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Published on: December 14, 2014
Prenatal Bisphenol A exposure and early childhood neurodevelopment in Shandong, China
Rui Pan1, Caifeng Wang2, Rong Shi1
1Department of Environmental Health, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Insights
Prenatal exposure to Bisphenol A (BPA) may negatively impact infant neurodevelopment, particularly in girls. This study in China highlights potential risks at 12 and 24 months, emphasizing the need for further research.
Area of Science:
- Environmental Health
- Developmental Pediatrics
- Toxicology
Background:
- Epidemiological studies suggest prenatal Bisphenol A (BPA) exposure may affect neurodevelopment in older children.
- Limited research exists on BPA's effects on neurodevelopment in younger children, especially in China.
Purpose of the Study:
- To investigate the association between prenatal BPA exposure and neurodevelopment in infants at 12 and 24 months of age.
- To assess these effects in a Chinese birth cohort.
Main Methods:
- Urine BPA concentrations were measured in 506 pregnant women.
- Infant neurodevelopment was assessed using Gesell Development Schedules at 12 and 24 months.
- Linear regression and generalized linear models analyzed the association between BPA exposure and developmental quotient scores (DQs).
Main Results:
- Maternal BPA concentrations were inversely associated with infant DQs at 12 months.
- A 10-fold increase in BPA correlated with a 1.43-point decrease in adaptive DQs.
- Adverse associations were observed in adaptive domains for both genders and social domains for girls at 12 months, and language domains for girls at 24 months.
Conclusions:
- Prenatal BPA exposure may adversely impact childhood neurodevelopment in a Chinese population.
- Effects were observed at 12 and 24 months, with notable impacts on girls' development.
- Findings underscore the potential risks of BPA during critical developmental windows.
Background:
Several epidemiological studies suggest that prenatal exposure to BPA may interfere with the neurodevelopment of pre-school and school-age children. However, a limited number of studies are available for effects during children at a younger age, especially in China.
Methods:
Based on Laizhou Wan Birth Cohort (LWBC), BPA concentrations were measured in urine among 506 pregnant women during their hospital admission for delivery and neurodevelopment of their children was assessed using the Gesell Development Schedules at 12 months (n = 368) and 24 months (n = 296). Linear regression and generalized linear models were used to analyze the association between prenatal BPA exposure and the children's developmental quotient scores (DQs).
Results:
The median of maternal BPA concentration was 0.48 μg/L or 1.05 μg/g creatinine. Maternal BPA concentrations were adversely associated with children DQs at 12 months of age, with a 10-fold increase in prenatal BPA concentrations correlated to 1.43-point decrease in DQs in the adaptive domain (β = -1.43; 95% CI: -2.30 to -0.56, p = 0.001). When stratified by gender, prenatal BPA concentrations were adversely associated with the adaptive domain DQs among boys (p-trend = 0.012) and girls (p-trend = 0.028) and the social domain DQs (p-trend = 0.019) only among girls. At 24 months of age, the significant adverse association was only found in the language domain among girls (β = -1.69; 95% CI: -3.23 to -0.15, p = 0.032).
Conclusion:
Based on a Chinese population, we found potential impacts of prenatal BPA exposure on childhood neurodevelopment at 12 and 24 months of age, especially among girls.
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