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Cordelli E, Ardoino L, Benassi B, Consales C, Eleuteri P, Marino C, Sciortino M, Villani P, Brinkworth MH, Chen G, McNamee JP, Wood AW, Belackova L, Verbeek J, Pacchierotti F. Effects of Radiofrequency Electromagnetic Field (RF-EMF) exposure on pregnancy and birth outcomes: A systematic review of experimental studies on non-human mammals. ENVIRONMENT INTERNATIONAL 2023; 180:108178. [PMID: 37729852 DOI: 10.1016/j.envint.2023.108178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 08/24/2023] [Accepted: 08/29/2023] [Indexed: 09/22/2023]
Abstract
BACKGROUND The World Health Organization is coordinating an international project aimed at systematically reviewing the evidence regarding the association between radiofrequency electromagnetic field (RF-EMF) exposure and adverse health effects. Within the project, 6 topics have been prioritized by an expert group, which include reproductive health outcomes. OBJECTIVES According to the protocol published in 2021, a systematic review and meta-analyses on the adverse effects of RF-EMF exposure during pregnancy in offspring of experimental animals were conducted. METHODS Three electronic databases (PubMed, Scopus and EMF Portal) were last searched on September 8 or 17, 2022. Based on predefined selection criteria, the obtained references were screened by two independent reviewers. Studies were included if they met the following criteria: 1) original, sham controlled experimental study on non-human mammals exposed in utero, published in peer-reviewed journals, 2) the experimental RF-EMF exposure was within the frequency range 100 kHz-300 GHz, 3) the effects of RF-EMF exposure on fecundity (litter size, embryonic/fetal losses), on the offspring health at birth (decrease of weight or length, congenital malformations, changes of sex ratio) or on delayed effects (neurocognitive alterations, female infertility or early-onset cancer) were studied. Study characteristics and outcome data were extracted by two reviewers. Risk of bias (RoB) was assessed using the Office of Health Assessment and Translation (OHAT) guidelines. Study results were pooled in a random effects meta-analysis comparing average exposure to no-exposure and in a dose-response meta-analysis using all exposure doses, after exclusion of studies that were rated at "high concern" for RoB. Subgroup analyses were conducted for species, Specific Absorption Rate (SAR) and temperature increase. The certainty of the evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach. RESULTS Eighty-eight papers could be included in this review. Effects on fecundity. The meta-analysis of studies on litter size, conducted at a whole-body average SAR of 4.92 W/kg, did not show an effect of RF-EMF exposure (MD 0.05; 95% CI -0.21 to 0.30). The meta-analysis of studies on resorbed and dead fetuses, conducted at a whole-body average SAR of 20.26 W/kg, showed a significant increase of the incidence in RF-EMF exposed animals (OR 1.84; 95% CI 1.27 to 2.66). The results were similar in the dose-response analysis. Effects on the offspring health at birth. The meta-analysis of studies on fetal weight, conducted at a whole-body average SAR of 9.83 W/kg, showed a small decrease in RF-EMF exposed animals (SMD 0.31; 95% CI 0.15 to 0.48). The meta-analysis of studies on fetal length, conducted at a whole-body average SAR of 4.55 W/kg, showed a moderate decrease in length at birth (SMD 0.45; 95% CI 0.07 to 0.83). The meta-analysis of studies on the percentage of fetuses with malformations, conducted at a whole-body average SAR of 6.75 W/kg, showed a moderate increase in RF-EMF exposed animals (SMD -0.45; 95% CI -0.68 to -0.23). The meta-analysis of studies on the incidence of litters with malformed fetuses, conducted at a whole-body average SAR of 16.63 W/kg, showed a statistically significant detrimental RF-EMF effect (OR 3.22; 95% CI 1.9 to 5.46). The results were similar in the dose-response analyses. Delayed effects on the offspring health. RF-EMF exposure was not associated with detrimental effects on brain weight (SMD 0.10; 95% CI -0.09 to 0.29) and on learning and memory functions (SMD -0.54; 95% CI -1.24 to 0.17). RF-EMF exposure was associated with a large detrimental effect on motor activity functions (SMD 0.79; 95% CI 0.21 to 1.38) and a moderate detrimental effect on motor and sensory functions (SMD -0.66; 95% CI -1.18 to -0.14). RF-EMF exposure was not associated with a decrease of the size of litters conceived by F2 female offspring (SMD 0.08; 95% CI -0.39 to 0.55). Notably, meta-analyses of neurobehavioural effects were based on few studies, which suffered of lack of independent replication deriving from only few laboratories. DISCUSSION There was high certainty in the evidence for a lack of association of RF-EMF exposure with litter size. We attributed a moderate certainty to the evidence of a small detrimental effect on fetal weight. We also attributed a moderate certainty to the evidence of a lack of delayed effects on the offspring brain weight. For most of the other endpoints assessed by the meta-analyses, detrimental RF-EMF effects were shown, however the evidence was attributed a low or very low certainty. The body of evidence had limitations that did not allow an assessment of whether RF-EMF may affect pregnancy outcomes at exposure levels below those eliciting a well-known adverse heating impact. In conclusion, in utero RF-EMF exposure does not have a detrimental effect on fecundity and likely affects offspring health at birth, based on the meta-analysis of studies in experimental mammals on litter size and fetal weight, respectively. Regarding possible delayed effects of in utero exposure, RF-EMF probably does not affect offspring brain weight and may not decrease female offspring fertility; on the other hand, RF-EMF may have a detrimental impact on neurobehavioural functions, varying in magnitude for different endpoints, but these last findings are very uncertain. Further research is needed on the effects at birth and delayed effects with sample sizes adequate for detecting a small effect. Future studies should use standardized endpoints for testing prenatal developmental toxicity and developmental neurotoxicity (OECD TG 414 and 426), improve the description of the exposure system design and exposure conditions, conduct appropriate dosimetry characterization, blind endpoint analysis and include several exposure levels to better enable the assessment of a dose-response relationship. PROTOCOL REGISTRATION AND PUBLICATION The protocol was published in Pacchierotti et al., 2021 and registered in PROSPERO CRD42021227746 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=227746).
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Affiliation(s)
- Eugenia Cordelli
- Division Health Protection Technologies, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Rome, Italy.
| | - Lucia Ardoino
- Division Health Protection Technologies, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Rome, Italy
| | - Barbara Benassi
- Division Health Protection Technologies, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Rome, Italy
| | - Claudia Consales
- Division Health Protection Technologies, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Rome, Italy
| | - Patrizia Eleuteri
- Division Health Protection Technologies, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Rome, Italy
| | - Carmela Marino
- Division Health Protection Technologies, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Rome, Italy
| | | | - Paola Villani
- Division Health Protection Technologies, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Rome, Italy
| | - Martin H Brinkworth
- School of Chemistry and Bioscience, Faculty of Life Sciences, University of Bradford, Bradford, UK
| | - Guangdi Chen
- Bioelectromagnetics Laboratory, Zhejiang University School of Medicine, Hangzhou, China
| | - James P McNamee
- Non-Ionizing Radiation Health Sciences Division, Consumer and Clinical Radiation Protection Bureau, Health Canada, Ottawa, Canada
| | - Andrew W Wood
- Department of Health Sciences and Biostatistics, Swinburne University of Technology, Hawthorn, Australia
| | - Lea Belackova
- University Medical Centers Amsterdam, Coronel Institute of Occupational Health, Cochrane Work, Amsterdam, The Netherlands
| | - Jos Verbeek
- University Medical Centers Amsterdam, Coronel Institute of Occupational Health, Cochrane Work, Amsterdam, The Netherlands
| | - Francesca Pacchierotti
- Division Health Protection Technologies, Italian National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA), Rome, Italy.
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Bektas H, Bektas MS, Dasdag S. Effect of mobile phone usage duration during pregnancy on the general motor movements of infants. BIOTECHNOL BIOTEC EQ 2022. [DOI: 10.1080/13102818.2022.2046505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- Hava Bektas
- Department of Biophysics, Medical School of Van Yuzuncu Yil University, Van, Turkey
| | - Mehmet Selcuk Bektas
- Division of Neonatology, Department of Pediatrics, Lokman Hekim Hospital, Van, Turkey
| | - Suleyman Dasdag
- Department of Biophysics, Medical School of İstanbul Medeniyet University, İstanbul, Turkey
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Lai YF, Wang HY, Peng RY. Establishment of injury models in studies of biological effects induced by microwave radiation. Mil Med Res 2021; 8:12. [PMID: 33597038 PMCID: PMC7890848 DOI: 10.1186/s40779-021-00303-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Accepted: 01/29/2021] [Indexed: 02/08/2023] Open
Abstract
Microwave radiation has been widely used in various fields, such as communication, industry, medical treatment, and military applications. Microwave radiation may cause injuries to both the structures and functions of various organs, such as the brain, heart, reproductive organs, and endocrine organs, which endanger human health. Therefore, it is both theoretically and clinically important to conduct studies on the biological effects induced by microwave radiation. The successful establishment of injury models is of great importance to the reliability and reproducibility of these studies. In this article, we review the microwave exposure conditions, subjects used to establish injury models, the methods used for the assessment of the injuries, and the indicators implemented to evaluate the success of injury model establishment in studies on biological effects induced by microwave radiation.
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Affiliation(s)
- Yun-Fei Lai
- Beijing Institute of Radiation Medicine, Beijing, 100850, China
| | - Hao-Yu Wang
- Beijing Institute of Radiation Medicine, Beijing, 100850, China.
| | - Rui-Yun Peng
- Beijing Institute of Radiation Medicine, Beijing, 100850, China.
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Azimzadeh M, Jelodar G. Prenatal and early postnatal exposure to radiofrequency waves (900 MHz) adversely affects passive avoidance learning and memory. Toxicol Ind Health 2020; 36:1024-1030. [PMID: 33200679 DOI: 10.1177/0748233720973143] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Prenatal and early postnatal are the most sensitive and high-risk periods to expose to electromagnetic fields (EMFs). This study aimed to investigate the effect of prenatal and early postnatal exposure to 900 MHz radiofrequency waves (RFWs) emitted from a base transceiver station antenna on passive avoidance learning and memory (PALM) and hippocampus histomorphology. Female Sprague Dawley rats (190-230 g) were paired with males. The mated rats, confirmed by observing a vaginal plug, were divided into two groups; control and exposed. The control group (n = 7) was not exposed to RFW. The exposed group was divided into three subgroups (n = 8); exposed Ⅰ, exposed during the gestational period (fetal life), and exposed Ⅱ and Ⅲ (postnatal exposure), exposed to RFW during the first 21 days of life, for 2 h/d and 4 h/d, respectively. PALM was evaluated by a shuttle box in 45-day-old pups. Learning and memory of animals were demonstrated as the duration of remaining within the light area, which is called the lighting time. Histological sections were prepared from brain tissues and stained with hematoxylin and eosin. An impairment in the PALM performance was noticed in all exposed subgroups (Ⅰ, Ⅱ, and Ⅲ) (p < 0.05). Learning (short-term memory) and retention (long-term memory) behaviors were more affected in exposed subgroup Ⅰ (prenatal exposed) compared to other postnatal exposed subgroups (Ⅱ and Ⅲ). Also, a mild decrease in the density of pyramidal cells was observed in the hippocampus of exposed subgroups (Ⅰ and Ⅲ). Prenatal and early postnatal exposure to 900 MHz RFW adversely affected PALM performance and hippocampus tissue in rat pups with more impact for prenatal period exposure.
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Affiliation(s)
- Mansour Azimzadeh
- Department of Basic Science, 108911School of Veterinary Medicine, Shiraz University, Shiraz, Iran
| | - Gholamali Jelodar
- Department of Basic Science, 108911School of Veterinary Medicine, Shiraz University, Shiraz, Iran
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Narayanan SN, Jetti R, Kesari KK, Kumar RS, Nayak SB, Bhat PG. Radiofrequency electromagnetic radiation-induced behavioral changes and their possible basis. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2019; 26:30693-30710. [PMID: 31463749 DOI: 10.1007/s11356-019-06278-5] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/11/2019] [Accepted: 08/16/2019] [Indexed: 06/10/2023]
Abstract
The primary objective of mobile phone technology is to achieve communication with any person at any place and time. In the modern era, it is impossible to ignore the usefulness of mobile phone technology in cases of emergency as many lives have been saved. However, the biological effects they may have on humans and other animals have been largely ignored and not been evaluated comprehensively. One of the reasons for this is the speedy uncontrollable growth of this technology which has surpassed our researching ability. Initiated with the first generation, the mobile telephony currently reaches to its fifth generation without being screened extensively for any biological effects that they may have on humans or on other animals. Mounting evidences suggest possible non-thermal biological effects of radiofrequency electromagnetic radiation (RF-EMR) on brain and behavior. Behavioral studies have particularly concentrated on the effects of RF-EMR on learning, memory, anxiety, and locomotion. The literature analysis on behavioral effects of RF-EMR demonstrates complex picture with conflicting observations. Nonetheless, numerous reports suggest a possible behavioral effect of RF-EMR. The scientific findings about this issue are presented in the current review. The possible neural and molecular mechanisms for the behavioral effects have been proposed in the light of available evidences from the literature.
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Affiliation(s)
- Sareesh Naduvil Narayanan
- Department of Physiology, RAK College of Medical Sciences, RAK Medical & Health Sciences University, PO Box 11172, Ras Al Khaimah, UAE.
| | - Raghu Jetti
- Department of Basic Medical Sciences, College of Applied Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia
| | | | - Raju Suresh Kumar
- Department of Basic Sciences, College of Science and Health Professions-Jeddah, King Saud Bin Abdulaziz University for Health Sciences, National Guard Health Affairs, P. O. Box 9515, Jeddah, 21423, Kingdom of Saudi Arabia
| | - Satheesha B Nayak
- Department of Anatomy, Melaka Manipal Medical College (Manipal Campus), Manipal Academy of Higher Education, Manipal, 576104, India
| | - P Gopalakrishna Bhat
- Division of Biotechnology, School of Life Sciences, Manipal Academy of Higher Education, Manipal, 576 104, India
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Kumari K, Koivisto H, Capstick M, Naarala J, Viluksela M, Tanila H, Juutilainen J. Behavioural phenotypes in mice after prenatal and early postnatal exposure to intermediate frequency magnetic fields. ENVIRONMENTAL RESEARCH 2018; 162:27-34. [PMID: 29276976 DOI: 10.1016/j.envres.2017.12.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Revised: 12/12/2017] [Accepted: 12/14/2017] [Indexed: 06/07/2023]
Abstract
Electromagnetic fields are ubiquitous in the environment. Human exposure to intermediate frequency (IF) fields is increasing due to applications like electronic article surveillance systems, wireless power transfer, and induction heating cooking hobs. However, there are limited data on possible health effects of exposure to IF magnetic fields (MF). In the present study, we set out to assess cognitive and behavioural effects of IF MF in mice exposed during prenatal and early postnatal periods. Pregnant female mice were exposed continuously to 7.5kHz MFs at 12 and 120μT, from mating until weaning of pups. Sham exposed pregnant mice were used as a control group. A behavioural teratology study was conducted on the male offspring at two months of age to detect possible effects on the developing nervous system. Body weight development did not differ between the exposure groups. The exposure did not alter spontaneous motor activity when exploring a novel cage or anxiety in novelty-suppressed feeding or marble burying tests. Improved performance in the Rotarod task was observed in the 12µT group, while the 120μT exposure group swam more slowly than the sham exposed group in the Morris swim navigation task. However, indices of learning and memory (path length and escape latency during task acquisition and search bias during the probe test) did not differ between the exposure groups. Furthermore, the passive avoidance task did not indicate any impairment of long-term memory over a 48h interval in the exposed groups. In a post-mortem histopathological analysis, there was no evidence for an effect of IF MF exposure on astroglial reactivity or hippocampal neurogenesis. The results suggest that the IF MF used did not have detrimental effects on spatial learning and memory or histological markers of tissue reaction. The two statistically significant findings that were observed (improved performance in the Rotarod task in the 12µT group and decreased swimming speed in the 120µT group) are likely to be chance findings, as they do not form an internally consistent, dose-dependent pattern indicative of specific developmental effects.
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Affiliation(s)
- Kajal Kumari
- Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland.
| | | | | | - Jonne Naarala
- Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland
| | - Matti Viluksela
- Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland; National Institute for Health and Welfare, Environmental Health Unit, Kuopio, Finland
| | - Heikki Tanila
- A.I. Virtanen Institute, University of Eastern Finland, Kuopio, Finland
| | - Jukka Juutilainen
- Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland
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Petitdant N, Lecomte A, Robidel F, Gamez C, Blazy K, Villégier AS. Alteration of adaptive behaviors of progeny after maternal mobile phone exposure. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2018; 25:10894-10903. [PMID: 29397508 DOI: 10.1007/s11356-017-1178-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2017] [Accepted: 12/27/2017] [Indexed: 06/07/2023]
Abstract
Exposure of pregnant women to radiofrequency (RF) devices raises questions on their possible health consequences for their progeny. We examined the hazard threshold of gestational RF on the progeny's glial homeostasis, sensory-motor gating, emotionality, and novelty seeking and tested whether maternal immune activation would increase RF toxicity. Pregnant dams were daily restrained with loop antennas adjoining the abdomen (fetus body specific absorption rates (SAR): 0, 0.7, or 2.6 W/kg) and received three lipopolysaccharide (LPS) intra-peritoneal injections (0 or 80 μg/kg). Scores in the prepulse startle inhibition, fear conditioning, open field, and elevated plus maze were assessed at adolescence and adulthood. Glial fibrillary acidic protein (GFAP) and interleukines-1β (ILs) were quantified. LPS induced a SAR-dependent reduction of the prepulse startle inhibition in adults. Activity in the open field was reduced at 2.6 W/kg at adolescence. GFAP and ILs, emotional memory, and anxiety-related behaviors were not modified. These data support the hypothesis that maternal immune activation increased the developmental RF exposure-induced long-term neurobiological impairments. These data support the fact that fetuses who receive combined environmental exposures with RF need special attention for protection.
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Affiliation(s)
- Nicolas Petitdant
- Toxicology Unit, National Institute for Environmental Protection and Industrial Risks (INERIS), Verneuil-en-Halatte, France
- PériTox-INERIS Laboratory, UMR-I 01 Jules Verne University of Picardy, 80054, Amiens, France
| | - Anthony Lecomte
- Toxicology Unit, National Institute for Environmental Protection and Industrial Risks (INERIS), Verneuil-en-Halatte, France
- PériTox-INERIS Laboratory, UMR-I 01 Jules Verne University of Picardy, 80054, Amiens, France
| | - Franck Robidel
- Toxicology Unit, National Institute for Environmental Protection and Industrial Risks (INERIS), Verneuil-en-Halatte, France
- PériTox-INERIS Laboratory, UMR-I 01 Jules Verne University of Picardy, 80054, Amiens, France
| | - Christelle Gamez
- Toxicology Unit, National Institute for Environmental Protection and Industrial Risks (INERIS), Verneuil-en-Halatte, France
- PériTox-INERIS Laboratory, UMR-I 01 Jules Verne University of Picardy, 80054, Amiens, France
| | - Kelly Blazy
- Toxicology Unit, National Institute for Environmental Protection and Industrial Risks (INERIS), Verneuil-en-Halatte, France
- PériTox-INERIS Laboratory, UMR-I 01 Jules Verne University of Picardy, 80054, Amiens, France
| | - Anne-Sophie Villégier
- Toxicology Unit, National Institute for Environmental Protection and Industrial Risks (INERIS), Verneuil-en-Halatte, France.
- PériTox-INERIS Laboratory, UMR-I 01 Jules Verne University of Picardy, 80054, Amiens, France.
- Unité de Toxicologie Expérimentale, Parc Technologique ALATA, Institut National de l'Environnement Industriel et des Risques, BP no. 2, 60550, Verneuil-en-Halatte, France.
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Kumari K, Koivisto H, Viluksela M, Paldanius KMA, Marttinen M, Hiltunen M, Naarala J, Tanila H, Juutilainen J. Behavioral testing of mice exposed to intermediate frequency magnetic fields indicates mild memory impairment. PLoS One 2017; 12:e0188880. [PMID: 29206232 PMCID: PMC5714647 DOI: 10.1371/journal.pone.0188880] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Accepted: 11/14/2017] [Indexed: 12/27/2022] Open
Abstract
Human exposure to intermediate frequency magnetic fields (MF) is increasing due to applications like electronic article surveillance systems and induction heating cooking hobs. However, limited data is available on their possible health effects. The present study assessed behavioral and histopathological consequences of exposing mice to 7.5 kHz MF at 12 or 120 μT for 5 weeks. No effects were observed on body weight, spontaneous activity, motor coordination, level of anxiety or aggression. In the Morris swim task, mice in the 120 μT group showed less steep learning curve than the other groups, but did not differ from controls in their search bias in the probe test. The passive avoidance task indicated a clear impairment of memory over 48 h in the 120 μT group. No effects on astroglial activation or neurogenesis were observed in the hippocampus. The mRNA expression of brain-derived neurotrophic factor did not change but expression of the proinflammatory cytokine tumor necrosis factor alpha mRNA was significantly increased in the 120 μT group. These findings suggest that 7.5 kHz MF exposure may lead to mild learning and memory impairment, possibly through an inflammatory reaction in the hippocampus.
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Affiliation(s)
- Kajal Kumari
- Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland
- * E-mail:
| | | | - Matti Viluksela
- Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland
- National Institute for Health and Welfare, Environmental Health Unit, Kuopio, Finland
| | | | - Mikael Marttinen
- Institute of Biomedicine, University of Eastern Finland, Kuopio, Finland
| | - Mikko Hiltunen
- Institute of Biomedicine, University of Eastern Finland, Kuopio, Finland
| | - Jonne Naarala
- Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland
| | - Heikki Tanila
- A. I. Virtanen Institute, University of Eastern Finland, Kuopio, Finland
| | - Jukka Juutilainen
- Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland
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Papadopoulou E, Haugen M, Schjølberg S, Magnus P, Brunborg G, Vrijheid M, Alexander J. Maternal cell phone use in early pregnancy and child's language, communication and motor skills at 3 and 5 years: the Norwegian mother and child cohort study (MoBa). BMC Public Health 2017; 17:685. [PMID: 28870201 PMCID: PMC5584361 DOI: 10.1186/s12889-017-4672-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Accepted: 08/07/2017] [Indexed: 11/13/2022] Open
Abstract
Background Cell phone use during pregnancy is a public health concern. We investigated the association between maternal cell phone use in pregnancy and child’s language, communication and motor skills at 3 and 5 years. Methods This prospective study includes 45,389 mother-child pairs, participants of the MoBa, recruited at mid-pregnancy from 1999 to 2008. Maternal frequency of cell phone use in early pregnancy and child language, communication and motor skills at 3 and 5 years, were assessed by questionnaires. Logistic regression was used to estimate the associations. Results No cell phone use in early pregnancy was reported by 9.8% of women, while 39%, 46.9% and 4.3% of the women were categorized as low, medium and high cell phone users. Children of cell phone user mothers had 17% (OR = 0.83, 95% CI: 0.77, 0.89) lower adjusted risk of having low sentence complexity at 3 years, compared to children of non-users. The risk was 13%, 22% and 29% lower by low, medium and high maternal cell phone use. Additionally, children of cell phone users had lower risk of low motor skills score at 3 years, compared to children of non-users, but this association was not found at 5 years. We found no association between maternal cell phone use and low communication skills. Conclusions We reported a decreased risk of low language and motor skills at three years in relation to prenatal cell phone use, which might be explained by enhanced maternal-child interaction among cell phone users. No evidence of adverse neurodevelopmental effects of prenatal cell phone use was reported. Electronic supplementary material The online version of this article (doi:10.1186/s12889-017-4672-2) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Eleni Papadopoulou
- Department of Environmental Exposures and Epidemiology, Division of Infection Control and Environmental Health, Norwegian Institute of Public Health, PO Box 4404, 0403, Oslo, Norway
| | - Margaretha Haugen
- Department of Environmental Exposures and Epidemiology, Division of Infection Control and Environmental Health, Norwegian Institute of Public Health, PO Box 4404, 0403, Oslo, Norway
| | - Synnve Schjølberg
- Department of Child Development, Division of Mental Health, Norwegian Institute of Public Health, PO Box 4404, 0403, Oslo, Norway
| | - Per Magnus
- Division of Health Data and Digitalisation, Norwegian Institute of Public Health, PO Box 4404, 0403, Oslo, Norway
| | - Gunnar Brunborg
- Department of Molecular Biology, Division of Infection Control and Environmental Health, Norwegian Institute of Public Health, PO Box 4404, 0403, Oslo, Norway
| | - Martine Vrijheid
- ISGlobal- Barcelona Institute for Global Health, Doctor Aiguader, 08003, Barcelona, Spain.,Pompeu Fabra University, Barcelona, Spain.,Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain
| | - Jan Alexander
- Division of Health Data and Digitalisation, Norwegian Institute of Public Health, P.O. Box 4404, NO-0403, Oslo, Nydalen, Norway.
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Othman H, Ammari M, Rtibi K, Bensaid N, Sakly M, Abdelmelek H. Postnatal development and behavior effects of in-utero exposure of rats to radiofrequency waves emitted from conventional WiFi devices. ENVIRONMENTAL TOXICOLOGY AND PHARMACOLOGY 2017; 52:239-247. [PMID: 28458069 DOI: 10.1016/j.etap.2017.04.016] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/07/2016] [Revised: 04/15/2017] [Accepted: 04/18/2017] [Indexed: 06/07/2023]
Abstract
The present work investigated the effects of prenatal exposure to radiofrequency waves of conventional WiFi devices on postnatal development and behavior of rat offspring. Ten Wistar albino pregnant rats were randomly assigned to two groups (n=5). The experimental group was exposed to a 2.45GHz WiFi signal for 2h a day throughout gestation period. Control females were subjected to the same conditions as treated group without applying WiFi radiations. After delivery, the offspring was tested for physical and neurodevelopment during its 17 postnatal days (PND), then for anxiety (PND 28) and motricity (PND 40-43), as well as for cerebral oxidative stress response and cholinesterase activity in brain and serum (PND 28 and 43). Our main results showed that the in-utero WiFi exposure impaired offspring neurodevelopment during the first seventeen postnatal days without altering emotional and motor behavior at adult age. Besides, prenatal WiFi exposure induced cerebral oxidative stress imbalance (increase in malondialdehyde level (MDA) and hydrogen peroxide (H2O2) levels and decrease in catalase (CAT) and superoxide dismutase (SOD) activities) at 28 but not 43days old, also the exposure affected acethylcolinesterase activity at both cerebral and seric levels. Thus, the current study revealed that maternal exposure to WiFi radiofrequencies led to various adverse neurological effects in the offspring by affecting neurodevelopment, cerebral stress equilibrium and cholinesterase activity.
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Affiliation(s)
- Haifa Othman
- University of Carthage, Faculty of Sciences of Bizerte, Laboratory of Integrative Physiology, Jarzouna 7021, Tunisia
| | - Mohamed Ammari
- University of Carthage, Faculty of Sciences of Bizerte, Laboratory of Integrative Physiology, Jarzouna 7021, Tunisia; University of Tunis El Manar, Higher Institute of Applied Biological Sciences of Tunis, 9, Rue Zouhair Essafi, 1006 Tunis, Tunisia.
| | - Kaïs Rtibi
- University of Jendouba, Higher Institute of Biotechnology of Beja, Laboratory of Nutrition and Animal Physiology, B.P. 382 - 9000 Béja, Tunisia
| | - Noura Bensaid
- University of Carthage, Faculty of Sciences of Bizerte, Laboratory of Integrative Physiology, Jarzouna 7021, Tunisia
| | - Mohsen Sakly
- University of Carthage, Faculty of Sciences of Bizerte, Laboratory of Integrative Physiology, Jarzouna 7021, Tunisia
| | - Hafedh Abdelmelek
- University of Carthage, Faculty of Sciences of Bizerte, Laboratory of Integrative Physiology, Jarzouna 7021, Tunisia
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11
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Effects of pre- and postnatal exposure to 1880–1900 MHz DECT base radiation on development in the rat. Reprod Toxicol 2016; 65:248-262. [DOI: 10.1016/j.reprotox.2016.08.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2015] [Revised: 08/02/2016] [Accepted: 08/15/2016] [Indexed: 01/05/2023]
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Boga A, Emre M, Sertdemir Y, Uncu İ, Binokay S, Demirhan O. Effects of GSM-like radiofrequency irradiation during the oogenesis and spermiogenesis of Xenopus laevis. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2016; 129:137-144. [PMID: 27017260 DOI: 10.1016/j.ecoenv.2016.03.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2016] [Revised: 02/17/2016] [Accepted: 03/14/2016] [Indexed: 06/05/2023]
Abstract
We aimed to evaluate the effect of GSM-like radiofrequency electromagnetic radiation (RF-EMR) on the oogenesis, and spermiogenesis of Xenopus laevis, and so the development of the embryos obtained from Normal Females+Normal Males (i.e. "N(F)+N(M)"); Normal Females+RF-exposed Males (i.e. "N(F)+RF(M)"); RF-exposed Female+Normal Male (i.e. "RF(F)+N(M)"); and RF-exposed Female+RF-exposed Male (i.e. "RF(F)+RF(M)". Various, assessments were performed to determine potential teratogenic effects and mortality, body growth and behavior on first generation embryos. After exposing adults frogs of both sexes to 900MHz RF-EMR (at 1.0W/kg) for 8h a day over a 5-week period, the embryos' specific energy absorption rate (SAR) was calculated. In our present study (control group; 2.2% abnormal, 0.0% dead); with the N(F)+RF(M) combination, the long-term exposure of adult males to GSM-like radiation at 900MHz (RF: 2W) for 5 week/8h/day resulted in normal, abnormal and dead embryo ratios of 88.3%, 3.3% and 8.3%, respectively (p<0.001). In the RF(F)+N(M) combination, long-term exposure (5 week/8h/day) of adult females led to normal, abnormal and dead embryo ratios of 76.7%, 11.7%, and 11.7%, respectively (p<0.001). And in the RF(F)+RF(M) combination, long-term exposure (5 week/8h/day) of both adult males and females led to normal, abnormal and dead embryo ratios of 73.3%, 11.7%, and 15%, respectively (p<0.001). With the exception RF(F)+RF(M) group (p<0.001), no significant changes were observed on body growth (lengths) in comparison to the control group. It was also observed that the offspring of female adult Xenopus exposed to RF-EMR during oogenesis exhibited a more aggressive behavior compared to the control group. Cell phones radiation can thus lead to detrimental effects in humans' male and female reproductive cells.
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Affiliation(s)
- Ayper Boga
- Department of Medical Physiology, Cukurova University Medical Faculty, Adana, Turkey.
| | - Mustafa Emre
- Department of Biophysics, Cukurova University Medical Faculty, Adana, Turkey
| | - Yasar Sertdemir
- Department of Biostatistics, Cukurova University Medical Faculty, Adana, Turkey
| | - İbrahim Uncu
- Department of Biophysics, Cukurova University Medical Faculty, Adana, Turkey
| | - Secil Binokay
- Department of Medical Physiology, Cukurova University Medical Faculty, Adana, Turkey
| | - Osman Demirhan
- Department of Medical Biology, Cukurova University Medical Faculty, Adana, Turkey
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Cucurachi S, Tamis WLM, Vijver MG, Peijnenburg WJGM, Bolte JFB, de Snoo GR. A review of the ecological effects of radiofrequency electromagnetic fields (RF-EMF). ENVIRONMENT INTERNATIONAL 2013; 51:116-140. [PMID: 23261519 DOI: 10.1016/j.envint.2012.10.009] [Citation(s) in RCA: 75] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2012] [Revised: 10/23/2012] [Accepted: 10/24/2012] [Indexed: 06/01/2023]
Abstract
OBJECTIVE This article presents a systematic review of published scientific studies on the potential ecological effects of radiofrequency electromagnetic fields (RF-EMF) in the range of 10 MHz to 3.6 GHz (from amplitude modulation, AM, to lower band microwave, MW, EMF). METHODS Publications in English were searched in ISI Web of Knowledge and Scholar Google with no restriction on publication date. Five species groups were identified: birds, insects, other vertebrates, other organisms, and plants. Not only clear ecological articles, such as field studies, were taken into consideration, but also biological articles on laboratory studies investigating the effects of RF-EMF with biological endpoints such as fertility, reproduction, behaviour and development, which have a clear ecological significance, were also included. RESULTS Information was collected from 113 studies from original peer-reviewed publications or from relevant existing reviews. A limited amount of ecological field studies was identified. The majority of the studies were conducted in a laboratory setting on birds (embryos or eggs), small rodents and plants. In 65% of the studies, ecological effects of RF-EMF (50% of the animal studies and about 75% of the plant studies) were found both at high as well as at low dosages. No clear dose-effect relationship could be discerned. Studies finding an effect applied higher durations of exposure and focused more on the GSM frequency ranges. CONCLUSIONS In about two third of the reviewed studies ecological effects of RF-EMF was reported at high as well as at low dosages. The very low dosages are compatible with real field situations, and could be found under environmental conditions. However, a lack of standardisation and a limited number of observations limit the possibility of generalising results from an organism to an ecosystem level. We propose in future studies to conduct more repetitions of observations and explicitly use the available standards for reporting RF-EMF relevant physical parameters in both laboratory and field studies.
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Affiliation(s)
- S Cucurachi
- Institute of Environmental Sciences (CML), Leiden University, P.O. Box 9518, 2300 RA Leiden, The Netherlands.
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Poulletier de Gannes F, Haro E, Hurtier A, Taxile M, Athane A, Ait-Aissa S, Masuda H, Percherncier Y, Ruffié G, Billaudel B, Dufour P, Veyret B, Lagroye I. Effect of in utero wi-fi exposure on the pre- and postnatal development of rats. ACTA ACUST UNITED AC 2012; 95:130-6. [PMID: 22311618 DOI: 10.1002/bdrb.20346] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2011] [Accepted: 10/14/2011] [Indexed: 12/13/2022]
Abstract
BACKGROUND The increase in exposure to the Wireless Fidelity (Wi-Fi) wireless communication signal has raised public health concerns especially for young people. Animal studies looking at the effects of early life and prenatal exposure to this source of electromagnetic fields, in the radiofrequency (RF) range, on development and behavior have been considered as high priority research needs by the World Health Organization. METHODS For the first time, our study assessed the effects of in utero exposure to a 2450 MHz Wi-Fi signal (2 hr/day, 6 days/week for 18 days) on pregnant rats and their pups. Three levels in terms of whole-body specific absorption rate were used: 0.08, 0.4, and 4 W/kg. The prenatal study on fetuses delivered by caesarean (P20) concerned five females/group. The dams and their offspring were observed for 28 days after delivery (15 females/group). RESULTS For all test conditions, no abnormalities were noted in the pregnant rats and no significant signs of toxicity were observed in the pre- and postnatal development of the pups, even at the highest level of 4 W/kg. CONCLUSIONS In the present study, no teratogenic effect of repeated exposures to the Wi-Fi wireless communication signal was demonstrated even at the highest level of 4 W/kg. The results from this screening study aimed at investigating Wi-Fi effects, strengthen the previous conclusions that teratology and development studies have not detected any noxious effects of exposures to mobile telephony-related RF fields at exposure levels below standard limits.
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Marino C, Lagroye I, Scarfì MR, Sienkiewicz Z. Are the young more sensitive than adults to the effects of radiofrequency fields? An examination of relevant data from cellular and animal studies. PROGRESS IN BIOPHYSICS AND MOLECULAR BIOLOGY 2011; 107:374-85. [DOI: 10.1016/j.pbiomolbio.2011.09.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2011] [Accepted: 09/01/2011] [Indexed: 10/17/2022]
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Effect of Exposure to 1,800 MHz Electromagnetic Fields on Heat Shock Proteins and Glial Cells in the Brain of Developing Rats. Neurotox Res 2010; 20:109-19. [DOI: 10.1007/s12640-010-9225-8] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2010] [Revised: 10/04/2010] [Accepted: 10/05/2010] [Indexed: 09/29/2022]
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Takahashi S, Imai N, Nabae K, Wake K, Kawai H, Wang J, Watanabe SI, Kawabe M, Fujiwara O, Ogawa K, Tamano S, Shirai T. Lack of Adverse Effects of Whole-Body Exposure to a Mobile Telecommunication Electromagnetic Field on the Rat Fetus. Radiat Res 2010; 173:362-72. [DOI: 10.1667/rr1615.1] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Pourlis AF. Reproductive and developmental effects of EMF in vertebrate animal models. PATHOPHYSIOLOGY 2009; 16:179-89. [DOI: 10.1016/j.pathophys.2009.01.010] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2008] [Revised: 08/28/2008] [Accepted: 01/30/2009] [Indexed: 10/21/2022] Open
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Effects of Radiofrequency Electromagnetic Fields on Mammalian Spermatogenesis. Arh Hig Rada Toksikol 2007; 58:449-59. [DOI: 10.2478/v10004-007-0038-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Sienkiewicz Z, Jones N, Bottomley A. Neurobehavioural effects of electromagnetic fields. Bioelectromagnetics 2005; Suppl 7:S116-26. [PMID: 16059919 DOI: 10.1002/bem.20141] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Very few laboratory studies in children have explored the effects of exposure to low level electromagnetic fields (EMFs) on neurobehavioural function. Studies investigating effect on neurotransmitters, cognitive function and brain activity in adults and animals indicate that acute exposure to EMFs does not appear to engender any consistent physiological or behavioural impairment although a few subtle effects may occur. This suggests that exposure of children to low level EMFs may not cause significant detrimental effects on brain function. However the available evidence is not sufficient to draw any definite conclusions, and further laboratory studies are required. In particular, experiments investigating the effects of radiofrequency (RF) fields on the performance of well-characterised cognitive and behavioural tasks by immature and developing animals are recommended, if studies with children cannot be performed for ethical and practical reasons.
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Affiliation(s)
- Zenon Sienkiewicz
- Health Protection Agency, Centre for Radiation, Chemical and Environmental Hazards, Radiation Protection Division, Chilton, Didcot, United Kingdom.
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Abstract
This paper reviews experimental studies on the effects of radiofrequency (RF), extremely low frequency (ELF), and intermediate frequency (IF) electromagnetic fields on animal development. Numerous studies have shown that RF fields are teratogenic at exposure levels sufficiently high to cause significant increase of temperature. There is no consistent evidence of RF field effects at nonthermal exposure levels. Only a few studies have evaluated possible effects on postnatal development using sensitive endpoints, such as behavioral effects. ELF electric fields up to 150 kV/m have been evaluated in several mammalian species. The results are rather consistent and do not suggest adverse developmental effects. The results of studies on ELF magnetic fields suggest effects on bird embryo development, but not consistently in all studies. Results from experiments with other non-mammalian experimental models have also suggested subtle effects on developmental stability. In mammals, most studies have shown no effects of prenatal exposure to ELF or IF magnetic on gross external, visceral, or skeletal malformations. The only finding that shows some consistency is increase of minor skeleton alterations in several experiments. Taken as a whole, the results do not show robust adverse effects of ELF and IF fields on development. However, additional studies on the suggested subtle effects on developmental stability might increase our understanding of the sensitivity of biological organisms to weak low-frequency magnetic fields.
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Affiliation(s)
- Jukka Juutilainen
- Department of Environmental Sciences, University of Kuopio, Kuopio, Finland.
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Abstract
Experimental studies that sought teratologic effects or developmental abnormalities from exposure to radiofrequency electromagnetic fields (RFEMF) in the range 3 kHz-300 GHz are critically reviewed for their possible consequences on human health. Those studies were conducted on beetles, birds, rodents, and nonhuman primates. Collectively, those experimental studies indicate that teratologic effects can occur only from exposure levels that cause biologically detrimental increases in body temperature. No reliable experimental evidence was found for nonthermal teratologic effects; rodents, mouse fetuses, and perinatal mice are more susceptible to such effects than rats. The primary confirmed effect in rats at high RFEMF levels was initial weight deficits in fetuses and neonates that decreased with infant growth. More generally from findings with pregnant mammals, exposures at RFEMF levels far higher than those permitted under the IEEE human exposure guidelines are necessary to reach or exceed cited experimental thresholds for maternal temperature increases. Some results indicated that the levels necessary to cause such effects in pregnant mammals could exceed those lethal to the dams. In a behavioral study of squirrel monkeys, no effects were observed on usual dam-offspring interactions or EEGs, but unexpected deaths of a number of offspring had occurred. However, this finding was not confirmed in a study solely on infant death using a larger number of subjects for greater statistical validity. Also reviewed were epidemiologic studies of various human populations considered to have been chronically exposed to environmental levels of RFEMF. Early studies on the incidence of congenital anomalies yielded no credible evidence that chronic exposure of pregnant women or of fathers exposed to RFEMF from nearby sources at levels below those guidelines would cause any anomalies in their offspring. The findings of studies on pregnancy outcomes of female physiotherapists occupationally exposed while treating patients with RFEMF were mixed, but taken collectively, the findings were negative.
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D'Andrea JA, Adair ER, de Lorge JO. Behavioral and cognitive effects of microwave exposure. Bioelectromagnetics 2003; Suppl 6:S39-62. [PMID: 14628306 DOI: 10.1002/bem.10169] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
This paper presents an overview of the recent behavioral literature concerning microwave exposure and discusses behavioral effects that have supported past exposure standards. Other effects, which are based on lower levels of exposure, are discussed as well, relative to setting exposure standards. The paper begins with a brief discussion of the ways in which behavioral end points are investigated in the laboratory, together with some of the methodological considerations pertinent to such studies when radio frequency (RF) exposure is involved. It has been pointed out by several sources that exposure to RF radiation can lead to changes in the behavior of humans and laboratory animals that can range from the perceptions of warmth and sound to lethal body temperatures. Behavior of laboratory animals can be perturbed and, under certain other conditions, animals will escape and subsequently avoid RF fields; but they will also work to obtain a burst of RF energy when they are cold. Reports of change of cognitive function (memory and learning) in humans and laboratory animals are in the scientific literature. Mostly, these are thermally mediated effects, but other low level effects are not so easily explained by thermal mechanisms. The phenomenon of behavioral disruption by microwave exposure, an operationally defined rate decrease (or rate increase), has served as the basis for human exposure guidelines since the early 1980s and still appears to be a very sensitive RF bioeffect. Nearly all evidence relates this phenomenon to the generation of heat in the tissues and reinforces the conclusion that behavioral changes observed in RF exposed animals are thermally mediated. Such behavioral alteration has been demonstrated in a variety of animal species and under several different conditions of RF exposure. Thermally based effects can clearly be hazardous to the organism and continue to be the best predictor of hazard for homosapiens. Nevertheless, similar research with man has not been conducted. Although some studies on human perception of RF exist, these should be expanded to include a variety of RF parameters.
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Affiliation(s)
- John A D'Andrea
- Naval Health Research Center Detachment, Brooks City-Base, Texas, USA.
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