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Published on: August 25, 2014
Low neurodevelopmental performance and behavioural/emotional problems at 24 and 48 months in Brazilian children
Luciana Tovo-Rodrigues1, Marina Xavier Carpena1, Thais Martins-Silva1
1Postgraduate Program in Epidemiology, Universidade Federal de Pelotas, Pelotas, Brazil.
Insights
Prenatal acetaminophen exposure was not linked to developmental or behavioral issues in children at 24 and 48 months. This study found no confirmed association between acetaminophen use during pregnancy and later childhood problems.
Area of Science:
- Pediatric Health
- Neurodevelopmental Research
- Prenatal Exposure Studies
Background:
- Previous research suggests a link between prenatal acetaminophen exposure and developmental/behavioral problems.
- However, limited studies have specifically examined early-life development and behavioral outcomes.
Purpose of the Study:
- To investigate the association between prenatal acetaminophen exposure and neurodevelopmental performance at 24 months.
- To assess the relationship between prenatal acetaminophen exposure and behavioral/emotional problems at 48 months.
Main Methods:
- Utilized data from the 2004 Pelotas Birth Cohort, a prospective longitudinal study.
- Neurodevelopment assessed at 24 months using Battelle's Developmental Inventory (BDI).
- Behavioral/emotional problems evaluated at 48 months using the Child Behaviour Checklist (CBCL), with adjusted analyses for confounding factors.
Main Results:
- Prenatal acetaminophen exposure showed no statistically significant association with low neurodevelopmental performance at 24 months (BDI).
- No association was found between prenatal acetaminophen exposure and emotional/behavioral problems at 48 months (CBCL) in adjusted models.
Conclusions:
- The study could not confirm an association between acetaminophen use during pregnancy and adverse neurodevelopmental or behavioral outcomes at 24 and 48 months.
- Further research may be needed to fully understand any potential long-term effects, but current findings do not support a link.
Background:
Several studies have reported that there is an association between developmental and emotional/behavioural problems in children exposed to acetaminophen during foetal development. However, few studies have focused on development and behavioural outcomes in early life.
Objectives:
To test the association between prenatal exposure to acetaminophen and low neurodevelopmental performance at 24 months and behavioural/emotional problems at 48 months of life.
Methods:
We used data from the 2004 Pelotas Birth Cohort, a population-based longitudinal prospective study. Neurodevelopment was evaluated at 24 months using Battelle's Developmental Inventory (BDI) (n = 3737). We assessed global function as well as each domain (personal-social, adaptative, motor, cognitive, and communication). Behavioural/emotional problems were assessed at 48 months using the Child Behaviour Checklist (CBCL) (n = 3624). We used the CBCL total, externalising, and internalising symptomatology and individual subscales (withdrawn, somatic complaints, anxious/depressed, social problems, cognitive problems, attention problems, aggressive behaviour, and rule-breaking behaviour). Acetaminophen use during pregnancy was retrospectively assessed at the perinatal follow-up. Poisson regression and multiple linear regression analyses were used to test the association, adjusting for several family and maternal sociodemographic and health factors, medication use during pregnancy, and the sex of the child.
Results:
Acetaminophen exposure during prenatal development was not associated with low neurodevelopmental performance at 24 months assessed using the BDI or to emotional and behavioural problems assessed at 48 months using the CBCL in the adjusted models.
Conclusions:
We cannot confirm the existence of an association between acetaminophen used during pregnancy and low neurodevelopmental performance at 24 months and emotional/behavioural problems at 48 months of life based on the present results.
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