Air Pollution Exposure during Pregnancy and Childhood Autistic Traits in Four European Population-Based Cohort Studies: The ESCAPE Project

Joan Forns Guzman; Raquel Garcia Esteban; M Guxens; A Ghassabian; T Gong; Raquel Garcia Esteban; D Porta; L Giorgis-Allemand; C Almqvist; A Aranbarri; R Beelen; C Badaloni; G Cesaroni; A de Nazelle; M Estarlich; F Forastiere; Joan Forns Guzman; U Gehring; J Ibarluzea; VW Jaddoe; M Korek; P Lichtenstein; MJ Nieuwenhuijsen; M Rebagliato; R Slama; H Tiemeier; FC Verhulst; HE Volk; G Pershagen; B Brunekreef; J Sunyer

Air Pollution Exposure during Pregnancy and Childhood Autistic Traits in Four European Population-Based Cohort Studies

The ESCAPE Project

Guxens, M., Ghassabian, A., Gong, T., Garcia-Esteban, R., Porta, D., Giorgis-Allemand, L., Almqvist, C., Aranbarri, A., Beelen, R., Badaloni, C., Cesaroni, G., de Nazelle, A., Estarlich, M., Forastiere, F., Forns Guzman, J., Gehring, U., Ibarluzea, J., Jaddoe, VW., Korek, M., ... Sunyer, J. (2016). Air Pollution Exposure during Pregnancy and Childhood Autistic Traits in Four European Population-Based Cohort Studies: The ESCAPE Project. Environmental Health Perspectives, 124(1), 133-40. https://doi.org/10.1289/ehp.1408483

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Abstract

BACKGROUND: Prenatal exposure to air pollutants has been suggested as a possible etiologic factor for the occurrence of autism spectrum disorder.

OBJECTIVES: We aimed to assess whether prenatal air pollution exposure is associated with childhood autistic traits in the general population.

METHODS: Ours was a collaborative study of four European population-based birth/child cohorts-CATSS (Sweden), Generation R (the Netherlands), GASPII (Italy), and INMA (Spain). Nitrogen oxides (NO2, NOx) and particulate matter (PM) with diameters of

RESULTS: A total of 8,079 children were included. Prenatal air pollution exposure was not associated with autistic traits within the borderline/clinical range (odds ratio = 0.94; 95% CI: 0.81, 1.10 per each 10-mu g/m(3) increase in NO2 pregnancy levels). Similar results were observed in the different cohorts, for the other pollutants, and in assessments of children with autistic traits within the clinical range or children with autistic traits as a quantitative score.

CONCLUSIONS: Prenatal exposure to NO2 and PM was not associated with autistic traits in children from 4 to 10 years of age in four European population-based birth/child cohort studies.