Association between wood cooking fuel and maternal hypertension at delivery in central East India
Objective: Smoke from burning of biomass fuels has been linked with adverse pregnancy outcomes and hypertension among nonpregnant subjects; association with hypertension during pregnancy has not been well studied. We evaluated whether the use of wood cooking fuel increases the risk of maternal hyper...
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Published in | Hypertension in pregnancy Vol. 34; no. 3; pp. 355 - 368 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Informa Healthcare
01.01.2015
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Subjects | |
Online Access | Get full text |
ISSN | 1064-1955 1525-6065 1525-6065 |
DOI | 10.3109/10641955.2015.1046604 |
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Abstract | Objective: Smoke from burning of biomass fuels has been linked with adverse pregnancy outcomes and hypertension among nonpregnant subjects; association with hypertension during pregnancy has not been well studied. We evaluated whether the use of wood cooking fuel increases the risk of maternal hypertension at delivery compared to gas which burns with less smoke. Methods: Information on fuel use and blood pressure was available for analysis from a cross-sectional survey of 1369 pregnant women recruited at delivery in India. Results: Compared to gas users, women using wood as fuel had on average lower mean arterial pressure (adjusted effect size − 2.0 mmHg; 95% CI: −3.77, −0.31) and diastolic blood pressure (adjusted effect size −1.96 mmHg; 95% CI: −3.60, −0.30) at delivery. Risk of hypertension (systolic >139 mmHg or diastolic >89 mmHg) was 14.6% for wood users compared to 19.6% for gas users although this did not reach significance after adjustment, using propensity score techniques, for factors that make wood and gas users distinct (adjusted prevalence ratio 0.76; 95% CI: 0.49, 1.17). Conclusions: Combustion products from the burning of biomass fuels are similar to those released with tobacco smoking, which has been linked with a reduced risk for preeclampsia. The direction of our findings suggests the possibility of a similar effect for biomass cook smoke. Whether clean cooking interventions being promoted by international advocacy organizations will impact hypertension in pregnancy warrants further analysis as hypertension remains a leading cause of maternal death worldwide and cooking with biomass fuels is widespread. |
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AbstractList | Smoke from burning of biomass fuels has been linked with adverse pregnancy outcomes and hypertension among nonpregnant subjects; association with hypertension during pregnancy has not been well studied. We evaluated whether the use of wood cooking fuel increases the risk of maternal hypertension at delivery compared to gas which burns with less smoke.
Information on fuel use and blood pressure was available for analysis from a cross-sectional survey of 1369 pregnant women recruited at delivery in India.
Compared to gas users, women using wood as fuel had on average lower mean arterial pressure (adjusted effect size - 2.0 mmHg; 95% CI: -3.77, -0.31) and diastolic blood pressure (adjusted effect size -1.96 mmHg; 95% CI: -3.60, -0.30) at delivery. Risk of hypertension (systolic >139 mmHg or diastolic >89 mmHg) was 14.6% for wood users compared to 19.6% for gas users although this did not reach significance after adjustment, using propensity score techniques, for factors that make wood and gas users distinct (adjusted prevalence ratio 0.76; 95% CI: 0.49, 1.17).
Combustion products from the burning of biomass fuels are similar to those released with tobacco smoking, which has been linked with a reduced risk for preeclampsia. The direction of our findings suggests the possibility of a similar effect for biomass cook smoke. Whether clean cooking interventions being promoted by international advocacy organizations will impact hypertension in pregnancy warrants further analysis as hypertension remains a leading cause of maternal death worldwide and cooking with biomass fuels is widespread. Smoke from burning of biomass fuels has been linked with adverse pregnancy outcomes and hypertension among nonpregnant subjects; association with hypertension during pregnancy has not been well studied. We evaluated whether the use of wood cooking fuel increases the risk of maternal hypertension at delivery compared to gas which burns with less smoke.OBJECTIVESmoke from burning of biomass fuels has been linked with adverse pregnancy outcomes and hypertension among nonpregnant subjects; association with hypertension during pregnancy has not been well studied. We evaluated whether the use of wood cooking fuel increases the risk of maternal hypertension at delivery compared to gas which burns with less smoke.Information on fuel use and blood pressure was available for analysis from a cross-sectional survey of 1369 pregnant women recruited at delivery in India.METHODSInformation on fuel use and blood pressure was available for analysis from a cross-sectional survey of 1369 pregnant women recruited at delivery in India.Compared to gas users, women using wood as fuel had on average lower mean arterial pressure (adjusted effect size - 2.0 mmHg; 95% CI: -3.77, -0.31) and diastolic blood pressure (adjusted effect size -1.96 mmHg; 95% CI: -3.60, -0.30) at delivery. Risk of hypertension (systolic >139 mmHg or diastolic >89 mmHg) was 14.6% for wood users compared to 19.6% for gas users although this did not reach significance after adjustment, using propensity score techniques, for factors that make wood and gas users distinct (adjusted prevalence ratio 0.76; 95% CI: 0.49, 1.17).RESULTSCompared to gas users, women using wood as fuel had on average lower mean arterial pressure (adjusted effect size - 2.0 mmHg; 95% CI: -3.77, -0.31) and diastolic blood pressure (adjusted effect size -1.96 mmHg; 95% CI: -3.60, -0.30) at delivery. Risk of hypertension (systolic >139 mmHg or diastolic >89 mmHg) was 14.6% for wood users compared to 19.6% for gas users although this did not reach significance after adjustment, using propensity score techniques, for factors that make wood and gas users distinct (adjusted prevalence ratio 0.76; 95% CI: 0.49, 1.17).Combustion products from the burning of biomass fuels are similar to those released with tobacco smoking, which has been linked with a reduced risk for preeclampsia. The direction of our findings suggests the possibility of a similar effect for biomass cook smoke. Whether clean cooking interventions being promoted by international advocacy organizations will impact hypertension in pregnancy warrants further analysis as hypertension remains a leading cause of maternal death worldwide and cooking with biomass fuels is widespread.CONCLUSIONSCombustion products from the burning of biomass fuels are similar to those released with tobacco smoking, which has been linked with a reduced risk for preeclampsia. The direction of our findings suggests the possibility of a similar effect for biomass cook smoke. Whether clean cooking interventions being promoted by international advocacy organizations will impact hypertension in pregnancy warrants further analysis as hypertension remains a leading cause of maternal death worldwide and cooking with biomass fuels is widespread. Objective: Smoke from burning of biomass fuels has been linked with adverse pregnancy outcomes and hypertension among nonpregnant subjects; association with hypertension during pregnancy has not been well studied. We evaluated whether the use of wood cooking fuel increases the risk of maternal hypertension at delivery compared to gas which burns with less smoke. Methods: Information on fuel use and blood pressure was available for analysis from a cross-sectional survey of 1369 pregnant women recruited at delivery in India. Results: Compared to gas users, women using wood as fuel had on average lower mean arterial pressure (adjusted effect size − 2.0 mmHg; 95% CI: −3.77, −0.31) and diastolic blood pressure (adjusted effect size −1.96 mmHg; 95% CI: −3.60, −0.30) at delivery. Risk of hypertension (systolic >139 mmHg or diastolic >89 mmHg) was 14.6% for wood users compared to 19.6% for gas users although this did not reach significance after adjustment, using propensity score techniques, for factors that make wood and gas users distinct (adjusted prevalence ratio 0.76; 95% CI: 0.49, 1.17). Conclusions: Combustion products from the burning of biomass fuels are similar to those released with tobacco smoking, which has been linked with a reduced risk for preeclampsia. The direction of our findings suggests the possibility of a similar effect for biomass cook smoke. Whether clean cooking interventions being promoted by international advocacy organizations will impact hypertension in pregnancy warrants further analysis as hypertension remains a leading cause of maternal death worldwide and cooking with biomass fuels is widespread. |
Author | Hamer, Davidson H. MacLeod, William B. Yeboah-Antwi, Kojo Singh, Mrigendra P. Coull, Brent A. Singh, Neeru Quinn, Ashlinn Sabin, Lora Wylie, Blair J. |
AuthorAffiliation | a Division of Maternal-Fetal Medicine, Vincent Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA, 02114, USA j Regional Medical Research Centre for Tribals (Indian Council of Medical Research), Nagpur Road, Post Garha, Jabalpur 482003, Madhya Pradesh, India d Departments of Biostatistics, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA f Center for Global Health and Development, Boston University, 801 Massachusetts Avenue, Boston, MA, 02118, USA h Section of Infectious Diseases, Department of Medicine, Boston University School of Medicine, 72 East Concord Street, Boston, MA, 02118, USA b Department of Environmental Health, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA g Department of Global Health, Boston University of School of Public Health, 715 Albany Street, Boston, MA, 02118 USA i Zambia Centre for Applied Health Research and Development, Plot 121, Ku |
AuthorAffiliation_xml | – name: g Department of Global Health, Boston University of School of Public Health, 715 Albany Street, Boston, MA, 02118 USA – name: f Center for Global Health and Development, Boston University, 801 Massachusetts Avenue, Boston, MA, 02118, USA – name: a Division of Maternal-Fetal Medicine, Vincent Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Boston, MA, 02114, USA – name: h Section of Infectious Diseases, Department of Medicine, Boston University School of Medicine, 72 East Concord Street, Boston, MA, 02118, USA – name: b Department of Environmental Health, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA – name: e Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, 722 West 168 th Street, New York, NY, 10032, USA – name: c National Institute of Malaria Research Field Station, RMRCT (Indian Council of Medical Research) Campus, Nagpur Road, Post Garha, Jabalpur 482003, Madhya Pradesh, India – name: i Zambia Centre for Applied Health Research and Development, Plot 121, Kudu Road, Kabulonga, Lusaka, Zambia – name: j Regional Medical Research Centre for Tribals (Indian Council of Medical Research), Nagpur Road, Post Garha, Jabalpur 482003, Madhya Pradesh, India – name: d Departments of Biostatistics, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA |
Author_xml | – sequence: 1 givenname: Blair J. surname: Wylie fullname: Wylie, Blair J. email: bwylie@mgh.harvard.edu organization: Department of Environmental Health, Harvard School of Public Health – sequence: 2 givenname: Mrigendra P. surname: Singh fullname: Singh, Mrigendra P. organization: National Institute of Malaria Research Field Station, RMRCT (Indian Council of Medical Research) Campus – sequence: 3 givenname: Brent A. surname: Coull fullname: Coull, Brent A. organization: Departments of Biostatistics, Harvard School of Public Health – sequence: 4 givenname: Ashlinn surname: Quinn fullname: Quinn, Ashlinn organization: Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University – sequence: 5 givenname: Kojo surname: Yeboah-Antwi fullname: Yeboah-Antwi, Kojo organization: Department of Global Health, Boston University of School of Public Health – sequence: 6 givenname: Lora surname: Sabin fullname: Sabin, Lora organization: Department of Global Health, Boston University of School of Public Health – sequence: 7 givenname: Davidson H. surname: Hamer fullname: Hamer, Davidson H. organization: Zambia Centre for Applied Health Research and Development – sequence: 8 givenname: Neeru surname: Singh fullname: Singh, Neeru organization: Regional Medical Research Centre for Tribals (Indian Council of Medical Research) – sequence: 9 givenname: William B. surname: MacLeod fullname: MacLeod, William B. organization: Department of Global Health, Boston University of School of Public Health |
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Keywords | gestational hypertension household air pollution Biomass cook smoke hypertension pregnancy |
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Snippet | Objective: Smoke from burning of biomass fuels has been linked with adverse pregnancy outcomes and hypertension among nonpregnant subjects; association with... Smoke from burning of biomass fuels has been linked with adverse pregnancy outcomes and hypertension among nonpregnant subjects; association with hypertension... |
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SubjectTerms | Adult Biomass Biomass cook smoke Blood Pressure - physiology Cooking Cross-Sectional Studies Female gestational hypertension household air pollution Humans hypertension Hypertension, Pregnancy-Induced - epidemiology Hypertension, Pregnancy-Induced - etiology India Pregnancy Pregnancy Outcome Prevalence Risk Smoke - adverse effects Wood Young Adult |
Title | Association between wood cooking fuel and maternal hypertension at delivery in central East India |
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