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Published on: April 26, 2018
Phthalate exposure and childrens neurodevelopment: A systematic review
Maede Ejaredar1, Elias C Nyanza1, Kayla Ten Eycke2
1Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Insights
Prenatal exposure to phthalates is linked to negative impacts on children's neurodevelopment, including lower IQ and attention issues. This systematic review highlights the need for further research on phthalate metabolites and child development to inform health policies.
Area of Science:
- Environmental Health
- Neuroscience
- Pediatrics
Background:
- Observational studies indicate prenatal phthalate exposure may impact child neurodevelopment.
- Phthalates are common chemicals found in many consumer products.
Purpose of the Study:
- To systematically review existing literature on the association between urinary phthalate concentrations and children's neurodevelopment.
- To synthesize findings on phthalate exposure and cognitive and behavioral outcomes in children.
Main Methods:
- Comprehensive literature search of multiple electronic databases and conference abstracts up to February 2014.
- Inclusion of original studies examining prenatal or childhood urinary phthalate metabolites and neurodevelopmental outcomes (0-12 years).
- Data extraction and screening conducted by two independent reviewers.
Main Results:
- Eleven original articles met the inclusion criteria after screening 2804 abstracts.
- The reviewed studies consistently reported associations between prenatal phthalate exposure and adverse neurodevelopmental outcomes.
Conclusions:
- A systematic review supports the link between prenatal phthalate exposure and adverse cognitive and behavioral outcomes in children.
- Outcomes include lower IQ, attention deficits, hyperactivity, and impaired social communication.
- Further research is needed to identify specific phthalate metabolite associations and inform mitigation strategies and health policy.
Background:
Emerging evidence from observational studies suggests that prenatal exposure to phthalates affects neurodevelopment in children.
Objective:
To conduct a systematic review of the existing literature on the association between urinary phthalate concentrations and children's neurodevelopment.
Methods:
We searched electronic bibliographic databases (MEDLINE, PubMed, EMBASE, PsycINFO, CINAHL, Global Health, CAB abstracts, and ERIC) (1910 to February 21st, 2014); reference lists of included articles, and conference abstracts (American Psychiatric Association, American Academy of Neurology, and Pediatric Academic Societies). Two independent reviewers screened abstracts and extracted data. We included original studies reporting on the association between prenatal or childhood urinary phthalate metabolites, and cognitive and behavioral outcomes (e.g., IQ scores, BASC-2 scores or equivalent) in children 0-12 years of age.
Results:
Of 2804 abstracts screened, 11 original articles met our criteria for inclusion.
Conclusions:
A systematic review of the literature supports the contention that prenatal exposure phthalates is associated with adverse cognitive and behavioral outcomes in children, including lower IQ, and problems with attention, hyperactivity, and poorer social communication. Further research characterizing the associations between specific phthalate metabolites and children's neurodevelopmental outcomes is needed to support the development of mitigation strategies and enhance the development of appropriate health policy.
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