Table 2.
Adjusted parameter estimates for the change in placental growth measures (weight, efficiency, chorionic plate area and eccentricity) with each unit increase in term placental biopsy metal concentration (ng/g), stratified by infant sex and placental zinc and selenium concentrations.
| Model Stratification | Element | Placenta weight (g) | Placenta efficiency | Chorionic disc area | Eccentricity | ||||
|---|---|---|---|---|---|---|---|---|---|
| β | p-Value | β | p-Value | β | p-Value | β | p-Value | ||
| NONE | As | −2.80 (−9.35, 3.75) | 0.4018 | −0.0004 (−0.001, 0.001) | 0.5183 | 1.83 (−1.39, 5.04) | 0.2645 | −0.0018 (−0.0081, 0.0045) | 0.5755 |
| (N=868) | Cd | −7.80 (−15.42, −2.48) | 0.0009 | −0.0012 (−0.0020, −0.0004) | 0.0026 | −1.94 (−4.21, 0.34) | 0.0946 | 0.0023 (−0.0022, 0.0067) | 0.3213 |
| Hg | −1.80 (−5.65, 2.20) | 0.1495 | −0.0002 (−0.0006, 0.0002) | 0.2554 | −0.25 (−1.45, 0.96) | 0.6846 | −0.0002 (−0.0026, 0.0022) | 0.8683 | |
| Pb | 2.49 (−1.74, 6.69) | 0.1083 | 0.0005 (0.0000, 0.0010) | 0.0498 | 0.28 (−1.21, 1.78) | 0.7123 | −0.0026 (−0.0055, 0.0004) | 0.0865 | |
| Infant sex: | As | −8.68 (−19.20, 1.84) | 0.1058 | −0.0012 (−0.003, 0.000) | 0.1633 | −0.31 (−5.35, 4.72) | 0.9023 | −0.0004 (−0.0101, 0.0094) | 0.9433 |
| Female (N=495) | Cd | −8.95 (−15.42, −2.48) | 0.0068 | −0.0013 (−0.0023, −0.0003) | 0.0140 | −2.25 (−5.37, 0.86) | 0.1560 | 0.0052 (−0.0007, 0.0112) | 0.0861 |
| Hg | −1.73 (−5.65, 2.20) | 0.3880 | −0.0003 (−0.0009, 0.0003) | 0.3103 | −0.43 (−2.31, 1.45) | 0.6527 | −0.0005 (−0.0041, 0.0031) | 0.7820 | |
| Pb | 2.48 (−1.74, 6.69) | 0.2486 | 0.0005 (−0.0002, 0.0011) | 0.1706 | −0.48 (−2.49, 1.53) | 0.6401 | −0.0024 (−0.0063, 0.0015) | 0.2330 | |
| Male (N=498) | As | 2.43 (−5.78, 10.63) | 0.5616 | 0.0003 (−0.001, 0.002) | 0.7016 | 3.73 (−0.42, 7.88) | 0.0780 | −0.0023 (−0.0106, 0.0060) | 0.5893 |
| Cd | −6.09 (−12.80, 0.06) | 0.0751 | −0.0009 (−0.0021, 0.0003) | 0.1490 | −2.20 (−5.61, 1.21) | 0.2045 | −0.0004 (0.0072, 0.0064) | 0.9046 | |
| Hg | −1.56 (−4.66, 1.43) | 0.3212 | −0.0001 (−0.0007, 0.0004) | 0.6500 | −0.12 (−1.69, 1.46) | 0.8851 | 0.0003 (−0.0028, 0.0034) | 0.8490 | |
| Pb | 2.33 (−2.16, 6.83) | 0.3075 | 0.0006 (−0.0002, 0.0014) | 0.1519 | 1.47 (−0.81, 3.74) | 0.2049 | −0.0034 (−0.0079, 0.0012) | 0.1474 | |
| Median Zn: | As | −0.97 (−10.18, 8.25) | 0.8366 | 0.0001 (−0.001, 0.002) | 0.8477 | 2.12 (−2.55, 6.75) | 0.3701 | 0.0001 (−0.0092, 0.0095) | 0.9777 |
| Below (N=501) | Cd | −8.81 (−16.85, −0.76) | 0.0320 | −0.0017 (−0.0031, −0.0004) | 0.0124 | −0.15 (−4.23, 3.93) | 0.9407 | 0.0057 (−0.0024, 0.0138) | 0.1702 |
| Hg | −0.60 (−4.22, 3.03) | 0.7460 | 0.0001 (−0.0005, 0.0007) | 0.8171 | −0.36 (−2.18, 1.46) | 0.6983 | −0.0003 (−0.0047, 0.0041) | 0.2546 | |
| Pb | 2.42 (−2.63, 7.47) | 0.3468 | 0.0006 (−0.0002, 0.0014) | 0.1581 | 0.55 (−2.00, 3.09) | 0.6731 | −0.0025 (−0.0066, 0.0015) | 0.6502 | |
| Above (N=502) | As | −3.60 (−13.06, 5.86) | 0.4545 | −0.0008 (−0.002, 0.001) | 0.3173 | 1.94 (−2.58, 6.47) | 0.3987 | −0.0022 (−0.0108, 0.0064) | 0.6202 |
| Cd | −5.14 (−11.99, 1.71) | 0.141 | −0.0008 (−0.0019, 0.0002) | 0.1336 | −3.10 (−6.05, −0.15) | 0.0398 | 0.0012 (−0.0044, 0.0069) | 0.6755 | |
| Hg | −3.06 (−6.43, 0.31) | 0.0754 | −0.0005 (−0.0011, 0.0001) | 0.1046 | −0.33 (−1.95, 1.29) | 0.6870 | −0.0003 (−0.0047, 0.0041) | 0.4005 | |
| Pb | 2.96 (−0.95, 6.86) | 0.1375 | 0.0006 (−0.0001, 0.0012) | 0.1064 | 0.10 (−1.78, 1.97) | 0.9171 | −0.0025 (−0.0066, 0.0015) | 0.1529 | |
| Median Se: | As | −1.38 (−9.90, 7.14) | 0.7507 | 0.0001 (−0.013, 0.001) | 0.9228 | 1.54 (−2.82, 5.91) | 0.4874 | −0.0001 (−0.0091, 0.0088) | 0.9763 |
| Below (N=505) | Cd | −13.20 (−20.70, −5.70) | 0.0006 | −0.0022 (−0.0034, −0.0009) | 0.0008 | −1.00 (−4.89, 2.88) | 0.6117 | 0.0008 (−0.0072, 0.0087) | 0.8514 |
| Hg | −2.67 (−5.59, 0.25) | 0.0726 | −0.0003 (−0.0008, 0.0002) | 0.2114 | −0.25 (−1.75, 1.25) | 0.7448 | −0.0011 (−0.0042, 0.0020) | 0.4854 | |
| Pb | 0.32 (−3.48, 4.12) | 0.8691 | 0.0001 (−0.0056, 0.0007) | 0.8680 | −0.33 (−2.27, 1.62) | 0.7424 | −0.0029 (−0.0069, 0.0011) | 0.1602 | |
| Above (N=506) | As | −6.04 (−16.41, 4.34) | 0.2533 | −0.0012 (−0.003, 0.001) | 0.2100 | 1.60 (−3.16, 6.37) | 0.5083 | −0.0039 (−0.0126, 0.0048) | 0.3766 |
| Cd | −5.12 (−11.26, 1.03) | 0.1023 | −0.0008 (−0.0019, 0.0003) | 0.1411 | −1.67 (−4.51, 1.17) | 0.1814 | 0.0025 (−0.0027, 0.0077) | 0.3515 | |
| Hg | −0.38 (−4.94, 4.17) | 0.6880 | −0.0002 (−0.0010, 0.0006) | 0.6194 | 0.12 (−1.97, 2.21) | 0.9104 | 0.0004 (−0.0034, 0.0042) | 0.8321 | |
| Pb | 6.50 (1.39, 11.60) | 0.0127 | 0.0013 (0.0004, 0.0022) | 0.0032 | 1.33 (−1.03, 3.68) | 0.2689 | −0.0017 (−0.0060, 0.0026) | 0.4357 | |
Models adjusted for maternal pre-pregnancy BMI (continuous), maternal education level (ordinal, with five categories listed in Table 1, assigned values of 1–5 respectively, gestational age (continuous), parity (continuous), maternal age at enrollment (continuous) and maternal exposure to cigarette smoke before or during pregnancy (ordinal, with three categories, where 0 is never exposed; 1 is exposed before pregnancy and 2 is continued to smoke during pregnancy) p<0.05 in bold type. Placental weight data was missing for 164 participants, and measures of maximum placental diameter were missing for 163 participants, measures of minimum and maximum placental diameter were missing for 166 participants and birthweight measures were missing for 21 participants