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Pophof B, Kuhne J, Schmid G, Weiser E, Dorn H, Henschenmacher B, Burns J, Danker-Hopfe H, Sauter C. The effect of exposure to radiofrequency electromagnetic fields on cognitive performance in human experimental studies: Systematic review and meta-analyses. ENVIRONMENT INTERNATIONAL 2024; 191:108899. [PMID: 39265322 DOI: 10.1016/j.envint.2024.108899] [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: 10/27/2023] [Revised: 07/12/2024] [Accepted: 07/19/2024] [Indexed: 09/14/2024]
Abstract
BACKGROUND The objective of this review is to evaluate the associations between short-term exposure to radiofrequency electromagnetic fields (RF-EMF) and cognitive performance in human experimental studies. METHODS Online databases (PubMed, Embase, Scopus, Web of Science and EMF-Portal) were searched for studies that evaluated effects of exposure to RF-EMF on seven domains of cognitive performance in human experimental studies. The assessment of study quality was based on the Risk of Bias (RoB) tool developed by the Office of Health Assessment and Translation (OHAT). Random effects meta-analyses of Hedges's g were conducted separately for accuracy- and speed-related performance measures of various cognitive domains, for which data from at least two studies were available. Finally, the certainty of evidence for each identified outcome was assessed according to Grading of Recommendations Assessment, Development, and Evaluation (GRADE). RESULTS 57,543 records were identified and 76 studies (80 reports) met the inclusion criteria. The included 76 studies with 3846 participants, consisting of humans of different age, sex and health status from 19 countries, were conducted between 1989 and 2021. Quantitative data from 50 studies (52 reports) with 2433 participants were included into the meta-analyses. These studies were performed in 15 countries between 2001 and 2021. The majority of the included studies used head exposure with GSM 900 uplink. None of the meta-analyses observed a statistically significant effect of RF-EMF exposure compared to sham on cognitive performance as measured by the confidence interval surrounding the Hedges's g or the significance of the z-statistic. For the domain Orientation and Attention, subclass Attention - Attentional Capacity RF-EMF exposure results in little to no difference in accuracy (Hedges's g 0.024, 95 % CI [-0.10; 0.15], I2 = 28 %, 473 participants). For the domain Orientation and Attention, subclass Attention - Concentration / Focused Attention RF-EMF exposure results in little to no difference in speed (Hedges's g 0.005, 95 % CI [-0.17; 0.18], I2 = 7 %, 132 participants) and probably results in little to no difference in accuracy; it does not reduce accuracy (Hedges's g 0.097, 95 % CI [-0.05; 0.24], I2 = 0 %, 217 participants). For the domain Orientation and Attention, subclass Attention - Vigilance RF-EMF exposure probably results in little to no difference in speed and does not reduce speed (Hedges's g 0.118, 95 % CI [-0.04; 0.28], I2 = 41 %, 247 participants) and results in little to no difference in accuracy (Hedges's g 0.042, 95 % CI, [-0.09; 0.18], I2 = 0 %, 199 participants). For the domain Orientation and Attention, subclass Attention - Selective Attention RF-EMF exposure probably results in little to no difference in speed and does not reduce speed (Hedges's g 0.080, 95 % CI [-0.09; 0.25], I2 = 63 %, 452 participants); it may result in little to no difference in accuracy, but it probably does not reduce accuracy (Hedges's g 0.178, 95 % CI [-0.02; 0.38], I2 = 68 %, 480 participants). For the domain Orientation and Attention, subclass Attention - Divided Attention RF-EMF exposure results in little to no difference in speed (Hedges's g -0.010, 95 % CI [-0.14; 0.12], I2 = 5 %, 307 participants) and may result in little to no difference in accuracy (Hedges's g -0.089, 95 % CI [-0.35; 0.18], I2 = 53 %, 167 participants). For the domain Orientation and Attention, subclass Processing Speed - Simple Reaction Time Task RF-EMF exposure results in little to no difference in speed (Hedges's g 0.069, 95 % CI [-0.02; +0.16], I2 = 29 %, 820 participants). For the domain Orientation and Attention, subclass Processing Speed - 2-Choice Reaction Time Task RF-EMF exposure results in little to no difference in speed (Hedges's g -0.023, 95 % CI [-0.13; 0.08], I2 = 0 %, 401 participants), and may result in little to no difference in accuracy (Hedges's g -0.063, 95 % CI [-0.38; 0.25], I2 = 63 %, 117 participants). For the domain Orientation and Attention, subclass Processing Speed - >2-Choice Reaction Time Task RF-EMF exposure results in little to no difference in speed (Hedges's g -0.054, 95 % CI [-0.14; 0.03], I2 = 0 %, 544 participants) and probably results in little to no difference in accuracy (Hedges's g -0.129, 95 % CI [-0.30; 0.04], I2 = 0 %, 131 participants). For the domain Orientation and Attention, subclass Processing Speed - Other Tasks RF-EMF exposure probably results in little to no difference in speed and does not reduce speed (Hedges's g 0.067, 95 % CI [-0.12; 0.26], I2 = 38 %, 249 participants); it results in little to no difference in accuracy (Hedges's g 0.036, 95 % CI [-0.08; 0.15], I2 = 0 %, 354 participants). For the domain Orientation and Attention, subclass Working Memory - n-back Task (0-3-back) we found Hedges's g ranging from -0.090, 95 % CI [-0.18; 0.01] to 0.060, 95 % CI [-0.06; 0.18], all I2 = 0 %, 237 to 474 participants, and conclude that RF-EMF exposure results in little to no difference in both speed and accuracy. For the domain Orientation and Attention, subclass Working Memory - Mental Tracking RF-EMF exposure results in little to no difference in accuracy (Hedges's g -0.047, 95 % [CI -0.15; 0.05], I2 = 0 %, 438 participants). For the domain Perception, subclass Visual and Auditory Perception RF-EMF exposure may result in little to no difference in speed (Hedges's g -0.015, 95 % CI [-0.23; 0.195], I2 = 0 %, 84 participants) and probably results in little to no difference in accuracy (Hedges's g 0.035, 95 % CI [-0.13; 0.199], I2 = 0 %, 137 participants). For the domain Memory, subclass Verbal and Visual Memory RF-EMF exposure probably results in little to no difference in speed and does not reduce speed (Hedges's g 0.042, 95 % CI [-0.15; 0.23], I2 = 0 %, 102 participants); it may result in little to no difference in accuracy (Hedges's g -0.087, 95 % CI [-0.38; 0.20], I2 = 85 %, 625 participants). For the domain Verbal Functions and Language Skills, subclass Verbal Expression, a meta-analysis was not possible because one of the two included studies did not provide numerical values. Results of both studies did not indicate statistically significant effects of RF-EMF exposure on both speed and accuracy. For the domain Construction and Motor Performance, subclass Motor Skills RF-EMF exposure may reduce speed, but the evidence is very uncertain (Hedges's g -0.919, 95 % CI [-3.09; 1.26], I2 = 96 %, 42 participants); it probably results in little to no difference in accuracy and does not reduce accuracy (Hedges's g 0.228, 95 % CI [-0.01; 0.46], I2 = 0 %, 109 participants). For the domain Concept Formation and Reasoning, subclass Reasoning RF-EMF exposure results in little to no difference in speed (Hedges's g 0.010, 95 % CI [-0.11; 0.13], I2 = 0 %, 263 participants) and probably results in little to no difference in accuracy and does not reduce accuracy (Hedges's g 0.051, 95 % CI [-0.14; 0.25], I2 = 0 %, 100 participants). For the domain Concept Formation and Reasoning, subclass Mathematical Procedures RF-EMF exposure results in little to no difference in speed (Hedges's g 0.033, 95 % CI [-0.12; 0.18], I2 = 0 %, 168 participants) and may result in little to no difference in accuracy but probably does not reduce accuracy (Hedges's g 0.232, 95 % CI [-0.12; +0.59], I2 = 86 %, 253 participants). For the domain Executive Functions there were no studies. DISCUSSION Overall, the results from all domains and subclasses across their speed- and accuracy-related outcome measures according to GRADE provide high to low certainty of evidence that short-term RF-EMF exposure does not reduce cognitive performance in human experimental studies. For 16 out of 35 subdomains some uncertainty remains, because of limitations in the study quality, inconsistency in the results or imprecision of the combined effect size estimate. Future research should focus on construction and motor performance, elderly, and consideration of both sexes. OTHER This review was partially funded by the WHO radioprotection programme. The protocol for this review was registered in Prospero reg. no. CRD42021236168 and published in Environment International (Pophof et al. 2021).
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Affiliation(s)
- Blanka Pophof
- Federal Office for Radiation Protection, Competence Centre EMF, Oberschleißheim, Germany.
| | - Jens Kuhne
- Federal Office for Radiation Protection, Competence Centre EMF, Oberschleißheim, Germany
| | | | - Evelyn Weiser
- Federal Office for Radiation Protection, Competence Centre EMF, Cottbus, Germany
| | - Hans Dorn
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Competence Centre of Sleep Medicine, 12203 Berlin, Germany
| | - Bernd Henschenmacher
- Federal Office for Radiation Protection, Optical Radiation, Oberschleißheim, Germany
| | - Jacob Burns
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), LMU Munich, Germany
| | - Heidi Danker-Hopfe
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Competence Centre of Sleep Medicine, 12203 Berlin, Germany
| | - Cornelia Sauter
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Competence Centre of Sleep Medicine, 12203 Berlin, Germany
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Jamal L, Yahia-Cherif L, Hugueville L, Mazet P, Lévêque P, Selmaoui B. Assessment of Electrical Brain Activity of Healthy Volunteers Exposed to 3.5 GHz of 5G Signals within Environmental Levels: A Controlled-Randomised Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6793. [PMID: 37754652 PMCID: PMC10530694 DOI: 10.3390/ijerph20186793] [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: 07/29/2023] [Revised: 09/12/2023] [Accepted: 09/13/2023] [Indexed: 09/28/2023]
Abstract
Following the recent deployment of fifth-generation (5G) radio frequencies, several questions about their health impacts have been raised. Due to the lack of experimental research on this subject, the current study aimed to investigate the bio-physiological effects of a generated 3.5 GHz frequency. For this purpose, the wake electroencephalograms (EEG) of 34 healthy volunteers were explored during two "real" and "sham" exposure sessions. The electromagnetic fields were antenna-emitted in an electrically shielded room and had an electrical field root-mean-square intensity of 2 V/m, corresponding to the current outdoor exposure levels. The sessions were a maximum of one week apart, and both contained an exposure period of approximately 26 min and were followed by a post-exposure period of 17 min. The power spectral densities (PSDs) of the beta, alpha, theta, and delta bands were then computed and corrected based on an EEG baseline period. This was acquired for 17 min before the subsequent phases were recorded under two separate conditions: eyes open (EO) and eyes closed (EC). A statistical analysis showed an overall non-significant change in the studied brain waves, except for a few electrodes in the alpha, theta, and delta spectra. This change was translated into an increase or decrease in the PSDs, in response to the EO and EC conditions. In conclusion, this studhy showed that 3.5 GHz exposure, within the regulatory levels and exposure parameters used in this protocol, did not affect brain activity in healthy young adults. Moreover, to our knowledge, this was the first laboratory-controlled human EEG study on 5G effects. It attempted to address society's current concern about the impact of 5G exposure on human health at environmental levels.
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Affiliation(s)
- Layla Jamal
- Department of Experimental Toxicology and Modeling (TEAM), Institut National de l’Environnement Industriel et des Risques (INERIS), Parc Technologique Alata, BP 2, 60550 Verneuil-en-Halatte, France;
- PériTox Laboratory (UMR_I 01), INERIS/UPJV, INERIS, 60550 Verneuil en Halatte, France
| | - Lydia Yahia-Cherif
- Paris Brain Institute (ICM), Center for NeuroImaging Research (CENIR), Sorbonne University, INSERM U1127, CNRS UMR7225, Pitié-Salpêtrière Hospital, 75013 Paris, France; (L.Y.-C.); (L.H.)
| | - Laurent Hugueville
- Paris Brain Institute (ICM), Center for NeuroImaging Research (CENIR), Sorbonne University, INSERM U1127, CNRS UMR7225, Pitié-Salpêtrière Hospital, 75013 Paris, France; (L.Y.-C.); (L.H.)
| | - Paul Mazet
- Technical Centre for Mechanical Industries (CETIM), 52 Avenue Félix Louat, 60300 Senlis, France;
| | - Philippe Lévêque
- XLIM Research Institute, University of Limoges, UMR CNRS 7252, 123 Avenue Albert Thomas, 87000 Limoges, France;
| | - Brahim Selmaoui
- Department of Experimental Toxicology and Modeling (TEAM), Institut National de l’Environnement Industriel et des Risques (INERIS), Parc Technologique Alata, BP 2, 60550 Verneuil-en-Halatte, France;
- PériTox Laboratory (UMR_I 01), INERIS/UPJV, INERIS, 60550 Verneuil en Halatte, France
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Wallace J, Shang W, Gitton C, Hugueville L, Yahia-Cherif L, Selmaoui B. Theta band brainwaves in human resting EEG modulated by mobile phone radiofrequency. Int J Radiat Biol 2023; 99:1639-1647. [PMID: 36867417 DOI: 10.1080/09553002.2023.2187477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Accepted: 02/18/2023] [Indexed: 03/04/2023]
Abstract
PURPOSE Wireless communication has become an integral part of our lives. The growing number of antennas in our environment and the expanding use of mobile phones (MPs) are increasing the population's exposure to electromagnetic fields. The present study aimed to examine the potential impact of MPs radiofrequency electromagnetic fields (RF-EMF) exposure on the brainwaves of the resting electroencephalogram (EEG) in humans. MATERIALS AND METHODS Twenty-one healthy volunteers were exposed to Global System for Mobile communications (GSM) signal at 900 MHz MP RF-EMF. The maximum specific absorption rate (SAR) of the MP averaged on 10 g tissue and 1 g tissue were measured at 0.49 W/kg, 0.70 W/kg, respectively. RESULTS Results showed that while delta and beta rhythms of resting EEG were not affected, theta brainwaves were significantly modulated during exposure to RF-EMF related to MPs. For the first time, it was shown that this modulation is dependent on the eye condition, i.e. closed or open. CONCLUSIONS This study strongly suggests that acute exposure to RF-EMF alters the EEG theta rhythm at rest. Long-term exposure studies are required to explore the effect of this disruption in high-risk or sensitive populations.
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Affiliation(s)
- Jasmina Wallace
- Department of Experimental Toxicology and Modeling (TEAM), Institut National de l'Environnement Industriel et des Risques (INERIS), Verneuil-en-Halatte, France
- PériTox Laboratory, UMR-I 01 INERIS, Université de Picardie Jules Verne, Amiens, France
- Research Center of Sainte, Justine University Hospital Center, Montreal, Canada
| | - Wendi Shang
- Department of Experimental Toxicology and Modeling (TEAM), Institut National de l'Environnement Industriel et des Risques (INERIS), Verneuil-en-Halatte, France
- PériTox Laboratory, UMR-I 01 INERIS, Université de Picardie Jules Verne, Amiens, France
| | - Christophe Gitton
- Centre de NeuroImagerie de Recherche (CENIR), Brain Institute (ICM), Paris, France
- Inserm U 1127, CNRS UMR 7225, Sorbonne Université, Brain Institute (ICM), Paris, France
| | - Laurent Hugueville
- Centre de NeuroImagerie de Recherche (CENIR), Brain Institute (ICM), Paris, France
- Inserm U 1127, CNRS UMR 7225, Sorbonne Université, Brain Institute (ICM), Paris, France
| | - Lydia Yahia-Cherif
- Centre de NeuroImagerie de Recherche (CENIR), Brain Institute (ICM), Paris, France
- Inserm U 1127, CNRS UMR 7225, Sorbonne Université, Brain Institute (ICM), Paris, France
| | - Brahim Selmaoui
- Department of Experimental Toxicology and Modeling (TEAM), Institut National de l'Environnement Industriel et des Risques (INERIS), Verneuil-en-Halatte, France
- PériTox Laboratory, UMR-I 01 INERIS, Université de Picardie Jules Verne, Amiens, France
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Belpomme D, Irigaray P. Why electrohypersensitivity and related symptoms are caused by non-ionizing man-made electromagnetic fields: An overview and medical assessment. ENVIRONMENTAL RESEARCH 2022; 212:113374. [PMID: 35537497 DOI: 10.1016/j.envres.2022.113374] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 03/30/2022] [Accepted: 04/25/2022] [Indexed: 06/14/2023]
Abstract
Much of the controversy over the cause of electrohypersensitivity (EHS) lies in the absence of recognized clinical and biological criteria for a widely accepted diagnosis. However, there are presently sufficient data for EHS to be acknowledged as a distinctly well-defined and objectively characterized neurologic pathological disorder. Because we have shown that 1) EHS is frequently associated with multiple chemical sensitivity (MCS) in EHS patients, and 2) that both individualized disorders share a common pathophysiological mechanism for symptom occurrence; it appears that EHS and MCS can be identified as a unique neurologic syndrome, regardless their causal origin. In this overview we distinguish the etiology of EHS itself from the environmental causes that trigger pathophysiological changes and clinical symptoms after EHS has occurred. Contrary to present scientifically unfounded claims, we indubitably refute the hypothesis of a nocebo effect to explain the genesis of EHS and its presentation. We as well refute the erroneous concept that EHS could be reduced to a vague and unproven "functional impairment". To the contrary, we show here there are objective pathophysiological changes and health effects induced by electromagnetic field (EMF) exposure in EHS patients and most of all in healthy subjects, meaning that excessive non-thermal anthropogenic EMFs are strongly noxious for health. In this overview and medical assessment we focus on the effects of extremely low frequencies, wireless communications radiofrequencies and microwaves EMF. We discuss how to better define and characterize EHS. Taken into consideration the WHO proposed causality criteria, we show that EHS is in fact causally associated with increased exposure to man-made EMF, and in some cases to marketed environmental chemicals. We therefore appeal to all governments and international health institutions, particularly the WHO, to urgently consider the growing EHS-associated pandemic plague, and to acknowledge EHS as a mainly new real EMF causally-related pathology.
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Affiliation(s)
- Dominique Belpomme
- Medical Oncology Department, Paris University, Paris, France; European Cancer and Environment Research Institute (ECERI), Brussels, Belgium.
| | - Philippe Irigaray
- European Cancer and Environment Research Institute (ECERI), Brussels, Belgium
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Ahsan F, Chi T, Cho R, Sheth SA, Goodman W, Aazhang B. EMvelop stimulation: minimally invasive deep brain stimulation using temporally interfering electromagnetic waves. J Neural Eng 2022; 19. [PMID: 35700717 DOI: 10.1088/1741-2552/ac7894] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2022] [Accepted: 06/14/2022] [Indexed: 11/12/2022]
Abstract
OBJECTIVE Recently, the temporal interference stimulation (TIS) technique for focal noninvasive deep brain stimulation (DBS) was reported. However, subsequent computational modeling studies on the human brain have shown that while TIS achieves higher focality of electric fields than state-of-the-art methods, further work is needed to improve the stimulation strength. Here, we investigate the idea of EMvelop stimulation, a minimally invasive DBS setup using temporally interfering gigahertz (GHz) electromagnetic (EM) waves. At GHz frequencies, we can create antenna arrays at the scale of a few centimeters or less that can be endocranially implanted to enable longitudinal stimulation and circumvent signal attenuation due to the scalp and skull. Furthermore, owing to the small wavelength of GHz EM waves, we can optimize both amplitudes and phases of the EM waves to achieve high intensity and focal stimulation at targeted regions within the safety limit for exposure to EM waves. APPROACH We develop a simulation framework investigating the propagation of GHz EM waves generated by line current antenna elements and the corresponding heat generated in the brain tissue. We propose two optimization flows to identify antenna current amplitudes and phases for either maximal intensity or maximal focality transmission of the interfering electric fields with EM waves safety constraint. MAIN RESULTS A representative result of our study is that with two endocranially implanted arrays of size 4.2 cm × 4.7 cm each, we can achieve an intensity of 12 V/m with a focality of 3.6 cm at a target deep in the brain tissue. SIGNIFICANCE In this proof-of-principle study, we show that the idea of EMvelop stimulation merits further investigation as it can be a minimally invasive way of stimulating deep brain targets and offers benefits not shared by prior methodologies of electrical or magnetic stimulation.
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Affiliation(s)
- Fatima Ahsan
- Electrical and computer engineering, Rice University, 6100 Main Street, Houston, Texas, 77005, UNITED STATES
| | - Taiyun Chi
- Department of Electrical and Computer Engineering and Neuroengineering Initiative, Rice University, 6100 Main Street, Houston, Texas, 77005-1892, UNITED STATES
| | - Raymond Cho
- Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, Houston, Texas, 77030-3411, UNITED STATES
| | - Sameer A Sheth
- Neurosurgery, Baylor College of Medicine, Baylor College of Medicine, Neurosurgery Houston, TX, USA, Houston, Texas, 77030, UNITED STATES
| | - Wayne Goodman
- Psychiatry, Baylor College of Medicine, Baylor College of Medicine, Psychiatry Houston, TX, USA, Houston, Texas, 77030, UNITED STATES
| | - Behnaam Aazhang
- Department of Electrical and Computer Engineering, Rice University, George R. Brown School of Engineering, 6100 Main Street, Houston, TX 77005, USA, Houston, 77005, UNITED STATES
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Mobile Phone Radiation Deflects Brain Energy Homeostasis and Prompts Human Food Ingestion. Nutrients 2022; 14:nu14020339. [PMID: 35057520 PMCID: PMC8777647 DOI: 10.3390/nu14020339] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 01/10/2022] [Accepted: 01/11/2022] [Indexed: 12/23/2022] Open
Abstract
Obesity and mobile phone usage have simultaneously spread worldwide. Radio frequency-modulated electromagnetic fields (RF-EMFs) emitted by mobile phones are largely absorbed by the head of the user, influence cerebral glucose metabolism, and modulate neuronal excitability. Body weight adjustment, in turn, is one of the main brain functions as food intake behavior and appetite perception underlie hypothalamic regulation. Against this background, we questioned if mobile phone radiation and food intake may be related. In a single-blind, sham-controlled, randomized crossover comparison, 15 normal-weight young men (23.47 ± 0.68 years) were exposed to 25 min of RF-EMFs emitted by two different mobile phone types vs. sham radiation under fasting conditions. Spontaneous food intake was assessed by an ad libitum standard buffet test and cerebral energy homeostasis was monitored by 31phosphorus-magnetic resonance spectroscopy measurements. Exposure to both mobile phones strikingly increased overall caloric intake by 22–27% compared with the sham condition. Differential analyses of macronutrient ingestion revealed that higher calorie consumption was mainly due to enhanced carbohydrate intake. Measurements of the cerebral energy content, i.e., adenosine triphosphate and phosphocreatine ratios to inorganic phosphate, displayed an increase upon mobile phone radiation. Our results identify RF-EMFs as a potential contributing factor to overeating, which underlies the obesity epidemic. Beyond that, the observed RF-EMFs-induced alterations of the brain energy homeostasis may put our data into a broader context because a balanced brain energy homeostasis is of fundamental importance for all brain functions. Potential disturbances by electromagnetic fields may therefore exert some generalized neurobiological effects, which are not yet foreseeable.
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Hinrikus H, Koppel T, Lass J, Orru H, Roosipuu P, Bachmann M. Possible health effects on the human brain by various generations of mobile telecommunication: a review based estimation of 5G impact. Int J Radiat Biol 2022; 98:1210-1221. [PMID: 34995145 DOI: 10.1080/09553002.2022.2026516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
PURPOSE The deployment of new 5G NR technology has significantly raised public concerns in possible negative effects on human health by radiofrequency electromagnetic fields (RF EMF). The current review is aimed to clarify the differences between possible health effects caused by the various generations of telecommunication technology, especially discussing and projecting possible health effects by 5G. The review of experimental studies on the human brain over the last fifteen years and the discussion on physical mechanisms and factors determining the dependence of the RF EMF effects on frequency and signal structure have been performed to discover and explain the possible distinctions between health effects by different telecommunication generations. CONCLUSIONS The human experimental studies on RF EMF effects on the human brain by 2G, 3G and 4G at frequencies from 450 to 2500 MHz were available for analyses. The search for publications indicated no human experimental studies by 5G nor at the RF EMF frequencies higher than 2500 MHz. The results of the current review demonstrate no consistent relationship between the character of RF EMF effects and parameters of exposure by different generations (2G, 3G, 4G) of telecommunication technology. At the RF EMF frequencies lower than 10 GHz, the impact of 5G NR FR1 should have no principal differences compared to the previous generations. The radio frequencies used in 5G are even higher and the penetration depths of the fields are smaller, therefore the effect is rather lower than at previous generations. At the RF EMF frequencies higher than 10 GHz, the mechanism of the effects might differ and the impact of 5G NR FR2 becomes unpredictable. Existing knowledge about the mechanism of RF EMF effects at millimeter waves lacks sufficient experimental data and theoretical models for reliable conclusions. The insufficient knowledge about the possible health effects at millimeter waves and the lack of in vivo experimental studies on 5G NR underline an urgent need for the theoretical and experimental investigations of health effects by 5G NR, especially by 5G NR FR2.
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Affiliation(s)
- Hiie Hinrikus
- Department of Health Technologies, School of Information Technologies, Tallinn University of Technology, Tallinn, Estonia
| | - Tarmo Koppel
- Department of Business Administration, School of Business and Governance, Tallinn University of Technology, Tallinn, Estonia
| | - Jaanus Lass
- Department of Health Technologies, School of Information Technologies, Tallinn University of Technology, Tallinn, Estonia
| | - Hans Orru
- Department of Public Health, Institute of Family Medicine and Public Health, Faculty of Medicine, University of Tartu, Tartu, Estonia
| | - Priit Roosipuu
- Thomas Johann Seebeck Department of Electronics, School of Information Technologies, Tallinn University of Technology, Tallinn, Estonia
| | - Maie Bachmann
- Department of Health Technologies, School of Information Technologies, Tallinn University of Technology, Tallinn, Estonia
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Wallace J, Yahia-Cherif L, Gitton C, Hugueville L, Lemaréchal JD, Selmaoui B. Human resting-state EEG and radiofrequency GSM mobile phone exposure: the impact of the individual alpha frequency. Int J Radiat Biol 2021; 98:986-995. [PMID: 34797205 DOI: 10.1080/09553002.2021.2009146] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
PURPOSE With the extensive use of mobile phone (MP), several studies have been realized to investigate the effects of radiofrequency electromagnetic fields (RF-EMF) exposure on brain activity at rest via electroencephalography (EEG), and the most consistent effect has been seen on the alpha band power spectral density (PSD). However, some studies reported an increase or a decrease of the PSD, while others showed no effect. It has been suggested that these differences might partly be due to a variability of the physiological state of the brain between subjects. So, the aim of this study was to investigate the alpha band modulation, exploring the impact of the alpha band frequency ranges applied in the PSD analysis. MATERIALS AND METHODS Twenty-one healthy volunteers took part to the study with a double-blind, randomized and counterbalanced crossover design, during which eyes-open (EO) and eyes-closed (EC) resting-state EEG was recorded. The exposure system was a sham or a real GSM (global system for mobile) 900 MHz MP (pulse modulated at 217 Hz, mean power of 250 mW and 2 W peak, with a maximum specific absorption rate of 0.70 W/kg on 1 g tissue). The experimental protocol presented a baseline recording phase without MP exposure, an exposure phase during which the exposure system was placed against the left ear, and the post-exposure phase without MP. EEG data from baseline and exposure phases were analyzed and PSD was computed for the alpha band in the fixed range of 8-12 Hz and for the individual alpha band frequency range (IAF). RESULTS Results showed a trend in decrease or increase of EEG power of both alpha oscillations during exposure in relation to EC and EO recording conditions, respectively, but not reaching statistical significance. Findings did not provide evidence for a different sensitivity to RF-EMF MP related to individual variability in the frequency of the alpha band. CONCLUSION In conclusion, these results did not show alpha band activity modulation during resting-state under RF-EMF. It might be argued the need of a delay after the exposure in order to appreciate an EEG spectral power modulation related to RF-EMF exposure.
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Affiliation(s)
- Jasmina Wallace
- Department of Experimental Toxicology and Modeling (TEAM), Institut National de l'Environnement Industriel et des Risques (INERIS), Verneuil-en-Halatte, France.,PériTox Laboratory, UMR-I 01 INERIS, Université de Picardie Jules Verne, Amiens, France.,Department of Biological Radiation Effect, Emergent Risk Technologies Unit, French Armed Forces Biomedical Research Institute (IRBA), Bretigny-sur-Orge, France
| | - Lydia Yahia-Cherif
- Centre De NeuroImagerie De Recherche (CENIR), Institut du Cerveau et de la Moelle épinière (ICM), Paris, France.,Inserm U 1127, CNRS UMR 7225, Sorbonne Université, Institut du Cerveau et de la Moelle épinière (ICM), Paris, France
| | - Christophe Gitton
- Centre De NeuroImagerie De Recherche (CENIR), Institut du Cerveau et de la Moelle épinière (ICM), Paris, France.,Inserm U 1127, CNRS UMR 7225, Sorbonne Université, Institut du Cerveau et de la Moelle épinière (ICM), Paris, France
| | - Laurent Hugueville
- Centre De NeuroImagerie De Recherche (CENIR), Institut du Cerveau et de la Moelle épinière (ICM), Paris, France.,Inserm U 1127, CNRS UMR 7225, Sorbonne Université, Institut du Cerveau et de la Moelle épinière (ICM), Paris, France
| | - Jean-Didier Lemaréchal
- Centre De NeuroImagerie De Recherche (CENIR), Institut du Cerveau et de la Moelle épinière (ICM), Paris, France.,Inserm U 1127, CNRS UMR 7225, Sorbonne Université, Institut du Cerveau et de la Moelle épinière (ICM), Paris, France
| | - Brahim Selmaoui
- Department of Experimental Toxicology and Modeling (TEAM), Institut National de l'Environnement Industriel et des Risques (INERIS), Verneuil-en-Halatte, France.,PériTox Laboratory, UMR-I 01 INERIS, Université de Picardie Jules Verne, Amiens, France
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9
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Rivera González MX, Félix González N, López I, Ochoa Zambrano JS, Miranda Martínez A, Maestú Unturbe C. Compact Exposimeter Device for the Characterization and Recording of Electromagnetic Fields from 78 MHz to 6 GHz with Several Narrow Bands (300 kHz). SENSORS (BASEL, SWITZERLAND) 2021; 21:7395. [PMID: 34770707 PMCID: PMC8588337 DOI: 10.3390/s21217395] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 10/31/2021] [Accepted: 11/04/2021] [Indexed: 12/23/2022]
Abstract
A novel compact device with spectrum analyzer characteristics has been designed, which allows the measuring of the maximum power received in multiple narrow frequency bands of 300 kHz, recording the entire spectrum from 78 MHz to 6 GHz; the device is capable of measuring the entire communications spectrum and detecting multiple sources of electromagnetic fields using the same communications band. The proposed device permits the evaluation of the cross-talk effect that, in conventional exposimeters, generates a mistake estimation of electromagnetic fields. The device was calibrated in an anechoic chamber for far-fields and was validated against a portable spectrum analyzer in a residential area. A strong correlation between the two devices with a confidence higher than 95% was obtained; indicating that the device could be considered as an important tool for electromagnetic field studies.
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Affiliation(s)
- Marco Xavier Rivera González
- Center for Biomedical Technology (CTB), Universidad Politécnica de Madrid (UPM), 28040 Madrid, Spain; (N.F.G.); (I.L.); (A.M.M.); (C.M.U.)
| | - Nazario Félix González
- Center for Biomedical Technology (CTB), Universidad Politécnica de Madrid (UPM), 28040 Madrid, Spain; (N.F.G.); (I.L.); (A.M.M.); (C.M.U.)
| | - Isabel López
- Center for Biomedical Technology (CTB), Universidad Politécnica de Madrid (UPM), 28040 Madrid, Spain; (N.F.G.); (I.L.); (A.M.M.); (C.M.U.)
| | | | - Andrés Miranda Martínez
- Center for Biomedical Technology (CTB), Universidad Politécnica de Madrid (UPM), 28040 Madrid, Spain; (N.F.G.); (I.L.); (A.M.M.); (C.M.U.)
| | - Ceferino Maestú Unturbe
- Center for Biomedical Technology (CTB), Universidad Politécnica de Madrid (UPM), 28040 Madrid, Spain; (N.F.G.); (I.L.); (A.M.M.); (C.M.U.)
- Networking Research Center of Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Universidad Politécnica de Madrid (UPM), 28040 Madrid, Spain
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10
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Hu C, Zuo H, Li Y. Effects of Radiofrequency Electromagnetic Radiation on Neurotransmitters in the Brain. Front Public Health 2021; 9:691880. [PMID: 34485223 PMCID: PMC8415840 DOI: 10.3389/fpubh.2021.691880] [Citation(s) in RCA: 35] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 07/13/2021] [Indexed: 12/29/2022] Open
Abstract
With the rapid development of electronic information in the past 30 years, technical achievements based on electromagnetism have been widely used in various fields pertaining to human production and life. Consequently, electromagnetic radiation (EMR) has become a substantial new pollution source in modern civilization. The biological effects of EMR have attracted considerable attention worldwide. The possible interaction of EMR with human organs, especially the brain, is currently where the most attention is focused. Many studies have shown that the nervous system is an important target organ system sensitive to EMR. In recent years, an increasing number of studies have focused on the neurobiological effects of EMR, including the metabolism and transport of neurotransmitters. As messengers of synaptic transmission, neurotransmitters play critical roles in cognitive and emotional behavior. Here, the effects of EMR on the metabolism and receptors of neurotransmitters in the brain are summarized.
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Affiliation(s)
- Cuicui Hu
- Anhui Medical University, Academy of Life Sciences, Hefei, China.,Department of Experimental Pathology, Beijing Institute of Radiation Medicine, Beijing, China
| | - Hongyan Zuo
- Department of Experimental Pathology, Beijing Institute of Radiation Medicine, Beijing, China
| | - Yang Li
- Anhui Medical University, Academy of Life Sciences, Hefei, China.,Department of Experimental Pathology, Beijing Institute of Radiation Medicine, Beijing, China
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11
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Hinrikus H, Lass J, Bachmann M. Threshold of radiofrequency electromagnetic field effect on human brain. Int J Radiat Biol 2021; 97:1505-1515. [PMID: 34402382 DOI: 10.1080/09553002.2021.1969055] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
PURPOSE This review aims to estimate the threshold of radiofrequency electromagnetic field (RF EMF) effects on human brain based on analyses of published research results. To clarify the threshold of the RF EMF effects, two approaches have been applied: (1) the analyses of restrictions in sensitivity for different steps of the physical model of low-level RF EMF mechanism and (2) the analyses of experimental data to clarify the dependence of the RF EMF effect on exposure level based on the results of published original neurophysiological and behavioral human studies for 15 years 2007-2021. CONCLUSIONS The analyses of the physical model of nonthermal mechanisms of RF EMF effect leads to conclusion that no principal threshold of the effect can be determined. According to the review of experimental data, the rate of detected RF EMF effects is 76.7% in resting EEG studies, 41.7% in sleep EEG and 38.5% in behavioral studies. The changes in EEG probably appear earlier than alterations in behavior become evident. The lowest level of RF EMF at which the effect in EEG was detected is 2.45 V/m (SAR = 0.003 W/kg). There is a preliminary indication that the dependence of the effect on the level of exposure follows rather field strength than SAR alterations. However, no sufficient data are available for clarifying linearity-nonlinearity of the dependence of effect on the level of RF EMF. The finding that only part of people are sensitive to RF EMF exposure can be related to immunity to radiation or hypersensitivity. The changes in EEG caused by RF EMF appeared similar in the majority of analyzed studies and similar to these in depression. The possible causal relationship between RF EMF effect and depression among young people is highly important problem.
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Affiliation(s)
| | - Jaanus Lass
- Tallinn University of Technology, Tallinn, Estonia
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12
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Wallace J, Selmaoui B. Effect of mobile phone radiofrequency signal on the alpha rhythm of human waking EEG: A review. ENVIRONMENTAL RESEARCH 2019; 175:274-286. [PMID: 31146099 DOI: 10.1016/j.envres.2019.05.016] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2018] [Revised: 05/09/2019] [Accepted: 05/10/2019] [Indexed: 05/14/2023]
Abstract
In response to the exponential increase in mobile phone use and the resulting increase in exposure to radiofrequency electromagnetic fields (RF-EMF), there have been several studies to investigate via electroencephalography (EEG) whether RF-EMF exposure affects brain activity. Data in the literature have shown that exposure to radiofrequency signals modifies the waking EEG with the main effect on the alpha band frequency (8-13 Hz). However, some studies have reported an increase in alpha band power, while others have shown a decrease, and other studies showed no effect on EEG power. Given that changes in the alpha amplitude are associated with attention and some cognitive aspects of human behavior, researchers deemed necessary to look whether alpha rhythm was modulated under RF-EMF exposure. The present review aims at comparing and discussing the main findings obtained so far regarding RF-EMF effects on alpha rhythm of human waking spontaneous EEG, focusing on differences in protocols between studies, which might explain the observed discrepancies and inconclusive results.
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Affiliation(s)
- Jasmina Wallace
- Experimental Toxicology Unit, National Institute of Industrial Environment and Risks (INERIS), Verneuil-en-Halatte, France; PériTox Laboratory, UMR-I-01, Faculty of Medicine, University of Picardy Jules Verne, Amiens, France
| | - Brahim Selmaoui
- Experimental Toxicology Unit, National Institute of Industrial Environment and Risks (INERIS), Verneuil-en-Halatte, France; PériTox Laboratory, UMR-I-01, Faculty of Medicine, University of Picardy Jules Verne, Amiens, France.
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13
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Danker‐Hopfe H, Eggert T, Dorn H, Sauter C. Effects of RF-EMF on the Human Resting-State EEG-the Inconsistencies in the Consistency. Part 1: Non-Exposure-Related Limitations of Comparability Between Studies. Bioelectromagnetics 2019; 40:291-318. [PMID: 31215052 PMCID: PMC6619284 DOI: 10.1002/bem.22194] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Accepted: 04/13/2019] [Indexed: 12/12/2022]
Abstract
The results of studies on possible effects of radiofrequency electromagnetic fields (RF-EMFs) on human waking electroencephalography (EEG) have been quite heterogeneous. In the majority of studies, changes in the alpha-frequency range in subjects who were exposed to different signals of mobile phone-related EMF sources were observed, whereas other studies did not report any effects. In this review, possible reasons for these inconsistencies are presented and recommendations for future waking EEG studies are made. The physiological basis of underlying brain activity, and the technical requirements and framework conditions for conducting and analyzing the human resting-state EEG are discussed. Peer-reviewed articles on possible effects of EMF on waking EEG were evaluated with regard to non-exposure-related confounding factors. Recommendations derived from international guidelines on the analysis and reporting of findings are proposed to achieve comparability in future studies. In total, 22 peer-reviewed studies on possible RF-EMF effects on human resting-state EEG were analyzed. EEG power in the alpha frequency range was reported to be increased in 10, decreased in four, and not affected in eight studies. All reviewed studies differ in several ways in terms of the methodologies applied, which might contribute to different results and conclusions about the impact of EMF on human resting-state EEG. A discussion of various study protocols and different outcome parameters prevents a scientifically sound statement on the impact of RF-EMF on human brain activity in resting-state EEG. Further studies which apply comparable, standardized study protocols are recommended. Bioelectromagnetics. 2019;40:291-318. © 2019 The Authors. Bioelectromagnetics Published by Wiley Periodicals, Inc.
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Affiliation(s)
- Heidi Danker‐Hopfe
- Department of Psychiatry and Psychotherapy, Competence Centre of Sleep Medicine at Campus Benjamin FranklinCharité—Universitätsmedizin BerlinBerlinGermany
| | - Torsten Eggert
- Department of Psychiatry and Psychotherapy, Competence Centre of Sleep Medicine at Campus Benjamin FranklinCharité—Universitätsmedizin BerlinBerlinGermany
| | - Hans Dorn
- Department of Psychiatry and Psychotherapy, Competence Centre of Sleep Medicine at Campus Benjamin FranklinCharité—Universitätsmedizin BerlinBerlinGermany
| | - Cornelia Sauter
- Department of Psychiatry and Psychotherapy, Competence Centre of Sleep Medicine at Campus Benjamin FranklinCharité—Universitätsmedizin BerlinBerlinGermany
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14
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Occelli F, Lameth J, Adenis V, Huetz C, Lévêque P, Jay TM, Edeline JM, Mallat M. A Single Exposure to GSM-1800 MHz Signals in the Course of an Acute Neuroinflammatory Reaction can Alter Neuronal Responses and Microglial Morphology in the Rat Primary Auditory Cortex. Neuroscience 2018; 385:11-24. [DOI: 10.1016/j.neuroscience.2018.06.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2017] [Revised: 05/10/2018] [Accepted: 06/01/2018] [Indexed: 12/21/2022]
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15
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Selmaoui B, Andrianome S, Ghosn R, de Seze R. Effect of acute exposure to radiofrequency electromagnetic fields emitted by a mobile phone (GSM 900 MHz) on electrodermal responsiveness in healthy human. Int J Radiat Biol 2018; 94:890-895. [PMID: 30028653 DOI: 10.1080/09553002.2018.1503431] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
PURPOSE The present study aimed to determine the effect of acute exposure to electromagnetic fields (EMF) emitted by a mobile phone on electrodermal activity (EDA) in response to an auditory stimulus. MATERIALS AND METHODS The EDA of 28 young volunteers was recorded following 26 min of exposure to a GSM mobile phone (900 MHz). Palmar sensors enabled repeat recording of 2 min 45 s in the pre-exposure, exposure and post-exposure phases in response to sound stimuli. RESULTS The latency, amplitude of skin conductance responses (SCRs), integral of skin conductance response and number of SCRs in response to the auditory stimuli were not modified by exposure. Skin conductance and tonic activity decomposition of the recorded signal were significantly different between the two sessions (p < .0001), but the changes could not be attributed to EMF exposure. There was also a tendency toward a fast reduction in the amplitude and number of electrodermal responses after placement of the mobile phone. In response to successive stimuli, there was a significant difference between the first response and subsequent responses for all variables except latency. CONCLUSIONS Our results showed a decrease in the number of responses and their amplitude as a result of placement of the mobile device and whether it was turned 'on' or 'off', but there were no changes associated with exposure to GSM radiofrequency waves in this group of volunteers.
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Affiliation(s)
- Brahim Selmaoui
- a Department of Experimental Toxicology , Institut National de l'Environnement Industriel et des Risques (INERIS) , Verneuil-en-Halatte , France.,b Université de Picardie Jules Verne Peritox-Laboratoire de Périnatalité et Risques Toxiques UMR-I-01 Unité mixte INERIS , Amiens , France
| | - Soafara Andrianome
- a Department of Experimental Toxicology , Institut National de l'Environnement Industriel et des Risques (INERIS) , Verneuil-en-Halatte , France.,b Université de Picardie Jules Verne Peritox-Laboratoire de Périnatalité et Risques Toxiques UMR-I-01 Unité mixte INERIS , Amiens , France
| | - Rania Ghosn
- a Department of Experimental Toxicology , Institut National de l'Environnement Industriel et des Risques (INERIS) , Verneuil-en-Halatte , France.,b Université de Picardie Jules Verne Peritox-Laboratoire de Périnatalité et Risques Toxiques UMR-I-01 Unité mixte INERIS , Amiens , France
| | - René de Seze
- a Department of Experimental Toxicology , Institut National de l'Environnement Industriel et des Risques (INERIS) , Verneuil-en-Halatte , France.,b Université de Picardie Jules Verne Peritox-Laboratoire de Périnatalité et Risques Toxiques UMR-I-01 Unité mixte INERIS , Amiens , France
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16
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Zhang J, Sumich A, Wang GY. Acute effects of radiofrequency electromagnetic field emitted by mobile phone on brain function. Bioelectromagnetics 2017; 38:329-338. [PMID: 28426166 DOI: 10.1002/bem.22052] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2016] [Accepted: 03/23/2017] [Indexed: 01/13/2023]
Abstract
Due to its attributes, characteristics, and technological resources, the mobile phone (MP) has become one of the most commonly used communication devices. Historically, ample evidence has ruled out the substantial short-term impact of radiofrequency electromagnetic field (RF-EMF) emitted by MP on human cognitive performance. However, more recent evidence suggests potential harmful effects associated with MP EMF exposure. The aim of this review is to readdress the question of whether the effect of MP EMF exposure on brain function should be reopened. We strengthen our argument focusing on recent neuroimaging and electroencephalography studies, in order to present a more specific analysis of effects of MP EMF exposure on neurocognitive function. Several studies indicate an increase in cortical excitability and/or efficiency with EMF exposure, which appears to be more prominent in fronto-temporal regions and has been associated with faster reaction time. Cortical excitability might also underpin disruption to sleep. However, several inconsistent findings exist, and conclusions regarding adverse effects of EMF exposure are currently limited. It also should be noted that the crucial scientific question of the effect of longer-term MP EMF exposure on brain function remains unanswered and essentially unaddressed. Bioelectromagnetics. 38:329-338, 2017. © 2017 Wiley Periodicals, Inc.
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Affiliation(s)
- Jun Zhang
- School of Electrical Engineering and Automation, Tianjin University, Tianjin City, China
| | - Alexander Sumich
- Division of Psychology, School of Social Sciences, Nottingham Trent University, Nottingham, United Kingdom
| | - Grace Y Wang
- Department of Psychology, AUT University, Auckland, New Zealand
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17
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Belyaev I, Dean A, Eger H, Hubmann G, Jandrisovits R, Kern M, Kundi M, Moshammer H, Lercher P, Müller K, Oberfeld G, Ohnsorge P, Pelzmann P, Scheingraber C, Thill R. EUROPAEM EMF Guideline 2016 for the prevention, diagnosis and treatment of EMF-related health problems and illnesses. REVIEWS ON ENVIRONMENTAL HEALTH 2016; 31:363-397. [PMID: 27454111 DOI: 10.1515/reveh-2016-0011] [Citation(s) in RCA: 86] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Accepted: 05/29/2016] [Indexed: 06/06/2023]
Abstract
Chronic diseases and illnesses associated with non-specific symptoms are on the rise. In addition to chronic stress in social and work environments, physical and chemical exposures at home, at work, and during leisure activities are causal or contributing environmental stressors that deserve attention by the general practitioner as well as by all other members of the health care community. It seems necessary now to take "new exposures" like electromagnetic fields (EMF) into account. Physicians are increasingly confronted with health problems from unidentified causes. Studies, empirical observations, and patient reports clearly indicate interactions between EMF exposure and health problems. Individual susceptibility and environmental factors are frequently neglected. New wireless technologies and applications have been introduced without any certainty about their health effects, raising new challenges for medicine and society. For instance, the issue of so-called non-thermal effects and potential long-term effects of low-dose exposure were scarcely investigated prior to the introduction of these technologies. Common electromagnetic field or EMF sources: Radio-frequency radiation (RF) (3 MHz to 300 GHz) is emitted from radio and TV broadcast antennas, Wi-Fi access points, routers, and clients (e.g. smartphones, tablets), cordless and mobile phones including their base stations, and Bluetooth devices. Extremely low frequency electric (ELF EF) and magnetic fields (ELF MF) (3 Hz to 3 kHz) are emitted from electrical wiring, lamps, and appliances. Very low frequency electric (VLF EF) and magnetic fields (VLF MF) (3 kHz to 3 MHz) are emitted, due to harmonic voltage and current distortions, from electrical wiring, lamps (e.g. compact fluorescent lamps), and electronic devices. On the one hand, there is strong evidence that long-term exposure to certain EMFs is a risk factor for diseases such as certain cancers, Alzheimer's disease, and male infertility. On the other hand, the emerging electromagnetic hypersensitivity (EHS) is more and more recognized by health authorities, disability administrators and case workers, politicians, as well as courts of law. We recommend treating EHS clinically as part of the group of chronic multisystem illnesses (CMI), but still recognizing that the underlying cause remains the environment. In the beginning, EHS symptoms occur only occasionally, but over time they may increase in frequency and severity. Common EHS symptoms include headaches, concentration difficulties, sleep problems, depression, a lack of energy, fatigue, and flu-like symptoms. A comprehensive medical history, which should include all symptoms and their occurrences in spatial and temporal terms and in the context of EMF exposures, is the key to making the diagnosis. The EMF exposure is usually assessed by EMF measurements at home and at work. Certain types of EMF exposure can be assessed by asking about common EMF sources. It is very important to take the individual susceptibility into account. The primary method of treatment should mainly focus on the prevention or reduction of EMF exposure, that is, reducing or eliminating all sources of high EMF exposure at home and at the workplace. The reduction of EMF exposure should also be extended to public spaces such as schools, hospitals, public transport, and libraries to enable persons with EHS an unhindered use (accessibility measure). If a detrimental EMF exposure is reduced sufficiently, the body has a chance to recover and EHS symptoms will be reduced or even disappear. Many examples have shown that such measures can prove effective. To increase the effectiveness of the treatment, the broad range of other environmental factors that contribute to the total body burden should also be addressed. Anything that supports homeostasis will increase a person's resilience against disease and thus against the adverse effects of EMF exposure. There is increasing evidence that EMF exposure has a major impact on the oxidative and nitrosative regulation capacity in affected individuals. This concept also may explain why the level of susceptibility to EMF can change and why the range of symptoms reported in the context of EMF exposures is so large. Based on our current understanding, a treatment approach that minimizes the adverse effects of peroxynitrite - as has been increasingly used in the treatment of multisystem illnesses - works best. This EMF Guideline gives an overview of the current knowledge regarding EMF-related health risks and provides recommendations for the diagnosis, treatment and accessibility measures of EHS to improve and restore individual health outcomes as well as for the development of strategies for prevention.
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18
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Nagarjunakonda S, Amalakanti S, Uppala V, Gajula RK, Tata RS, Bolla HB, Rajanala L, Athina S, Daggumati R, Lavu H, Devanaboina AK. Mobile phones and seizures: drug-resistant epilepsy is less common in mobile-phone-using patients. Postgrad Med J 2016; 93:25-28. [DOI: 10.1136/postgradmedj-2016-134140] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Revised: 05/07/2016] [Accepted: 05/13/2016] [Indexed: 11/03/2022]
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19
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Singh MM, Pati AK. Effects of radiation emanating from base transceiver station and mobile phone on sleep, circadian rhythm and cognition in humans – a review. BIOL RHYTHM RES 2016. [DOI: 10.1080/09291016.2015.1116741] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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20
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Curcio G, Mazzucchi E, Marca GD, Vollono C, Rossini PM. Electromagnetic fields and EEG spiking rate in patients with focal epilepsy. Clin Neurophysiol 2015; 126:659-66. [DOI: 10.1016/j.clinph.2014.07.013] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2014] [Revised: 07/24/2014] [Accepted: 07/30/2014] [Indexed: 01/24/2023]
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21
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Ghosn R, Yahia-Cherif L, Hugueville L, Ducorps A, Lemaréchal JD, Thuróczy G, de Seze R, Selmaoui B. Radiofrequency signal affects alpha band in resting electroencephalogram. J Neurophysiol 2015; 113:2753-9. [PMID: 25695646 DOI: 10.1152/jn.00765.2014] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2014] [Accepted: 02/18/2015] [Indexed: 11/22/2022] Open
Abstract
The aim of the present work was to investigate the effects of the radiofrequency (RF) electromagnetic fields (EMFs) on human resting EEG with a control of some parameters that are known to affect alpha band, such as electrode impedance, salivary cortisol, and caffeine. Eyes-open and eyes-closed resting EEG data were recorded in 26 healthy young subjects under two conditions: sham exposure and real exposure in double-blind, counterbalanced, crossover design. Spectral power of EEG rhythms was calculated for the alpha band (8-12 Hz). Saliva samples were collected before and after the study. Salivary cortisol and caffeine were assessed by ELISA and HPLC, respectively. The electrode impedance was recorded at the beginning of each run. Compared with the sham session, the exposure session showed a statistically significant (P < 0.0001) decrease of the alpha band spectral power during closed-eyes condition. This effect persisted in the postexposure session (P < 0.0001). No significant changes were detected in electrode impedance, salivary cortisol, and caffeine in the sham session compared with the exposure one. These results suggest that GSM-EMFs of a mobile phone affect the alpha band within spectral power of resting human EEG.
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Affiliation(s)
- Rania Ghosn
- Institut National de l'Environnement Industriel et des Risques (INERIS), Department of Experimental Toxicology, Verneuil-en-Halatte, France; Université de Picardie Jules Verne, Peritox Laboratoire de Périnatalité & Risques Toxiques UMR-I-01 Unité mixte INERIS, Amiens France
| | - Lydia Yahia-Cherif
- UPMC, Université Paris 06, Centre MEG-EEG, Centre de Recherche de l'Institut du Cerveau et de la Moelle Epinière (CRICM) et Centre de Neuroimagerie de Recherche (CENIR), UMR S 975, Paris, France; Centre National de la Recherche Scientifique, Centre MEG-EEG, CRICM et CENIR, UMR 7225, Paris, France; Institut National de la Santé et de la Recherche Médicale, Centre MEG-EEG, CRICM et CENIR, UMR 975, Paris, France; ENS, Centre MEG-EEG, CRICM et CENIR, UMR S 975, Paris, France; and
| | - Laurent Hugueville
- UPMC, Université Paris 06, Centre MEG-EEG, Centre de Recherche de l'Institut du Cerveau et de la Moelle Epinière (CRICM) et Centre de Neuroimagerie de Recherche (CENIR), UMR S 975, Paris, France; Centre National de la Recherche Scientifique, Centre MEG-EEG, CRICM et CENIR, UMR 7225, Paris, France; Institut National de la Santé et de la Recherche Médicale, Centre MEG-EEG, CRICM et CENIR, UMR 975, Paris, France; ENS, Centre MEG-EEG, CRICM et CENIR, UMR S 975, Paris, France; and
| | - Antoine Ducorps
- UPMC, Université Paris 06, Centre MEG-EEG, Centre de Recherche de l'Institut du Cerveau et de la Moelle Epinière (CRICM) et Centre de Neuroimagerie de Recherche (CENIR), UMR S 975, Paris, France; Centre National de la Recherche Scientifique, Centre MEG-EEG, CRICM et CENIR, UMR 7225, Paris, France; Institut National de la Santé et de la Recherche Médicale, Centre MEG-EEG, CRICM et CENIR, UMR 975, Paris, France; ENS, Centre MEG-EEG, CRICM et CENIR, UMR S 975, Paris, France; and
| | - Jean-Didier Lemaréchal
- UPMC, Université Paris 06, Centre MEG-EEG, Centre de Recherche de l'Institut du Cerveau et de la Moelle Epinière (CRICM) et Centre de Neuroimagerie de Recherche (CENIR), UMR S 975, Paris, France; Centre National de la Recherche Scientifique, Centre MEG-EEG, CRICM et CENIR, UMR 7225, Paris, France; Institut National de la Santé et de la Recherche Médicale, Centre MEG-EEG, CRICM et CENIR, UMR 975, Paris, France; ENS, Centre MEG-EEG, CRICM et CENIR, UMR S 975, Paris, France; and
| | - György Thuróczy
- National Research Institute for Radiobiology and Radiohygiene, Budapest, Hungary
| | - René de Seze
- Institut National de l'Environnement Industriel et des Risques (INERIS), Department of Experimental Toxicology, Verneuil-en-Halatte, France; Université de Picardie Jules Verne, Peritox Laboratoire de Périnatalité & Risques Toxiques UMR-I-01 Unité mixte INERIS, Amiens France
| | - Brahim Selmaoui
- Institut National de l'Environnement Industriel et des Risques (INERIS), Department of Experimental Toxicology, Verneuil-en-Halatte, France; Université de Picardie Jules Verne, Peritox Laboratoire de Périnatalité & Risques Toxiques UMR-I-01 Unité mixte INERIS, Amiens France;
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Belyaev I, Dean A, Eger H, Hubmann G, Jandrisovits R, Johansson O, Kern M, Kundi M, Lercher P, Mosgöller W, Moshammer H, Müller K, Oberfeld G, Ohnsorge P, Pelzmann P, Scheingraber C, Thill R. EUROPAEM EMF Guideline 2015 for the prevention, diagnosis and treatment of EMF-related health problems and illnesses. REVIEWS ON ENVIRONMENTAL HEALTH 2015; 30:337-371. [PMID: 26613329 DOI: 10.1515/reveh-2015-0033] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2015] [Accepted: 10/13/2015] [Indexed: 06/05/2023]
Abstract
Chronic diseases and illnesses associated with unspecific symptoms are on the rise. In addition to chronic stress in social and work environments, physical and chemical exposures at home, at work, and during leisure activities are causal or contributing environmental stressors that deserve attention by the general practitioner as well as by all other members of the health care community. It seems certainly necessary now to take "new exposures" like electromagnetic field (EMF) into account. Physicians are increasingly confronted with health problems from unidentified causes. Studies, empirical observations, and patient reports clearly indicate interactions between EMF exposure and health problems. Individual susceptibility and environmental factors are frequently neglected. New wireless technologies and applications have been introduced without any certainty about their health effects, raising new challenges for medicine and society. For instance, the issue of so-called non-thermal effects and potential long-term effects of low-dose exposure were scarcely investigated prior to the introduction of these technologies. Common EMF sources include Wi-Fi access points, routers and clients, cordless and mobile phones including their base stations, Bluetooth devices, ELF magnetic fields from net currents, ELF electric fields from electric lamps and wiring close to the bed and office desk. On the one hand, there is strong evidence that long-term-exposure to certain EMF exposures is a risk factor for diseases such as certain cancers, Alzheimer's disease and male infertility. On the other hand, the emerging electromagnetic hypersensitivity (EHS) is more and more recognized by health authorities, disability administrators and case workers, politicians, as well as courts of law. We recommend treating EHS clinically as part of the group of chronic multisystem illnesses (CMI) leading to a functional impairment (EHS), but still recognizing that the underlying cause remains the environment. In the beginning, EHS symptoms often occur only occasionally, but over time they may increase in frequency and severity. Common EHS symptoms include headaches, concentration difficulties, sleeping problems, depression, lack of energy, fatigue and flu-like symptoms. A comprehensive medical history, which should include all symptoms and their occurrences in spatial and temporal terms and in the context of EMF exposures, is the key to the diagnosis. The EMF exposure can be assessed by asking for typical sources like Wi-Fi access points, routers and clients, cordless and mobile phones and measurements at home and at work. It is very important to take the individual susceptibility into account. The primary method of treatment should mainly focus on the prevention or reduction of EMF exposure, that is, reducing or eliminating all sources of EMF at home and in the workplace. The reduction of EMF exposure should also be extended to public spaces such as schools, hospitals, public transport, and libraries to enable persons with EHS an unhindered use (accessibility measure). If a detrimental EMF exposure is reduced sufficiently, the body has a chance to recover and EHS symptoms will be reduced or even disappear. Many examples have shown that such measures can prove effective. Also the survival rate of children with leukemia depends on ELF magnetic field exposure at home. To increase the effectiveness of the treatment, the broad range of other environmental factors that contribute to the total body burden should also be addressed. Anything that supports a balanced homeostasis will increase a person's resilience against disease and thus against the adverse effects of EMF exposure. There is increasing evidence that EMF exposure has a major impact on the oxidative and nitrosative regulation capacity in affected individuals. This concept also may explain why the level of susceptibility to EMF can change and why the number of symptoms reported in the context of EMF exposures is so large. Based on our current understanding, a treatment approach that minimizes the adverse effects of peroxynitrite - as has been increasingly used in the treatment of multisystem disorders - works best. This EMF Guideline gives an overview of the current knowledge regarding EMF-related health risks and provides concepts for the diagnosis and treatment and accessibility measures of EHS to improve and restore individual health outcomes as well as for the development of strategies for prevention.
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Vecchio F, Lacidogna G, Miraglia F, Bramanti P, Ferreri F, Rossini PM. Prestimulus Interhemispheric Coupling of Brain Rhythms Predicts Cognitive–Motor Performance in Healthy Humans. J Cogn Neurosci 2014; 26:1883-90. [DOI: 10.1162/jocn_a_00615] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Abstract
Physiological and neuroimaging studies suggest that human actions are characterized by time-varying engagement of functional distributed networks within the brain. In this study, we investigated whether specific prestimulus interhemispheric connectivity, as a measure of synchronized network between the two hemispheres, could lead to a better performance (as revealed by RT) in a simple visuomotor task. Eighteen healthy adults underwent EEG recording during a visual go/no-go task. In the go/no-go task, a central fixation stimulus was followed by a green (50% of probability) or red visual stimulus. Participants had to press the mouse button after the green stimuli (go trials). Interhemispheric coupling was evaluated by the spectral coherence among all the electrodes covering one hemisphere and matched with those on the other. The frequency bands of interest were delta (2–4 Hz), theta (4–8 Hz), alpha 1 (8–10.5 Hz), alpha 2 (10.5–13 Hz), beta 1 (13–20 Hz), beta 2 (20–30 Hz), and gamma (30–40 Hz). The task-related results showed that interhemispheric connectivity decreased in delta and increased in alpha band. Furthermore, we observed positive delta and negative alpha correlations with the RT; namely, the faster the RT, the lower delta and the higher alpha connection between the two hemispheres. These results suggested that the best performance is anticipated by the better functional coupling of cortical circuits involved during the processing of the sensorimotor information, occurring between the two hemispheres pending cognitive go/no-go task.
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Affiliation(s)
| | | | | | | | - Florinda Ferreri
- 4University Campus Biomedico, Rome, Italy
- 5University of Eastern Finland
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24
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Movvahedi MM, Tavakkoli-Golpayegani A, Mortazavi SAR, Haghani M, Razi Z, Shojaie-fard MB, Zare M, Mina E, Mansourabadi L, Nazari-Jahromi, Safari A, Shokrpour N, Mortazavi SMJ. Does exposure to GSM 900 MHz mobile phone radiation affect short-term memory of elementary school students? J Pediatr Neurosci 2014; 9:121-4. [PMID: 25250064 PMCID: PMC4166831 DOI: 10.4103/1817-1745.139300] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Now-a-days, children are exposed to mobile phone radiation at a very early age. We have previously shown that a large proportion of children in the city of Shiraz, Iran use mobile phones. Furthermore, we have indicated that the visual reaction time (VRT) of university students was significantly affected by a 10 min real/sham exposure to electromagnetic fields emitted by mobile phone. We found that these exposures decreased the reaction time which might lead to a better response to different hazards. We have also revealed that occupational exposures to radar radiations decreased the reaction time in radar workers. The purpose of this study was to investigate whether short-term exposure of elementary school students to radiofrequency (RF) radiation leads to changes in their reaction time and short-term memory. MATERIALS AND METHODS A total of 60 elementary school children ages ranging from 8 to 10 years studying at a public elementary school in Shiraz, Iran were enrolled in this study. Standardized computer-based tests of VRT and short-term memory (modified for children) were administered. The students were asked to perform some preliminary tests for orientation with the VRT test. After orientation, to reduce the random variation of measurements, each test was repeated ten times in both real and sham exposure phases. The time interval between the two subsequent sham and real exposure phases was 30 min. RESULTS The mean ± standard deviation reaction times after a 10 min talk period and after a 10 min sham exposure (switched off mobile) period were 249.0 ± 82.3 ms and 252.9 ± 68.2 ms (P = 0.629), respectively. On the other hand, the mean short-term memory scores after the talk and sham exposure periods were 1062.60 ± 305.39, and 1003.84 ± 339.68 (P = 0.030), respectively. CONCLUSION To the best of our knowledge, this is the first study to show that short-term exposure of elementary school students to RF radiation leads to the better performance of their short-term memory.
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Affiliation(s)
- M. M. Movvahedi
- Department of Medical Physics, Shiraz University of Medical Sciences, Shiraz, Iran
| | | | - S. A. R. Mortazavi
- Department of School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - M. Haghani
- Department of Radiology, School of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Z. Razi
- Department of Medical Physics, Shiraz University of Medical Sciences, Shiraz, Iran
| | - M. B. Shojaie-fard
- The Center for Research on Protection against Ionizing and Nonionizing Radiation, School of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - M. Zare
- Department of Radiology, School of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - E. Mina
- Department of Radiology, School of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - L. Mansourabadi
- Department of Radiology, School of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Nazari-Jahromi
- Department of Medical Physics, Shiraz University of Medical Sciences, Shiraz, Iran
| | - A. Safari
- Department of Medical Physics, Shiraz University of Medical Sciences, Shiraz, Iran
| | - N. Shokrpour
- Department of Radiology, School of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - S. M. J. Mortazavi
- Department of Medical Physics, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Medical Physics and Medical Engineering, Shiraz University of Medical Sciences, Shiraz, Iran
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Vecchio F, Babiloni C, Lizio R, Fallani FDV, Blinowska K, Verrienti G, Frisoni G, Rossini PM. Resting state cortical EEG rhythms in Alzheimer's disease: toward EEG markers for clinical applications: a review. SUPPLEMENTS TO CLINICAL NEUROPHYSIOLOGY 2013; 62:223-36. [PMID: 24053043 DOI: 10.1016/b978-0-7020-5307-8.00015-6] [Citation(s) in RCA: 100] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
The human brain contains an intricate network of about 100 billion neurons. Aging of the brain is characterized by a combination of synaptic pruning, loss of cortico-cortical connections, and neuronal apoptosis that provoke an age-dependent decline of cognitive functions. Neural/synaptic redundancy and plastic remodeling of brain networking, also secondary to mental and physical training, promote maintenance of brain activity and cognitive status in healthy elderly subjects for everyday life. However, age is the main risk factor for neurodegenerative disorders such as Alzheimer's disease (AD) that impact on cognition. Growing evidence supports the idea that AD targets specific and functionally connected neuronal networks and that oscillatory electromagnetic brain activity might be a hallmark of the disease. In this line, digital electroencephalography (EEG) allows noninvasive analysis of cortical neuronal synchronization, as revealed by resting state brain rhythms. This review provides an overview of the studies on resting state eyes-closed EEG rhythms recorded in amnesic mild cognitive impairment (MCI) and AD subjects. Several studies support the idea that spectral markers of these EEG rhythms, such as power density, spectral coherence, and other quantitative features, differ among normal elderly, MCI, and AD subjects, at least at group level. Regarding the classification of these subjects at individual level, the most previous studies showed a moderate accuracy (70-80%) in the classification of EEG markers relative to normal and AD subjects. In conclusion, resting state EEG makers are promising for large-scale, low-cost, fully noninvasive screening of elderly subjects at risk of AD.
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Affiliation(s)
- Fabrizio Vecchio
- A.Fa.R., Dipartimento di Neuroscienze, Ospedale Fatebenefratelli, Isola Tiberina, 00186 Rome, Italy
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Vecchio F, Tombini M, Buffo P, Assenza G, Pellegrino G, Benvenga A, Babiloni C, Rossini PM. Mobile phone emission increases inter-hemispheric functional coupling of electroencephalographic alpha rhythms in epileptic patients. Int J Psychophysiol 2012; 84:164-71. [DOI: 10.1016/j.ijpsycho.2012.02.002] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2011] [Revised: 01/25/2012] [Accepted: 02/01/2012] [Indexed: 01/16/2023]
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