Evidence map›Paper›PMID 27312840›Full record

ArticleEnvironmental health : a global access science source2016

Toddler temperament and prenatal exposure to lead and maternal depression.

Annemarie Stroustrup, Hsiao-Hsien Hsu, Katherine Svensson, Lourdes Schnaas, Alejandra Cantoral, Maritsa Solano González, Mariana Torres-Calapiz, Chitra Amarasiriwardena, David C Bellinger, Brent A Coull and 3 more

Open access · goldAbstract read
In one paragraph

Article in Environmental health : a global access science source, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Individual and joint effects of prenatal PMEnvironmental research · 2024
    Article
  9. Article
  10. Review
  11. Lead exposure and serum metabolite profiles in pregnant women in Mexico City.Environmental health : a global access science source · 2021
    Article
  12. Article
  13. Prenatal metal mixtures and sex-specific infant negative affectivity.Environmental epidemiology (Philadelphia, Pa.) · 2021
    Article
  14. Review
  15. Prenatal PMNeurotoxicology · 2020
    Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
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

13 authors at 3 institutions in 2 countries.

Annemarie StroustrupDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA. annemarie.stroustrup@mssm.edu.
Hsiao-Hsien HsuDepartment of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Katherine SvenssonDepartment of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Lourdes SchnaasDepartment of Developmental Neurobiology, National Institute of Perinatology, Mexico City, Mexico.
Alejandra CantoralCenter for Nutrition and Health Research, National Institute of Public Health, Morelos, Mexico.
Maritsa Solano GonzálezCenter for Nutrition and Health Research, National Institute of Public Health, Morelos, Mexico.
Mariana Torres-CalapizDepartment of Developmental Neurobiology, National Institute of Perinatology, Mexico City, Mexico.
Chitra AmarasiriwardenaDepartment of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
David C BellingerDepartments of Neurology and Psychiatry, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Brent A CoullDepartment of Environmental Health, Harvard School of Public Health, Boston, MA, USA.
Martha M Téllez-RojoCenter for Nutrition and Health Research, National Institute of Public Health, Morelos, Mexico.
Robert O WrightDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Rosalind J WrightDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Icahn School of Medicine at Mount Sinai · USHarvard University · USInstituto Nacional de Perinatología · MX

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Marc G Weisskopf · 1985 to 2026
$44.6M
The Mount Sinai Transdisciplinary Center on Early Environmental ExposuresP30ES023515 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Robert O Wright · 2014 to 2026
$21.3M
Stress, Lead, Iron Deficiency and NeurodevelopmentR01ES013744 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Robert O Wright · 2007 to 2026
$13.4M
Superfund Metal Mixtures, Biomarkers and NeurodevelopmentP42ES016454 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI BELLINGER, DAVID C · 2010 to 2015
$10.1M
Mouse Neurodevelopmental Behavior CoreU54HD090255 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI CHEN, CHINFEI · 2016 to 2020
$5.2M
BPA, Phthalates & Stress: Mechanisms and Interactions for Childhood ObesityR01ES021357 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI BACCARELLI, ANDREA, WRIGHT, ROBERT O · 2012 to 2016
$3.3M
Metal Mixtures and NeurodevelopmentR01ES014930 · NIEHS · BRIGHAM AND WOMEN'S HOSPITAL · PI WRIGHT, ROBERT O · 2006 to 2010
$3.2M
Chemical Exposures and Infant Outcomes in the Neonatal Intensive Care UnitK23ES022268 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI STROUSTRUP, ANNEMARIE · 2013 to 2017
$731k
NIEHS NIH HHS K23 ES022268NIEHS NIH HHS P30 ES023515NIEHS NIH HHS P42 ES016454NIEHS NIH HHS R01 ES013744NIEHS NIH HHS R01 ES014930NIEHS NIH HHS R01 ES021357
6 · The paper itself

Abstract

backgroundTemperament is a psychological construct that reflects both personality and an infant's reaction to social stimuli. It can be assessed early in life and is stable over time Temperament predicts many later life behaviors and illnesses, including impulsivity, emotional regulation and obesity. Early life exposure to neurotoxicants often results in developmental deficits in attention, social function, and IQ, but environmental predictors of infant temperament are largely unknown. We propose that prenatal exposure to both chemical and non-chemical environmental toxicants impacts the development of temperament, which can itself be used as a marker of risk for maladaptive neurobehavior in later life. In this study, we assessed associations among prenatal and early life exposure to lead, mercury, poverty, maternal depression and toddler temperament.

methodsA prospective cohort of women living in the Mexico City area were followed longitudinally beginning in the second trimester of pregnancy. Prenatal exposure to lead (blood, bone), mercury, and maternal depression were assessed repeatedly and the Toddler Temperament Scale (TTS) was completed when the child was 24 months old. The association between each measure of prenatal exposure and performance on individual TTS subscales was evaluated by multivariable linear regression. Latent profile analysis was used to classify subjects by TTS performance. Multinomial regression models were used to estimate the prospective association between prenatal exposures and TTS performance.

results500 mother-child pairs completed the TTS and had complete data on exposures and covariates. Three latent profiles were identified and categorized as predominantly difficult, intermediate, or easy temperament. Prenatal exposure to maternal depression predicted increasing probability of difficult toddler temperament. Maternal bone lead, a marker of cumulative exposure, also predicted difficult temperament. Prenatal lead exposure modified this association, suggesting that joint exposure in pregnancy to both was most toxic.

conclusionsMaternal depression predicts difficult temperament and concurrent prenatal exposure to maternal depression and lead predicts a more difficult temperament phenotype in 2 year olds. The role of temperament as an intermediate variable in the path from prenatal exposures to neurobehavioral deficits and other health effects deserves further study.

Indexed as

Maternal ExposurePrenatal Exposure Delayed EffectsTemperamentAdultChild BehaviorChild DevelopmentChild, PreschoolDepressionEnvironmental PollutantsFemaleHumansInfantLeadMercuryMexicoMothersEnvironmental PollutantsLeadMercuryDepression in pregnancyLeadNeurobehavioral outcomesPrenatal exposureTemperament

Identifiers

PMID27312840
PMCPMC4910201
OpenAlexW2421793621

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.