Document Type : Research article
Authors
1 Environmental Science and Engineering Department, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
2 Environmental Department, Islamic Azad University, Isfahan (Khorasgan) Branch, Isfahan, Iran
3 Department of the Environment, College of Basic Sciences, Hamedan Branch, Islamic Azad University, Hamedan, Iran
Abstract
Background & Purpose: Air pollution from particulate matter (PM) negatively impacts maternal and fetal health, particularly in pregnant women. This study aimed to evaluate the effects of PM on thyroid-stimulating hormone (TSH) levels in pregnant women residing in Ahvaz.
Materials and Methods: PM data were derived from the aerosol optical depth (AOD) product of the MODIS satellite, covering five years (April 1, 2019–March 21, 2024). Using biochemical assays, TSH levels were measured in 78 pregnant women during their third trimester. The relationship between TSH levels and PM levels specific to each mother’s residence was analyzed using geographically weighted regression (GWR).
Results: The mean TSH level was 6.57 mIU/L (range: 0.3–39.3 mIU/L), exceeding the normal range for pregnant women. AOD values over the five years ranged from 0.28 to 0.39, with levels above 0.30 at the mothers’ residences, indicating high PM pollution. The GWR model revealed that approximately 61% of the variation in TSH levels was attributable to the five-year average PM concentration.
Conclusion: High PM concentrations in parts of Ahvaz pose significant risks to maternal health during pregnancy. Air quality monitoring and specialized care are essential to protect pregnant women in this region.
Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/
Keywords
- Gross J, Ouyang Y. Types of urbanization and economic growth. Int J Urban Sci. 2021;25(1):71-85. https://doi.org/10.1080/12265934.2020.1759447
- Wang S, Gao S, Li S, Feng K. Strategizing the relation between urbanization and air pollution: Empirical evidence from global countries. J Clean Prod. 2020;243:118615. https://doi.org/10.1016/j.jclepro.2019.118615
- Ysebaert T, Koch K, Samson R, Denys S. Green walls for mitigating urban particulate matter pollution-A review. Urban For Urban Green. 2021;59:127014https://doi.org/10.1016/j.ufug.2021.127014
- Kaur R, Pandey P. Air pollution, climate change, and human health in Indian cities: a brief review. Front Sustain Cities. 2021;3:705131. https://doi.org/10.3389/frsc.2021.705131
- Blackman A. Alternative pollution control policies in developing countries. Chicago: The University of Chicago Press; 2010. https://doi.org/10.1093/reep/req005
- Luong ND, Hieu BT, Hiep NH. Contrasting seasonal pattern between ground-based PM 2.5 and MODIS satellite-based aerosol optical depth (AOD) at an urban site in Hanoi, Vietnam. Environ Sci Pollut Res. 2021;1-12. https://doi.org/10.1007/s11356-021-16464-z PMid:34532804
- Bilal M, Mhawish A, Ali MA, Nichol JE, Leeuw Gd, Khedher KM, et al. Integration of surface reflectance and aerosol retrieval algorithms for multi-resolution aerosol optical depth retrievals over urban areas. Remote Sens. 2022;14(2):373. https://doi.org/10.3390/rs14020373
- Gupta P, Khan MN, da Silva A, Patadia F. MODIS aerosol optical depth observations over urban areas in Pakistan: quantity and quality of the data for air quality monitoring. Atmos Pollut Res. 2013;4(1):43-52. https://doi.org/10.5094/APR.2013.005
- Chiarello DI, Ustáriz J, Marín R, Gallardo FS, Illanes SE. Cellular mechanisms linking to outdoor and indoor air pollution damage during pregnancy. Front Endocrinol. 2023;14:1084986. https://doi.org/10.3389/fendo.2023.1084986 PMid:36875486 PMCid:PMC9974835
- Scholten RH, Møller P, Andersen ZJ, Dehlendorff C, Khan J, Brandt J, et al. Telomere length in newborns is associated with exposure to low levels of air pollution during pregnancy. Environ Int. 2021;146:106202. https://doi.org/10.1016/j.envint.2020.106202 PMid:33120230
- Zhang D, Cai K, Wang G, Xu S, Mao X, Zheng A, et al. Trimester-specific reference ranges for thyroid hormones in pregnant women. Medicine. 2019;98(4):e14245. https://doi.org/10.1097/MD.0000000000014245 PMid:30681614 PMCid:PMC6358369
- Moleti M, Di Mauro M, Sturniolo G, Russo M, Vermiglio F. Hyperthyroidism in the pregnant woman: Maternal and fetal aspects. J Clin Transl Endocrinol. 2019;16:100190. https://doi.org/10.1016/j.jcte.2019.100190 PMid:31049292 PMCid:PMC6484219
- Yousefzadeh E, Chamani A, Besalatpour A. Health effects of exposure to urban ambient particulate matter: A spatial-statistical study on 3rd-trimester pregnant women. Environ Pollut. 2024:123518. (Persian) https://doi.org/10.1016/j.envpol.2024.123518 PMid:38369086
- Rahimi M, Rouzbahani MM, Payandeh K, Nazarpour A, Panahpour E. Potential risk assessment of respiratory exposure to heavy metals in the air dust for the metropolitans of Khuzestan Province, Iran. 2024.(Persian)
- Guo B, Wang Z, Pei L, Zhu X, Chen Q, Wu H, et al. Reconstructing MODIS aerosol optical depth and exploring dynamic and influential factors of AOD via random forest at the global scale. Atmos Environ. 2023;315:120159. https://doi.org/10.1016/j.atmosenv.2023.120159
- Pérez-Cutillas P, Pérez-Navarro A, Conesa-García C, Zema DA, Amado-Álvarez JP. What is going on within google earth engine? A systematic review and meta-analysis. Remote Sens Appl Soc Environ. 2023;29:100907. https://doi.org/10.1016/j.rsase.2022.100907
- Comber A, Brunsdon C, Charlton M, Dong G, Harris R, Lu B, et al. A route map for successful applications of geographically weighted regression. Geogr Anal. 2023;55(1):155-78. https://doi.org/10.1111/gean.12316
- O'Donnell C, Campbell EJ, McCormick S, Anenberg SC. Prenatal exposure to air pollution and maternal and fetal thyroid function: a systematic review of the epidemiological evidence. Environ Health. 2024;23(1):78. https://doi.org/10.1186/s12940-024-01116-9 PMid:39334320 PMCid:PMC11438274
- Howe CG, Eckel SP, Habre R, Girguis MS, Gao L, Lurmann FW, et al. Association of prenatal exposure to ambient and traffic-related air pollution with newborn thyroid function: findings from the Children's Health Study. JAMA Netw Open. 2018;1(5):e182172. https://doi.org/10.1001/jamanetworkopen.2018.2172 PMid:30646156 PMCid:PMC6324507
- Antonelli A, Ferrari SM, Corrado A, Di Domenicantonio A, Fallahi P. Autoimmune thyroid disorders. Autoimmun Rev. 2015;14(2):174-80. https://doi.org/10.1016/j.autrev.2014.10.016 PMid:25461470
- Klüser L, Holzer-Popp T. Mineral dust effects on clouds and rainfall in the West African Sahel. Atmos Chem Phys Discuss. 2010;10(3). https://doi.org/10.5194/acpd-10-6167-2010
- Dastoorpoor M, Sekhavatpour Z, Masoumi K, Mohammadi MJ, Aghababaeian H, Khanjani N, et al. Air pollution and hospital admissions for cardiovascular diseases in Ahvaz, Iran. Sci Total Environ. 2019;652:1318-30. https://doi.org/10.1016/j.scitotenv.2018.10.285 PMid:30586817
- Zhang E, Zhang Z, Chen G, Zhang Y-T, Su S, Gao S, et al. Associations of Ambient Particulate Matter with Maternal Thyroid Autoimmunity and Thyroid Function in Early Pregnancy. Environ Sci Technol. 2024. https://doi.org/10.1021/acs.est.3c10191 PMid:38743497 PMCid:PMC11137865
- Wang X, Liu C, Zhang M, Han Y, Aase H, Villanger GD, et al. Evaluation of maternal exposure to PM2.5 and its components on maternal and neonatal thyroid function and birth weight: a cohort study. Thyroid. 2019;29(8):1147-57. https://doi.org/10.1089/thy.2018.0780 PMid:31298631
- Yang K, Zhang G, Li Y. Association between air pollutants, thyroid disorders, and thyroid hormone levels: a scoping review of epidemiological evidence. Front Endocrinol. 2024;15:1398272https://doi.org/10.3389/fendo.2024.1398272 PMid:39439570 PMCid:PMC11493586