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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Postnatal exposure to mercury and neuropsychological development among preschooler children
Sabrina Llop1,2, Mario Murcia3,4, Rubén Amorós5
1Epidemiology and Environmental Health Joint Research Unit, Foundation for the Promotion of Health and Biomedical Research in the Valencian Region, FISABIO-Public Health, FISABIO-Universitat Jaume I-Universitat de València, Av. Catalunya 21, 46020, Valencia, Spain. llop_sab@gva.es.
Insights
This study found no adverse effects on preschool children's neuropsychological development despite high mercury (Hg) exposure in a Spanish population. Mercury levels in hair were measured, and cognitive abilities were assessed using the McCarthy Scales of Children's Abilities.
Area of Science:
- Environmental Health
- Neuroscience
- Pediatrics
Background:
- Prenatal and postnatal exposure to mercury (Hg) is a public health concern.
- Assessing the impact of environmental toxins on child development is crucial for early intervention.
- High mercury levels have been observed in certain European populations, necessitating further investigation.
Purpose of the Study:
- To quantify postnatal mercury exposure in Spanish preschool children.
- To investigate the association between mercury exposure and neuropsychological development.
- To evaluate potential biases in exposure assessment and their impact on observed associations.
Main Methods:
- A cohort of 1252 Spanish children aged 4-5 years from the INMA Project was studied.
- Total mercury levels were measured in cord blood and child hair samples.
- Neuropsychological development was assessed using the McCarthy Scales of Children's Abilities (MSCA), with data analyzed using regression models.
Main Results:
- The geometric mean of hair mercury was 0.98 µg/g, considered high compared to other European countries.
- Positive associations were observed between mercury exposure and verbal, memory, and general cognitive scales of the MSCA.
- These associations were attenuated after adjusting for fish intake or accounting for measurement error in exposure data.
Conclusions:
- Despite elevated mercury levels in this Spanish cohort, no adverse effects on preschool children's neuropsychological development were detected.
- The findings suggest that potential confounding factors and measurement errors may influence the observed mercury-neurodevelopment associations.
- Further research is needed to fully understand the complex relationship between mercury exposure, diet, and child neurodevelopment.
Abstract:
The objective of this study was to describe the postnatal exposure to Hg and to evaluate its association with neuropsychological development among preschool children. The study population are 4-5 years old children (n = 1252) participant in the Spanish INMA Project. Total Hg was measured in cord blood and in hair samples taken at 4 years of age (2008-2012). Neuropsychological development was assessed using the McCarthy Scales of Children's Abilities (MSCA). Information on covariates and possible confounders was obtained by questionnaires during pregnancy and childhood. Generalized additive and linear regression models were built in order to assess the relationship between MSCA scores and Hg exposure. We also evaluated the magnitude of the possible bias generated from measurement error in seafood intake estimate from questionnaire and Hg determination. The geometric mean of hair Hg was 0.98 µg/g [95% confidence interval (CI) 0.94, 1.03]. In the regression analysis, the association between Hg and the MSCA scores was positive for all the scales and statistically significant for the verbal (β = 0.89; 95%CI 0.38, 1.39), memory (β = 0.42; 95%CI 0.09, 0.76) and general cognitive scales (β = 1.35; 95%CI 0.45, 2.25). However, these associations were clearly attenuated when we adjusted by the children's fish intake variables or when took into account theoretical scenarios of low precision in fish intake and Hg measurements. Hg levels in this Spanish population were high in comparison with other European countries; however, we did not observe adverse effects on child neuropsychological development associated with this postnatal exposure to Hg.
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