在塞舌尔儿童发展研究营养队列 2 中,产后甲基汞暴露与 7 岁时的神经发育结局。

Postnatal methylmercury exposure and neurodevelopmental outcomes at 7 years of age in the Seychelles Child Development Study Nutrition Cohort 2.

机构信息

University of Rochester Medical Center, School of Medicine & Dentistry, Rochester, NY, USA.

Nutrition Innovation Centre for Food and Health (NICHE), Ulster University, Coleraine, Northern Ireland, UK.

出版信息

Neurotoxicology. 2023 Dec;99:115-119. doi: 10.1016/j.neuro.2023.10.004. Epub 2023 Oct 11.

Abstract

BACKGROUND

Consumption of fish yields many nutritional benefits, but also results in exposure to methylmercury (MeHg). The developing brain is known to be particularly susceptible to MeHg toxicity in high doses. However, the potential impact of low-level environmental exposure from fish consumption on children's neurodevelopment remains unclear.

METHODS

We investigated postnatal MeHg exposure at 7 years and its association with a battery of 17 neurodevelopmental outcomes in a subset of children (n = 376) from 1535 enrolled mother-child pairs in Nutrition Cohort 2 of the Seychelles Child Development Study (SCDS NC2). Each outcome was modeled in relation to postnatal MeHg exposure using linear regression, adjusting for prenatal MeHg exposure, levels of maternal polyunsaturated fatty acids (PUFA), and several other covariates known to be associated with neurodevelopmental outcomes.

RESULTS

Median postnatal MeHg exposure at 7 years was 2.5 ppm, while the median prenatal MeHg exposure was 3.5 ppm. We found no statistically significant associations between postnatal MeHg exposure and any of the 17 neurodevelopmental outcomes after adjusting for prenatal MeHg exposure and other covariates.

CONCLUSIONS

These findings are consistent with previous cross-sectional analyses of the SCDS Main Cohort. Continued follow-up of the entire NC2 cohort at later ages with repeated exposure measures is needed to further confirm these findings.

摘要

背景

食用鱼类会带来许多营养益处,但也会导致摄入甲基汞(MeHg)。众所周知,在高剂量下,发育中的大脑特别容易受到 MeHg 的毒性影响。然而,食用鱼类导致的低水平环境暴露对儿童神经发育的潜在影响仍不清楚。

方法

我们在塞舌尔儿童发展研究(SCDS)的营养队列 2(NCSC2)中,对 1535 对母婴中的 376 名儿童进行了一项研究,调查了他们在 7 岁时的产后 MeHg 暴露情况及其与 17 项神经发育结果之间的关系。使用线性回归模型,将每个结果与产后 MeHg 暴露相关联,调整了产前 MeHg 暴露、母体多不饱和脂肪酸(PUFA)水平以及其他几个已知与神经发育结果相关的协变量。

结果

7 岁时的产后 MeHg 暴露中位数为 2.5ppm,而产前 MeHg 暴露中位数为 3.5ppm。在调整了产前 MeHg 暴露和其他协变量后,我们没有发现产后 MeHg 暴露与 17 项神经发育结果中的任何一项之间存在统计学上的显著关联。

结论

这些发现与 SCDS 主要队列的先前横断面分析一致。需要对整个 NCSC2 队列进行进一步的随访,在以后的年龄阶段重复进行暴露测量,以进一步证实这些发现。

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