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神经发育与气候变化。

Neurodevelopment and climate change.

作者信息

Nunes Magda Lahorgue, da Cunha Antônio José Ledo Alves

机构信息

Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Escola de Medicina, Porto Alegre, RS, Brazil; Instituto do Cérebro (InsCer), Porto Alegre, RS, Brazil.

Universidade Federal do Rio de Janeiro (UFRJ), Faculdade de Medicina, Departamento de Pediatria, Rio de Janeiro, RJ, Brazil.

出版信息

J Pediatr (Rio J). 2025 Mar-Apr;101 Suppl 1(Suppl 1):S34-S39. doi: 10.1016/j.jped.2024.10.005. Epub 2024 Nov 22.

Abstract

OBJECTIVE

This article aims to assess the impact of climate change, a reality already present on the neurodevelopment of both neurotypical and atypical children.

DATA SOURCES

A narrative review of the literature was carried out based on articles available in the PubMed database, published in the last five years using the keywords neurodevelopment and climate change, as well as websites of organizations dedicated to childhood such as UNICEF, the American Academy of Pediatrics and the Center for Developing Childhood at Harvard University.

SUMMARY OF FINDINGS

Children and adolescents are more directly affected by the effects of climate change due to their developmental stage and greater vulnerability. Prolonged exposure to air pollutants can affect brain development, resulting in cognitive and behavioral problems. Extreme weather events, such as floods, cyclones, and heat waves, can destroy essential infrastructure such as schools and hospitals, interrupting the educational process and access to health care. Changes in rainfall patterns and extreme droughts can affect food production, leading to malnutrition and food insecurity. Direct experience of natural disasters can cause stress and psychological trauma, affecting children's emotional and mental well-being.

CONCLUSIONS

Studies clearly demonstrate the potential impact of climate change on the neurodevelopment and mental health of children and adolescents. This topic should be part of the current agenda of pediatricians, not only treating the resulting illnesses but mainly acting on the front line and supporting proposals to attenuate the environmental disaster that has already occurred.

摘要

目的

本文旨在评估气候变化这一已然存在的现实对发育正常和发育异常儿童神经发育的影响。

数据来源

基于过去五年发表在PubMed数据库中的文章,使用关键词“神经发育”和“气候变化”进行了文献综述,同时参考了联合国儿童基金会、美国儿科学会和哈佛大学儿童发展中心等致力于儿童事业的组织的网站。

研究结果总结

由于儿童和青少年所处的发育阶段以及更高的脆弱性,他们更容易受到气候变化影响。长期接触空气污染物会影响大脑发育,导致认知和行为问题。洪水、飓风和热浪等极端天气事件可能会破坏学校和医院等重要基础设施,中断教育进程并影响医疗服务的可及性。降雨模式的变化和极端干旱会影响粮食生产,导致营养不良和粮食不安全。自然灾害的直接经历会造成压力和心理创伤,影响儿童的情绪和心理健康。

结论

研究清楚地表明了气候变化对儿童和青少年神经发育及心理健康的潜在影响。这个话题应成为儿科医生当前议程的一部分,不仅要治疗由此引发的疾病,更要在一线发挥作用,支持旨在减轻已然发生的环境灾难的提议。

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本文引用的文献

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Outdoor air pollution and brain development in childhood and adolescence.室外空气污染与儿童和青少年的大脑发育。
Trends Neurosci. 2024 Aug;47(8):593-607. doi: 10.1016/j.tins.2024.06.008. Epub 2024 Jul 24.
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Prenatal ambient temperature and risk for schizophrenia.产前环境温度与精神分裂症风险。
Schizophr Res. 2022 Sep;247:67-83. doi: 10.1016/j.schres.2021.09.020. Epub 2021 Oct 5.

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