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Published on: December 14, 2014
Prenatal exposure to persistent organic pollutants and cognition and motor performance in adolescence
Sietske A Berghuis1, Koenraad N J A Van Braeckel1, Pieter J J Sauer1
1Division of Neonatology, Department of Pediatrics, Beatrix Children's Hospital, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Insights
Prenatal exposure to persistent organic pollutants (POPs) like PCBs may affect adolescent neurological development. While some hydroxylated PCBs (OH-PCBs) showed benefits, others were linked to lower intelligence and verbal memory deficits.
Area of Science:
- Environmental health
- Neuroscience
- Pediatrics
Background:
- Prenatal exposure to persistent organic pollutants (POPs), including polychlorinated biphenyls (PCBs), is linked to impaired childhood neurological development.
- Limited data exists on the long-term effects of POPs on neurological outcomes extending into adolescence.
Purpose of the Study:
- To investigate the association between prenatal exposure to POPs, specifically hydroxylated PCBs (OH-PCBs), and cognitive and motor development in adolescents aged 13–15.
- To assess the impact of various POPs, including PCBs, OH-PCBs, polybrominated diphenyl ethers (PBDEs), DDE, PCP, and HBCDD, on neurodevelopmental outcomes.
Main Methods:
- Prospective observational cohort study (Development at Adolescence and Chemical Exposure - DACE study) following Dutch birth cohorts.
- Maternal serum levels of various POPs measured during pregnancy; cognitive (intelligence, attention, verbal memory) and motor (fine motor, ball skills, balance) functions assessed in adolescents.
- Statistical analyses included linear and logistic regression, adjusting for potential confounders like maternal education, smoking, alcohol use, and breastfeeding.
Main Results:
- Several OH-PCBs were associated with improved sustained attention and balance in adolescents.
- Prenatal exposure to PCB-183 and hexabroomcyclododecane (HBCDD) showed associations with lower total and performance intelligence, respectively.
- Exposure to PCBs, OH-PCBs, and PBDEs was negatively associated with verbal memory performance.
Conclusions:
- Prenatal exposure to background levels of certain POPs can influence neuropsychological outcomes in Dutch adolescents.
- While some POPs demonstrate associations with specific neurodevelopmental aspects, most compounds did not exhibit clinically significant consequences at adolescence.
Background:
Prenatal exposure to persistent organic pollutants (POPs), such as polychlorinated biphenyls (PCBs), was found to be associated with poorer neurological development in children. Knowledge about the effects on outcomes until adolescence is limited.
Objectives:
To determine whether prenatal exposure to POPs, particularly hydroxylated PCBs (OH-PCBs), is associated with cognitive and motor development in 13- to 15-year-old children.
Methods:
This prospective observational cohort study is part of the Development at Adolescence and Chemical Exposure (DACE)-study, a follow-up of two Dutch birth cohorts. Maternal pregnancy serum levels of PCB-153 and three OH-PCBs were measured, in part of the cohort also nine other PCBs and three OH-PCBs, and in another part five polybrominated diphenyl ethers (PBDEs), dichloroethene (DDE), pentachlorophenol (PCP) and hexabroomcyclododecane (HBCDD). Of the 188 invited adolescents, 101 (53.7%) participated, 55 were boys. Cognition (intelligence, attention, verbal memory) and motor performance (fine motor, ball skills, balance) were assessed. Scores were classified into 'normal' (IQ > 85; scores > P15) and '(sub)clinical' (IQ ≤ 85; scores ≤ P15). We used linear and logistic regression analyses, and adjusted for maternal education, maternal smoking, maternal alcohol use, breast feeding, and age at examination.
Results:
Several OH-PCBs were associated with more optimal sustained attention and balance. PCB-183 was associated with lower total intelligence (OR: 1.29; 95%CI:0.99-1.68; P = .060), and HBCDD with lower performance intelligence (OR: 3.62; 95%CI:0.97-13.49; P = .056). PCBs, OH-PCBs and PBDEs were negatively associated with verbal memory.
Conclusions:
Prenatal background exposure to several POPs can influence neuropsychological outcomes in 13- to 15-year-old Dutch adolescents, although exposure to most compounds does not have clinically relevant consequences at adolescence.
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