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Published on: March 6, 2018
Bisphenol analogs exposure in 4-year-old children and their intelligence quotient at 6 years: A prospective cohort
Huijia Su1, Jianya Xi1, Maohua Miao1
1Shanghai-MOST Key Laboratory of Health and Disease Genomics, National Health Commission Key Lab of Reproduction Regulation, Shanghai Institute for Biomedical and Pharmaceutical Technologies, Shanghai, 200237, China.
Insights
Childhood exposure to bisphenol analogs (BPs) may impact intelligence. Bisphenol F (BPF) exposure in 4-year-old girls was linked to lower IQ scores at age 6, suggesting BPF is not a safe BPA substitute.
Area of Science:
- Environmental Health
- Neurodevelopmental Toxicology
- Pediatric Health
Background:
- Prenatal bisphenol A (BPA) exposure is known to affect offspring cognition and behavior.
- The impact of childhood co-exposure to bisphenol analogs (BPs) on children's intelligence remains under-investigated.
- Bisphenol analogs are increasingly used as substitutes for BPA.
Purpose of the Study:
- To investigate the association between childhood exposure to bisphenol analogs (BPs) and intelligence quotient (IQ) in children.
- To examine the effects of specific BPs, including bisphenol F (BPF), on cognitive development.
- To assess potential sex-specific differences in the impact of BPs on IQ.
Main Methods:
- Utilized data from 465 mother-child pairs in the Shanghai Minhang Birth Cohort Study.
- Measured BP concentrations in urine samples from 4-year-old children.
- Assessed child IQ at 6 years using the Wechsler Intelligence Scale for Children and analyzed associations with multiple linear regression and Bayesian Kernel Machine Regression (BKMR).
Main Results:
- In girls, exposure to bisphenol F (BPF) at age 4 was inversely associated with Full-Scale IQ (FSIQ) and Perceptual Reasoning Index (PRI) at age 6.
- BKMR analysis indicated BPF contributed most significantly to the joint effect of BPs in girls, independent of maternal IQ.
- A potential association between tetrachlorobisphenol A exposure and increased FSIQ/PRI was observed in boys, though with a small sample size.
Conclusions:
- Childhood exposure to bisphenol analogs, particularly BPF, at age 4 may be associated with reduced IQ in 6-year-old girls.
- Bisphenol F (BPF) may not be a safe alternative to bisphenol A (BPA).
- Further epidemiological research is warranted to confirm these findings and elucidate the neurodevelopmental impacts of BPs.
Abstract:
Prenatal exposure to bisphenol A (BPA) has been shown to impact offspring cognition, behavior, and intelligence. However, whether co-exposure to bisphenol analogs (BPs) during childhood affects children's intelligence remains unclear. We included 465 mother-child pairs from the Shanghai Minhang Birth Cohort Study to examine the impact of children's exposure to BPs at 4 years of age on the intelligence quotient (IQ) measured at 6 years. BPs concentrations were measured in single-spot urine samples collected from 4-year-old children. The Wechsler Intelligence Scale for Children was used to evaluate IQ at 6 years. Multiple linear regression models were used to examine the associations between BPs and IQ. Bayesian Kernel Machine Regression (BKMR) models were used to evaluate the joint and single-exposure effects of BPs mixture. In girls, exposure to bisphenol F (BPF) was inversely associated with Full-Scale IQ (FSIQ) and Perceptual Reasoning Index (PRI) (βFSIQ = -5.46, 95 % confidence interval [CI]: -9.97, -0.94; βPRI = -5.14, 95 % CI: -9.95, -0.32). By BKMR, BPF contributed the most to the joint effect of BPs in girls. The association remained robust after adjusting for maternal IQ. In boys, exposure to tetrachlorobisphenol A seemed to be associated with an increase in FSIQ and PRI; however, the number of exposed boys was small. Our study suggests that BPs exposure at 4 years of age may be associated with a lower IQ at 6 years in girls. BPF may not be a safe substitute for BPA. Further epidemiological studies are required to confirm these findings.
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