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Association Between Prenatal and Early Postnatal Exposure to Perfluoroalkyl Substances and IQ Score in 7-Year-Old Children From the Odense Child Cohort

Have Beck, Iben ; Bilenberg, Niels ; Möller, Sören ; Nielsen, Flemming ; Grandjean, Philippe ; Damsgaard Hojsager, Frederik ; Ingi Halldorsson, Thorhallur ; Nielsen, Christel LU orcid and Kold Jensen, Tina (2023) In American Journal of Epidemiology 192(9). p.1522-1535
Abstract
Perfluoroalkyl substances (PFAS) are persistent chemicals capable of crossing the placenta and passing into breast milk. Evidence suggests that PFAS exposure may affect brain development. We investigated whether prenatal or early postnatal PFAS exposure was associated with intelligence quotient (IQ) scores in schoolchildren from the Odense Child Cohort (Denmark, 2010–2020). We assessed concentrations of perfluorooctane sulfonic acid (PFOS), perfluorooctanoic acid (PFOA), perfluorohexane sulfonic acid (PFHxS), perfluorononanoic acid (PFNA), and perfluorodecanoic acid (PFDA) in maternal serum collected during the first trimester of pregnancy and in child serum at age 18 months. At 7 years of age, children completed an abbreviated version of... (More)
Perfluoroalkyl substances (PFAS) are persistent chemicals capable of crossing the placenta and passing into breast milk. Evidence suggests that PFAS exposure may affect brain development. We investigated whether prenatal or early postnatal PFAS exposure was associated with intelligence quotient (IQ) scores in schoolchildren from the Odense Child Cohort (Denmark, 2010–2020). We assessed concentrations of perfluorooctane sulfonic acid (PFOS), perfluorooctanoic acid (PFOA), perfluorohexane sulfonic acid (PFHxS), perfluorononanoic acid (PFNA), and perfluorodecanoic acid (PFDA) in maternal serum collected during the first trimester of pregnancy and in child serum at age 18 months. At 7 years of age, children completed an abbreviated version of the Wechsler Intelligence Scale for Children, Fifth Edition, from which Full Scale Intelligence Quotient (FSIQ) and Verbal Comprehension Index scores were estimated. In multiple linear regression analyses conducted among 967 mother-child pairs, a doubling in maternal PFOS and PFNA concentrations was associated with a lower FSIQ score, while no significant associations were observed for PFOA, PFHxS, or PFDA. PFAS concentrations at age 18 months and duration of breastfeeding were strongly correlated, and even in structural equation models it was not possible to differentiate between the opposite effects of PFAS exposure and duration of breastfeeding on FSIQ. PFAS exposure is ubiquitous; therefore, an association with even a small reduction in IQ is of public health concern. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
American Journal of Epidemiology
volume
192
issue
9
pages
1522 - 1535
publisher
Oxford University Press
external identifiers
  • pmid:37119029
  • scopus:85162108728
ISSN
0002-9262
DOI
10.1093/aje/kwad110
language
English
LU publication?
yes
id
ae3c373d-8d80-483b-85fd-3e032fc2bf82
date added to LUP
2023-09-04 17:14:26
date last changed
2023-11-22 04:11:04
@article{ae3c373d-8d80-483b-85fd-3e032fc2bf82,
  abstract     = {{Perfluoroalkyl substances (PFAS) are persistent chemicals capable of crossing the placenta and passing into breast milk. Evidence suggests that PFAS exposure may affect brain development. We investigated whether prenatal or early postnatal PFAS exposure was associated with intelligence quotient (IQ) scores in schoolchildren from the Odense Child Cohort (Denmark, 2010–2020). We assessed concentrations of perfluorooctane sulfonic acid (PFOS), perfluorooctanoic acid (PFOA), perfluorohexane sulfonic acid (PFHxS), perfluorononanoic acid (PFNA), and perfluorodecanoic acid (PFDA) in maternal serum collected during the first trimester of pregnancy and in child serum at age 18 months. At 7 years of age, children completed an abbreviated version of the Wechsler Intelligence Scale for Children, Fifth Edition, from which Full Scale Intelligence Quotient (FSIQ) and Verbal Comprehension Index scores were estimated. In multiple linear regression analyses conducted among 967 mother-child pairs, a doubling in maternal PFOS and PFNA concentrations was associated with a lower FSIQ score, while no significant associations were observed for PFOA, PFHxS, or PFDA. PFAS concentrations at age 18 months and duration of breastfeeding were strongly correlated, and even in structural equation models it was not possible to differentiate between the opposite effects of PFAS exposure and duration of breastfeeding on FSIQ. PFAS exposure is ubiquitous; therefore, an association with even a small reduction in IQ is of public health concern.}},
  author       = {{Have Beck, Iben and Bilenberg, Niels and Möller, Sören and Nielsen, Flemming and Grandjean, Philippe and Damsgaard Hojsager, Frederik and Ingi Halldorsson, Thorhallur and Nielsen, Christel and Kold Jensen, Tina}},
  issn         = {{0002-9262}},
  language     = {{eng}},
  month        = {{09}},
  number       = {{9}},
  pages        = {{1522--1535}},
  publisher    = {{Oxford University Press}},
  series       = {{American Journal of Epidemiology}},
  title        = {{Association Between Prenatal and Early Postnatal Exposure to Perfluoroalkyl Substances and IQ Score in 7-Year-Old Children From the Odense Child Cohort}},
  url          = {{http://dx.doi.org/10.1093/aje/kwad110}},
  doi          = {{10.1093/aje/kwad110}},
  volume       = {{192}},
  year         = {{2023}},
}