Lead and PCBs as risk factors for attention deficit/hyperactivity disorder
Paul A Eubig1, Andréa Aguiar, Susan L Schantz
1Department of Comparative Biosciences, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Urbana, Illinois 61802, USA. eubig@illinois.edu
Insights
Environmental chemicals like lead and polychlorinated biphenyls (PCBs) are linked to attention deficits and executive function impairments seen in attention deficit/hyperactivity disorder (ADHD). These exposures may increase ADHD prevalence.
Area of Science:
- Neuroscience
- Environmental Health
- Pediatrics
Background:
- Attention deficit/hyperactivity disorder (ADHD) is a common childhood neurobehavioral disorder with unclear origins.
- Environmental chemical exposures are increasingly investigated for their role in neurodevelopmental disorders.
Purpose of the Study:
- To review evidence linking environmental chemicals, specifically lead and polychlorinated biphenyls (PCBs), to neurobehavioral deficits observed in ADHD.
- To explore the potential role of these contaminants in the etiology and prevalence of ADHD.
Main Methods:
- Systematic literature search of PubMed for human and animal studies on developmental lead or PCB exposure.
- Keywords included "lead," "PCB exposure," "attention," "working memory," "response inhibition," "executive function," "cognitive function," "behavior," and "ADHD."
- Focused on studies assessing functional domains impaired in ADHD.
Main Results:
- Developmental exposure to lead and PCBs in humans and animals is associated with deficits in attention and executive functions (e.g., working memory, response inhibition).
- Lead exposure may impact both attention and response inhibition, while PCBs appear to more significantly affect response inhibition.
- Recent studies link low-level lead exposure to ADHD diagnoses, though similar research on PCBs is limited.
Conclusions:
- Environmental contaminants like lead and PCBs may contribute to the increasing prevalence of ADHD.
- Further research is needed to fully elucidate the relationship between PCB exposure and ADHD.
Objectives:
Attention deficit/hyperactivity disorder (ADHD) is the most frequently diagnosed neurobehavioral disorder of childhood, yet its etiology is not well understood. In this review we present evidence that environmental chemicals, particularly polychlorinated biphenyls (PCBs) and lead, are associated with deficits in many neurobehavioral functions that are also impaired in ADHD.
Data Sources:
Human and animal studies of developmental PCB or lead exposures that assessed specific functional domains shown to be impaired in ADHD children were identified via searches of PubMed using "lead" or "PCB exposure" in combination with key words, including "attention," "working memory," "response inhibition," "executive function," "cognitive function," "behavior," and "ADHD."
Data Synthesis:
Children and laboratory animals exposed to lead or PCBs show deficits in many aspects of attention and executive function that have been shown to be impaired in children diagnosed with ADHD, including tests of working memory, response inhibition, vigilance, and alertness. Studies conducted to date suggest that lead may reduce both attention and response inhibition, whereas PCBs may impair response inhibition to a greater degree than attention. Low-level lead exposure has been associated with a clinical diagnosis of ADHD in several recent studies. Similar studies of PCBs have not been conducted.
Conclusions:
We speculate that exposures to environmental contaminants, including lead and PCBs, may increase the prevalence of ADHD.
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