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[Effects of low-level lead exposure on the neurobehavioral development of infants and early intervention]
Hui Zheng1, Wen-Xuan Lin, Hua-Yun Hu
1Department of Child Health Care, Guangdong Women and Children Hospital, Guangzhou 510010, China.
Insights
Low-level lead exposure negatively impacts infant neurobehavioral development. Early intervention strategies can significantly improve developmental outcomes, particularly in cases of mild exposure.
Area of Science:
- Environmental Health
- Developmental Pediatrics
- Toxicology
Background:
- Lead exposure is a significant public health concern, particularly for vulnerable populations like infants.
- Understanding the neurodevelopmental effects of low-level lead exposure is crucial for timely intervention.
- Existing research highlights the detrimental impact of lead on cognitive and behavioral development.
Purpose of the Study:
- To investigate the association between low-level lead exposure and neurobehavioral development in infants.
- To evaluate the efficacy of early intervention measures in mitigating the adverse effects of lead exposure.
- To assess changes in developmental quotients following intervention in infants with varying lead exposure levels.
Main Methods:
- A cohort of 276 infants was assessed at 6, 12, and 18 months of age.
- Blood concentrations of lead and other minerals were measured using atomic absorption spectroscopy.
- Infant neurobehavioral development was assessed using the Gesell Developmental Diagnosis Scales (GDDS).
- Infants were categorized into control, low lead, and high lead groups, with intervention provided to the latter two groups.
Main Results:
- Infants in the high lead group exhibited the lowest developmental quotient (86.74 ± 9.35), followed by the low lead group (91.52 ± 10.12), and the control group (100.71 ± 6.92).
- Intervention measures led to statistically significant improvements in developmental quotients for both low and high lead groups (P < 0.05).
- The low lead group showed more remarkable improvements, nearing statistical significance with the control group by 18 months (P > 0.05), while the high lead group remained significantly different (P < 0.05).
Conclusions:
- Low-level lead exposure adversely affects infant neurobehavioral development.
- Early intervention strategies show promise in improving developmental quotients in infants exposed to lead.
- Prompt and targeted interventions are essential for mitigating the long-term neurodevelopmental consequences of lead exposure.
Objective:
To explore the effects of low-level lead exposure on infant's neurobehavioral development and evaluate the effects of early intervention.
Methods:
The study population consisted of 276 infants whose blood lead, cadmium, iron, zinc, copper, magnesium and calcium concentrations were measured by atomic absorption spectroscopy and developmental status were assessed using the Gesell developmental Diagnosis scales (GDDS) at 6 months of age. All study subjects was divided into three groups: 58 infants in control group, 162 infants in low lead group and 56 infants in high lead group. On the basis infants of both the low and high lead groups were provided with interventional measures for 3 months, and tests for the blood lead, cadmium, iron, zinc, copper, magnesium, calcium and GDDS were repeated for all infants both 12 and 18 months of ages.
Results:
Infant' s developmental outcome revealed the developmental quotient was the lowest in the high lead group (86.74 +/- 9. 35), the lesser low in the low lead group (91.52 +/- 10.12) and the highest in control group (100.71 +/- 6.92). Changes in developmental quotient were detected in both the low and high lead groups with statistical significance (P < 0.05) after intervention measures adopted. However, the changes of developmental quotient were more remarkable in the low lead group and after the 18th month there was no statistical significance than control group (t = 1.721, P > 0.05) while the significant difference was found in between the high lead group and the control group (t = 23.495, P < 0.05).
Conclusion:
Low-level lead exposure interfered infant's neurobehavioral development and early intervention might improve infant's developmental quotient.
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