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婴儿产前暴露于当前降低的多氯联苯水平下未出现神经发育逆境:两项德国出生队列研究的比较

Lack of neurodevelopmental adversity by prenatal exposure of infants to current lowered PCB levels: comparison of two German birth cohort studies.

作者信息

Wilhelm Michael, Ranft Ulrich, Krämer Ursula, Wittsiepe Jürgen, Lemm Friederike, Fürst Peter, Eberwein Georg, Winneke Gerhard

机构信息

Department of Hygiene, Social and Environmental Medicine, Ruhr-University Bochum, Bochum, Germany.

出版信息

J Toxicol Environ Health A. 2008;71(11-12):700-2. doi: 10.1080/15287390801984904.

Abstract

Polychlorinated biphenyls (PCBs), persistent environmental contaminants, may affect neurodevelopment of infants following prenatal exposure. A negative impact of prenatal PCB exposure on neurodevelopment was found in the Dusseldorf (Germany) cohort study (1993-2000). PCB levels of the sum of the three indicator congeners in breast milk were negatively associated with mental/motor development as assessed by the Bayley Scales of Infant Development (BSID) in infants. Since general exposure to PCB has decreased, a new birth cohort study was initiated in 2000 in the industrial city of Duisburg, which is located 30 km downstream from Dusseldorf on the River Rhine. A subgroup of the Duisburg birth cohort study was used to compare PCB exposure and developmental effects with results from the Dusseldorf cohort. The recruitment phase of the Duisburg cohort study occurred from 2000 to 2002. Mental and motor development was assessed by means of the BSID at the ages of 12 and 24 mo. Prenatal PCB exposure of newborns from Duisburg cohort was about two- to threefold lower than the Dusseldorf cohort. Although in the Dusseldorf birth cohort mental and motor development at ages 18 and 30 mo were negatively associated with PCB exposure, there was no association observed in the Duisburg study. Evidence indicates that exposure to PCB at current exposure levels no longer apparently impair neurodevelopment of infants.

摘要

多氯联苯(PCBs)是持久性环境污染物,产前接触可能会影响婴儿的神经发育。在德国杜塞尔多夫队列研究(1993 - 2000年)中发现了产前接触多氯联苯对神经发育的负面影响。母乳中三种指示性同系物总和的多氯联苯水平与婴儿贝利婴儿发育量表(BSID)评估的心理/运动发育呈负相关。由于多氯联苯的总体接触量已下降,2000年在工业城市杜伊斯堡启动了一项新的出生队列研究,该市位于莱茵河上杜塞尔多夫下游30公里处。杜伊斯堡出生队列研究的一个亚组用于将多氯联苯接触情况和发育影响与杜塞尔多夫队列的结果进行比较。杜伊斯堡队列研究的招募阶段为2000年至2002年。在12个月和24个月大时通过贝利婴儿发育量表评估心理和运动发育。杜伊斯堡队列新生儿的产前多氯联苯接触量比杜塞尔多夫队列低约两到三倍。尽管在杜塞尔多夫出生队列中,18个月和30个月大时的心理和运动发育与多氯联苯接触呈负相关,但在杜伊斯堡研究中未观察到相关性。有证据表明,在当前接触水平下接触多氯联苯显然不再损害婴儿的神经发育。

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