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母婴血液铝水平与婴儿神经发育:是否需要担忧?

Maternal and Newborn Blood Aluminum Levels and Neurodevelopment of Infants: Is there a Need for Concern?

作者信息

Shekhawat Dolat Singh, Singh Pratibha, Janu Vikash Chandra, Sharma Praveen, Singh Kuldeep

机构信息

Department of Pediatrics, All India Institute of Medical Sciences Jodhpur, Jodhpur, 342005 India.

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences Jodhpur, Jodhpur, 342005 India.

出版信息

Indian J Clin Biochem. 2023 Jan;38(1):136-141. doi: 10.1007/s12291-021-01002-y. Epub 2021 Sep 29.

Abstract

UNLABELLED

Aluminum is a neurotoxic element that enters the human body due to its widespread usage in daily life. It has the potential to affect the neurological development of the fetus and infant adversely. This study aimed to evaluate the relationship between maternal and umbilical cord serum aluminum level and infant neurodevelopment. Over a period of March 2018 to September 2019, we conducted a prospective cohort study; 173 Mother-new-born pairs were enrolled. Aluminum levels were measured using Inductively Coupled Plasma Optical Emission Spectrometry (ICP-OES). The correlation with Bayley Scales of Infant Development (BSID) -3rd edition score and maternal and cord serum aluminum were assessed via linear regression model. The mean concentration of maternal and cord serum aluminum was 2.58 ± 1.14 µg/dL and 1.44 ± 0.62 µg/dL, respectively. There was a significant correlation in aluminum level between maternal and umbilical cord serum (Pearson's r = 0.591, p < 0.000). There is no significant correlation between maternal and serum aluminum level, and BSID-3 edition (cognitive, motor, language, and social-emotion) score at the average age of 6.5 months. In conclusion, maternal and cord serum aluminum levels were significantly correlated but did not correlate with infant neurodevelopment. Thus, low serum aluminum concentration and their association with child neurodevelopment deserve further investigation longitudinally in a large cohort.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s12291-021-01002-y.

摘要

未标注

铝是一种神经毒性元素,因其在日常生活中的广泛使用而进入人体。它有可能对胎儿和婴儿的神经发育产生不利影响。本研究旨在评估母亲和脐带血清铝水平与婴儿神经发育之间的关系。在2018年3月至2019年9月期间,我们进行了一项前瞻性队列研究;纳入了173对母婴。使用电感耦合等离子体发射光谱法(ICP-OES)测量铝水平。通过线性回归模型评估与贝利婴儿发育量表(BSID)第三版评分以及母亲和脐带血清铝的相关性。母亲和脐带血清铝的平均浓度分别为2.58±1.14μg/dL和1.44±0.62μg/dL。母亲和脐带血清中的铝水平存在显著相关性(Pearson相关系数r = 0.591,p < 0.000)。母亲血清铝水平与6.5个月龄时的BSID-3版(认知、运动、语言和社会情感)评分之间无显著相关性。总之,母亲和脐带血清铝水平显著相关,但与婴儿神经发育无关。因此,低血清铝浓度及其与儿童神经发育的关联值得在大型队列中进行进一步的纵向研究。

补充信息

在线版本包含可在10.1007/s12291-021-01002-y获取的补充材料。

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J Expo Sci Environ Epidemiol. 2021 Mar;31(2):248-256. doi: 10.1038/s41370-021-00294-9. Epub 2021 Feb 17.
2
Aluminum Effects in Infants and Children.婴幼儿的铝影响。
Pediatrics. 2019 Dec;144(6). doi: 10.1542/peds.2019-3148.
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Entry and Deposit of Aluminum in the Brain.铝在大脑中的进入和沉积。
Adv Exp Med Biol. 2018;1091:39-51. doi: 10.1007/978-981-13-1370-7_3.
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Identification of toxic metals in human embryonic tissues.人体胚胎组织中有毒金属的鉴定。
Arch Med Sci. 2018 Mar;14(2):415-421. doi: 10.5114/aoms.2015.53915. Epub 2015 Oct 22.

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