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Updated: Aug 25, 2026

Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
Children's behavior and physiology and how it affects exposure to environmental contaminants
Jacqueline Moya1, Cynthia F Bearer, Ruth A Etzel
1US Environmental Protection Agency, National Center for Environmental Assessment, Office of Research and Development, Washington, DC 20460, USA. moya.jacqueline@epa.gov
Insights
Children
Area of Science:
- Environmental health
- Pediatric toxicology
- Developmental toxicology
Background:
- Children's unique behaviors and physiology lead to different environmental toxicant exposures compared to adults.
- Pediatricians understand these differences in terms of intake, inhalation, and activity levels relative to body size.
- Clinical observations highlight risks like lead poisoning from pica and adverse effects of secondhand smoke in children.
Purpose of the Study:
- To highlight the distinct exposure pathways and physiological responses of infants, children, and adolescents to environmental toxicants.
- To emphasize the need for research that quantifies these differences and identifies potential adverse health effects.
- To inform pediatricians and public health officials about developmental vulnerabilities to environmental exposures.
Main Methods:
- Review of existing knowledge on pediatric behavioral and physiological differences relevant to toxicant exposure.
- Comparison of exposure parameters (e.g., intake, inhalation) between children and adults based on weight and surface area.
- Identification of specific toxicants and exposure scenarios of concern in pediatric populations.
Main Results:
- Children's behaviors (e.g., pica, mouthing) and physiology (e.g., higher inhalation rates per body weight) create quantitatively different exposures.
- Adolescents exhibit unique vulnerabilities, such as a greater propensity for addiction.
- Existing pediatric knowledge, while significant, necessitates further research for comprehensive risk assessment.
Conclusions:
- Environmental toxicant exposure in children differs significantly from adults due to developmental factors.
- Further research is crucial to document and understand the specific risks posed by environmental toxicants to children's health.
- Addressing these knowledge gaps is essential for effective pediatric environmental health protection.
Abstract:
Infant, child, and adolescent exposures to environmental toxicants are different from those of adults because of differences in behavior and physiology. Because of these differences, there is the potential for quantitatively different exposures at various stages of development. Pediatricians are well aware of these behavioral and physiologic differences from a clinical standpoint--namely, food and water intake, soil ingestion, mouthing behavior, inhalation physiology, and activity level--as they relate to the ratio of these parameters between the adult and the child when considering weight and surface area. Pediatricians recognized the importance of pica as a cause of lead poisoning, the noxious effect of second-hand smoke, and the greater propensity for addiction during the adolescent years. For determining the differences in impact of many environmental toxicants between adults and children, research is needed to document where and whether these differences result in deleterious effects.
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