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Early-Life Exposure to Perfluoroalkyl Substances (PFAS) and Child Language and Communication Development: A
Charlotte Stübner1,2, Christel Nielsen3,4, Kristina Jakobsson5,6
1Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 413 90 Gothenburg, Sweden.
Insights
Early exposure to per- and polyfluoroalkyl substances (PFAS) did not show consistent adverse effects on children's language development. More research using specific language tests is needed to confirm these findings.
Area of Science:
- Environmental Health
- Neurodevelopmental Pediatrics
- Toxicology
Background:
- Early-life exposure to environmental contaminants, such as per- and polyfluoroalkyl substances (PFAS), may impact neurodevelopment.
- Language and communication skills are sensitive indicators of cognitive development in children.
- Understanding the effects of prenatal and early postnatal PFAS exposure on language acquisition is crucial.
Approach:
- A systematic literature review was conducted using PubMed, Scopus, and CINAHL databases, last updated in April 2023.
- Included studies focused on children and young adults with pre- or postnatal PFAS exposure.
- Language and communication outcomes were assessed via validated instruments, parental reports, or diagnoses of language disorders.
Key Points:
- Fifteen studies were analyzed, with thirteen in background-exposed and two in highly exposed populations.
- Some studies suggested potential adverse effects, but findings were inconsistent across sex, age, and exposure levels.
- No systematic association was found between early-life PFAS exposure and language/communication development.
Conclusions:
- Current evidence is inconclusive regarding the impact of early-life PFAS exposure on children's language development.
- Limitations in general assessment tools may obscure specific effects on language and communication.
- Future research should utilize a broader exposure range and specific language assessment instruments.
Abstract:
Language development starts during the fetal period when the brain is sensitive to endocrine disruptions from environmental contaminants. This systematic review aims to systematically summarize the existing literature on early-life exposure to PFAS and children's language and communication development, which is an indicator of neurocognitive development. A structured literature search was conducted using three databases, PubMed, Scopus, and CINAHL, last updated in April 2023. The population was defined as children and young adults. PFAS exposure was assessed pre- or postnatally. The outcome was defined as a language and communication ability assessed with validated instruments, parental self-reports, or clinical language disorder diagnoses. In total, 15 studies were identified for subsequent analyses. Thirteen were performed in background-exposed populations and two in highly exposed populations. There were some indications of potential adverse effects; however, these were not consistent across child sex, age of assessment, or PFAS exposure levels. No systematic effect of early-life PFAS exposure on language and communication development was found. These inconclusive findings may partly be explained by the use of general test instruments with limited validity as to children's language and communication development. Further studies over a wider exposure range using specific language test instruments are needed.
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