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The Impact of Prenatal Organophosphate Pesticide Exposures on Thai Infant Neurodevelopment
Pornpimol Kongtip1, Benyachalee Techasaensiri2, Noppanun Nankongnab3
1Department of Occupational Health and Safety, Faculty of Public Health, Mahidol University, 420/1 Rajvithi Road, Bangkok 10400, Thailand. pornpimol.kon@mahidol.ac.th.
Insights
Prenatal exposure to organophosphate pesticides, measured by maternal urinary metabolites like DEP and DAP, was linked to lower infant motor and cognitive scores. Public health interventions are needed to reduce pesticide exposure during pregnancy.
Area of Science:
- Environmental Health
- Neurodevelopmental Pediatrics
- Toxicology
Background:
- Pesticide exposure during pregnancy is a growing concern.
- Understanding the impact of prenatal pesticide exposure on infant neurodevelopment is crucial.
Purpose of the Study:
- To investigate organophosphate pesticide exposure levels in pregnant Thai women.
- To examine the association between prenatal pesticide exposure and infant neurodevelopment at five months.
Main Methods:
- Birth cohort study in Thailand.
- Maternal urinary metabolite analysis (organophosphates: DMP, DEP, DAP) via gas chromatography-mass spectrometry at 28 weeks gestation.
- Infant neurodevelopmental assessment using Bayley Scales of Infant and Toddler Development-III at five months.
Main Results:
- Higher maternal urinary total DEP and DAP levels were significantly associated with reduced infant motor composite scores.
- Higher total DEP levels were also significantly associated with reduced infant cognitive composite scores.
- Prenatal pesticide metabolite concentrations correlated with infant cognitive and motor development outcomes.
Conclusions:
- Prenatal organophosphate pesticide exposure is linked to adverse infant neurodevelopmental outcomes.
- Results highlight the need for public health interventions to mitigate pesticide exposure in pregnant women.
- Reducing agricultural and domestic pesticide use is recommended to protect fetal development.
Abstract:
A birth cohort was begun to investigate the levels and sources of pesticide exposure in pregnant women living in Thailand, and to examine the effects of pesticide exposure on infant neurodevelopment at five months of age. Subjects were interviewed using questionnaires regarding their demographic characteristics, educational background, and work and home activities related to pesticide exposures. Spot urine samples were collected at 28 weeks gestation and analyzed by gas chromatography-mass spectrometry to determine maternal metabolite levels of organophosphate pesticides including dimethyl phosphate (DMP); total DEP (diethyl phosphate (DEP), diethyl thiophosphate (DETP), and diethyl dithiophosphate (DEDTP), and total DAP (the sum of all metabolite levels). At five months of age, infant development was evaluated using the Bayley Scales of Infant and Toddler Development-III (Bayley-III). Higher total DEP and total DAP metabolite levels from the mother at 28 weeks' gestation were significantly associated with reduced motor composite scores on the Bayley-III at five months of age. The total DEP levels were also significantly associated with reduced cognitive composite scores. Prenatal concentrations of maternal urinary metabolites were associated with infant cognitive and motor development. The results of several studies now suggest the need for public health intervention to reduce prenatal pesticide exposures from both agricultural and domestic use.
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