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Longitudinal association between early life socio-environmental factors and attention function at the age 11 years
Joan Forns1, Maties Torrent, Raquel Garcia-Esteban
1Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain. jforns@creal.cat
Insights
Early life socio-environmental factors significantly impact children's attention development. Factors like parental education and maternal mental health influence attention, with breastfeeding offering protection against certain errors.
Area of Science:
- Neuropsychological Development
- Environmental Health
- Child Psychology
Background:
- The developing brain is highly susceptible to prenatal and early-life exposures.
- Understanding how early socio-environmental factors influence specific cognitive functions like attention is crucial.
- Research has yet to fully elucidate these early childhood influences on later attention.
Purpose of the Study:
- To identify social and environmental exposures in early childhood associated with attention function in pre-adolescence.
- To investigate the relationship between early life factors and attention deficits in 11-year-old children.
- To analyze specific cognitive processes, including inattention and impulsivity, in relation to early exposures.
Main Methods:
- Utilized data from the Menorca birth cohort (INMA-project, Spain) involving 393 children.
- Assessed attention function using the Continuous Performance Test-II (CPT-II) at age 11.
- Collected socio-environmental data from birth up to age 4, including parental demographics, maternal health, breastfeeding, and environmental pollutant levels (DDE, PCBs).
Main Results:
- Parental social class, education, and maternal mental health correlated with inattentive and impulsive symptoms (omission and commission errors).
- Atopy was linked to higher omission errors, while folic acid/vitamin supplementation during pregnancy was associated with fewer omission errors.
- Breastfeeding showed a protective effect against commission errors; higher DDE/PCB levels correlated with slower response speed.
Conclusions:
- Prenatal and early childhood socio-environmental factors, including socio-demographics, breastfeeding, maternal nutrition, and organochlorine exposure, significantly influence pre-adolescent attention and hyperactivity/impulsivity.
- These findings highlight critical windows for intervention to support healthy neurodevelopment.
- Early life environment plays a vital role in shaping cognitive functions essential for academic and social success.
Abstract:
Prenatal and early-life exposures can affect the course of children's neuropsychological development well into pre-adolescence, given the vulnerability of the developing brain. However, it is unknown which socio-environmental factors at early childhood can influence specific cognitive processes like attention at a later age. In this study, we aim to determine social and environmental exposures in early childhood that may be associated with attention function of 11-year-olds. We measured attention function using the continuous performance test-II (CPT-II) on 393 11-year old children from the Menorca's birth-cohort within the INMA-project (Spain), and pre-selected a list of socio-environmental observations taken when they were up to 4 years of age. We found that earlier socio-environmental characteristics, such as parental social class, educational level and maternal mental health are associated with later inattentive and impulsive symptomatology through a higher rate of omission and commission errors. In addition, omission errors were higher in children with atopy and lower in those whose mothers took dietary supplementation with folic acid and vitamins during pregnancy. Breastfeeding played a protective role against commission errors, while higher DDE and PCBs levels at age 4 were associated with slow speed response. Our findings suggest that a number of life socio-environmental factors during prenatal life and early childhood, such as socio-demographic characteristics, breastfeeding, maternal nutritional supplementation with folic acid and vitamins and exposure to some organochlorine compounds may influence inattentive and hyperactive/impulsive symptomatology during pre-adolescence.
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