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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Fetal exposure to propoxur and abnormal child neurodevelopment at 2 years of age
Enrique M Ostrea1, Alexis Reyes, Esterlita Villanueva-Uy
1Department of Pediatrics, Hutzel Women's Hospital, the Carman and Ann Adams Department of Pediatrics, Children's Hospital of Michigan, Wayne State University, Detroit, MI, United States. eostrea@med.wayne.edu
Insights
Prenatal exposure to the pesticide propoxur is linked to poorer motor development in children by age two. This study investigated pesticide effects on neurodevelopment in a Philippine cohort.
Area of Science:
- Environmental Health
- Neurodevelopmental Toxicology
- Pediatric Epidemiology
Background:
- Pesticide use is widespread in agricultural regions, raising concerns about potential neurodevelopmental impacts.
- Prenatal exposure to environmental toxins can affect child development.
- Limited data exists on the specific effects of propoxur and pyrethroids on early neurodevelopment.
Purpose of the Study:
- To assess the association between fetal exposure to propoxur and pyrethroids and neurodevelopmental outcomes in children at two years of age.
- To identify sensitive biomarkers for detecting prenatal pesticide exposure.
Main Methods:
- Prospective cohort study in the Philippines with maternal recruitment during pregnancy.
- Analysis of maternal and infant biological samples (hair, blood, meconium) for pesticide detection using gas chromatography/mass spectrometry.
- Neurodevelopmental assessment of children at two years using the Griffiths Mental Developmental Scale.
Main Results:
- Meconium analysis proved most sensitive for detecting fetal pesticide exposure.
- Prenatal exposure to propoxur was significantly associated with poorer motor development at 24 months (β=-0.14, p<0.001) after controlling for confounders.
- Higher exposure rates were observed for propoxur and grouped pyrethroids.
Conclusions:
- Prenatal exposure to propoxur is associated with adverse motor development in children by two years of age.
- Findings highlight the potential neurotoxic effects of common pesticides on child development.
- Meconium is a valuable matrix for assessing prenatal pesticide exposure.
Objective:
Our aim was to determine the effects of fetal exposure to propoxur and pyrethroids, on child neurodevelopment at 2 years of age.
Patients And Methods:
Mothers were prospectively recruited during mid-pregnancy in Bulacan, Philippines where multiple pesticides including propoxur, cyfluthrin, chlorpyrifos, cypermethrin, pretilachlor, bioallethrin, malathion, diazinon and transfluthrin are used. To detect prenatal exposure to these pesticides, maternal hair and blood, infant's hair, cord blood, and meconium were analyzed for the pesticides by gas chromatography/mass spectrometry. Infants were examined at 2 years of age with 95.1% follow up rate and their neurodevelopment outcome was assessed by the Griffiths mental developmental scale (N=754).
Results:
Meconium analysis was the most sensitive method to detect fetal exposure to pesticides and exposure was highest for propoxur (21.3%) and the grouped pyrethroids (2.5% - bioallethrin, transfluthrin, cyfluthrin and cypermethrin). Path analysis modeling was performed to determine the effects of fetal exposure to propoxur and pyrethroids on the child's neurodevelopment at 24 months of age while controlling for confounders. Only singletons and those with complete data for the path analysis were included (N=696). Using a path analysis model, there was a significant negative (β=-0.14, p<0.001) relationship between prenatal pesticide exposure to propoxur and motor development at 2 years of age after controlling for confounders, e.g., infant gender, socioeconomic status, maternal intelligence, home stimulation (HOME), postnatal exposure to propoxur and blood lead level at 2 years of age.
Conclusion:
At 2 years of age, prenatal exposure to propoxur was associated with poorer motor development in children.
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