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Exposure to air pollution from traffic and neurodevelopmental disorders in Swedish twins
Tong Gong1, Catarina Almqvist1, Sven Bölte2
1Department of Medical Epidemiology and Biostatistics,Karolinska Institutet,Stockholm,Sweden.
Insights
This study found no clear link between air pollution exposure (particulate matter and nitrogen oxides) before or after birth and neurodevelopmental disorders like autism spectrum disorder (ASD) and attention-deficit hyperactivity disorder (ADHD) in children.
Area of Science:
- Environmental Health
- Pediatric Neurology
- Epidemiology
Background:
- Emerging research suggests a connection between air pollution and childhood neurodevelopmental disorders.
- The specific impact of prenatal and postnatal air pollution exposure remains unclear.
Purpose of the Study:
- To investigate the association between road traffic-related air pollution and the risk of autism spectrum disorders (ASD) and attention-deficit hyperactivity disorder (ADHD) in children.
- To examine the role of both pre- and postnatal air pollution exposure.
Main Methods:
- A cohort of 3,426 twins born in Stockholm (1992-2000) was studied.
- Air pollution levels (PM10 and NOx) were estimated at residences during pregnancy, the first year, and the ninth year of life.
- Multivariate regression models analyzed associations with neurodevelopmental outcomes, adjusting for confounders.
Main Results:
- No consistent associations were observed between air pollution exposure during the studied periods and ASD or ADHD.
- Specific examples showed no significant increased odds for ASD or ADHD with increased exposure to NOx or PM10 during pregnancy.
Conclusions:
- The study's findings do not support a link between prenatal or postnatal exposure to road traffic air pollution and neurodevelopmental disorders in children.
- Further research may be needed to explore potential subtle effects or different exposure windows.
Background:
Recent studies have reported associations between air pollution exposure and neurodevelopmental disorders in children, but the role of pre- and postnatal exposure has not been elucidated.
Aim:
We aimed to explore the risk for autism spectrum disorders (ASD) and attention-deficit hyperactivity disorder (ADHD) among children in relation to pre- and postnatal exposure to air pollution from road traffic.
Methods:
Parents of 3,426 twins born in Stockholm during 1992-2000 were interviewed, when their children were 9 or 12 years old, for symptoms of neurodevelopmental disorders. Residence time-weighted concentrations of particulate matter with a diameter <10 μm (PM10) and nitrogen oxides (NOx) from road traffic were estimated at participants' addresses during pregnancy, the first year, and the ninth year of life using dispersion modeling, controlling for seasonal variation. Multivariate regression models were used to examine the association between air pollution exposure and neurodevelopmental outcomes, adjusting for potential confounding factors.
Results:
No clear or consistent associations were found between air pollution exposure during any of the three time windows and any of the neurodevelopmental outcomes. For example, a 5-95% difference in exposure to NOx during pregnancy was associated with odds ratios (ORs) of 0.92 (95% confidence interval (CI): 0.44-1.96) and 0.90 (95% CI: 0.58-1.40) for ASD and ADHD respectively. A corresponding range in exposure to PM10 during pregnancy was related to ORs of 1.01 (95% CI: 0.52-1.96) and 1.00 (95% CI: 0.68-1.47) for ASD and ADHD.
Conclusions:
Our data do not provide support for an association between pre- or postnatal exposure to air pollution from road traffic and neurodevelopmental disorders in children.
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