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).

Medicine
|January 31, 2016
PubMed

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.

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