Development and Environmental Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Miyagi, Sendai 980-8575, Japan.
Development and Environmental Medicine, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Miyagi, Sendai 980-8575, Japan.
Environ Res. 2014 Aug;133:321-6. doi: 10.1016/j.envres.2014.05.024. Epub 2014 Jul 7.
The age-specific impacts of perinatal exposures to polychlorinated biphenyls (PCB), methylmercury (MeHg), and lead on child neurodevelopment remain controversial. Since we have already reported the prenatal effects of these chemicals on neurodevelopment in 3-day-old and 30-month-old children of a birth cohort, the following effects were analyzed in the 42-month-old children in the same cohort.
The Kaufman Assessment Battery for Children (K-ABC), comprised of four scales, was used to assess their intelligence and achievement. The relationships between the chemicals and K-ABC scores were analyzed using multivariate analyses.
The median values of chemicals in cord blood of 387 children were 46.5 (5th and 95th percentiles, 16.7-115.7)ng/g-lipid for total PCB, 10.1 (4.3-22.2)ng/g for total mercury (THg), and 1.0 (0.5-1.8) μg/dL for lead. Of the highly chlorinated PCB homologs, 9 CBs was negatively correlated with the sequential and mental processing score of the K-ABC (p<0.05). There were no significant correlations between any K-ABC score and either THg or lead. The negative effect of 9 CBs remained even after adjusting for THg, lead, and other confounders. The K-ABC scores were significantly lower in the boys than in the girls, and the standardized β of 9 CBs for the sequential and mental processing scores in multiple regression analysis was statistically significant in boys.
These findings suggest that intellectual ability in the developmental stage may be impaired by prenatal exposures to highly chlorinated PCB homologs, especially in Japanese boys.
围产期多氯联苯(PCB)、甲基汞(MeHg)和铅暴露对儿童神经发育的影响因年龄而异,这一问题仍存在争议。由于我们已经报告了这些化学物质对出生队列中 3 日龄和 30 月龄儿童神经发育的产前影响,因此本研究分析了同一队列中 42 月龄儿童的后续影响。
采用凯威儿童评估成套测验(K-ABC),包括四个分量表,评估儿童的智力和成就。采用多元分析方法分析了这些化学物质与 K-ABC 评分之间的关系。
387 名儿童脐带血中化学物质的中位数值为:总 PCB 为 46.5(第 5 百分位数和第 95 百分位数,16.7-115.7)ng/g 脂质;总汞(THg)为 10.1(4.3-22.2)ng/g;血铅为 1.0(0.5-1.8)μg/dL。高氯代 PCB 同系物中,9 CB 与 K-ABC 的顺序和心理处理评分呈负相关(p<0.05)。任何 K-ABC 评分均与 THg 或血铅无显著相关性。即使调整了 THg、血铅和其他混杂因素,9 CB 的负效应仍然存在。K-ABC 评分在男孩中明显低于女孩,多元回归分析中 9 CB 对顺序和心理处理评分的标准化β在男孩中具有统计学意义。
这些发现表明,产前暴露于高氯代 PCB 同系物可能会损害发育阶段的智力能力,尤其是在日本男孩中。