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Published on: June 28, 2024
Maternal Metals Exposure and Infant Weight Trajectory: The Japan Environment and Children's Study (JECS)
Yu Taniguchi1, Shin Yamazaki1, Shoji F Nakayama1
1Japan Environment and Children's Study Programme Office, National Institute for Environmental Studies, Tsukuba, Japan.
Insights
Maternal exposure to lead, mercury, selenium, and manganese affects infant weight trajectories in the first three years of life. This study highlights the impact of metallic elements on early childhood growth patterns.
Area of Science:
- Environmental Health
- Pediatrics
- Toxicology
Background:
- The association between maternal exposure to metallic elements and infant weight trajectory patterns from birth is not well-understood.
- Investigating this link is crucial for understanding early childhood development and potential environmental influences.
Purpose of the Study:
- To identify distinct infant weight trajectory patterns in the first three years of life.
- To examine the association between maternal blood levels of specific metallic elements (lead, cadmium, mercury, selenium, manganese) and these identified growth trajectories.
Main Methods:
- A longitudinal study of 103,099 pregnant women in Japan (Japan Environment and Children Study).
- Maternal blood levels of metallic elements were measured during pregnancy.
- Infant weight trajectories of 99,014 children were tracked until age 3, analyzed using latent-class group-based trajectory models.
- Multinomial logistic regression was used to assess associations between maternal metallic element levels and weight trajectories, adjusting for confounders.
Main Results:
- Five distinct infant weight trajectory patterns were identified.
- Higher maternal lead and selenium levels were associated with increased odds of poorer weight trajectories (very small to small).
- Higher maternal mercury levels were linked to decreased odds of certain trajectories, while higher manganese levels were associated with increased odds of moderately large trajectories.
Conclusions:
- Maternal blood levels of lead, mercury, selenium, and manganese significantly influence infant growth trajectory patterns during the first three years of life.
- These findings underscore the importance of monitoring and mitigating exposure to metallic elements during pregnancy for optimal infant development.
Background:
To our knowledge, the association of maternal exposure to metallic elements with weight trajectory pattern from the neonatal period has not been investigated.
Objectives:
The goals of this study were to identify infant growth trajectories in weight in the first 3 y of life and to determine the associations of maternal blood levels of lead, cadmium, mercury, selenium, and manganese with growth trajectory.
Methods:
This longitudinal study, part of the Japan Environment and Children Study, enrolled 103,099 pregnant women at 15 Regional Centres across Japan between 2011 and 2014. Lead, cadmium, mercury, selenium, and manganese levels were measured in blood samples collected in the second (14-27 wk gestational age) or third trimester (). Growth trajectory of 99,014 children was followed until age 3 y. Raw weight values were transformed to age- and sex-specific weight standard deviation (SD) scores, and latent-class group-based trajectory models were estimated to determine weight trajectories. Associations between maternal metallic element levels and weight trajectory were examined using multinomial logistic regression models after confounder adjustment.
Results:
We identified 5 trajectory patterns based on weight SD score: 4.74% of infants were classified in Group I, very small to small; 31.26% in Group II, moderately small; 21.91% in Group III, moderately small to moderately large; 28.06% in Group IV, moderately large to normal; and 14.03% in Group V, moderately large to large. On multinomial logistic regression, higher maternal lead and selenium levels tended to be associated with increased odds ratios (ORs) of poor weight SD score trajectories (Groups I and II), in comparison with Group III. Higher levels of mercury were associated with decreased ORs, whereas higher levels of manganese were associated with increased ORs of "moderately large" trajectories (Groups IV and V).
Discussion:
Maternal lead, mercury, selenium, and manganese blood levels affect infant growth trajectory pattern in the first 3 y of life. https://doi.org/10.1289/EHP10321.
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