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Prenatal exposure to polybrominated diphenyl ethers and polyfluoroalkyl chemicals and infant neurobehavior.

AbstractOBJECTIVE:
To assess the impact of prenatal exposure to polybrominated diphenyl ethers (PBDEs) and polyfluoroalkyl chemicals (PFCs) on early infant neurobehavior.
STUDY DESIGN:
In a cohort of 349 mother/infant pairs, we measured maternal serum concentrations during pregnancy of PBDEs, including BDE-47 and other related congeners, as well as 2 common PFCs, perfluorooctanoic acid (PFOA) and perfluorooctane sulfonic acid. When the infants were 5 weeks of age, we measured their neurobehavior by using the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS).
RESULTS:
Neither PBDE nor PFC exposures during gestation were associated with the 11 individual NNNS outcomes included in our study; however, when we used latent profile analysis to categorize infants into neurobehavioral profiles based on performance on the NNNS (social/easygoing, high arousal/difficult, or hypotonic), a 10-fold increase in prenatal PFOA concentrations significantly increased the odds of being categorized as hypotonic compared with social/easygoing (aOR 3.79; 95% CI 1.1-12.8).
CONCLUSIONS:
Infants of mothers with greater serum concentrations of PFOA during pregnancy were more likely to be categorized as hypotonic. No association between PBDE concentrations and hypotonia was found. Additional studies should further investigate possible associations of prenatal PFC exposure and muscle tone in infants and children.
AuthorsStephanie Donauer, Aimin Chen, Yingying Xu, Antonia M Calafat, Andreas Sjodin, Kimberly Yolton
JournalThe Journal of pediatrics (J Pediatr) Vol. 166 Issue 3 Pg. 736-42 (Mar 2015) ISSN: 1097-6833 [Electronic] United States
PMID25524317 (Publication Type: Journal Article, Multicenter Study, Research Support, N.I.H., Extramural)
CopyrightCopyright © 2015 Elsevier Inc. All rights reserved.
Chemical References
  • Environmental Pollutants
  • Halogenated Diphenyl Ethers
Topics
  • Adult
  • Child Behavior (drug effects)
  • Child, Preschool
  • Environmental Pollutants (adverse effects, pharmacokinetics)
  • Female
  • Follow-Up Studies
  • Halogenated Diphenyl Ethers (adverse effects, pharmacokinetics)
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Maternal Exposure (adverse effects)
  • Pregnancy
  • Prenatal Exposure Delayed Effects (blood, psychology)
  • Prospective Studies

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