Prenatal Organochlorine Exposure and Measures of Behavior in Infancy Using the Neonatal Behavioral Assessment Scale (NBAS)
Background: Previous literature suggests an association between organochlorines and behavioral measures in childhood, including inattention. Objective: This study was designed to assess whether prenatal organochlorine exposure is associated with measures of attention in early infancy. Methods: We in...
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description | Background: Previous literature suggests an association between organochlorines and behavioral measures in childhood, including inattention. Objective: This study was designed to assess whether prenatal organochlorine exposure is associated with measures of attention in early infancy. Methods: We investigated an association between cord serum polychlorinated biphenyls (PCBs) and p,p'-dichlorodiphenyl dichloroethene (DDE) levels and measures of attention from the Neonatal Behavioral Assessment Scale (NBAS) in a cohort of 788 infants born 1993-1998 to mothers residing near a PCB-contaminated harbor and Superfund site in New Bedford, Massachusetts. Results: Medians (ranges) for the sum of four prevalent PCB congeners and DDE levels were 0.19 (0.01-4.41) and 0.30 (0-10.29) ng/g serum, respectively. For the 542 subjects with an NBAS exam at 2 weeks, we observed consistent inverse associations between cord serum PCB and DDE levels and NBAS measures of alertness, quality of alert responsiveness, cost of attention, and other potential attention-associated measures including self-quieting and motor maturity. For example, the decrement in quality of alert responsiveness score was -0.51 (95% confidence interval, -0.99 to -0.03) for the highest quartile of exposure to the sum of four prevalent PCB congeners compared with the lowest quartile. We found little evidence for an association with infant orientation, habituation, and regulation of state, assessed as summary cluster measures. Conclusions: Our findings provide evidence for an association between low-level prenatal PCB and DDE exposures and poor attention in early infancy. Further analyses will focus on whether organochlorine-associated decrements in attention and attention-related skills in infancy persist in later childhood. |
doi_str_mv | 10.1289/ehp.10553 |
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Kevin ; Brazelton, T. Berry ; Choi, Anna L. ; Tolbert, Paige E. ; Altshul, Larisa M. ; Korrick, Susan A.</creator><creatorcontrib>Sagiv, Sharon K. ; Nugent, J. Kevin ; Brazelton, T. Berry ; Choi, Anna L. ; Tolbert, Paige E. ; Altshul, Larisa M. ; Korrick, Susan A.</creatorcontrib><description>Background: Previous literature suggests an association between organochlorines and behavioral measures in childhood, including inattention. Objective: This study was designed to assess whether prenatal organochlorine exposure is associated with measures of attention in early infancy. Methods: We investigated an association between cord serum polychlorinated biphenyls (PCBs) and p,p'-dichlorodiphenyl dichloroethene (DDE) levels and measures of attention from the Neonatal Behavioral Assessment Scale (NBAS) in a cohort of 788 infants born 1993-1998 to mothers residing near a PCB-contaminated harbor and Superfund site in New Bedford, Massachusetts. Results: Medians (ranges) for the sum of four prevalent PCB congeners and DDE levels were 0.19 (0.01-4.41) and 0.30 (0-10.29) ng/g serum, respectively. For the 542 subjects with an NBAS exam at 2 weeks, we observed consistent inverse associations between cord serum PCB and DDE levels and NBAS measures of alertness, quality of alert responsiveness, cost of attention, and other potential attention-associated measures including self-quieting and motor maturity. For example, the decrement in quality of alert responsiveness score was -0.51 (95% confidence interval, -0.99 to -0.03) for the highest quartile of exposure to the sum of four prevalent PCB congeners compared with the lowest quartile. We found little evidence for an association with infant orientation, habituation, and regulation of state, assessed as summary cluster measures. Conclusions: Our findings provide evidence for an association between low-level prenatal PCB and DDE exposures and poor attention in early infancy. Further analyses will focus on whether organochlorine-associated decrements in attention and attention-related skills in infancy persist in later childhood.</description><identifier>ISSN: 0091-6765</identifier><identifier>EISSN: 1552-9924</identifier><identifier>DOI: 10.1289/ehp.10553</identifier><identifier>PMID: 18470320</identifier><language>eng</language><publisher>United States: National Institute of Environmental Health Sciences. National Institutes of Health. Department of Health, Education and Welfare</publisher><subject>Adult ; Alertness ; Attention - drug effects ; Behavioral assessment ; Chemical hazards ; Childhood ; Children's Health ; Cohort Studies ; Congeners ; DDT (Insecticide) ; Dichlorodiphenyl Dichloroethylene - pharmacology ; Dichlorodiphenyl Dichloroethylene - toxicity ; Environmental Exposure ; Environmental health ; Environmental Pollutants - pharmacology ; Environmental Pollutants - toxicity ; Female ; Fetus ; Growth ; Health aspects ; Humans ; Infancy ; Infant ; Infant Behavior - drug effects ; Infant, Newborn ; Infants ; Male ; Massachusetts ; Organochlorine compounds ; Polychlorinated biphenyls ; Polychlorinated Biphenyls - pharmacology ; Polychlorinated Biphenyls - toxicity ; Pregnancy ; Prenatal Exposure Delayed Effects - physiopathology ; Referents</subject><ispartof>Environmental health perspectives, 2008-05, Vol.116 (5), p.666-673</ispartof><rights>COPYRIGHT 2008 National Institute of Environmental Health Sciences</rights><rights>Copyright National Institute of Environmental Health Sciences May 2008</rights><rights>2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c664t-261bdc8ea1a0f0c74685859f1e6c9ffd74dd89322f7a9cdd6c6c5b3ed5ede5603</citedby><cites>FETCH-LOGICAL-c664t-261bdc8ea1a0f0c74685859f1e6c9ffd74dd89322f7a9cdd6c6c5b3ed5ede5603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/25067937$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/25067937$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,727,780,784,803,864,885,27924,27925,53791,53793,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18470320$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sagiv, Sharon K.</creatorcontrib><creatorcontrib>Nugent, J. Kevin</creatorcontrib><creatorcontrib>Brazelton, T. Berry</creatorcontrib><creatorcontrib>Choi, Anna L.</creatorcontrib><creatorcontrib>Tolbert, Paige E.</creatorcontrib><creatorcontrib>Altshul, Larisa M.</creatorcontrib><creatorcontrib>Korrick, Susan A.</creatorcontrib><title>Prenatal Organochlorine Exposure and Measures of Behavior in Infancy Using the Neonatal Behavioral Assessment Scale (NBAS)</title><title>Environmental health perspectives</title><addtitle>Environ Health Perspect</addtitle><description>Background: Previous literature suggests an association between organochlorines and behavioral measures in childhood, including inattention. Objective: This study was designed to assess whether prenatal organochlorine exposure is associated with measures of attention in early infancy. Methods: We investigated an association between cord serum polychlorinated biphenyls (PCBs) and p,p'-dichlorodiphenyl dichloroethene (DDE) levels and measures of attention from the Neonatal Behavioral Assessment Scale (NBAS) in a cohort of 788 infants born 1993-1998 to mothers residing near a PCB-contaminated harbor and Superfund site in New Bedford, Massachusetts. Results: Medians (ranges) for the sum of four prevalent PCB congeners and DDE levels were 0.19 (0.01-4.41) and 0.30 (0-10.29) ng/g serum, respectively. For the 542 subjects with an NBAS exam at 2 weeks, we observed consistent inverse associations between cord serum PCB and DDE levels and NBAS measures of alertness, quality of alert responsiveness, cost of attention, and other potential attention-associated measures including self-quieting and motor maturity. For example, the decrement in quality of alert responsiveness score was -0.51 (95% confidence interval, -0.99 to -0.03) for the highest quartile of exposure to the sum of four prevalent PCB congeners compared with the lowest quartile. We found little evidence for an association with infant orientation, habituation, and regulation of state, assessed as summary cluster measures. Conclusions: Our findings provide evidence for an association between low-level prenatal PCB and DDE exposures and poor attention in early infancy. Further analyses will focus on whether organochlorine-associated decrements in attention and attention-related skills in infancy persist in later childhood.</description><subject>Adult</subject><subject>Alertness</subject><subject>Attention - drug effects</subject><subject>Behavioral assessment</subject><subject>Chemical hazards</subject><subject>Childhood</subject><subject>Children's Health</subject><subject>Cohort Studies</subject><subject>Congeners</subject><subject>DDT (Insecticide)</subject><subject>Dichlorodiphenyl Dichloroethylene - pharmacology</subject><subject>Dichlorodiphenyl Dichloroethylene - toxicity</subject><subject>Environmental Exposure</subject><subject>Environmental health</subject><subject>Environmental Pollutants - pharmacology</subject><subject>Environmental Pollutants - toxicity</subject><subject>Female</subject><subject>Fetus</subject><subject>Growth</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Infancy</subject><subject>Infant</subject><subject>Infant Behavior - drug effects</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Male</subject><subject>Massachusetts</subject><subject>Organochlorine compounds</subject><subject>Polychlorinated biphenyls</subject><subject>Polychlorinated Biphenyls - pharmacology</subject><subject>Polychlorinated Biphenyls - toxicity</subject><subject>Pregnancy</subject><subject>Prenatal Exposure Delayed Effects - physiopathology</subject><subject>Referents</subject><issn>0091-6765</issn><issn>1552-9924</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNklFv0zAQxyMEYmXwwAcAWTxM7CHFdmIneUHqpgGVxooo49VynXPiKrWLnUwbnx6XlrGiPiA_-OT73f_Od5ckLwkeE1pW76BdjwlmLHuUjAhjNK0qmj9ORhhXJOUFZ0fJsxCWGGNScv40OSJlXuCM4lHy84sHK3vZoZlvpHWq7Zw3FtDF7dqFwQOStkafQW7sgJxGZ9DKG-M8MhZNrZZW3aHrYGyD-hbQFbit3B8smpMQIIQV2B7NlewAvb06m8xPnydPtOwCvNjdx8n1h4tv55_Sy9nH6fnkMlWc531KOVnUqgRJJNZYFTkvWckqTYCrSuu6yOu6rDJKdSErVddcccUWGdQMamAcZ8fJ-63uelisoFaxjliVWHuzkv5OOGnEvseaVjTuRtAs9q7Mo8DJTsC7HwOEXqxMUNB10oIbgqCYV4TSLIJv_gGXbvA2fk5QSnkei9yopVuoia0QxmoXk6oGLMTczoI28XlCiopmeZxY5McH-HhqWBl1MOB0LyAyPdz2jRxCENP51_9nZ9_32ZMHbAuy69vguqE3zoaDosq7EDzo-14TLDYLK-LCit8LG9nXD4fzl9xtaARebYFl6J2_91OGeVFlRfYLCpPuKQ</recordid><startdate>20080501</startdate><enddate>20080501</enddate><creator>Sagiv, Sharon K.</creator><creator>Nugent, J. 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Berry ; Choi, Anna L. ; Tolbert, Paige E. ; Altshul, Larisa M. ; Korrick, Susan A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c664t-261bdc8ea1a0f0c74685859f1e6c9ffd74dd89322f7a9cdd6c6c5b3ed5ede5603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Alertness</topic><topic>Attention - drug effects</topic><topic>Behavioral assessment</topic><topic>Chemical hazards</topic><topic>Childhood</topic><topic>Children's Health</topic><topic>Cohort Studies</topic><topic>Congeners</topic><topic>DDT (Insecticide)</topic><topic>Dichlorodiphenyl Dichloroethylene - pharmacology</topic><topic>Dichlorodiphenyl Dichloroethylene - toxicity</topic><topic>Environmental Exposure</topic><topic>Environmental health</topic><topic>Environmental Pollutants - pharmacology</topic><topic>Environmental Pollutants - toxicity</topic><topic>Female</topic><topic>Fetus</topic><topic>Growth</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Infancy</topic><topic>Infant</topic><topic>Infant Behavior - drug effects</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Male</topic><topic>Massachusetts</topic><topic>Organochlorine compounds</topic><topic>Polychlorinated biphenyls</topic><topic>Polychlorinated Biphenyls - pharmacology</topic><topic>Polychlorinated Biphenyls - toxicity</topic><topic>Pregnancy</topic><topic>Prenatal Exposure Delayed Effects - physiopathology</topic><topic>Referents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sagiv, Sharon K.</creatorcontrib><creatorcontrib>Nugent, J. 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Kevin</au><au>Brazelton, T. Berry</au><au>Choi, Anna L.</au><au>Tolbert, Paige E.</au><au>Altshul, Larisa M.</au><au>Korrick, Susan A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prenatal Organochlorine Exposure and Measures of Behavior in Infancy Using the Neonatal Behavioral Assessment Scale (NBAS)</atitle><jtitle>Environmental health perspectives</jtitle><addtitle>Environ Health Perspect</addtitle><date>2008-05-01</date><risdate>2008</risdate><volume>116</volume><issue>5</issue><spage>666</spage><epage>673</epage><pages>666-673</pages><issn>0091-6765</issn><eissn>1552-9924</eissn><abstract>Background: Previous literature suggests an association between organochlorines and behavioral measures in childhood, including inattention. Objective: This study was designed to assess whether prenatal organochlorine exposure is associated with measures of attention in early infancy. Methods: We investigated an association between cord serum polychlorinated biphenyls (PCBs) and p,p'-dichlorodiphenyl dichloroethene (DDE) levels and measures of attention from the Neonatal Behavioral Assessment Scale (NBAS) in a cohort of 788 infants born 1993-1998 to mothers residing near a PCB-contaminated harbor and Superfund site in New Bedford, Massachusetts. Results: Medians (ranges) for the sum of four prevalent PCB congeners and DDE levels were 0.19 (0.01-4.41) and 0.30 (0-10.29) ng/g serum, respectively. For the 542 subjects with an NBAS exam at 2 weeks, we observed consistent inverse associations between cord serum PCB and DDE levels and NBAS measures of alertness, quality of alert responsiveness, cost of attention, and other potential attention-associated measures including self-quieting and motor maturity. For example, the decrement in quality of alert responsiveness score was -0.51 (95% confidence interval, -0.99 to -0.03) for the highest quartile of exposure to the sum of four prevalent PCB congeners compared with the lowest quartile. We found little evidence for an association with infant orientation, habituation, and regulation of state, assessed as summary cluster measures. Conclusions: Our findings provide evidence for an association between low-level prenatal PCB and DDE exposures and poor attention in early infancy. Further analyses will focus on whether organochlorine-associated decrements in attention and attention-related skills in infancy persist in later childhood.</abstract><cop>United States</cop><pub>National Institute of Environmental Health Sciences. National Institutes of Health. Department of Health, Education and Welfare</pub><pmid>18470320</pmid><doi>10.1289/ehp.10553</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Alertness Attention - drug effects Behavioral assessment Chemical hazards Childhood Children's Health Cohort Studies Congeners DDT (Insecticide) Dichlorodiphenyl Dichloroethylene - pharmacology Dichlorodiphenyl Dichloroethylene - toxicity Environmental Exposure Environmental health Environmental Pollutants - pharmacology Environmental Pollutants - toxicity Female Fetus Growth Health aspects Humans Infancy Infant Infant Behavior - drug effects Infant, Newborn Infants Male Massachusetts Organochlorine compounds Polychlorinated biphenyls Polychlorinated Biphenyls - pharmacology Polychlorinated Biphenyls - toxicity Pregnancy Prenatal Exposure Delayed Effects - physiopathology Referents |
title | Prenatal Organochlorine Exposure and Measures of Behavior in Infancy Using the Neonatal Behavioral Assessment Scale (NBAS) |
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