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Published on: July 29, 2020
Early lead exposure and childhood adiposity in Mexico city
Yun Liu1, Karen E Peterson1, Kathleen Montgomery2
1Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Insights
Prenatal lead exposure was linked to lower body fat and smaller measurements in Mexican children. This suggests early lead exposure may influence fetal growth programming, warranting further investigation into biological mechanisms.
Area of Science:
- Environmental Health
- Pediatric Endocrinology
- Toxicology
Background:
- Prenatal and early childhood lead exposure are linked to reduced infant weight.
- Research on lead exposure's impact on adiposity in peripubertal children is limited.
Purpose of the Study:
- To investigate associations between prenatal and early-life lead exposure and adiposity indicators in peripubertal children.
- To examine the relationship between maternal bone lead and childhood body composition.
Main Methods:
- Maternal bone lead (patella) assessed postpartum as a proxy for fetal exposure.
- Child blood lead levels measured annually from ages 1-4.
- Multivariable linear regression analyzed associations with BMI z-score, waist circumference, skinfolds, and body fat percentage in 248 children (ages 8-16).
Main Results:
- Maternal patella lead showed significant inverse associations with child BMI z-score, waist circumference, sum of skinfolds, and body fat percentage.
- No significant associations were found between postnatal lead exposure and adiposity indicators.
Conclusions:
- Prenatal lead exposure is inversely associated with body composition in Mexican children.
- Early lead exposure may play a role in fetal programming of child growth.
- Further research is needed to understand the biological mechanisms involved.
Background:
Prenatal and early childhood lead exposures have been associated with reduced weight in infants and young children, while studies that have examined such associations in children during peripubescence are rare.
Objectives:
We investigated the associations of prenatal and early-life exposure to lead with indices of adiposity in peripubertal children living in Mexico City.
Methods:
Maternal bone lead (as a proxy for cumulative fetal exposure) was assessed at 1 month postpartum. Blood samples were obtained from children annually from 1 to 4 years. Multivariable linear regression models were used to examine the association between each lead biomarker and BMI z-score, waist circumference, sum of skinfolds and body fat percentage in 248 children aged 8-16 years.
Results:
After adjusting for covariates, maternal patella lead was associated with lower child BMI z-score (β = -0.02, 95% CI: 0.03, -0.01, p = 0.004), waist circumference (β = -0.12 cm, 95% CI: 0.22, -0.03, p = 0.01), sum of skinfolds (β = -0.29 mm, 95% CI: 0.50, -0.08, p = 0.007) and body fat percentage (β = -0.09%, 95% CI: 0.17, -0.01, p = 0.03). No significant associations were detected from the postnatal exposure period.
Conclusions:
We observed a significant and inverse association of prenatal lead exposure with body composition in Mexican children, suggesting the potential role of early lead exposure in the fetal programming of child growth. Further research on the biological mechanisms underlying these associations is needed.
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