Individual exposures to drinking water trihalomethanes, low birth weight and small for gestational age risk: a prospective Kaunas cohort study
2011

Impact of Drinking Water Trihalomethanes on Birth Weight and Growth

Sample size: 3341 publication 10 minutes Evidence: moderate

Author Information

Author(s): Grazuleviciene Regina, Nieuwenhuijsen Mark J, Vencloviene Jone, Kostopoulou-Karadanelli Maria, Krasner Stuart W, Danileviciute Asta, Balcius Gediminas, Kapustinskiene Violeta

Primary Institution: Department of Environmental Sciences, Vytautas Magnus University, Kaunas, Lithuania

Hypothesis

Does exposure to trihalomethanes in drinking water during pregnancy affect fetal growth and birth weight?

Conclusion

Increased internal doses of trihalomethanes during pregnancy may negatively impact fetal growth and increase the risk of low birth weight.

Supporting Evidence

  • Women with higher exposure to trihalomethanes had an increased risk of low birth weight.
  • Chloroform exposure was associated with a statistically significant increase in the risk of low birth weight.
  • Most participants were non-smokers and highly educated.

Takeaway

Drinking water with certain chemicals can make babies smaller when they are born. This study looked at how much of these chemicals pregnant women were exposed to.

Methodology

A cohort study of 4,161 pregnant women was conducted, assessing individual exposure to trihalomethanes through water consumption and bathing habits.

Potential Biases

Potential residential confounding due to unmeasured environmental exposures.

Limitations

The study did not account for residential air pollution exposure and lacked information on maternal nutrition and infections.

Participant Demographics

Predominantly Lithuanian women, mean age 28.4 years, 54.3% with a university degree, 93.1% non-smokers.

Statistical Information

P-Value

0.05

Confidence Interval

95% CI 1.01-1.19

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1476-069X-10-32

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