A number of chemicals have been shown to demonstrate neurotoxic effects either in human or laboratory animal studies. This article aims at evaluating the impact of exposure to several chemicals including: organophosphate, organochlorine pesticides, polychlorinated biphenyls (PCBs), mercury and lead on the neurodevelopment of children by reviewing the most recent published literature, and answer the question whether any progress has been made in the epidemiology of the neurodevelopment of children induced by exposure to those chemicals. The result of the presented studies show that exposure to the above-mentioned chemicals may impair the neurodevelopment of children. Neonates exposed to organophosphate pesticides demonstrated a higher proportion of abnormal reflexes, and young children had more attention problems. Exposure to organochlorine pesticides in children was associated with alertness, quality of alert responsiveness, cost of attention and other potential attention associated measures. The majority of studies indicate the negative impact of lead exposure at the level <10 µg/dl or even <5 µg/dl on the neurodevelopment of children. The results of studies on exposure to PCBs, mercury, and their effect on neurodevelopment are inconsistent. Some suggest that prenatal exposure to PCBs and mercury is related to performance impairments, attention and concentration problems, while other do not present any statistically significant association. The studies were mostly well designed, using prospective cohorts with the exposure assessment based on the biomarker of exposure. Concerning the covariates and confounders affecting the endpoints in most of the presented studies, confounders were included in data analysis. In order to recognize the early cognitive, motor and language outcomes of chemical exposures, well standardized tools were used for evaluating the neurodevelopmental effects and offer an early and fairly comprehensive measure of child development. Because the neurotoxicants may cross the placenta and the fetal brain, exposure consideration regarding the reduction of exposure to those chemicals should be implemented.

译文

:在人或实验动物研究中,许多化学物质均显示出神经毒性作用。本文旨在通过回顾最新发表的文献来评估接触多种化学物质的影响,这些化学物质包括:有机磷酸盐,有机氯杀虫剂,多氯联苯(PCB),汞和铅对儿童神经发育的影响,并回答是否取得了任何进展的问题暴露于这些化学物质引起的儿童神经发育的流行病学研究中。提出的研究结果表明,接触上述化学物质可能会损害儿童的神经发育。暴露于有机磷酸酯农药的新生儿表现出较高的异常反射比例,而幼儿有更多的注意力问题。儿童接触有机氯农药与机敏性,机敏响应质量,注意力成本和其他潜在的注意力相关措施有关。大多数研究表明,铅暴露水平低于10 µg / dl或什至<5 µg / dl会对儿童的神经发育产生负面影响。关于多氯联苯,汞及其对神经发育的影响的研究结果不一致。一些人认为,产前接触多氯联苯和汞与性能受损,注意力和集中度问题有关,而其他人则没有任何统计学上的显着关联。这些研究大多设计合理,采用前瞻性队列研究,并根据暴露的生物标志物进行暴露评估。关于影响大多数提出的研究的终点的协变量和混杂因素,混杂因素包括在数据分析中。为了识别化学暴露的早期认知,运动和语言结果,使用了标准化的工具来评估神经发育作用,并提供了对儿童发育的早期且相当全面的测量。由于神经毒性物质可能会穿过胎盘和胎儿大脑,因此应考虑减少接触这些化学物质的接触因素。

+1
+2
100研值 100研值 ¥99课程
检索文献一次
下载文献一次

去下载>

成功解锁2个技能,为你点赞

《SCI写作十大必备语法》
解决你的SCI语法难题!

技能熟练度+1

视频课《玩转文献检索》
让你成为检索达人!

恭喜完成新手挑战

手机微信扫一扫,添加好友领取

免费领《Endnote文献管理工具+教程》

微信扫码, 免费领取

手机登录

获取验证码
登录