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Published on: November 20, 2015
Neurodevelopment in Early Childhood Affected by Prenatal Lead Exposure and Iron Intake
Surabhi Shah-Kulkarni1, Mina Ha, Byung-Mi Kim
1From the Department of Preventive Medicine, Ewha Medical Research Center, School of Medicine, Ewha Womans University, Seoul (SS-K, B-MK, EK, HP, E-HH); Department of Preventive Medicine, College of Medicine, Dankook University, Cheonan (MH); Institute of Environmental Medicine, Medical Research Center, Seoul National University, Seoul (Y-CH); Department of Occupational and Environmental Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan (YK); Division of Child and Adolescent Psychiatry, Department of Psychiatry and Institute of Human Behavioral Medicine, College of Medicine, Seoul National University (B-NK); Department of Nutritional Science and Food Management, Ewha Womans University (NC); Department of Food and Nutrition, Kyung Hee University (S-YO); Department of Obstetrics Medicine, Ewha Medical Research Center, School of Medicine, Ewha Womans University, Seoul (YJK); and Environmental Health Research Division, National Institute of Environment Research, Incheon, Republic of Korea (BL).
Insights
Prenatal lead exposure harms children's neurodevelopment, especially with low maternal iron intake. Adequate iron intake during pregnancy may protect against lead's adverse effects on cognitive development.
Area of Science:
- Environmental Health
- Neurodevelopmental Pediatrics
- Maternal-Fetal Medicine
Background:
- No safe threshold for childhood lead exposure is established.
- Limited data exists on maternal iron intake's protective role against prenatal lead exposure's neurodevelopmental impacts.
Purpose of the Study:
- To examine the association between prenatal lead exposure and child neurodevelopment up to 36 months.
- To investigate the potential protective effect of maternal dietary iron intake against lead's adverse neurodevelopmental effects.
Main Methods:
- Prospective birth cohort study of 965 pregnant women and their offspring.
- Generalized linear models and linear mixed-effects models used for analysis.
- Assessment of prenatal lead exposure and maternal iron intake in relation to child cognitive development at 6, 12, 24, and 36 months.
Main Results:
- Maternal lead exposure in late pregnancy was linked to deficits in mental development index (MDI) at 6 months.
- Low maternal iron intake (<75th percentile) exacerbated the negative impact of lead on MDI at 6 months.
- Prenatal lead exposure significantly impaired cognitive development up to 36 months in children of mothers with low iron intake.
Conclusions:
- Reducing prenatal lead exposure is crucial for optimal child neurodevelopment.
- Ensuring adequate maternal iron intake during pregnancy is important for mitigating lead's harmful effects on cognitive development.
Abstract:
No safe threshold level of lead exposure in children has been recognized. Also, the information on shielding effect of maternal dietary iron intake during pregnancy on the adverse effects of prenatal lead exposure on children's postnatal neurocognitive development is very limited. We examined the association of prenatal lead exposure and neurodevelopment in children at 6, 12, 24, and 36 months and the protective action of maternal dietary iron intake against the impact of lead exposure. The study participants comprise 965 pregnant women and their subsequent offspring of the total participants enrolled in the Mothers and Children's environmental health study: a prospective birth cohort study. Generalized linear model and linear mixed model analysis were performed to analyze the effect of prenatal lead exposure and mother's dietary iron intake on children's cognitive development at 6, 12, 24, and 36 months. Maternal late pregnancy lead was marginally associated with deficits in mental development index (MDI) of children at 6 months. Mothers having less than 75th percentile of dietary iron intake during pregnancy showed significant increase in the harmful effect of late pregnancy lead exposure on MDI at 6 months. Linear mixed model analyses showed the significant detrimental effect of prenatal lead exposure in late pregnancy on cognitive development up to 36 months in children of mothers having less dietary iron intake during pregnancy. Thus, our findings imply importance to reduce prenatal lead exposure and have adequate iron intake for better neurodevelopment in children.
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