Prenatal and postnatal exposure to persistent organic pollutants and attention-deficit and hyperactivity disorder: a pooled analysis of seven European birth cohort studies

Autor: Hein Stigum, Jürgen Wittsiepe, Matias Torrent, Gunnar Toft, Isabelle Sioen, Joan Forns, Jesús Ibarluzea, Martine Vrijheid, Tomas Trnovec, Eva Govarts, Birgit Bjerre Høyer, Merete Eggesbø, Maria-Jose Lopez-Espinosa, Eva Sovcikova, Nina Iszatt, Mònica Guxens, Nikola Nowack, Cécile Chevrier
Přispěvatelé: Norwegian Institute of Public Health [Oslo] (NIPH), Bispebjerg University Hospital, Aarhus University Hospital, Universiteit Gent = Ghent University [Belgium] (UGENT), Slovak Medical University of Bratislava (SMU), Ruhr University Bochum (RUB), Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP) of Pamplona, Instituto de Salud Global - Institute For Global Health [Barcelona] (ISGlobal), Erasmus University Medical Centre Rotterdam/Sophia Children's Hospital, University of the Basque Country/Euskal Herriko Unibertsitatea (UPV/EHU), Unit Environmental Risk and Health, Flemish Institute for Technological Research (VITO), Institut de recherche en santé, environnement et travail (Irset), Université d'Angers (UA)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Norges Forskningsråd, ANR-2010-PRSP-007, Agence Nationale de la Recherche, APVT-21–016804, Agentúra na Podporu Výskumu a Vývoja, FP7/2007–2013, European Community’s Seventh Framework, Norwegian Data Inspectorate, 282957, DENAMIC, 226402, NEVRINOR, S-02122, Regional Ethics Committee for Medical Research in Norway, EU, European Union, FP7-ENV-2011 cod 282957, NEWGENERIS, MS13/00054, Miguel Servet-FEDER, DFG06/004, Provincial Government of Gipuzkoa, 1999SGR 00241, Generalitat de Catalunya-CIRIT, 090430, La Fundació La Marató de TV3, 2009111069, Conselleria de Sanitat Generalitat Valenciana, Department of Health of the Basque Government, Obra Social Cajastur, PI17/00663, Instituto de Salud Carlos III, 183/07, Consejería de Salud de la Junta de Andalucía, QLK4–2002-00603, EU Commission, QLK4-CT-2001–00202, European Commission’s 7th and 5th Framework Programmes, Universidad de Oviedo, R01 CA096525, National Institutes of Health, ANR-10-PRSP-0007,PEPSY(2010), Jonchère, Laurent, PROGRAMME DE RECHERCHE EN SANTE PUBLIQUE - - PEPSY2010 - ANR-10-PRSP-0007 - PRSP - VALID, Universiteit Gent = Ghent University (UGENT), Université d'Angers (UA)-Université de Rennes (UR)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Child and Adolescent Psychiatry / Psychology
Rok vydání: 2018
Předmět:
Male
Epidemiology
010501 environmental sciences
01 natural sciences
Cohort Studies
0302 clinical medicine
Pregnancy
Hexachlorobenzene
Child
education.field_of_study
Perinatal Exposure
General Medicine
Environmental exposure
Fetal Blood
Polychlorinated Biphenyls
3. Good health
Europe
Maternal Exposure
Child
Preschool

Prenatal Exposure Delayed Effects
Environmental Pollutants
Female
Cohort study
Adolescent
polychlorinated biphenyls
Dichlorodiphenyl Dichloroethylene
Population
Prenatal care
attention-deficit disorder with hyperactivity
DDT
03 medical and health sciences
medicine
Attention deficit hyperactivity disorder
Humans
education
Prenatal Exposures to Pollutants
0105 earth and related environmental sciences
business.industry
Odds ratio
Environmental Exposure
medicine.disease
Logistic Models
hexachlorobenzene
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
Attention Deficit Disorder with Hyperactivity
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
030217 neurology & neurosurgery
Demography
Zdroj: INTERNATIONAL JOURNAL OF EPIDEMIOLOGY
r-FISABIO: Repositorio Institucional de Producción Científica
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
International Journal of Epidemiology
International Journal of Epidemiology, Oxford University Press (OUP), 2018, 47 (4), pp.1082-1097. ⟨10.1093/ije/dyy052⟩
Forns, J, Stigum, H, Høyer, B B, Sioen, I, Sovcikova, E, Nowack, N, Lopez-Espinosa, M-J, Guxens, M, Ibarluzea, J, Torrent, M, Wittsiepe, J, Govarts, E, Trnovec, T, Chevrier, C, Toft, G, Vrijheid, M, Iszatt, N & Eggesbø, M 2018, ' Prenatal and postnatal exposure to persistent organic pollutants (POPs) and attention-deficit and hyperactivity disorder (ADHD): a pooled analysis of seven European birth cohort studies ', International Journal of Epidemiology, pp. 1082-1097 . https://doi.org/10.1093/ije/dyy052
International Journal of Epidemiology, 2018, 47 (4), pp.1082-1097. ⟨10.1093/ije/dyy052⟩
r-FISABIO. Repositorio Institucional de Producción Científica
instname
International Journal of Epidemiology, 47(4), 1082-1097. Oxford University Press
ISSN: 0300-5771
1464-3685
DOI: 10.1093/ije/dyy052⟩
Popis: International audience; Background - Attention-deficit/hyperactivity disorder (ADHD) is increasing worldwide for reasons largely unknown and environmental chemicals with neurotoxic properties, such as persistent organic pollutants (POPs), have been proposed to play a role. We investigated the association between prenatal and postnatal exposure to polychlorinated biphenyl-153 (PCB-153), p-p´-dichlorodiphenyldichloroethylene (p-p'-DDE) and hexachlorobenzene (HCB) and ADHD in childhood. Methods - We pooled seven European birth cohort studies encompassing 4437 mother-child pairs from the general population with concentrations of PCB-153, p-p´-DDE and HCB measured in cord blood, maternal blood or milk. We then calculated prenatal (birth) and postnatal (3, 6, 12 and 24 months) POP concentrations using a pharmacokinetic model. The operational definition of ADHD varied across cohorts and ranged from doctor diagnosis obtained from patient registries to maternal or teachers reports. We used multilevel (mixed) logistic regression models to estimate the associations between exposure to POPs at birth, 3, 6, 12 and 24 months and ADHD. Results - The global prevalence of ADHD in our study was 6%. The mean age at assessment of ADHD was 5.8 years (range: 3.8-9.5 years). We found no association between exposure to PCB-153, p-p´-DDE and HCB at any age point between birth and 24 months and ADHD, in the pooled analyses (pooled odds ratios ranging from 1.00 to 1.01). A number of sensitivity analyses gave basically the same results. Conclusions - In the largest study to date of 4437 children in seven European birth cohorts, we did not observe any association between either pre- or postnatal exposure (up to 24 months) to PCB-153, p-p´-DDE and HCB and the risk of ADHD before the age of 10 years.
Databáze: OpenAIRE