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Prenatal titanium exposure and child neurodevelopment at 1 year of age: A longitudinal prospective birth cohort study
Yangqian Jiang1, Yongyue Wei2, Wenhui Guo1
1State Key Laboratory of Reproductive Medicine, Nanjing Medical University, Nanjing, 211166, Jiangsu, China; Department of Epidemiology, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing 211166, Jiangsu, China.
Insights
Prenatal titanium exposure may harm child language development. Higher exposure in early pregnancy was linked to lower language scores and increased risk of delay in toddlers, suggesting titanium
Area of Science:
- Environmental Health
- Neurodevelopmental Toxicology
- Pediatric Health
Background:
- Animal studies suggest prenatal titanium exposure can cause neurotoxicity.
- Human data on prenatal titanium exposure and child neurodevelopment is limited.
- Titanium's potential impact on developing brains requires investigation.
Purpose of the Study:
- To investigate the association between prenatal titanium exposure and neurodevelopment in children.
- To quantify the relationship between maternal urinary titanium levels and child developmental outcomes.
- To identify potential risks of titanium exposure during early pregnancy.
Main Methods:
- Prospective cohort study recruiting pregnant women (2014-2017).
- Measurement of urinary titanium concentrations in the first trimester.
- Assessment of child neurodevelopment using the Gesell Developmental Schedules at one year.
- Statistical analysis using multivariable linear and robust modified Poisson regressions.
Main Results:
- Higher prenatal titanium exposure was associated with lower developmental quotient scores in the language domain.
- Children in the highest tertile of exposure had significantly lower language scores compared to the lowest tertile.
- Increased risk of language development delay was observed in children with higher prenatal titanium exposure.
- No significant associations were found for motor, adaptive, or social development.
Conclusions:
- Prenatal higher titanium exposure is linked to impaired language development in children.
- Titanium may act as a developmental neurotoxicant, particularly affecting language acquisition.
- Further research is warranted to understand the mechanisms and long-term effects of prenatal titanium exposure.
Abstract:
Previous animal studies provided the evidence that prenatal titanium exposure can cause neurotoxicity in their offspring, while human data is vacant. Our aim was to identify the associations of prenatal titanium exposure with the child neurodevelopment. Participants in present study were recruited during early pregnancy between 2014 and 2017. Urinary concentrations of titanium at first trimester were determined. We assessed child neurodevelopment using the Chinese version of Gesell Developmental Schedules at first year follow-up. The multivariable linear regressions and the robust modified Poisson regressions were used to estimate the associations of specific gravity corrected urinary titanium concentrations with the child neurodevelopment. In adjusted models, children's developmental quotient scores in the language domain were 2.03 points (95% CI: -3.66, -0.40) lower in the highest tertile of prenatal urinary titanium than in the lowest tertile. Also, children with prenatal urinary titanium in the highest tertile had 1.42 times (95% CI: 1.17, 1.72) increased risk of language development delay compared to those in the lowest tertile. No statistically significant associations were observed between titanium exposure and child development delay in motor, adaptive and social areas. The findings indicated that prenatal higher titanium exposure was associated with impaired language development, suggesting that titanium might act as developmental neurotoxicants.
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