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Updated: Jun 13, 2025

Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
The association between prenatal pyrethroids exposure and children's health - current research
Agnieszka Jankowska1, Maja Ścieszko1,2, Alicja Polańska3
1Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Environmental and Occupational Health Hazards).
Insights
Prenatal exposure to pyrethroids, common insecticides, shows uncertain health effects in children. Research indicates potential neurobehavioural impacts, but more studies are needed to confirm risks.
Area of Science:
- Environmental Health
- Pediatric Health
- Toxicology
Background:
- Pyrethroids are widely used insecticides in agriculture, forestry, and homes.
- Exposure to pyrethroids is a significant public health concern, particularly regarding potential effects on children's health.
- Prenatal exposure is a critical window for potential adverse health outcomes.
Purpose of the Study:
- To systematically review and summarize current knowledge on the health effects of prenatal pyrethroid exposure in children.
- To assess impacts on pregnancy course and outcome, child health status, and neurobehavioural development.
- To identify gaps in research and areas for future investigation.
Main Methods:
- A systematic literature search was conducted in PubMed, Web of Science, and Scopus databases (January-February 2024).
- Included original, peer-reviewed English-language articles published since 2015.
- Screened 198 studies, ultimately analyzing 25 relevant articles.
Main Results:
- The review analyzed studies on neurobehavioural development (16 articles), pregnancy outcomes (3 articles), respiratory disease (3 articles), obesity (1 article), and growth/body composition (2 articles).
- Considerable uncertainty exists regarding the adverse effects of prenatal pyrethroid exposure on children's health.
- The strongest, though inconsistent, evidence points to potential impacts on neurobehavioural development.
Conclusions:
- Current evidence on the adverse health effects of prenatal pyrethroid exposure in children is limited and often inconsistent.
- Further research is essential to elucidate the mechanisms of action and confirm health effects in vulnerable populations.
- Understanding pyrethroid toxicity is crucial for public health protection, especially for pregnant women and children.
Abstract:
Exposure to pyrethroids, a widely used agricultural, forestry, and household insecticide, is a major public health concern due to its potential health effects on children. The aim of this review was to summarize the current knowledge of the effects of prenatal exposure to pyrethroids on the course and outcome of pregnancy, health status, and neurobehavioural development of children. A systematic and comprehensive search of the PubMed, Web of Science, and Scopus databases was conducted during January-February 2024. The review included original articles published in peerreviewed English-language journals since 2015. Based on keywords, 198 studies were identified and screened for eligibility. Ultimately, the review analyzed 25 articles including 16 that assessed the effects of prenatal exposure to pyrethroids on children's neurobehavioural development, 3 studies that assessed the effects on the course and outcome of pregnancy, and further 3 focused on respiratory disease. In addition, 1 study analyzed the development of obesity and 2 studies examined the effects on children's growth, weight and body composition in early childhood. In conclusion, there is considerable uncertainty about the adverse effects of prenatal exposure to pyrethroids on children's health. The strongest evidence has been reported for neurobehavioural development although results are also inconsistent. Further research is needed to understand the mechanisms of action and health effects of pyrethroids in susceptible populations. Int J Occup Med Environ Health. 2024;37(4):381-402.
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