RT Journal Article T1 Residential Exposure to Outdoor Air Pollution during Pregnancy and Anthropometric Measures at Birth in a Multicenter Cohort in Spain A1 Estarlich, Marisa A1 Ballester, Ferran A1 Aguilera, Inmaculada A1 Fernández-Somoano, Ana A1 Lertxundi, Aitana A1 Llop, Sabrina A1 Freire, Carmen A1 Tardón, Adonina A1 Basterrechea, Mikel A1 Sunyer, Jordi A1 Iñiguez, Carmen K1 Emisiones de Vehículos K1 Dióxido de Nitrógeno K1 Benceno K1 Contaminantes del Aire K1 Adulto K1 Peso al Nacer K1 Tamaño Corporal K1 Estudios de Cohortes K1 Monitoreo del Ambiente K1 Femenina K1 Humanos K1 Recién Nacido K1 Recién Nacido Pequeño para la Edad Gestacional K1 Exposición por Inhalación K1 Exposición Materna K1 Embarazo K1 Estudios Prospectivos K1 Questionnaires K1 Distribución Espacial de la Población K1 España K1 Adulto Joven K1 Air Pollution K1 Anthropometry K1 Benzene K1 Birth K1 Birth weight K1 Nitrogen dioxide K1 Pregnancy AB BACKGROUND. A growing body of research suggests that prenatal exposure to air pollution may be harmful to fetal development. We assessed the association between exposure to air pollution during pregnancy and anthropometric measures at birth in four areas within the Spanish Children's Health and Environment (INMA) mother and child cohort study. METHODS. Exposure to ambient nitrogen dioxide (NO2) and benzene was estimated for the residence of each woman (n = 2,337) for each trimester and for the entire pregnancy. Outcomes included birth weight, length, and head circumference. The association between residential outdoor air pollution exposure and birth outcomes was assessed with linear regression models controlled for potential confounders. We also performed sensitivity analyses for the subset of women who spent more time at home during pregnancy. Finally, we performed a combined analysis with meta-analysis techniques. RESULTS. In the combined analysis, an increase of 10 µg/m3 in NO2 exposure during pregnancy was associated with a decrease in birth length of -0.9 mm [95% confidence interval (CI), -1.8 to -0.1 mm]. For the subset of women who spent ≥ 15 hr/day at home, the association was stronger (-0.16 mm; 95% CI, -0.27 to -0.04). For this same subset of women, a reduction of 22 g in birth weight was associated with each 10-µg/m3 increase in NO2 exposure in the second trimester (95% CI, -45.3 to 1.9). We observed no significant relationship between benzene levels and birth outcomes. CONCLUSIONS. NO2 exposure was associated with reductions in both length and weight at birth. This association was clearer for the subset of women who spent more time at home. PB National Institute of Environmental Health Sciences (NIEHS) SN 0091-6765 YR 2011 FD 2011-09 LK http://hdl.handle.net/10668/575 UL http://hdl.handle.net/10668/575 LA en NO Estarlich M, Ballester F, Aguilera I, Fernández-Somoano A, Lertxundi A, Llop S, et al. Residential exposure to outdoor air pollution during pregnancy and anthropometric measures at birth in a multicenter cohort in Spain. Environ. Health Perspect.. 2011 Sep; 119(9):1333-8 NO Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't. Reproduced with permission from Environmental Health Perspectives DS RISalud RD Apr 12, 2025