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产前和产后接触农药与哥伦比亚波哥大农村地区学龄儿童认知能力的关系。

Prenatal and postnatal exposure to pesticides and school-age children's cognitive ability in rural Bogotá, Colombia.

机构信息

Universidade Estadual de Feira de Santana (UEFS), Post-graduate program in Collective Health, Bolsista CAPES, Av.Transnordestina, s/n - Feira de Santana, Novo Horizonte 44036-900, Brazil.

National Institute of Public Health, Environmental Health Department, Avenida Universidad 655,62100, Sta. Ma. Ahuacatitlá, CP. 62100 Cuernavaca, Morelos, Mexico.

出版信息

Neurotoxicology. 2022 May;90:112-120. doi: 10.1016/j.neuro.2022.03.008. Epub 2022 Mar 16.

Abstract

Colombia is one of the largest pesticide consumers in South America. These products have a variety of negative consequences on the health of rural populations, especially neurocognitive disorders in children. In this work, the prenatal and postnatal exposure to pesticides was evaluated and the association between the cognitive capacity of school-age children in rural areas of the city of Bogotá, Colombia, investigated. Separate multiple linear regression models were used to evaluate associations of pesticide exposure measures and WISC-IV scales, adjusted for child sex, maternal educational attainment, growth retardation, and effect modification explored by sex, using a cross products term of 232 children between the ages of 7 and 10. It was found that among all children, pesticide exposure at school was associated with a worse working memory index (ß = -3.40; 95%CI; -6.6; -0.2) and a worst verbal comprehension index (ß = -3.2; 95%CI; -6.5; -0.2). Among girls, pesticide use at home was associated with a worse processing speed index (ß = -5.1; 95% CI; -10.1; -0.20) but not among boys (ß = 1.73; 95% CI; -2.6; 6.9). This revealed an association between the prenatal and postnatal exposure reported and some IQ sub-indices of children aged between 7 and 10 years residing in the rural areas of Usme and Sumapaz in the city of Bogotá, Colombia.

摘要

哥伦比亚是南美洲最大的农药消费国之一。这些产品对农村人口的健康造成了各种负面影响,尤其是儿童的神经认知障碍。在这项工作中,评估了儿童产前和产后接触农药的情况,并调查了哥伦比亚波哥大农村地区学龄儿童认知能力的相关性。使用 232 名 7 至 10 岁儿童的交叉乘积项,分别使用多个线性回归模型来评估农药暴露测量值与 WISC-IV 量表之间的关联,调整了儿童性别、母亲教育程度、生长迟缓,并通过性别探索了效应修饰。结果发现,在所有儿童中,学校的农药暴露与较差的工作记忆指数(β=-3.40;95%CI;-6.6;-0.2)和较差的言语理解指数(β=-3.2;95%CI;-6.5;-0.2)有关。在女孩中,家庭中使用农药与较差的处理速度指数(β=-5.1;95%CI;-10.1;-0.20)有关,但在男孩中没有(β=1.73;95%CI;-2.6;6.9)。这表明在哥伦比亚波哥大的乌斯梅和苏马帕兹农村地区,报告的产前和产后接触与 7 至 10 岁儿童的一些智商子指数之间存在关联。

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