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Fetal exposure to perfluorinated compounds and attention deficit hyperactivity disorder in childhood
Amanda Ode1, Karin Källén1, Peik Gustafsson2
1Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
Insights
This study found no link between prenatal exposure to perfluorooctane sulfonate (PFOS), perfluorooctanoic acid (PFOA), or perfluorononanoic acid (PFNA) and attention deficit hyperactivity disorder (ADHD) in children.
Area of Science:
- Environmental Health
- Pediatric Psychiatry
- Toxicology
Background:
- Limited and inconsistent human data exist on perfluorinated compounds (PFCs) and attention deficit hyperactivity disorder (ADHD).
- Investigating prenatal exposure to specific PFCs and childhood ADHD is crucial for understanding environmental health risks.
Purpose of the Study:
- To examine the association between fetal exposure to specific PFCs and ADHD diagnosis in childhood.
- To determine if prenatal exposure to PFOS, PFOA, or PFNA is linked to ADHD.
Main Methods:
- A matched case-control study in Malmö, Sweden, included 206 children with ADHD and 206 matched controls.
- Umbilical cord serum samples were analyzed for perfluorooctane sulfonate (PFOS), perfluorooctanoic acid (PFOA), and perfluorononanoic acid (PFNA) concentrations.
- Conditional logistic regression and Wilcoxon's paired test were used to analyze PFC levels and ADHD association.
Main Results:
- Median cord serum PFOS concentrations were 6.92 ng/ml in cases and 6.77 ng/ml in controls; PFOA levels were 1.80 ng/ml and 1.83 ng/ml, respectively.
- No statistically significant associations were found between fetal exposure to PFOS, PFOA, or PFNA and ADHD diagnosis.
- Adjusted odds ratios for ADHD were 0.81 for PFOS, 1.07 for PFOA, and 1.1 for PFNA.
Conclusions:
- The study provides no evidence supporting a link between prenatal exposure to PFOS, PFOA, or PFNA and the development of ADHD.
- Findings suggest that these specific PFCs may not be significant risk factors for ADHD in the studied population.
Background:
The association between exposure to perfluorinated compounds (PFCs) and attention deficit hyperactivity disorder (ADHD) diagnosis has been sparsely investigated in humans and the findings are inconsistent.
Objectives:
A matched case-control study was conducted to investigate the association between fetal exposure to PFCs and ADHD diagnosis in childhood.
Methods:
The study base comprised children born in Malmö, Sweden, between 1978 and 2000 that were followed up until 2005. Children with ADHD (n = 206) were identified at the Department of Child and Adolescent Psychiatry. Controls (n = 206) were selected from the study base and were matched for year of birth and maternal country of birth. PFC concentrations were measured in umbilical cord serum samples. The differences of the PFC concentrations between cases and controls were investigated using Wilcoxon's paired test. Possible threshold effects (above the upper quartile for perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA) and above limit of detection [LOD] for perfluorononanoic acid (PFNA)) were evaluated by conditional logistic regression.
Results:
The median umbilical cord serum concentrations of PFOS were 6.92 ng/ml in the cases and 6.77 ng/ml in the controls. The corresponding concentrations of PFOA were 1.80 and 1.83 ng/ml. No associations between PFCs and ADHD were observed. Odds ratios adjusted for smoking status, parity, and gestational age were 0.81 (95% confidence interval [CI] 0.50 to 1.32) for PFOS, 1.07 (95% CI 0.67 to 1.7) for PFOA, and 1.1 (95% CI 0.75 to 1.7) for PFNA.
Conclusions:
The current study revealed no support for an association between fetal exposure to PFOS, PFOA, or PFNA and ADHD.
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