塞舌尔儿童产前接触甲基汞与认知功能之间的关联:对主要队列研究中麦卡锡儿童能力量表的重新分析
Association between prenatal exposure to methylmercury and cognitive functioning in Seychellois children: a reanalysis of the McCarthy Scales of Children's Ability from the main cohort study.
作者信息
Palumbo D R, Cox C, Davidson P W, Myers G J, Choi A, Shamlaye C, Sloane-Reeves J, Cernichiari E, Clarkson T W
机构信息
Department of Neurology, University of Rochester School of Medicine and Dentistry, New York 14642, USA.
出版信息
Environ Res. 2000 Oct;84(2):81-8. doi: 10.1006/enrs.2000.4095.
Methylmercury (MeHg) is a neurotoxicant whose high-dose effects first became known following a number of poisoning outbreaks that occurred worldwide. The primary human exposure is low dosage from fish consumption. Studies of fish-eating populations have not found a consistent pattern of association between exposures and outcomes. Therefore, examining specific areas of cognitive functioning has been suggested as an important approach to determine whether more subtle effects of MeHg exposure are present. In the Seychelles longitudinal study of prenatal and postnatal MeHg exposure from fish consumption and development, the McCarthy Scales of Children's Abilities (MSCA) were administered to children at age 66 months. No association between MeHg exposure and performance on the MSCA General Cognitive Index was identified. We analyzed these data further to determine whether associations were present on specific subscales of the MSCA. The standard MSCA subscales were analyzed. Then, more specific subscales of the MSCA were defined and analyzed utilizing a neuropsychological approach. The subscales were recombined to approximate the domains of cognitive functioning evaluated in the Faroes and New Zealand studies. Analyses of both the standard and the recombined MSCA subscales showed no adverse associations with MeHg exposure and neuropsychological endpoints. A positive association between postnatal MeHg exposure and performance on the MSCA Memory subscale was found. These findings are consistent with previous reports from the Seychelles study in that no adverse effects of MeHg exposure from fish consumption can be detected in this cohort.
甲基汞(MeHg)是一种神经毒物,其高剂量效应在全球范围内发生的多起中毒事件后首次为人所知。人类主要通过食用鱼类接触低剂量甲基汞。对食鱼人群的研究尚未发现接触与结果之间存在一致的关联模式。因此,有人建议检查认知功能的特定领域是确定甲基汞接触是否存在更细微影响的重要方法。在塞舌尔关于通过食用鱼类接触甲基汞与发育的产前和产后纵向研究中,在儿童66个月大时对其进行了麦卡锡儿童能力量表(MSCA)测试。未发现甲基汞接触与MSCA一般认知指数表现之间存在关联。我们进一步分析了这些数据,以确定MSCA的特定子量表上是否存在关联。对标准的MSCA子量表进行了分析。然后,利用神经心理学方法定义并分析了MSCA更具体的子量表。重新组合这些子量表以近似法罗群岛和新西兰研究中评估的认知功能领域。对标准和重新组合的MSCA子量表的分析均未显示与甲基汞接触和神经心理学终点存在不良关联。发现产后甲基汞接触与MSCA记忆子量表的表现之间存在正相关。这些发现与塞舌尔研究先前的报告一致,即在该队列中未检测到食用鱼类接触甲基汞的不良影响。