Fine particulate matter components and reproductive hormones in female adults: A 15-year longitudinal cohort study

Siyi Chen, Cui Guo*, Chunquan Ou, Yiling Zheng, Yufei Liu, Jun Ma, Xingcheng Lu, Bo Huang, Ta Chien Chan

*Corresponding author for this work

Research output: Contribution to journalJournal Articlepeer-review

1 Citation (Scopus)

Abstract

Background: Few cohort studies have evaluated the long-term impacts of ambient fine particulate matter (PM2.5) and its components on reproductive hormone levels in female adults. Methods: We conducted a 15-year retrospective cohort study in Taiwan between 2003 and 2017. The two-year average concentrations of PM2.5 and its components, including sulfate (SO42−), nitrate (NO3), ammonium (NH4+), organic matter (OM), and black carbon (BC), were assessed at each participant's addresses. Linear mixed models were used to examine the associations of PM2.5 and its components with reproductive hormones, including follicle-stimulating hormone (FSH), luteinizing hormone (LH), testosterone (T), estradiol (E2), and prolactin (PRL). Stratified analyses were conducted to identify vulnerable populations. Results: 17,152 female adults were included. Each interquartile range (IQR: 3.545 μg/m3) increase in PM2.5 was associated with a 0.585 mIU/mL [95% confidence interval (CI): 0.190–0.980] increase in FSH levels. Among the five components of PM2.5, BC had the strongest positive association [each IQR (0.272 μg/m3) increase was associated with a 0.863 mIU/mL (95% CI: 0.476–1.250) increase in FSH levels], followed by OM, SO42−, and NH4+. Similar associations were found for LH, with a 0.483 mIU/mL (95% CI: 0.225–0.742) and 0.684 mIU/mL (95% CI: 0.431–0.938) increase in LH levels per IQR increase in PM2.5 and BC, respectively. The pollutants were marginally associated with decreased E2 levels and increased PRL levels. Non-linear associations between PM2.5 and its components and the levels of FSH, LH, E2, and PRL were observed. These pollutants were also positively associated with T levels among young adults. Post-menopausal women were more susceptible to the chronic impacts of PM2.5 and its components. Conclusion: Our study highlighted the adverse impacts of long-term exposure to PM2.5 components on hormonal homeostasis, revealing the biological mechanism of air pollution-reproductive health associations in females. Implementing stringent control of air pollution levels can benefit reproductive health in female adults, even in moderately polluted regions.

Original languageEnglish
Article number114562
JournalInternational Journal of Hygiene and Environmental Health
Volume266
DOIs
Publication statusPublished - May 2025
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2025

Keywords

  • Chemical components
  • Fine particulate matter
  • Longitudinal cohort
  • Reproductive hormones

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