Skip to main content

Advertisement

Log in

Multiple Environmental Exposure in Pregnant Women and Their Children in the City of Rio de Janeiro, Brazil, Rio Birth Cohort Study: PIPA Project

  • Original Paper
  • Published:
Exposure and Health Aims and scope Submit manuscript

Abstract

The PIPA project is the first birth cohort study in Brazil focusing on the investigation of environmental pollutant exposure effects on child health. This program was developed in Rio de Janeiro, a highly urbanized city that encompasses a diversity of environmental and socioeconomic factors potentially harmful to human health. A pilot study was carried out between September 2017 and August 2018. This paper describes the socioeconomic environment and exposure pollutant profile of the PIPA pilot study population. The PIPA pilot study enrolled 139 pregnant women with a total of 135 (97%) births. Maternal blood (n = 139) and urine (n = 139) samples were collected between the 32nd and 38th weeks of pregnancy. Newborn umbilical cord blood (n = 125) and urine (n = 34) samples were collected at birth and during the 1st, 3rd, and 6th months of life (n = 132). Up to 75% of the study population reported a per capita income lower than US$200, 19% received governmental financial aid, and 21% were single mothers. At least 20% lived in low-income communities. Metals were observed above the limits of detection in 100% of the mother and newborn samples, while 48% and 23.5% showed detectable pyrethroid metabolite levels. Perfluoroalkyl acids were detected in approximately 80% of mother blood and urine samples and 70% of cord blood samples. At least one organochlorine compound was detected in approximately 30% of the newborn and mother samples. Pregnant women from poor communities in Rio de Janeiro and their children are exposed to several harmful pollutants.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Al-Gubory KH (2014) Environmental pollutants and lifestyle factors induce oxidative stress and poor prenatal development. ReprodBioMed Online 29:17–31. https://doi.org/10.1016/j.rbmo.2014.03.002

    Article  CAS  Google Scholar 

  • Araújo MSA, Figueiredo ND, Camara VM, Froes Asmus CIR (2020) Maternal-child exposure to metals during pregnancy in Rio de Janeiro city, Brazil: the Rio Birth Cohort Study of Environmental Exposure and Childhood Development (PIPA project). Environ Res 183:109155. https://doi.org/10.1016/j.envres.2020.109155

    Article  CAS  Google Scholar 

  • Asmus CIRF, Barbosa AP, Meyer A, Damasceno N, Rosa ACS, Medronho R, Cunha AJL, Moreira JC, Fernandes TVRB, Martins M, Luiz RR, Câmara VM (2020) Rio Birth Cohort Study on environmental exposure and childhood development—PIPA project. Ann Global Health 86(1):1–10. https://doi.org/10.5334/aogh.2709

    Article  Google Scholar 

  • Barker DJP (2003) The developmental origins of adult disease. Editor Eur J Epidemiol 18:733–736

    Article  CAS  Google Scholar 

  • Berkowitz GS, Wolff MS, Matte T, Susser E, Landrigan PJ (2001) The rationale for a National Prospective Cohort Study of environmental exposure and childhood development. Environ Res Sect A 85:59–68. https://doi.org/10.1006/enrs.2000.4109

    Article  CAS  Google Scholar 

  • Brazil, Brazilian System of Environmental Health Surveillance (2014) Secretaria de Vigilância em Saúde, Ministerio da Saude, Brasil: Brasilia, Brasil. http://portalsaude.saude.gov.br/index.php/o-ministerio/principal/leia-mais-o-ministerio/1116-secretaria-svs/vigilancia-de-a-a-z/contaminantes-uimicos/16159-vigipeq-vigisolo-contaminantes-quimicos. Accessed 09 Sept 2020

  • CDC_Center for Disease Control and Prevention (2017) National biomonitoring program. Biomonitoring summary. Pyrethroid pesticides overview. Last review: https://www.cdc.gov/biomonitoring/Cyhalothrin_Cypermethrin_Deltamethrin_Fenpropathrin_Permethrin_Tralomethrin_BiomonitoringSummary.html. Accessed 08 Apr 2020

  • Drago G, Ruggieri S, Bianchi F, Sampino S, Cibella F (2020) Birth cohorts in highly contaminated sites: a tool for monitoring the relationships between environmental pollutants and children’s health. Front Public Health 8:125. https://doi.org/10.3389/fpubh.2020.00125

    Article  Google Scholar 

  • Etzel RA, Landrigan PJ (2014) Children’s exquisite vulnerability to environmental exposures. In: Landrigan P, Etzel R (eds) Textbook of children’s environmental health. Oxford University Press, New York, pp 18–27

    Google Scholar 

  • Figueiredo ND, Araújo MS, Luiz RR, Câmara VM, Jacob SC, Santos LMG, Vicentini AS, Froes Asmus CIR (2020) Metal mixtures in pregnant women and umbilical cord blood at urban populations—Rio de Janeiro, Brazil. Environ SciPollut Res. https://doi.org/10.1007/s11356-020-10021-w

    Article  Google Scholar 

  • Fisher M, Arbuckle TE, Liang CL, LeBlanc A, Gaudreau E, Foster WG, Haines D, Davis K, Fraser WD (2016) Concentrations of persistent organic pollutants in maternal and cord blood from the maternal-infant research on environmental chemicals (MIREC) cohort study. Environ Health 15:59. https://doi.org/10.1186/s12940-016-0143-y

    Article  CAS  Google Scholar 

  • Frank J, Di Ruggiero E, McInnes RR, Kramer M, Gagnon F (2006) Large life-course cohorts for characterizing genetic and environmental contributions. The need for more thoughtful designs. Epidemiology 17(6):595–598

    Article  Google Scholar 

  • Freitas CM, Porto MFS, Moreira JC, Pivetta F, Machado JMH, Freitas NBB, Arcuri AS (2002) Segurançaquímica, saúde e ambiente—perspectivas para a governança no contextobrasileiro. Cad SaúdePública 18(1):249–256

    Google Scholar 

  • Froes Asmus CIR, Camara VM, Landrigan PJ, Claudio LA (2016) Systematic review of children’s environmental health in Brazil. Ann Glob Health. https://doi.org/10.1016/j.aogh.2016.02.007

    Article  Google Scholar 

  • Govarts E, Remy S, Bruckers L, Hond ED, Sioen I, Nelen V, Baeyens W, Nawrot TS, Loots I, Van Larebeke N, Schoeters G (2016) Combined effects of prenatal exposures to environmental chemicals on birth weight. Int J Environ Res Public Health 13:495. https://doi.org/10.3390/ijerph13050495

    Article  CAS  Google Scholar 

  • Haines DA, Saravanabhavan G, Werry K, Khoury C (2017) An overview of human biomonitoring of environmental chemicals in the Canadian Health Measures Survey: 2007–2019. Int J Hyg Environ Health 220:13–28. https://doi.org/10.1016/j.ijheh.2016.08.002

    Article  CAS  Google Scholar 

  • IBGE (2010) Census—Universus. Cidades. Aglomerados Subnormais. Ano 2010. https://cidades.ibge.gov.br/brasil/rj/rio-de-janeiro/pesquisa/23/25359. Accessed 08 Oct 2020

  • Kalloo G, Wellenius GA, McCandless L, Calafat AM, Sjodin A, Romano ME, Karagas MR, Chen A, Yolton K, Lanphear BP, Braun JM (2020) Exposures to chemical mixtures during pregnancy and neonatal outcomes: the HOME study. Environ Int 134:105219. https://doi.org/10.1016/j.envint.2019.105219

    Article  CAS  Google Scholar 

  • Lee W-C, Fisher M, Davis K, Arbuckle TE, Sinha SK (2017) Identification of chemical mixtures to which Canadian pregnant women are exposed: The MIREC Study. Environment International 99:321–33. https://doi.org/10.1016/j.envint.2016.12.015

    Article  CAS  Google Scholar 

  • Lewin A, Arbuckle TE, Fisher M, Liang CH, Marro L, Davis K, Abdelouahab N, Fraser WD (2017) Univariate predictors of maternal concentrations of environmental chemicals: the MIREC study. Int J Hyg Environ Health 220:77–85. https://doi.org/10.1016/j.ijheh.2017.01.001

    Article  CAS  Google Scholar 

  • Martins Friaes AA (2019) Exposure of pregnant women to pyrethroid insecticides in the city of Rio de Janeiro and its repercussions on pregnancy and adverse events of pregnancy: PIPA study. Thesis (Master in Collective Health)—Institute of Collective Health Studies, Federal University of Rio de Janeiro, Rio de Janeiro

  • National Health and Nutrition Survey (NHANES) (2019) Fourth National Report on Human Exposure to Environmental Chemicals, Updated Tables, January 2019. U.S. Department of Health and Human Services, Center for Disease Control and Prevention, EUA. https://www.cdc.gov/exposurereport/. Accessed 09 Sept 2020

  • Robinson O, Tamayo I, deCastro M, Valentin A, Giorgis-Allemand L, HjertagerKrog N, MaritAasvang G, Ambros A, Ballester F, Bird P et al (2018) The urban exposome during pregnancy and its socioeconomic determinants. Environ Health Perspect. https://doi.org/10.1289/EHP2862

    Article  Google Scholar 

  • Rokoff LB, Rifas-Shiman SL, Coull BA, Cardenas A, Calafat AM, Ye X, Gryparis A, Schwartz J, Sagiv SK, Gold DR, Oken E, Fleisch AF (2018) Cumulative exposure to environmental pollutants during early pregnancy and reduced fetal growth: the Project Viva cohort. Environ Health 17:19. https://doi.org/10.1186/s12940-018-0363-4

    Article  CAS  Google Scholar 

  • Sarcinelli PN, Pereira ACS, Mesquita SA, Oliveira-Silva JJ, Meyer A, Menezes MAC, Alves SR, Mattos RCOC, Moreira JC, Wolff M (2003) Dietary and reproductive determinants of plasma organochlorine levels in pregnant women in Rio de Janeiro. Environ Res 91:143–150

    Article  CAS  Google Scholar 

  • Selevan GS, Kimmel CA, Mendola P (2000) Identifying critial windows of exposure for children’s health. Environ Health Perspect 108(3):451–455

    Google Scholar 

  • Straff W (2004) What are the differences between children and adults? Action Programme Environment and Health, Umweltbundesamt, Federal Environmental Agency, Germany.

  • WHO (2006) Multicenter Growth Reference Study Group: WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. World Health Organization, Geneva

    Google Scholar 

  • Woodruff TJ, Zota AR, Schwartz JM (2011) Environmental chemicals in pregnant women in the United States: NHANES 2003–2004. Environ Health Perspect 119:878–885. https://doi.org/10.1289/ehp.1002727

    Article  Google Scholar 

  • Zota A, Atchley D, Woodruff T (2014) The intrauterine environment and early infancy. In: Landrigan P, Etzel R (eds) Textbook of children’s environmental health. Oxford University Press, New York, pp 117–123

    Google Scholar 

Download references

Acknowledgements

The authors would like to acknowledge the UFRJ Maternity School team for the broad support of the PIPA project and the study participants for their contributions.

Funding

Funding was received from the Brazilian Government: National Council for Scientific and Technological Development (Grant No. 409275/2018-2), Science and Technology Department (Grant No. 404168/2019-1), Surveillance Health Secretary (Grant No. 733663/19-002), and Ministry of Health and the Carlos Chagas Filho Foundation for Supporting Research in the State of Rio de Janeiro (Grant No. E-26/010.001894/2019).

Author information

Authors and Affiliations

Authors

Contributions

All the authors participated in the conception and design, or analysis and interpretation of the data, drafting the article or revising it critically for important intellectual content. All the authors approved the final version. This manuscript is original research and has not been submitted to, nor is under review at, another journal or other publishing venue.

Corresponding author

Correspondence to Carmen I. R. Fróes-Asmus.

Ethics declarations

Conflict of interest

The authors do not have any competing or conflicts of interest.

Ethical Approval

This research involved human participants and all procedures were approved by the Federal University of Rio de Janeiro (UFRJ) Maternity School Ethics Committee (reference number: 2.092.440) and the Fiocruz Foundation Ethics Committee (reference number: 2.121.397).

Informed Consent

All participants signed an informed consent before any procedure was performed.

Consent for Publication

All the authors agree with the publication of this manuscript.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fróes-Asmus, C.I.R., Meyer, A., da Cunha, A.J.L.A. et al. Multiple Environmental Exposure in Pregnant Women and Their Children in the City of Rio de Janeiro, Brazil, Rio Birth Cohort Study: PIPA Project. Expo Health 13, 431–445 (2021). https://doi.org/10.1007/s12403-021-00394-9

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12403-021-00394-9

Keywords

Navigation