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Table 3 Estimated change in Z-score fetal biometric measurements (95% confidence interval) based on an increase of 1 μg/L of maternal urinary arsenic concentration according to fetal sex and maternal arsenic metabolism

From: Preliminary analysis of in utero low-level arsenic exposure and fetal growth using biometric measurements extracted from fetal ultrasound reports

  

Head measures

Body measures

 

Estimated fetal weighta

Head circumferencea

Biparietal diametera,b

Abdominal circumferencea,b

Femur lengthb,c

All

-0.003 (-0.061, 0.055)

-0.019 (-0.050, 0.013)

-0.005 (-0.042, 0.033)

0.006 (-0.027, 0.037)

0.001 (-0.031, 0.033)

By fetal sex

     

 male

0.013 (-0.052, 0.078)

-0.016 (-0.052, 0.021)

0.021 (-0.022, 0.065)

0.011 (-0.025, 0.048)

0.014 (-0.023, 0.051)

 female

-0.041 (-0.171, 0.089)

-0.047 (-0.115, 0.021)

-0.072 (-0.151, 0.007)

-0.014 (-0.085, 0.057)

-0.016 (-0.085, 0.053)

By arsenic metabolism (ratio of urinary arsenic metabolites)

First methylation step (MMA/iAs)

    

 below median

-0.025 (-0.107, 0.056)

-0.023 (-0.077, 0.017)

-0.007 (-0.066, 0.052)

-0.009 (-0.056, 0.038)

-0.003 (-0.047, 0.041)

 above median

0.023 (-0.066, 0.111)

-0.005 (-0.050, 0.040)

0.003 (-0.049, 0.056)

0.021 (-0.027, 0.069)

0.008 (-0.040, 0.057)

Second methylation step (DMA/MMA)

    

 below median

-0.023 (-0.166, 0.121)

-0.057 (-0.137, 0.023)

-0.010 (-0.193, -0.006)*

-0.019 (-0.098, 0.061)

0.018 (-0.061, 0.098)

 above median

0.012 (-0.058, 0.082)

-0.007 (-0.044, 0.029)

0.027 (-0.014, 0.069)

0.021 (-0.017, 0.060)

0.001 (-0.036, 0.038)

  1. Abbreviations: CI, confidence interval; iAs, inorganic arsenic; MMA, monomethylarsonic acid; DMA, dimethylarsinic acid.
  2. *p-value < 0.05.
  3. All models adjusted for maternal pre-pregnancy BMI (kg/m2), parity (number), and maternal urinary creatinine (mg/L).
  4. afurther adjusted for fetal sex.
  5. bfurther adjusted for maternal age (years).
  6. cfurther adjusted for maternal smoking.