Fujiwara Takeo, Morisaki Naho, Honda Yukiko, Sampei Makiko, Tani Yukako
Department of Social Medicine, National Research Institute for Child Health and Development, Okura, Setagaya-ku, Tokyo, Japan; Department of Global Health Promotion, Tokyo Medical and Dental UniversityTokyo, Japan.
Department of Social Medicine, National Research Institute for Child Health and Development , Okura, Setagaya-ku, Tokyo, Japan.
Front Neurosci. 2016 Apr 20;10:174. doi: 10.3389/fnins.2016.00174. eCollection 2016.
The rapid increase of the prevalence of autism spectrum disorder (ASD) suggests that exposure to chemicals may impact the development of ASD. Therefore, we reviewed literature on the following chemicals, nutrient to investigate their association with ASD: (1) smoke/tobacco, (2) alcohol, (3) air pollution, (4) pesticides, (5) endocrine-disrupting chemicals, (6) heavy metals, (7) micronutrients, (8) fatty acid, and (9) parental obesity as a proxy of accumulation of specific chemicals or nutritional status. Several chemical exposures such as air pollution (e.g., particular matter 2.5), pesticides, bisphenol A, phthalates, mercury, and nutrition deficiency such as folic acid, vitamin D, or fatty acid may possibly be associated with an increased risk of ASD, whereas other traditional risk factors such as smoking/tobacco, alcohol, or polychlorinated biphenyls are less likely to be associated with ASD. Further research is needed to accumulate evidence on the association between chemical exposure and nutrient deficiencies and ASD in various doses and populations.
自闭症谱系障碍(ASD)患病率的迅速上升表明,接触化学物质可能会影响ASD的发展。因此,我们回顾了以下化学物质、营养素的相关文献,以研究它们与ASD的关联:(1)烟雾/烟草,(2)酒精,(3)空气污染,(4)农药,(5)内分泌干扰化学物质,(6)重金属,(7)微量营养素,(8)脂肪酸,以及(9)父母肥胖,作为特定化学物质积累或营养状况的代表。几种化学物质暴露,如空气污染(如细颗粒物2.5)、农药、双酚A、邻苯二甲酸盐、汞,以及营养缺乏,如叶酸、维生素D或脂肪酸,可能与ASD风险增加有关,而其他传统风险因素,如吸烟/烟草、酒精或多氯联苯,与ASD的关联可能性较小。需要进一步研究以积累关于不同剂量和人群中化学物质暴露、营养缺乏与ASD之间关联的证据。