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Published on: November 29, 2013
Polyunsaturated fatty acids and child neurodevelopment among a population exposed to DDT: a cohort study
Ángel Mérida-Ortega1, Stephen J Rothenberg1, Luisa Torres-Sánchez1
1Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Av. Universidad 655, Col. Sta. María Ahuacatitlán, 62100, Cuernavaca Morelos, CP, Mexico.
Insights
Maternal intake of docosapentaenoic acid (DPA), a polyunsaturated fatty acid (PUFA), during pregnancy benefits child neurodevelopment, even with environmental exposure to DDT. This highlights the importance of PUFAs for prenatal development.
Area of Science:
- Environmental Health
- Neuroscience
- Nutritional Science
Background:
- Child neurodevelopment is linked to maternal polyunsaturated fatty acid (PUFA) intake.
- The impact of PUFAs on neurodevelopment in environments with neurotoxicant exposure is unclear.
Purpose of the Study:
- To investigate the association between maternal PUFA intake during pregnancy and child neurodevelopment.
- To assess this relationship in mothers environmentally exposed to 1,1,1-trichloro-2,2-bis(p-chlorophenyl)ethane (DDT).
Main Methods:
- Prospective cohort study of 276 mother-child pairs in Mexico.
- Neurodevelopment assessed using Bayley Scales II (ages 1-30 months).
- Maternal PUFA intake estimated via Food Frequency Questionnaire; DDE serum levels measured.
Main Results:
- Maternal docosapentaenoic acid (DPA) intake in the first trimester was positively associated with children's Mental Development Index (MDI).
- Results suggest alpha-linolenic acid (ALA) may also relate to MDI.
- Associations were observed in a population exposed to DDT.
Conclusions:
- Docosapentaenoic acid (DPA) may support child neurodevelopment despite DDT exposure.
- Prenatal PUFA intake is crucial for optimal child neurodevelopment.
Background:
Child neurodevelopment has been positively linked to maternal intake of polyunsaturated fatty acids (PUFAs) during pregnancy; however, it is unknown if that relationship persists among populations exposed to environmental neurotoxicants.
Objective:
The aim of this work was to assess whether maternal dietary intake of PUFAs during pregnancy is positively associated with child neurodevelopment, whose mothers were environmentally exposed to 1,1,1-trichloro-2,2-bis(p-chlorophenyl)ethane (DDT).
Methods:
A prospective cohort study with 276 mother-child pairs was performed in Mexico. Neurodevelopment was assessed by Bayley Scales II from children age 1 to 30 months. Dietary PUFAs intake was estimated by Food Frequency Questionnaire at 1st and 3rd trimester of pregnancy. DDE (1,1-dichloro-2,2-bis(p-chlorophenyl) ethylene, the main metabolite of DDT) maternal serum levels were determined by electron capture gas chromatography. Longitudinal multivariate linear mixed-effects analysis, which combines mental (MDI) and motor (PDI) Bayley scales in a single model, were performed.
Results:
Our results show that in a sample environmentally exposed to DDT, maternal ingestion of DPA during the first trimester of pregnancy was positively associated with MDI (β = 0.10, 95% CI 0.02, 0.18) in children from 1 to 30 months. Likewise, our results suggest that dietary ALA may be also related to MDI.
Conclusion:
DPA may benefit neurodevelopment even in populations exposed to DDT. Our results strengthen the importance of PUFAs intake during the prenatal period.
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