Gunier Robert B, Bradman Asa, Harley Kim G, Kogut Katherine, Eskenazi Brenda
School of Public Health, University of California, Berkeley, Berkeley, California, USA.
Environ Health Perspect. 2017 May 25;125(5):057002. doi: 10.1289/EHP504.
Residential proximity to agricultural pesticide use has been associated with neural tube defects and autism, but more subtle outcomes such as cognition have not been studied.
We evaluated the relationship between prenatal residential proximity to agricultural use of potentially neurotoxic pesticides and neurodevelopment in 7-year-old children.
Participants included mothers and children (=283) living in the agricultural Salinas Valley of California enrolled in the Center for the Health Assessment of Mothers and Children of Salinas (CHAMACOS) study. We estimated agricultural pesticide use within 1 km of maternal residences during pregnancy using a geographic information system, residential location, and California’s comprehensive agricultural Pesticide Use Report data. We used regression models to evaluate prenatal residential proximity to agricultural use of five potentially neurotoxic pesticide groups (organophosphates, carbamates, pyrethroids, neonicotinoids, and manganese fungicides) and five individual organophosphates (acephate, chlorpyrifos, diazinon, malathion, and oxydemeton-methyl) and cognition in 7-year-old children. All models included prenatal urinary dialkyl phosphate metabolite concentrations.
We observed a decrease of 2.2 points [95% confidence interval (CI): −3.9, −0.5] in Full-Scale IQ and 2.9 points (95% CI: −4.4, −1.3) in Verbal Comprehension for each standard deviation increase in toxicity-weighted use of organophosphate pesticides. In separate models, we observed similar decrements in Full-Scale IQ with each standard deviation increase of use for two organophosphates (acephate and oxydemeton-methyl) and three neurotoxic pesticide groups (pyrethroids, neonicotinoids, and manganese fungicides).
This study identified potential relationships between maternal residential proximity to agricultural use of neurotoxic pesticides and poorer neurodevelopment in children. https://doi.org/10.1289/EHP504.
居住在靠近农业农药使用区域与神经管缺陷和自闭症有关,但诸如认知等更细微的结果尚未得到研究。
我们评估了产前居住在靠近农业使用潜在神经毒性农药区域与7岁儿童神经发育之间的关系。
参与者包括居住在加利福尼亚州农业萨利纳斯山谷的母亲和儿童(=283),他们参与了萨利纳斯母婴健康评估中心(CHAMACOS)研究。我们使用地理信息系统、居住地点以及加利福尼亚州全面的农业农药使用报告数据,估算孕期母亲住所1公里范围内的农业农药使用情况。我们使用回归模型评估产前居住在靠近农业使用的五类潜在神经毒性农药(有机磷类、氨基甲酸酯类、拟除虫菊酯类、新烟碱类和锰杀菌剂)以及五种单独的有机磷农药(乙酰甲胺磷、毒死蜱、二嗪农、马拉硫磷和氧化乐果)区域与7岁儿童认知之间的关系。所有模型均纳入了产前尿中二烷基磷酸酯代谢物浓度。
对于有机磷农药毒性加权使用量每增加一个标准差,我们观察到全量表智商下降2.2分[95%置信区间(CI):−3.9,−0.5],言语理解下降2.9分(95%CI:−4.4,−1.3)。在单独的模型中,对于两种有机磷农药(乙酰甲胺磷和氧化乐果)以及三类神经毒性农药(拟除虫菊酯类、新烟碱类和锰杀菌剂)使用量每增加一个标准差,我们观察到全量表智商有类似程度的下降。
本研究确定了母亲居住在靠近农业使用神经毒性农药区域与儿童较差的神经发育之间的潜在关系。https://doi.org/10.1289/EHP504