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Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
Postnatal BPA is associated with increasing executive function difficulties in preschool children
Gillian England-Mason1,2, Jiaying Liu3, Jonathan W Martin3,4
1Department of Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Insights
Early exposure to bisphenol A (BPA) impacts girls' executive function development, specifically inhibitory control and metacognition. Postnatal BPA exposure is linked to these changes, suggesting precautions for infants.
Area of Science:
- Environmental Health
- Neurodevelopmental Pediatrics
- Toxicology
Background:
- Early life exposure to bisphenols may affect executive function.
- Less is known about sex-specific effects of bisphenol A (BPA) and bisphenol S (BPS) on cognitive development.
Purpose of the Study:
- To investigate the association between early BPA and BPS exposure and sex-dependent changes in preschool executive function.
Main Methods:
- Maternal urine samples (prenatal and 3-month postnatal) from the Alberta Pregnancy Outcomes and Nutrition (APrON) cohort (n=312) were analyzed for BPA and BPS concentrations.
- Mothers completed the Behavior Rating Inventory of Executive Function-Preschool Version (BRIEF-P) when children were ages 2 and 4.
- Changes in executive function domains (inhibitory self-control, flexibility, emergent metacognition) were analyzed using adjusted multivariate regression.
Main Results:
- Maternal postnatal BPA concentrations were associated with sex-dependent changes in executive function.
- Higher postnatal BPA predicted increased difficulties in inhibitory self-control and emergent metacognition from ages 2 to 4 in female children, but not male children.
- Neither prenatal BPA nor prenatal/postnatal BPS were significantly associated with changes in executive function.
Conclusions:
- Postnatal BPA exposure may negatively impact executive function development in girls.
- Findings highlight the need for further research into postnatal bisphenol exposure effects on child neurodevelopment.
- Given widespread BPA exposure, additional precautions may be necessary to protect infants from indirect BPA exposure.
Background:
Early bisphenol exposure may have consequences for executive function development, but less is known about potential sex effects. We hypothesized that early bisphenol A (BPA) and bisphenol S (BPS) exposures would be associated with sex-dependent changes in preschool executive function.
Methods:
A subsample of the Alberta Pregnancy Outcomes and Nutrition (APrON) cohort (n = 312) provided maternal second trimester (prenatal) and 3-month postpartum (postnatal) urine samples, from which BPA and BPS concentrations were quantified. When children were age 2 and 4, mothers completed the Behavior Rating Inventory of Executive Function-Preschool Version (BRIEF-P). Changes in standardized T scores on the BRIEF-P indexes of inhibitory self-control, flexibility, and emergent metacognition were investigated.
Results:
Adjusted multivariate regression analyses showed that child sex modified the associations between maternal postnatal BPA and changes in executive function. Higher maternal postnatal BPA concentrations predicted increasing difficulties from age 2 to 4 in the domains of inhibitory self-control and emergent metacognition in female, but not male children. The other bisphenol concentrations were not associated with changes in executive function.
Conclusion:
Due to the ubiquity of BPA exposure among breastfeeding women, these findings justify further investigation on the effects of postnatal bisphenol exposure on child cognitive development.
Impact:
Higher concentrations of maternal BPA at 3-month postpartum were associated with increasing difficulties in inhibitory self-control and emergent metacognition from age 2 to 4 in girls, but not boys. Prenatal BPA and prenatal/postnatal BPS were not significant predictors of changes in executive function in boys and girls. The current study extends previous research to show that maternal postnatal BPA could also impact child executive function. Due to the ubiquity of BPA exposure among breastfeeding women, the current findings suggest that additional precautions may be needed to protect infants' neurodevelopment from indirect exposure to BPA.
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