Evidence map›Paper›PMID 33744271›Full record

ArticleEnvironmental research2021

Chemical mixture exposures during pregnancy and cognitive abilities in school-aged children.

Geetika Kalloo, Gregory A Wellenius, Lawrence McCandless, Antonia M Calafat, Andreas Sjodin, Adam J Sullivan, Megan E Romano, Margaret R Karagas, Aimin Chen, Kimberly Yolton and 2 more

Open access · greenAbstract read
In one paragraph

Article in Environmental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.2field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 31 citations in OpenAlex.

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  12. Mixture Risk Assessment of Complex Real-Life Mixtures-The PANORAMIX Project.International journal of environmental research and public health · 2022
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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

12 authors at 6 institutions in 2 countries.

Geetika KallooDepartment of Epidemiology, Brown University, Providence, RI, USA. Electronic address: geetika.kalloo@gmail.com.
Gregory A WelleniusDepartment of Epidemiology, Brown University, Providence, RI, USA.
Lawrence McCandlessFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Antonia M CalafatCenters for Disease Control and Prevention, Atlanta, GA, USA.
Andreas SjodinCenters for Disease Control and Prevention, Atlanta, GA, USA.
Adam J SullivanDepartment of Epidemiology, Brown University, Providence, RI, USA.
Megan E RomanoDepartment of Epidemiology, Dartmouth College, Hanover, NH, USA.
Margaret R KaragasDepartment of Epidemiology, Dartmouth College, Hanover, NH, USA.
Aimin ChenDepartment of Environmental Health, University of Cincinnati, Cincinnati, OH, USA.
Kimberly YoltonDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Bruce P LanphearFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; Child and Family Research Institute, BC Children's and Women's Hospital, Vancouver, BC, Canada.
Joseph M BraunDepartment of Epidemiology, Brown University, Providence, RI, USA.
Brown University · USCenters for Disease Control and Prevention · USDartmouth College · USSimon Fraser University · CACincinnati Children's Hospital Medical Center · USUniversity of Cincinnati · US

Funding

Study of Prevalent Neurotoxicants in ChildrenP01ES011261 · NIEHS · CINCINNATI CHILDRENS HOSP MED CTR · PI LANPHEAR, BRUCE P · 2001 to 2006
$6.4M
Developmental neurotoxicity of organophosphate and novel brominated flame retardants in childrenR01ES028277 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI CHEN, AIMIN · 2017 to 2022
$3.4M
Early life perfluoroalkyl substance exposure & obesity: Mechanisms & phenotypingR01ES025214 · NIEHS · BROWN UNIVERSITY · PI BRAUN, JOSEPH M · 2016 to 2020
$3.1M
Longitudinal study of exposure to PBDEs and PFCs and child neurobehaviorR01ES020349 · NIEHS · UNIVERSITY OF CINCINNATI · PI CHEN, AIMIN, LANPHEAR, BRUCE P · 2011 to 2015
$2.9M
Endocrine Disrupting Chemicals, Thyroid Hormones, and Child NeurobehaviorR01ES024381 · NIEHS · BROWN UNIVERSITY · PI BRAUN, JOSEPH M · 2015 to 2018
$2.4M
NIEHS NIH HHS P01 ES011261NIEHS NIH HHS R01 ES020349NIEHS NIH HHS R01 ES024381NIEHS NIH HHS R01 ES025214NIEHS NIH HHS R01 ES028277
6 · The paper itself

Abstract

introductionGestational exposure to chemical mixtures, which is prevalent among pregnant women, may be associated with adverse childhood neurodevelopment. However, few studies have examined relations between gestational chemical mixture exposure and children's cognitive abilities.

methodsIn a cohort of 253 pregnant women and their children from Cincinnati, OH (enrolled 2003-2006), we quantified biomarker concentrations of 43 metals, phthalates, phenols, polybrominated diphenyl ethers, organophosphate and organochlorine pesticides, polychlorinated biphenyls, perfluoroalkyl substances, and environmental tobacco smoke in blood or urine. Using k-means clustering and principal component (PC) analysis, we characterized chemical mixtures among pregnant women. We assessed children's cognitive abilities using the Wechsler Preschool and Primary Scale of Intelligence-III and Wechsler Intelligence Scale for Children-IV at ages 5 and 8 years, respectively. We estimated covariate-adjusted differences in children's cognitive ability scores ]=cross clusters, and with increasing PC scores and individual biomarker concentrations.

resultsGeometric mean biomarker concentrations were generally highest, intermediate, and lowest among women in clusters 1, 2, and 3, respectively. Children born to women in clusters 1 and 2 had 5.1 (95% CI: 9.4,-0.8) and 2.0 (95% CI: 5.5, 1,4) lower performance IQ scores compared to children in cluster 3, respectively. PC scores and individual chemical biomarker concentrations were not associated with cognitive abilities.

conclusionsIn this cohort, combined prenatal exposure to phenols, certain phthalates, pesticides, and perfluoroalkyl substances was inversely associated with children's cognition, but some individual chemical biomarker concentrations were not. Additional studies should determine if the aggregate impact of these chemicals on cognition is different from their individual effects.

Indexed as

Environmental PollutantsHydrocarbons, ChlorinatedPesticidesPolychlorinated BiphenylsPrenatal Exposure Delayed EffectsChildChild, PreschoolCognitionFemaleHumansPregnancySchoolsEnvironmental PollutantsHydrocarbons, ChlorinatedPesticidesPolychlorinated BiphenylsChemical mixturesChildren''s healthEnvironmental epidemiologyPerinatal exposure

Identifiers

PMID33744271
PMCPMC9022783
OpenAlexW3136351808

What OpenQuestion holds

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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.