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Lactational exposure to polybrominated diphenyl ethers and its relation to social and emotional development among
Kate Hoffman1, Margaret Adgent, Barbara Davis Goldman
1University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina 27599, USA.
Insights
Early exposure to polybrominated diphenyl ethers (PBDEs) in breast milk may be subtly linked to increased activity and impulsivity behaviors in toddlers. Further research is needed to confirm these findings on flame retardant exposure.
Area of Science:
- Environmental Health
- Developmental Pediatrics
- Toxicology
Background:
- Polybrominated diphenyl ethers (PBDEs) are widely used flame retardants and persistent environmental contaminants.
- Previous studies suggest PBDEs may negatively impact neurodevelopment in animal and human studies.
Purpose of the Study:
- To investigate the association between maternal breast milk levels of PBDEs and social-emotional development in toddlers.
- To assess specific PBDE congeners and their relationship with toddler behavior.
Main Methods:
- The study followed a cohort of mother-child pairs from pregnancy through 36 months of age.
- Breast milk samples were analyzed for five PBDE congeners (BDEs 28, 47, 99, 100, 153).
- Mothers completed the Infant-Toddler Social and Emotional Assessment (ITSEA) when children were around 30 months old.
Main Results:
- A consistent, though small and imprecise, positive association was observed between BDEs 47, 99, and 100 and increased externalizing behaviors, particularly activity/impulsivity.
- Children in higher quartiles of BDE-47 exposure showed higher adjusted externalizing behavior scores.
- No significant associations were found between PBDEs and other social-emotional developmental domains.
Conclusions:
- Early-life exposure to PBDEs via breast milk may be subtly associated with increased activity/impulsivity behaviors in early childhood.
- These findings highlight a potential neurodevelopmental impact of PBDEs.
- Further longitudinal studies are necessary to confirm these associations.
Background:
Polybrominated diphenyl ethers (PBDEs) have been widely used as flame retardants and are ubiquitous environmental contaminants. PBDEs have been linked to adverse neurodevelopment in animals and humans.
Objectives:
We investigated the association between breast milk PBDE levels and social and emotional development in toddlers.
Methods:
The Pregnancy Infection and Nutrition (PIN) and PIN Babies studies followed a cohort of North Carolina pregnant women and their children through 36 months of age. Breast milk samples obtained at 3 months postpartum were analyzed for PBDEs. The Infant-Toddler Social and Emotional Assessment (ITSEA) was completed by mothers when children were approximately 30 months of age (n = 222). We assessed the relationship between breast milk concentrations of five PBDE congeners-BDEs 28, 47, 99, 100, and 153-and children's social and emotional development, adjusting for other factors.
Results:
A small, imprecise, yet consistent positive association was apparent between BDEs 47, 99, and 100 and increased externalizing behaviors, specifically activity/impulsivity behaviors. Externalizing domain T-scores ranged from 30 to 87 with a mean of 47.8. Compared with those with BDE-47 concentrations below the median, adjusted externalizing behavior domain scores were 1.6 [95% confidence interval (CI): -1.2, 4.4] and 2.8 (95% CI -0.1, 5.7) points higher for children born to women with breast milk concentrations in the 3rd and 4th quartiles, respectively. PBDEs were not associated with other social and emotional developmental domains.
Conclusions:
Our results, although imprecise, suggest a subtle association between early-life PBDE exposure and increased activity/impulsivity behaviors in early childhood. Confirmation of these results is needed in other longitudinal studies.
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