Prenatal exposure to polybrominated diphenyl ethers and child attention problems at 3-7 years

Neurotoxicol Teratol. 2015 Nov-Dec;52(Pt B):143-50. doi: 10.1016/j.ntt.2015.08.009. Epub 2015 Sep 5.

Abstract

Introduction: Polybrominated diphenyl ethers (PBDEs) comprise a class of halogenated compounds used extensively as flame retardant chemicals in consumer products resulting in nearly ubiquitous human exposure. Mounting evidence suggests that PBDEs are developmental neurotoxicants; however, associations between early life exposure and child behavior have been largely limited to a single developmental time point.

Methods: The study population consists primarily of white, black and Chinese women who were pregnant on 11 September 2001 and delivered at 1 of 3 downtown New York City hospitals. Maternal-child pairs were followed through age 7 years. Cord blood was collected at delivery and PBDE plasma levels for 210 samples were analyzed by the U.S. Centers for Disease Control and Prevention. The Child Behavior Checklist, a validated maternal-report instrument used for assessing child behavior, was administered annually between the ages of 3 and 7 years. We analyzed the association between natural log-transformed and dichotomized (low vs. high) PBDEs and attention problems using multivariable adjusted negative binomial regression.

Results: We detected 4 PBDE congeners in more than 50% of samples, with concentrations highest for BDE-47 (median±IQR: 11.2±19.6 ng/g). In adjusted analyses, we detected associations between BDE-47 (1.21, 95% CI: 1.00, 1.47), and BDE-153 (1.18, 95% CI: 1.00, 1.39) in cord plasma and increased attention problems among children at age 4 (n=109) but not 6 (n=107) years.

Conclusions: Our findings demonstrate a positive trend between prenatal PBDE exposure and early childhood attention problems, and are consistent with previous research reporting associations between prenatal PBDE exposure and disrupted child behaviors.

Keywords: Attention; Flame retardants; Neurodevelopment; PBDEs; Prenatal.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Asian People
  • Attention / drug effects*
  • Black or African American
  • Child
  • Child Development / drug effects
  • Child, Preschool
  • Environmental Exposure / adverse effects*
  • Female
  • Fetal Blood / chemistry
  • Flame Retardants / toxicity*
  • Halogenated Diphenyl Ethers / blood
  • Halogenated Diphenyl Ethers / toxicity*
  • Humans
  • Male
  • Maternal Exposure / adverse effects*
  • Neuropsychological Tests
  • Pregnancy
  • Prenatal Exposure Delayed Effects / chemically induced*
  • September 11 Terrorist Attacks
  • White People

Substances

  • Flame Retardants
  • Halogenated Diphenyl Ethers