Publications by authors named "Ruby Nguyen"

Background: PAH exposure is associated with adverse health outcomes, but exposure sources in pregnancy are not well-understood.

Objectives: We examined associations between urinary OH-PAHs during pregnancy and environmental tobacco smoke (ETS) and short-term ambient air pollution exposure. Participants included 1603 pregnant non-smokers in three cohorts from 7 sites across the USA.

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Objective: Prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) is associated with adverse birth and developmental outcomes in children. We aimed to describe prenatal PAH exposures in a large, multisite U.S.

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Article Synopsis
  • Executive functions, crucial for problem-solving and planning, develop rapidly in childhood, but prenatal exposure to environmental toxicants like polycyclic aromatic hydrocarbons (PAHs) may hinder this development.
  • The study analyzed 814 children from non-smoking mothers, measuring urine levels of PAH metabolites during pregnancy and evaluating their executive functions at age 8-9, focusing on cognitive flexibility, working memory, and inhibitory control.
  • Results showed mostly null associations between PAH exposure and executive functions, although some interactions between specific PAH metabolites and working memory were observed, highlighting the need for further research in this area.
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Background: Executive function, which develops rapidly in childhood, enables problem-solving, focused attention, and planning. Animal models describe executive function decrements associated with ambient air pollution exposure, but epidemiologic studies are limited.

Methods: We examined associations between early childhood air pollution exposure and school-aged executive function in 1235 children from three US pregnancy cohorts in the ECHO-PATHWAYS Consortium.

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Objective: Although some studies have observed an association between birthweight and cardiovascular disease in adulthood, fewer have investigated whether birthweight is linked to cardiovascular health in early childhood. This study assesses the association between birthweight and cardiovascular outcomes in children 6 years of age.

Study Design: Birthweight, blood pressure (BP), and markers of arterial stiffness in children, including brachial artery distensibility and carotid-femoral pulse wave velocity (cfPWV), were obtained from 324 participants in The Infant Development and the Environment Study, a prospective multisite pregnancy cohort.

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We examined associations between prenatal fine particulate matter (PM), nitrogen dioxide (NO), and ozone (O) exposures and child respiratory outcomes through age 8-9 years in 1279 ECHO-PATHWAYS Consortium mother-child dyads. We averaged spatiotemporally modeled air pollutant exposures during four fetal lung development phases: pseudoglandular (5-16 weeks), canalicular (16-24 weeks), saccular (24-36 weeks), and alveolar (36+ weeks). We estimated adjusted relative risks (RR) for current asthma at age 8-9 and asthma with recent exacerbation or atopic disease, and odds ratios (OR) for wheezing trajectories using modified Poisson and multinomial logistic regression, respectively.

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Article Synopsis
  • This study examined the effects of prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) on asthma and wheezing in children aged 8-9, using data from a diverse sample of 1,081 parent-child pairs across five U.S. cities.! -
  • Researchers measured levels of PAH metabolites in mothers during mid-pregnancy and assessed asthma and wheezing symptoms in children, adjusting for various factors like smoke exposure and demographics.! -
  • The findings revealed limited evidence linking prenatal PAH exposure to asthma or wheezing trajectories, with some associations noted for specific compounds in boys and girls, but no strong overall connections were established.
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  • * The study analyzed data from over 22,000 pregnant participants and found that those living in food insecure areas tended to have lower birth weights and higher chances of having small-for-gestational-age babies.
  • * Individual food insecurity did not show a significant association with birth outcomes, suggesting that neighborhood food access may be a more critical factor during pregnancy.
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Placental corticotropin-releasing hormone (pCRH) is a neuroactive peptide produced in high concentrations in mid-late pregnancy, during key periods of fetal brain development. Some evidence suggests that higher pCRH exposure during gestation is associated with adverse neurodevelopment, particularly in female offspring. In 858 mother-child dyads from the sociodemographically diverse CANDLE cohort (Memphis, TN), we examined: (1) the slope of pCRH rise in mid-late pregnancy and (2) estimated pCRH at delivery as a measure of cumulative prenatal exposure.

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Article Synopsis
  • A study aimed to identify clusters of chronic obesity-related, neurodevelopmental, and respiratory issues in children, examining how these clusters relate to chemical exposure.
  • Researchers analyzed data from 1092 children collected between 2011 and 2022 across three pregnancy cohorts and identified three distinct health outcome clusters based on k-means clustering.
  • A significant association was found between exposure to certain phthalates and membership in a cluster with high rates of asthma and other respiratory problems, suggesting shared underlying causes for these health outcomes.
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  • Prenatal exposure to chemicals like phthalates and psychosocial stressors may affect the developing brain, but their combined effects are not well studied.
  • Researchers analyzed data from three pregnancy cohorts, measuring phthalates in urine and mothers' reported stressful life events during pregnancy, to see how these factors impacted children's problem behaviors at ages 4-6.
  • The study found some weak links between phthalate exposure and behavior issues, with unexpected results showing that higher stress levels during pregnancy might lessen the impact of certain phthalates on child behaviors, especially in boys, indicating a need for further investigation.
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  • Prenatal maternal psychosocial stress is linked to increased risk of childhood wheeze and asthma, but the study explores factors that might reduce these risks.
  • The research involved over 2000 mother-child pairs from different studies and looked at stressful life events during pregnancy and their association with asthma outcomes in children aged 4 to 6.
  • Results showed a significant increase in current wheeze risk with higher prenatal stress, particularly in boys regarding strict asthma, while factors like maternal asthma history and breastfeeding also played a role in modifying these risks.*
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Background: Phthalate exposures are ubiquitous during pregnancy and may contribute to racial and ethnic disparities in preterm birth.

Objectives: We investigated race and ethnicity in the relationship between biomarkers of phthalate exposure and preterm birth by examining: ) how hypothetical reductions in racial and ethnic disparities in phthalate metabolites might reduce the probability of preterm birth; and ) exposure-response models stratified by race and ethnicity.

Methods: We pooled individual-level data on 6,045 pregnancies from 16 U.

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Background: Ambient air pollution may be a developmental endocrine disruptor. In animal models, gestational and perinatal exposure to diesel exhaust and concentrated particulate matter alters anogenital distance (AGD), a marker of prenatal androgen activity, in both sexes. Little is known in humans.

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Background And Aim: Studies suggest prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) may influence wheezing or asthma in preschool-aged children. However, the impact of prenatal PAH exposure on asthma and wheeze in middle childhood remain unclear. We investigated these associations in diverse participants from the ECHO PATHWAYS multi-cohort consortium.

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During pregnancy, estrogens and testosterone influence brain development, resulting in sex-typical behavioral phenotypes. Prenatal testosterone exposure is associated with more male-typical behaviors in rodents, monkeys, and humans; however, few studies have examined the relationship between maternal sex hormones within the normal range and sex-dimorphic behaviors. In this study, we examined associations between prenatal estrogens and testosterone and sex-typical play in The Infant Development and the Environment Study (TIDES), a multicenter pregnancy cohort.

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Article Synopsis
  • - The study aimed to evaluate whether the shortened 16-item version of the Social Responsiveness Scale (SRS) is effective for estimating autism spectrum disorder (ASD) risk factors, compared to the full 65-item version.
  • - Researchers analyzed data from 2,760 participants in the ECHO Program to compare the association between gestational age (a known ASD risk factor) and SRS scores using various statistical methods.
  • - Results showed that both the full and short SRS scores produced highly similar associations with preterm birth, indicating that the shortened version is valid for use in large-scale studies, potentially reducing participant burden.
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  • This study examined the link between prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) and child cognitive outcomes, specifically IQ, using data from two large pregnancy cohorts involving over 1,200 mother-child pairs.
  • Although individual PAH metabolites didn't show a significant connection to IQ overall, one specific metabolite (2-hydroxynaphthalene) indicated sex differences, negatively affecting IQ in males while showing a positive association in females.
  • The findings suggest minimal adverse effects of early pregnancy PAH exposure on child IQ, with pooled analyses showing no significant impact.
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Background: Infants experiencing bronchiolitis are at increased risk for asthma, but few studies have identified modifiable risk factors. We assessed whether early life air pollution influenced child asthma and wheeze at age 4-6 years among children with a history of bronchiolitis in the first postnatal year.

Methods: Children with caregiver-reported physician-diagnosed bronchiolitis were drawn from ECHO-PATHWAYS, a pooled longitudinal cohort from six US cities.

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Problem/condition: Autism spectrum disorder (ASD).

Period Covered: 2020.

Description Of System: The Autism and Developmental Disabilities Monitoring Network is an active surveillance program that estimates prevalence and characteristics of ASD and monitors timing of ASD identification among children aged 4 and 8 years.

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Problem/condition: Autism spectrum disorder (ASD).

Period Covered: 2020.

Description Of System: The Autism and Developmental Disabilities Monitoring (ADDM) Network is an active surveillance program that provides estimates of the prevalence of ASD among children aged 8 years.

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