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Prenatal and postnatal lead exposures and intellectual development among 12-year-old Japanese children
Nozomi Tatsuta1, Kunihiko Nakai1, Yuichi Kasanuma2
1Development and Environmental Medicine, Tohoku University Graduate School of Medicine, Sendai 980-8575, Japan.
Insights
Postnatal lead exposure negatively impacts boys' IQ and language skills. Prenatal and postnatal lead exposure affects boys' language ability, but not girls'.
Area of Science:
- Environmental Health
- Neuroscience
- Pediatrics
Background:
- Childhood lead exposure is linked to lower IQ.
- The impact of prenatal lead exposure on child IQ is inconsistent.
- Understanding lead exposure effects on cognitive development is crucial.
Purpose of the Study:
- To investigate the association between prenatal/postnatal lead exposure and child IQ at age 12.
- To analyze lead exposure effects on cognitive and language abilities in children.
- To differentiate lead exposure impacts based on sex.
Main Methods:
- Prospective birth cohort study (Tohoku Study of Child Development) with 286 children.
- Measured cord-blood and 12-year-old child blood lead levels.
- Assessed IQ using Wechsler Intelligence Scale for Children-Fourth Edition and language using Boston Naming Test (BNT).
Main Results:
- IQ and BNT scores were lower in boys than girls.
- In boys, IQ correlated with child-blood lead levels, not cord-blood lead.
- Language ability (BNT) in boys was associated with both prenatal and postnatal lead exposure.
Conclusions:
- Postnatal lead exposure adversely affects intellectual ability in boys.
- Language ability in boys is sensitive to both prenatal and postnatal lead exposure.
- No significant associations were found for girls.
Background:
Low-level lead exposure during childhood is associated with deficit in child IQ. However, the association between prenatal lead exposure and child IQ remains inconsistent. The objective of our study was to examine the association between prenatal/postnatal lead exposure and child IQ at the age of 12.
Methods:
We obtained data pertaining to cord-blood and child-blood lead levels and IQ for 286 children from a prospective birth cohort study (Tohoku Study of Child Development). IQ was assessed using the Wechsler Intelligence Scale for Children-Fourth Edition. Simultaneously, the Boston Naming Test (BNT) was used to assess the children's language ability.
Results:
The median lead level in the cord blood was 0.8 μg/dL (5th-95th percentiles, 0.4-1.4 μg/dL), and that in the blood of 12-year-old children was 0.7 μg/dL (0.4-1.1 μg/dL). IQ and BNT scores were significantly lower in boys than in girls; therefore, multiple regression analysis was conducted separately for boys and girls. Among boys, IQ was associated with child-blood lead (B = -16.362, p = 0.033) but not cord-blood lead (B = -6.844, p = 0.309). When boys were divided into four groups according to the child-blood lead levels, there was a significant decreasing trend for IQ. The score with cues of the BNT was associated with both cord-blood (B = -5.893, p = 0.025) and child-blood (B = -7.108, p = 0.022) lead concentrations in boys. Among girls, there was no significant association of the outcomes with cord-blood or child-blood lead level.
Conclusions:
These findings suggest that postnatal lead exposure adversely affects the intellectual ability in boys. Furthermore, the language ability is sensitive to prenatal/postnatal lead exposure in boys.
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