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Cassidy-Bushrow AE, Wu KHH, Sitarik AR, Park SK, Bielak LF, Austin C, Gennings C, Curtin P, Johnson CC, Arora M. In utero metal exposures measured in deciduous teeth and birth outcomes in a racially-diverse urban cohort. ENVIRONMENTAL RESEARCH 2019; 171:444-451. [PMID: 30735952 PMCID: PMC6402585 DOI: 10.1016/j.envres.2019.01.054] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2018] [Revised: 01/29/2019] [Accepted: 01/30/2019] [Indexed: 05/20/2023]
Abstract
A growing number of studies have examined associations of metal exposures with birth outcomes, however, results from these studies have been inconsistent, and hampered by methodological limitations. We measured direct fetal exposure to three metals (lead, manganese and zinc) during the second and third trimester and examined its association with birth weight and gestational age at delivery. Participants in the Wayne County Health, Environment, Allergy and Asthma Longitudinal Study (WHEALS), a population-based birth cohort established between September 2003 and December 2007, were invited to donate teeth to the study. Lead, manganese and zinc during the second and third trimesters were measured via high-resolution microspatial mapping of dentin growth rings, a validated biomarker for prenatal metal exposure. Gestational age at delivery and infant birth weight were obtained from the delivery medical record. A total of 145 children had tooth metal measurements and birth outcome data. Mean birth weight was 3431 ± 472 g and mean gestational age at delivery was 39.0 ± 1.3 weeks. Overall, there was a positive association between second (β = 0.21, 95% CI: 0.05, 0.37, P = 0.01) and third trimester (β = 0.21, 95% CI: 0.05, 0.37, P = 0.01) tooth manganese and birth weight Z-score; this remained statistically significant after covariate adjustment. There was also a negative association between second trimester tooth lead level and birth weight Z-score (β = -0.20, 95% CI: -0.38, -0.02, P = 0.02), however, this was attenuated after adjusting for covariates. Mixture analysis revealed similar findings. There was evidence for a sex-specific effect of manganese with birth weight Z-score, with the association stronger in female compared to male infants. Overall, we found evidence suggesting that higher in utero manganese is associated with larger birth weight Z-scores and that these associations may vary by infant sex.
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Affiliation(s)
- Andrea E Cassidy-Bushrow
- Department of Public Health Sciences, Henry Ford Hospital, One Ford Place, Detroit, MI, USA; Center for Urban Responses to Environmental Stressors (CURES), Wayne State University, Detroit, MI, USA.
| | - Kuan-Han Hank Wu
- Department of Public Health Sciences, Henry Ford Hospital, One Ford Place, Detroit, MI, USA
| | - Alexandra R Sitarik
- Department of Public Health Sciences, Henry Ford Hospital, One Ford Place, Detroit, MI, USA
| | - Sung Kyun Park
- Department of Epidemiology, University of Michigan, Ann Arbor, MI, USA; Department of Environmental Health Sciences, University of Michigan, Ann Arbor, MI, USA
| | - Lawrence F Bielak
- Department of Epidemiology, University of Michigan, Ann Arbor, MI, USA
| | - Christine Austin
- Senator Frank R Lautenberg Environmental Health Sciences Laboratory, Department of Environmental Medicine and Public Health, Division of Environmental Health, Icahn School of Medicine at Mount Sinai, New York City, New York, USA
| | - Chris Gennings
- Senator Frank R Lautenberg Environmental Health Sciences Laboratory, Department of Environmental Medicine and Public Health, Division of Environmental Health, Icahn School of Medicine at Mount Sinai, New York City, New York, USA
| | - Paul Curtin
- Senator Frank R Lautenberg Environmental Health Sciences Laboratory, Department of Environmental Medicine and Public Health, Division of Environmental Health, Icahn School of Medicine at Mount Sinai, New York City, New York, USA
| | - Christine Cole Johnson
- Department of Public Health Sciences, Henry Ford Hospital, One Ford Place, Detroit, MI, USA; Center for Urban Responses to Environmental Stressors (CURES), Wayne State University, Detroit, MI, USA
| | - Manish Arora
- Senator Frank R Lautenberg Environmental Health Sciences Laboratory, Department of Environmental Medicine and Public Health, Division of Environmental Health, Icahn School of Medicine at Mount Sinai, New York City, New York, USA.
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Mandić-Rajčević S, Bulat Z, Matović V, Popević M, Lepić M, Mandić B, Jovanović M, Haufroid V, Žarković M, Bulat P. Environmental and take-home lead exposure in children living in the vicinity of a lead battery smelter in Serbia. ENVIRONMENTAL RESEARCH 2018; 167:725-734. [PMID: 30236521 DOI: 10.1016/j.envres.2018.08.031] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 08/28/2018] [Accepted: 08/29/2018] [Indexed: 06/08/2023]
Abstract
Blood lead levels (BLLs) have been falling steadily worldwide due to restricted use of lead (Pb) and its compounds. although they remain above preindustrial Pb levels. Elevated BLL can still be found in children living near secondary Pb smelters that represent around 50% of Pb production. There have been no studies on Pb exposure in children living in Serbia ever since the 1980s. The aim of this study was to evaluate the BLLs in children living in two villages in Serbia (Zajača, the location of a secondary lead smelter, and Paskovac, 5 km away), identify the primary determinants of children's BLLs, and investigate the impact of BLLs on children's health symptoms and school achievement. The study was conducted in 2011 on 127 children, aged 1-18 years, whose BLLs were measured using inductively coupled argon plasma mass spectrometry (ICP-MS). The median BLL in children was 12 μg/dl, with a significantly higher value of 17.5 μg/dl in Zajača, compared to 7.6 μg/dl in Paskovac. Only 1 out of 75 and 12 out of 52 children from Zajača and Paskovac, respectively, had BLLs below the CDC recommended 5 μg/dl level. Living near the smelter resulted in 19 times, and having a father who works in the plant 4 times higher odds of elevated BLLs. No significant effects of elevated BLLs health symptoms were seen in this study. BLLs of children living near a battery recycling plant in Serbia, an upper-middle income European country, were in the range and even higher than those of children living in developing countries. For the first time, the contribution of environmental and take-home lead exposure was quantified using mixed-effect modeling, and our results indicate a contribution of 25-40% of the take-home lead exposure to the BLLs of children living in the vicinity of a secondary lead smelter.
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Affiliation(s)
- Stefan Mandić-Rajčević
- Innovation Centre of the Faculty for Technology and Metallurgy, University of Belgrade, Serbia
| | - Zorica Bulat
- Department of Toxicology "Akademik Danilo Soldatović," University of Belgrade - Faculty of Pharmacy, Serbia.
| | - Vesna Matović
- Department of Toxicology "Akademik Danilo Soldatović," University of Belgrade - Faculty of Pharmacy, Serbia
| | - Martin Popević
- Serbian Institute for Occupational Health "Dr. Dragomir Karajović", Belgrade, Serbia; University of Belgrade, Faculty of Medicine, Serbia
| | - Milan Lepić
- Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia
| | - Bojana Mandić
- Clinic for Hematology, Clinical Centre of Serbia, Belgrade, Serbia
| | - Mića Jovanović
- Faculty for Technology and Metallurgy, University of Belgrade, Serbia and Academy of Engineering Sciences of Serbia, Serbia
| | - Vincent Haufroid
- Cliniques Universitaires Saint-Luc-Analytical Toxicology Laboratory, Brussels, Belgium
| | - Miloš Žarković
- Clinic for Endocrinology, Clinical Centre of Serbia, Belgrade, Serbia; University of Belgrade, Faculty of Medicine, Serbia
| | - Petar Bulat
- Serbian Institute for Occupational Health "Dr. Dragomir Karajović", Belgrade, Serbia; University of Belgrade, Faculty of Medicine, Serbia
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