Evidence map›Paper›PMID 20106937›Full record

ArticleAmerican journal of epidemiology2010

Prenatal organochlorine exposure and behaviors associated with attention deficit hyperactivity disorder in school-aged children.

Sharon K Sagiv, Sally W Thurston, David C Bellinger, Paige E Tolbert, Larisa M Altshul, Susan A Korrick

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in American journal of epidemiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02675101 (Nuts and Olestra for Persistent Organic Pollutant Reduction), which is not on this map. Cited by 111 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 6 pooled it
14.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02675101 nacompletednot on this mapstarted 2016, after this paper: background citation

Nuts and Olestra for Persistent Organic Pollutant Reduction (NO-POPs) Trial: A Pilot Investigation

TypeinterventionalSponsorUniversity of California, San DiegoRan2016 to 2019Enrolled45ConditionsPersistent Organic Pollutants, Endocrine Disrupting Chemicals, Endocrine Disruptor EffectsArmsWhole Nuts, Olestra: Fat Free Pringles, Vegetable Oil: Original Pringles
3 · Its place in the literature

Who cites it

111 citing papers in PubMed, 6 syntheses or guidelines pooled it, 234 citations in OpenAlex.

  1. A Systematic Review and Meta-analysis of Chemical Exposures and Attention-Deficit/Hyperactivity Disorder in Children.Prevention science : the official journal of the Society for Prevention Research · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pesticide exposure and neurodevelopmental outcomes: review of the epidemiologic and animal studies.Journal of toxicology and environmental health. Part B, Critical reviews · 2013
    Pooled it
  7. Early-life wheezing and childhood cognition in the ECHO cohort.The Journal of allergy and clinical immunology · 2026
    Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Neurodevelopmental Impact of Pesticides: A Silent Threat.Turkish archives of pediatrics · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Improving Retention of Diverse Samples in Longitudinal Research on Developmental Disabilities.American journal on intellectual and developmental disabilities · 2023
    Article
  19. Article
  20. Review

51 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Sharon K SagivDepartment of Environmental Health, Harvard School of Public Health, Boston, MA 02115, USA. sharon.sagiv@channing.harvard.edu
Sally W Thurston
David C Bellinger
Paige E Tolbert
Larisa M Altshul
Susan A Korrick
Harvard University · US

Funding

VANADIUM AND HUMAN HEALTHP42ES005947 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI KELSEY, KARL TIMOTHY · 1992 to 2006
$19.6M
Metal and Organochlorines Exposure: Impact on Adolescent Behavior and CognitionR01ES014864 · NIEHS · BRIGHAM AND WOMEN'S HOSPITAL · PI KORRICK, SUSAN A · 2006 to 2010
$3.3M
Training: Neurodevelopmental Toxicology (RMI)T32MH073122 · NIMH · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI BELLINGER, DAVID C · 2004 to 2008
$1.4M
NIEHS NIH HHS P42 ES005947NIEHS NIH HHS P42 ES05947NIEHS NIH HHS R01 ES014864NIMH NIH HHS T32 MH073122
6 · The paper itself

Abstract

Organochlorines are environmentally persistent contaminants that readily cross the placenta, posing a potential risk to the developing fetus. Evidence for neurodevelopmental effects at low levels of these compounds is growing, though few studies have focused on behavioral outcomes. The authors investigated the association between prenatal polychlorinated biphenyl (PCB) and p,p'-dichlorodiphenyl dichloroethylene (p,p'-DDE) levels and behaviors associated with attention deficit hyperactivity disorder (ADHD), measured with the Conners' Rating Scale for Teachers (CRS-T), in a cohort of 607 children aged 7-11 years (median age, 8.2 years) born in 1993-1998 to mothers residing near a PCB-contaminated harbor in New Bedford, Massachusetts. The median umbilical cord serum level of the sum of 4 prevalent PCB congeners (118, 138, 153, and 180) was 0.19 ng/g serum (range, 0.01-4.41 ng/g serum). The authors found higher risk for ADHD-like behaviors assessed with the CRS-T at higher levels of PCBs and p,p'-DDE. For example, the authors found higher risk of atypical behavior on the Conners' ADHD Index for the highest quartile of the sum of 4 PCB congeners versus the lowest quartile (risk ratio = 1.76, 95% confidence interval: 1.06, 2.92) and a similar relation for p,p'-DDE. These results support an association between low-level prenatal organochlorine exposure and ADHD-like behaviors in childhood.

Indexed as

AdolescentAdultAttention Deficit Disorder with HyperactivityChildDichlorodiphenyl DichloroethyleneEnvironmental PollutantsFemaleGrowth and DevelopmentHumansLongitudinal StudiesMaleMassachusettsMaternal ExposurePolychlorinated BiphenylsPregnancyPrenatal Exposure Delayed EffectsDichlorodiphenyl DichloroethyleneEnvironmental PollutantsPolychlorinated Biphenyls

Identifiers

PMID20106937
PMCPMC2842227
OpenAlexW2163849189

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.