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产前暴露于环境污染物与 7-8 岁时的行为问题。

Prenatal exposure to environmental contaminants and behavioural problems at age 7-8years.

机构信息

Department of Public Health, Ghent University, Ghent, Belgium; Research Foundation - Flanders, Brussels, Belgium.

出版信息

Environ Int. 2013 Sep;59:225-31. doi: 10.1016/j.envint.2013.06.014. Epub 2013 Jul 9.

DOI:10.1016/j.envint.2013.06.014
PMID:23845936
Abstract

Animal studies showed that the developing brain is particularly sensitive to chemical exposure. Human studies carried out in areas with high exposures have proven neurodevelopmental disorders in relation to e.g. lead and PCBs. Whether these chemicals are associated with behavioural problems in childhood at current environmental levels is not well known. Therefore, we assessed the association between prenatal exposure to lead, cadmium, PCBs, dioxin-like compounds, HCB and p,p'-DDE and behavioural problems in 7-8year old children. Prenatal exposure data were obtained from the Flemish mother-new-born cohort. Lead, cadmium, PCBs, dioxin-like compounds, HCB and p,p'-DDE were analysed in cord blood. When the child reached 7-8years, 270 mothers completed the Strengths and Difficulties Questionnaire assessing their children's behavioural health. We found that doubling the prenatal lead exposure (cord blood lead levels) was associated with a 3.43 times higher risk for hyperactivity in both boys and girls. In addition, total difficulties were 5.08 times more likely in the highest tertile for prenatal lead exposure compared to the lowest tertile. In girls, total difficulties were 4.92 more likely when doubling cord blood p,p'-DDE, whereas no significant association was found in boys. Further, we noted in boys a 1.53 times higher risk for emotional problems when doubling cord blood cadmium, whereas no significant association was found in girls. These results indicate that the presence of environmental contaminants influences the mental health of the next generation.

摘要

动物研究表明,发育中的大脑对化学物质暴露特别敏感。在暴露水平较高的地区进行的人类研究已经证明,与铅和多氯联苯等物质有关的神经发育障碍。目前尚不清楚这些化学物质是否与当前环境水平下儿童的行为问题有关。因此,我们评估了 7-8 岁儿童产前暴露于铅、镉、多氯联苯、类二恶英化合物、六氯环已烷和 p,p'-滴滴涕与行为问题之间的关联。产前暴露数据来自佛兰芒母婴队列。在脐带血中分析了铅、镉、多氯联苯、类二恶英化合物、六氯环已烷和 p,p'-滴滴涕。当孩子长到 7-8 岁时,270 名母亲完成了《长处与困难问卷》,评估了他们孩子的行为健康。我们发现,产前铅暴露(脐带血铅水平)增加一倍,男孩和女孩的多动风险分别增加了 3.43 倍。此外,与最低三分位相比,产前铅暴露最高三分位的总困难发生的可能性高 5.08 倍。在女孩中,当脐带血中 p,p'-滴滴涕增加一倍时,总困难的可能性增加了 4.92 倍,而在男孩中则没有发现显著的相关性。此外,我们注意到在男孩中,当脐带血中镉增加一倍时,情绪问题的风险增加了 1.53 倍,而在女孩中则没有发现显著的相关性。这些结果表明,环境污染物的存在会影响下一代的心理健康。

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