孕期膳食毒物及无机砷暴露与儿童情绪和行为问题的关联:ECLIPSES研究

Association of Prenatal Dietary Toxicants and Inorganic Arsenic Exposure with Children's Emotional and Behavioral Problems: ECLIPSES Study.

作者信息

Kou Xiruo, Canals Josefa, Bulló Monica, Becerra-Tomás Nerea, Jardí Cristina, Arija Victoria

机构信息

Nutrition and Mental Health (NUTRISAM) Research Group, Universitat Rovira i Virgili, 43204 Reus, Spain.

Institut d'Investigació Sanitaria Pere Virgili (IISPV), 43204 Reus, Spain.

出版信息

Toxics. 2024 May 29;12(6):398. doi: 10.3390/toxics12060398.

Abstract

Prenatal exposure to dietary toxicants is linked to neurocognitive issues, but its effect on early emotional and behavioral development in children is less clear. To explore the relationship between prenatal intake of As, iAs, Cd, MeHg, Pb, PCDD/Fs, DL-PCBs, and NDL-PCBs and emotional and behavioral issues in four-year-old children. This study included 192 mother-child pairs from the ECLIPSES study, assessing prenatal dietary toxicant exposure through a food-frequency questionnaire and Catalan Food Safety Agency data. Children's emotional and behavioral scores were evaluated using the Child Behavior Checklist for ages 1.5-5 years. Multivariable regression and logistic models were used, focusing on iAs after finding significant preliminary associations. Increased prenatal dietary intake of iAs was associated with internalizing, externalizing, and attention-deficit/hyperactivity problems. Higher iAs levels (>4.16 μg/day) significantly increased the risk of total problems (OR = 2.94) and specific issues like anxious/depressed (OR = 4.88), anxiety (OR = 3.27), and oppositional defiant problems (OR = 4.30). High iAs consumption correlated with the intake of meat, eggs, cereals, tubers, fruits, and pulses Prenatal dietary iAs exposure is associated with various emotional and behavioral problems in children. Monitoring and reducing iAs levels in food are crucial for public health.

摘要

产前暴露于膳食毒物与神经认知问题有关,但其对儿童早期情绪和行为发展的影响尚不清楚。为了探究产前摄入砷、无机砷、镉、甲基汞、铅、多氯二苯并对二噁英/多氯二苯并呋喃、二恶英类多氯联苯和非二恶英类多氯联苯与4岁儿童情绪和行为问题之间的关系。本研究纳入了来自ECLIPSES研究的192对母婴,通过食物频率问卷和加泰罗尼亚食品安全局的数据评估产前膳食毒物暴露情况。使用1.5 - 5岁儿童行为检查表评估儿童的情绪和行为得分。采用多变量回归和逻辑模型,在发现显著的初步关联后重点关注无机砷。产前膳食中无机砷摄入量增加与内化、外化和注意力缺陷/多动问题有关。较高的无机砷水平(>4.16μg/天)显著增加了出现总体问题(OR = 2.94)以及诸如焦虑/抑郁(OR = 4.88)、焦虑(OR = 3.27)和对立违抗问题(OR = 4.30)等特定问题的风险。高无机砷摄入量与肉类、蛋类、谷物、块茎、水果和豆类的摄入量相关。产前膳食无机砷暴露与儿童的各种情绪和行为问题有关。监测和降低食物中的无机砷水平对公共卫生至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2a8/11209564/293a59533cf1/toxics-12-00398-g001.jpg

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