 1 month of age and (b) NDDs at 3 years were analyzed (n = 71,682). Binomial regression models were used to investigate risk ratios of the developmental outcome at each time point for total pre-/perinatal reduced optimality scale scores, as well as for individual pre-/perinatal factors of the reduced optimality scale. Finally, we assessed the ability of parental observations of offspring development at 1 month to predict NDDs at 3 years. Total reduced optimality scores were positively associated with 1-month developmental concerns and 3-year NDDs, with higher scores (i.e., a reduction in optimality) associated with an increased risk of both NDDs and earlier parental concerns. Neonatal transportation, epidural analgesia, advanced maternal age, cesarean section delivery, Apgar score ≤8, and hyperbilirubinemia were identified as individual risk factors for 3-year NDDs, overlapping with 14 risk factors for 1-month developmental concerns except Apgar score ≤8. Among six developmental items assessed at 1 month of age, concerns about gross motor function and difficulty holding/trouble calming down had the strongest associations with later-diagnosed motor delay and autism spectrum disorder, respectively. Five perinatal factors and advanced maternal age were associated with NDD at 3 years of age, as were early parental developmental concerns regarding their offspring’s overall development, indicating the importance of careful follow-up of offspring born with pre-/perinatal reduced optimality. The results also implicated early parental concerns, as early as 1 month, may also be a useful indicator of later NDD status.

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Section: Discussionmentioning

confidence: 99%

Pre-/perinatal reduced optimality and neurodevelopment at 1 month and 3 years of age: Results from the Japan Environment and Children’s Study (JECS)

et al. 2023

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“…In addition, exposure to toxins and pollutants is more detrimental to children, who have higher metabolic uptake, than to adults. Because children's nervous and reproductive systems are still developing, exposure to these harmful substances has long-term effects on their lives [ 5 ]. In particular, climate change exacerbates inequalities in child health because it is difficult for underdeveloped countries or low socioeconomic classes to cope with climate change [ 6 ].…”

Section: How Does the Environment Affect Children's Health?mentioning

confidence: 99%

“…In conclusion, health and the environment cannot be considered separately. This topic has been frequently mentioned in recent editorials published in pediatric journals [ 5 , 20 ]. These editorials convey the message that understanding the health of children and adolescents and training medical professionals must be rooted in a realization of the importance of the environment based on bioecological theories, breaking away from the existing framework.…”

Section: Suggestions For the Futurementioning

confidence: 99%

The environment and children's health

Bang¹

2023

Child Health Nurs Res

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The coronavirus disease 2019 (COVID-19) pandemic has provided many people with an opportunity to reconsider the relationship between the environment, human life, and human health. This is because the emergence of new infectious diseases is related to climate change and environmental pollution. Climate change is not the only cause of new infectious diseases, but it has been pointed out as an important factor that indirectly affects the occurrence of pandemics.According to an analysis conducted by the World Health Organization (WHO), climate change has increased humans' susceptibility to infections with pathogens. We can see that the past half century, when new infectious diseases have exploded, coincides with the period when climate change has worsened [1].

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Microbiome Changes in Pregnancy Disorders

et al. 2023

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The human microbiota comprises all microorganisms, such as bacteria, fungi, and viruses, found within a specific environment that live on our bodies and inside us. The last few years have witnessed an explosion of information related to the role of microbiota changes in health and disease. Even though the gut microbiota is considered the most important in maintaining our health, other regions of the human body, such as the oral cavity, lungs, vagina, and skin, possess their own microbiota. Recent work suggests a correlation between the microbiota present during pregnancy and pregnancy complications. The aim of our literature review was to provide a broad overview of this growing and important topic. We focused on the most significant changes in the microbiota in the four more common obstetric diseases affecting women’s health. Thus, our attention will be focused on hypertensive disorders, gestational diabetes mellitus, preterm birth, and recurrent miscarriage. Pregnancy is a unique period in a woman’s life since the body undergoes different adaptations to provide an optimal environment for fetal growth. Such changes also involve all the microorganisms, which vary in composition and quantity during the three trimesters of gestation. In addition, special attention will be devoted to the potential and fundamental advances in developing clinical applications to prevent and treat those disorders by modulating the microbiota to develop personalized therapies for disease prevention and tailored treatments.

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Environment and child health

Cited by 3 publications

References 12 publications

Pre-/perinatal reduced optimality and neurodevelopment at 1 month and 3 years of age: Results from the Japan Environment and Children’s Study (JECS)

Pre-/perinatal reduced optimality and neurodevelopment at 1 month and 3 years of age: Results from the Japan Environment and Children’s Study (JECS)

The environment and children's health

Microbiome Changes in Pregnancy Disorders

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