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Open AccessJournal ArticleDOI

Exposure to Drinking Water Trihalomethanes and Their Association with Low Birth Weight and Small for Gestational Age in Genetically Susceptible Women

TLDR
It is suggested that THM internal dose may affect foetal growth and that maternal GSTM1 genotype modifies the THM exposure effects on LBW.
Abstract
Little is known about genetic susceptibility to individual trihalomethanes (THM) in relation to adverse pregnancy outcomes. We conducted a nested case-control study of 682 pregnant women in Kaunas (Lithuania) and, using individual information on drinking water, ingestion, showering and bathing, and uptake factors of THMs in blood, estimated an internal THM dose. We used logistic regression to evaluate the relationship between internal THM dose, birth outcomes and individual and joint (modifying) effects of metabolic gene polymorphisms. THM exposure during entire pregnancy and specific trimesters slightly increased low birth weight (LBW) risk. When considering both THM exposure and maternal genotypes, the largest associations were found for third trimester among total THM (TTHM) and chloroform-exposed women with the GSTM1–0 genotype (OR: 4.37; 95% CI: 1.36–14.08 and OR: 5.06; 95% CI: 1.50–17.05, respectively). A test of interaction between internal THM dose and GSTM1–0 genotype suggested a modifying effect of exposure to chloroform and bromodichloromethane on LBW risk. However, the effect on small for gestational age (SGA) was not statistically significant. These data suggest that THM internal dose may affect foetal growth and that maternal GSTM1 genotype modifies the THM exposure effects on LBW.

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Journal ArticleDOI

The Impact of Dehydration in the Third Trimesters on Pregnancy Outcome-Infant Birth Weight and Length

TL;DR: In addition to nutrient intake and weight gain during pregnancy, pregnant mothers should also concern for their fluid intake in order to maintain their health condition and feotal growth - development.
Dissertation

Effets sanitaires de l'exposition aux sous-produits de chloration de l'eau

TL;DR: In this article, deux etudes evaluant les effets sur la sante humaine de l’exposition aux sous-produits de chloration (SPCs), dans le domaine du cancer and de la reproduction.
Journal ArticleDOI

Occurrence of trihalomethane in relation to treatment technologies and water quality under tropical conditions

TL;DR: In this article, the distribution of most prevalent disinfection byproducts, trihalomethanes (THMs) in relation to treatment technology and common water quality parameters (turbidity, conductivity, color, pH, and residual chlorine) was examined for two water supply schemes (WSS) in Sri Lanka.
Journal ArticleDOI

Association between exposure to drinking water disinfection byproducts and adverse pregnancy outcomes in South Africa

TL;DR: The findings suggest that exposure to THMs is associated with certain negative pregnancy outcomes, and the levels of THMs in water should be routinely monitored.
References
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Journal ArticleDOI

Occurrence, genotoxicity, and carcinogenicity of regulated and emerging disinfection by-products in drinking water: a review and roadmap for research.

TL;DR: The brominated DBPs were the most genotoxic of all but have not been tested for carcinogenicity and highlighted the emerging importance of dermal/inhalation exposure to the THMs, or possibly other DBPs, and the role of genotype for risk for drinking-water-associated bladder cancer.
Journal ArticleDOI

Glutathione S-Transferase Polymorphisms and Their Biological Consequences

TL;DR: Two supergene families encode proteins with glutathione S-transferase (GST) activity that detoxify a variety of electrophilic compounds, including oxidized lipid, DNA and catechol products generated by reactive oxygen species-induced damage to intracellular molecules.
Journal ArticleDOI

Maternal cigarette smoking, metabolic gene polymorphism, and infant birth weight.

TL;DR: In this study, maternal CYP1A1 and GSTT1 genotypes modified the association between maternal cigarette smoking and infant birth weight, suggesting an interaction between metabolic genes and cigarette smoking.
Journal ArticleDOI

Chlorination disinfection byproducts in water and their association with adverse reproductive outcomes: a review

TL;DR: To identify the specific components that may be of aetiological concern and hence to fit the most appropriate exposure model with which to investigate human exposure to chlorinated DBPs, further detailed toxicological assessments of the mixture of byproducts commonly found in drinking water are also needed.
Journal ArticleDOI

Public Drinking Water Contamination and Birth Outcomes

TL;DR: The effects of public drinking water contamination on birth outcomes were evaluated in an area of northern New Jersey and it cannot resolve whether the drinking water contaminants caused the adverse birth outcomes; therefore, these findings should be followed up utilizing available drinkingWater contamination databases.
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