Elemental Exposure and Attention-Deficit Hyperactivity Disorder Risk in Population Aged 6-16 Years: Associations and
Sainan Li1,2, Xiaoli Li3,4,5, Hai Lin1,2
1Institute of Reproductive and Child Health/National Health Commission Key Laboratory of Reproductive Health, Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China.
Heavy metal exposure is linked to increased attention-deficit hyperactivity disorder (ADHD) risk, with oxylipins mediating this association. This study highlights the complex interplay between environmental elements, inflammation, and ADHD development.
Area of Science:
- Environmental Health
- Neurodevelopmental Disorders
- Biochemistry
Background:
- Attention-deficit hyperactivity disorder (ADHD) etiology is multifactorial.
- Heavy metals are implicated in inflammatory processes via oxylipins.
- Understanding elemental exposure's role in ADHD is crucial.
Purpose of the Study:
- To evaluate the relationship between elemental exposure, oxylipin alterations, and ADHD risk.
- To elucidate the mediating role of oxylipins in elemental exposure and ADHD risk.
- To identify key elements and oxylipins involved in ADHD pathogenesis.
Main Methods:
- Case-control study design with 561 children for elemental analysis and 151 for oxylipins.
- Logistic regression and elastic net regression for element association and selection.
- Bayesian kernel machine regression and quantile g-computation for mixture effects and mediation analysis.
Main Results:
- 11 key elements were significantly associated with ADHD risk.
- Combined elemental exposure increased ADHD odds (OR 1.72; 95% CI: 1.56, 1.90).
- Oxylipins mediated 13.3% of the association between elemental exposure and ADHD risk.
Conclusions:
- Elemental exposure is a significant risk factor for ADHD.
- Oxylipins play a mediating role in the elemental exposure-ADHD link.
- Findings provide insights into ADHD etiology and potential therapeutic targets.
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