Manganese in Drinking Water and Cognitive Abilities and Behavior at 10 Years of Age: A Prospective Cohort Study

Cross-sectional studies have indicated impaired neurodevelopment with elevated drinking water manganese concentrations (W-Mn), but potential susceptible exposure windows are unknown. We prospectively evaluated the effects of W-Mn, from fetal life to school age, on children's cognitive abilities...

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Veröffentlicht in:Environmental health perspectives 2017-05, Vol.125 (5), p.057003
Hauptverfasser: Rahman, Syed Moshfiqur, Kippler, Maria, Tofail, Fahmida, Bölte, Sven, Hamadani, Jena Derakhshani, Vahter, Marie
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container_issue 5
container_start_page 057003
container_title Environmental health perspectives
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creator Rahman, Syed Moshfiqur
Kippler, Maria
Tofail, Fahmida
Bölte, Sven
Hamadani, Jena Derakhshani
Vahter, Marie
description Cross-sectional studies have indicated impaired neurodevelopment with elevated drinking water manganese concentrations (W-Mn), but potential susceptible exposure windows are unknown. We prospectively evaluated the effects of W-Mn, from fetal life to school age, on children's cognitive abilities and behavior. We assessed cognitive abilities and behavior in 1,265 ten-year-old children in rural Bangladesh using the Wechsler Intelligence Scale for Children (WISC-IV) and the Strengths and Difficulties Questionnaire (SDQ), respectively. Manganese in drinking water used during pregnancy and by the children at 5 y and 10 y was measured using inductively coupled plasma mass spectrometry. The median W-Mn was 0.20 mg/L (range 0.001–6.6) during pregnancy and 0.34mg/L (
doi_str_mv 10.1289/EHP631
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We prospectively evaluated the effects of W-Mn, from fetal life to school age, on children's cognitive abilities and behavior. We assessed cognitive abilities and behavior in 1,265 ten-year-old children in rural Bangladesh using the Wechsler Intelligence Scale for Children (WISC-IV) and the Strengths and Difficulties Questionnaire (SDQ), respectively. Manganese in drinking water used during pregnancy and by the children at 5 y and 10 y was measured using inductively coupled plasma mass spectrometry. The median W-Mn was 0.20 mg/L (range 0.001–6.6) during pregnancy and 0.34mg/L (&lt;0.001–8.7) at 10 y. In multivariable-adjusted linear regression analyses, restricted to children with low arsenic (As) exposure, none of the W-Mn exposures was associated with the children’s cognitive abilities. Stratifying by gender (p for interaction in general &lt;0.081) showed that prenatal W-Mn (3 mg/L) was positively associated with cognitive ability measures in girls but not in boys. W-Mn at all time points was associated with an increased risk of conduct problems, particularly in boys (range 24–43% per mg/L). At the same time, the prenatal W-Mn was associated with a decreased risk of emotional problems [odds ratio (OR)=0.39 (95% CI: 0.19, 0.82)] in boys. In girls, W-Mn was mainly associated with low prosocial scores [prenatal W-Mn: OR=1.48 (95% CI: 1.06, 1.88)]. Elevated prenatal W-Mn exposure was positively associated with cognitive function in girls, whereas boys appeared to be unaffected. Early life W-Mn exposure appeared to adversely affect children's behavior. https://doi.org/10.1289/EHP631.</description><identifier>ISSN: 0091-6765</identifier><identifier>ISSN: 1552-9924</identifier><identifier>EISSN: 1552-9924</identifier><identifier>DOI: 10.1289/EHP631</identifier><identifier>PMID: 28564632</identifier><language>eng</language><publisher>United States: National Institute of Environmental Health Sciences</publisher><subject>Age ; Arsenic ; Bangladesh - epidemiology ; Behavior ; Caregivers ; Child ; Children ; Children &amp; youth ; Cognition &amp; reasoning ; Cognition - drug effects ; Cognitive ability ; Cognitive disorders ; Cohort analysis ; Cohort Studies ; Conduct Disorder - chemically induced ; Data collection ; Drinking water ; Drinking Water - adverse effects ; Drinking Water - chemistry ; Education ; Exposure ; Families &amp; family life ; Female ; Fetuses ; Girls ; Health aspects ; Health risk assessment ; Humans ; Inductively coupled plasma mass spectrometry ; Intelligence ; Intelligence Tests ; Male ; Manganese ; Manganese - adverse effects ; Manganese compounds ; Mass spectrometry ; Mass spectroscopy ; Medicin och hälsovetenskap ; Mothers ; Neurodevelopment ; Pregnancy ; Prenatal experience ; Prenatal Exposure Delayed Effects - chemically induced ; Prospective Studies ; Regression analysis ; Risk factors ; Sex Factors ; Studies ; Womens health</subject><ispartof>Environmental health perspectives, 2017-05, Vol.125 (5), p.057003</ispartof><rights>COPYRIGHT 2017 National Institute of Environmental Health Sciences</rights><rights>Copyright National Institute of Environmental Health Sciences May 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c550t-9b88c5f981e08929501b01afe8854267fc9aed53bda793e1a9d6ddf5b99f0993</citedby><cites>FETCH-LOGICAL-c550t-9b88c5f981e08929501b01afe8854267fc9aed53bda793e1a9d6ddf5b99f0993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5726374/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5726374/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,553,728,781,785,865,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28564632$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:136877957$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Rahman, Syed Moshfiqur</creatorcontrib><creatorcontrib>Kippler, Maria</creatorcontrib><creatorcontrib>Tofail, Fahmida</creatorcontrib><creatorcontrib>Bölte, Sven</creatorcontrib><creatorcontrib>Hamadani, Jena Derakhshani</creatorcontrib><creatorcontrib>Vahter, Marie</creatorcontrib><title>Manganese in Drinking Water and Cognitive Abilities and Behavior at 10 Years of Age: A Prospective Cohort Study</title><title>Environmental health perspectives</title><addtitle>Environ Health Perspect</addtitle><description>Cross-sectional studies have indicated impaired neurodevelopment with elevated drinking water manganese concentrations (W-Mn), but potential susceptible exposure windows are unknown. We prospectively evaluated the effects of W-Mn, from fetal life to school age, on children's cognitive abilities and behavior. We assessed cognitive abilities and behavior in 1,265 ten-year-old children in rural Bangladesh using the Wechsler Intelligence Scale for Children (WISC-IV) and the Strengths and Difficulties Questionnaire (SDQ), respectively. Manganese in drinking water used during pregnancy and by the children at 5 y and 10 y was measured using inductively coupled plasma mass spectrometry. The median W-Mn was 0.20 mg/L (range 0.001–6.6) during pregnancy and 0.34mg/L (&lt;0.001–8.7) at 10 y. In multivariable-adjusted linear regression analyses, restricted to children with low arsenic (As) exposure, none of the W-Mn exposures was associated with the children’s cognitive abilities. Stratifying by gender (p for interaction in general &lt;0.081) showed that prenatal W-Mn (3 mg/L) was positively associated with cognitive ability measures in girls but not in boys. W-Mn at all time points was associated with an increased risk of conduct problems, particularly in boys (range 24–43% per mg/L). At the same time, the prenatal W-Mn was associated with a decreased risk of emotional problems [odds ratio (OR)=0.39 (95% CI: 0.19, 0.82)] in boys. In girls, W-Mn was mainly associated with low prosocial scores [prenatal W-Mn: OR=1.48 (95% CI: 1.06, 1.88)]. Elevated prenatal W-Mn exposure was positively associated with cognitive function in girls, whereas boys appeared to be unaffected. Early life W-Mn exposure appeared to adversely affect children's behavior. https://doi.org/10.1289/EHP631.</description><subject>Age</subject><subject>Arsenic</subject><subject>Bangladesh - epidemiology</subject><subject>Behavior</subject><subject>Caregivers</subject><subject>Child</subject><subject>Children</subject><subject>Children &amp; youth</subject><subject>Cognition &amp; reasoning</subject><subject>Cognition - drug effects</subject><subject>Cognitive ability</subject><subject>Cognitive disorders</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Conduct Disorder - chemically induced</subject><subject>Data collection</subject><subject>Drinking water</subject><subject>Drinking Water - adverse effects</subject><subject>Drinking Water - chemistry</subject><subject>Education</subject><subject>Exposure</subject><subject>Families &amp; family life</subject><subject>Female</subject><subject>Fetuses</subject><subject>Girls</subject><subject>Health 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windows are unknown. We prospectively evaluated the effects of W-Mn, from fetal life to school age, on children's cognitive abilities and behavior. We assessed cognitive abilities and behavior in 1,265 ten-year-old children in rural Bangladesh using the Wechsler Intelligence Scale for Children (WISC-IV) and the Strengths and Difficulties Questionnaire (SDQ), respectively. Manganese in drinking water used during pregnancy and by the children at 5 y and 10 y was measured using inductively coupled plasma mass spectrometry. The median W-Mn was 0.20 mg/L (range 0.001–6.6) during pregnancy and 0.34mg/L (&lt;0.001–8.7) at 10 y. In multivariable-adjusted linear regression analyses, restricted to children with low arsenic (As) exposure, none of the W-Mn exposures was associated with the children’s cognitive abilities. Stratifying by gender (p for interaction in general &lt;0.081) showed that prenatal W-Mn (3 mg/L) was positively associated with cognitive ability measures in girls but not in boys. W-Mn at all time points was associated with an increased risk of conduct problems, particularly in boys (range 24–43% per mg/L). At the same time, the prenatal W-Mn was associated with a decreased risk of emotional problems [odds ratio (OR)=0.39 (95% CI: 0.19, 0.82)] in boys. In girls, W-Mn was mainly associated with low prosocial scores [prenatal W-Mn: OR=1.48 (95% CI: 1.06, 1.88)]. Elevated prenatal W-Mn exposure was positively associated with cognitive function in girls, whereas boys appeared to be unaffected. Early life W-Mn exposure appeared to adversely affect children's behavior. https://doi.org/10.1289/EHP631.</abstract><cop>United States</cop><pub>National Institute of Environmental Health Sciences</pub><pmid>28564632</pmid><doi>10.1289/EHP631</doi><oa>free_for_read</oa></addata></record>
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source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SWEPUB Freely available online; PubMed Central Open Access; JSTOR Archive Collection A-Z Listing; PubMed Central
subjects Age
Arsenic
Bangladesh - epidemiology
Behavior
Caregivers
Child
Children
Children & youth
Cognition & reasoning
Cognition - drug effects
Cognitive ability
Cognitive disorders
Cohort analysis
Cohort Studies
Conduct Disorder - chemically induced
Data collection
Drinking water
Drinking Water - adverse effects
Drinking Water - chemistry
Education
Exposure
Families & family life
Female
Fetuses
Girls
Health aspects
Health risk assessment
Humans
Inductively coupled plasma mass spectrometry
Intelligence
Intelligence Tests
Male
Manganese
Manganese - adverse effects
Manganese compounds
Mass spectrometry
Mass spectroscopy
Medicin och hälsovetenskap
Mothers
Neurodevelopment
Pregnancy
Prenatal experience
Prenatal Exposure Delayed Effects - chemically induced
Prospective Studies
Regression analysis
Risk factors
Sex Factors
Studies
Womens health
title Manganese in Drinking Water and Cognitive Abilities and Behavior at 10 Years of Age: A Prospective Cohort Study
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