Early-life environmental exposure determinants of child behavior in Europe: A longitudinal, population-based study
[Display omitted] •A wide range of pre- and postnatal environmental exposures affects child behavior.•The exposome includes outdoor, indoor, chemical, lifestyle and social exposures.•Maternal tobacco smoke and car traffic increased behavioural problems in children.•Child sleep, healthy diet and high...
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| Veröffentlicht in: | Environment international Jg. 153; S. 106523 |
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| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
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Netherlands
Elsevier Ltd
01.08.2021
Elsevier Elsevier Science |
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| ISSN: | 0160-4120, 1873-6750, 1873-6750 |
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| Abstract | [Display omitted]
•A wide range of pre- and postnatal environmental exposures affects child behavior.•The exposome includes outdoor, indoor, chemical, lifestyle and social exposures.•Maternal tobacco smoke and car traffic increased behavioural problems in children.•Child sleep, healthy diet and higher family social capital reduced symptoms.•Child exposure to lead, copper, indoor air pollution, increased symptoms.
Environmental exposures in early life influence the development of behavioral outcomes in children, but research has not considered multiple exposures. We therefore aimed to investigate the impact of a broad spectrum of pre- and postnatal environmental exposures on child behavior.
We used data from the HELIX (Human Early Life Exposome) project, which was based on six longitudinal population-based birth cohorts in Europe. At 6–11 years, children underwent a follow-up to characterize their exposures and assess behavioral problems. We measured 88 prenatal and 123 childhood environmental factors, including outdoor, indoor, chemical, lifestyle and social exposures. Parent-reported behavioral problems included (1) internalizing, (2) externalizing scores, using the child behavior checklist (CBCL), and (3) the Conner’s Attention Deficit Hyperactivity Disorder (ADHD) index, all outcomes being discrete raw counts. We applied LASSO penalized negative binomial regression models to identify which exposures were associated with the outcomes, while adjusting for co-exposures. In the 1287 children (mean age 8.0 years), 7.3% had a neuropsychiatric medical diagnosis according to parent’s reports. During pregnancy, smoking and car traffic showing the strongest associations (e.g. smoking with ADHD index, aMR:1.31 [1.09; 1.59]) among the 13 exposures selected by LASSO, for at least one of the outcomes. During childhood, longer sleep duration, healthy diet and higher family social capital were associated with reduced scores whereas higher exposure to lead, copper, indoor air pollution, unhealthy diet were associated with increased scores. Unexpected decreases in behavioral scores were found with polychlorinated biphenyls (PCBs) and organophosphate (OP) pesticides.
Our systematic exposome approach identified several environmental contaminants and healthy lifestyle habits that may influence behavioral problems in children. Modifying environmental exposures early in life may limit lifetime mental health risk. |
|---|---|
| AbstractList | Background: Environmental exposures in early life influence the development of behavioral outcomes in children,but research has not considered multiple exposures. We therefore aimed to investigate the impact of a broadspectrum of pre- and postnatal environmental exposures on child behavior.Methods and findings: We used data from the HELIX (Human Early Life Exposome) project, which was based on sixlongitudinal population-based birth cohorts in Europe. At 6–11 years, children underwent a follow-up to characterizetheir exposures and assess behavioral problems. We measured 88 prenatal and 123 childhood environmentalfactors, including outdoor, indoor, chemical, lifestyle and social exposures. Parent-reportedbehavioral problems included (1) internalizing, (2) externalizing scores, using the child behavior checklist(CBCL), and (3) the Conner’s Attention Deficit Hyperactivity Disorder (ADHD) index, all outcomes being discreteraw counts. We applied LASSO penalized negative binomial regression models to identify which exposures wereassociated with the outcomes, while adjusting for co-exposures. In the 1287 children (mean age 8.0 years), 7.3%had a neuropsychiatric medical diagnosis according to parent’s reports. During pregnancy, smoking and cartraffic showing the strongest associations (e.g. smoking with ADHD index, aMR:1.31 [1.09; 1.59]) among the 13exposures selected by LASSO, for at least one of the outcomes. During childhood, longer sleep duration, healthydiet and higher family social capital were associated with reduced scores whereas higher exposure to lead, copper, indoor air pollution, unhealthy diet were associated with increased scores. Unexpected decreases inbehavioral scores were found with polychlorinated biphenyls (PCBs) and organophosphate (OP) pesticides.Conclusions: Our systematic exposome approach identified several environmental contaminants and healthylifestyle habits that may influence behavioral problems in children. Modifying environmental exposures early inlife may limit lifetime mental health risk. Background: Environmental exposures in early life influence the development of behavioral outcomes in children, but research has not considered multiple exposures. We therefore aimed to investigate the impact of a broad spectrum of pre- and postnatal environmental exposures on child behavior. Methods and findings: We used data from the HELIX (Human Early Life Exposome) project, which was based on six longitudinal population-based birth cohorts in Europe. At 6–11 years, children underwent a follow-up to characterize their exposures and assess behavioral problems. We measured 88 prenatal and 123 childhood environmental factors, including outdoor, indoor, chemical, lifestyle and social exposures. Parent-reported behavioral problems included (1) internalizing, (2) externalizing scores, using the child behavior checklist (CBCL), and (3) the Conner’s Attention Deficit Hyperactivity Disorder (ADHD) index, all outcomes being discrete raw counts. We applied LASSO penalized negative binomial regression models to identify which exposures were associated with the outcomes, while adjusting for co-exposures. In the 1287 children (mean age 8.0 years), 7.3% had a neuropsychiatric medical diagnosis according to parent’s reports. During pregnancy, smoking and car traffic showing the strongest associations (e.g. smoking with ADHD index, aMR:1.31 [1.09; 1.59]) among the 13 exposures selected by LASSO, for at least one of the outcomes. During childhood, longer sleep duration, healthy diet and higher family social capital were associated with reduced scores whereas higher exposure to lead, copper, indoor air pollution, unhealthy diet were associated with increased scores. Unexpected decreases in behavioral scores were found with polychlorinated biphenyls (PCBs) and organophosphate (OP) pesticides. Conclusions: Our systematic exposome approach identified several environmental contaminants and healthy lifestyle habits that may influence behavioral problems in children. Modifying environmental exposures early in life may limit lifetime mental health risk. [Display omitted] •A wide range of pre- and postnatal environmental exposures affects child behavior.•The exposome includes outdoor, indoor, chemical, lifestyle and social exposures.•Maternal tobacco smoke and car traffic increased behavioural problems in children.•Child sleep, healthy diet and higher family social capital reduced symptoms.•Child exposure to lead, copper, indoor air pollution, increased symptoms. Environmental exposures in early life influence the development of behavioral outcomes in children, but research has not considered multiple exposures. We therefore aimed to investigate the impact of a broad spectrum of pre- and postnatal environmental exposures on child behavior. We used data from the HELIX (Human Early Life Exposome) project, which was based on six longitudinal population-based birth cohorts in Europe. At 6–11 years, children underwent a follow-up to characterize their exposures and assess behavioral problems. We measured 88 prenatal and 123 childhood environmental factors, including outdoor, indoor, chemical, lifestyle and social exposures. Parent-reported behavioral problems included (1) internalizing, (2) externalizing scores, using the child behavior checklist (CBCL), and (3) the Conner’s Attention Deficit Hyperactivity Disorder (ADHD) index, all outcomes being discrete raw counts. We applied LASSO penalized negative binomial regression models to identify which exposures were associated with the outcomes, while adjusting for co-exposures. In the 1287 children (mean age 8.0 years), 7.3% had a neuropsychiatric medical diagnosis according to parent’s reports. During pregnancy, smoking and car traffic showing the strongest associations (e.g. smoking with ADHD index, aMR:1.31 [1.09; 1.59]) among the 13 exposures selected by LASSO, for at least one of the outcomes. During childhood, longer sleep duration, healthy diet and higher family social capital were associated with reduced scores whereas higher exposure to lead, copper, indoor air pollution, unhealthy diet were associated with increased scores. Unexpected decreases in behavioral scores were found with polychlorinated biphenyls (PCBs) and organophosphate (OP) pesticides. Our systematic exposome approach identified several environmental contaminants and healthy lifestyle habits that may influence behavioral problems in children. Modifying environmental exposures early in life may limit lifetime mental health risk. • A wide range of pre- and postnatal environmental exposures affects child behavior. • The exposome includes outdoor, indoor, chemical, lifestyle and social exposures. • Maternal tobacco smoke and car traffic increased behavioural problems in children. • Child sleep, healthy diet and higher family social capital reduced symptoms. • Child exposure to lead, copper, indoor air pollution, increased symptoms. Environmental exposures in early life influence the development of behavioral outcomes in children, but research has not considered multiple exposures. We therefore aimed to investigate the impact of a broad spectrum of pre- and postnatal environmental exposures on child behavior.BACKGROUNDEnvironmental exposures in early life influence the development of behavioral outcomes in children, but research has not considered multiple exposures. We therefore aimed to investigate the impact of a broad spectrum of pre- and postnatal environmental exposures on child behavior.We used data from the HELIX (Human Early Life Exposome) project, which was based on six longitudinal population-based birth cohorts in Europe. At 6-11 years, children underwent a follow-up to characterize their exposures and assess behavioral problems. We measured 88 prenatal and 123 childhood environmental factors, including outdoor, indoor, chemical, lifestyle and social exposures. Parent-reported behavioral problems included (1) internalizing, (2) externalizing scores, using the child behavior checklist (CBCL), and (3) the Conner's Attention Deficit Hyperactivity Disorder (ADHD) index, all outcomes being discrete raw counts. We applied LASSO penalized negative binomial regression models to identify which exposures were associated with the outcomes, while adjusting for co-exposures. In the 1287 children (mean age 8.0 years), 7.3% had a neuropsychiatric medical diagnosis according to parent's reports. During pregnancy, smoking and car traffic showing the strongest associations (e.g. smoking with ADHD index, aMR:1.31 [1.09; 1.59]) among the 13 exposures selected by LASSO, for at least one of the outcomes. During childhood, longer sleep duration, healthy diet and higher family social capital were associated with reduced scores whereas higher exposure to lead, copper, indoor air pollution, unhealthy diet were associated with increased scores. Unexpected decreases in behavioral scores were found with polychlorinated biphenyls (PCBs) and organophosphate (OP) pesticides.METHODS AND FINDINGSWe used data from the HELIX (Human Early Life Exposome) project, which was based on six longitudinal population-based birth cohorts in Europe. At 6-11 years, children underwent a follow-up to characterize their exposures and assess behavioral problems. We measured 88 prenatal and 123 childhood environmental factors, including outdoor, indoor, chemical, lifestyle and social exposures. Parent-reported behavioral problems included (1) internalizing, (2) externalizing scores, using the child behavior checklist (CBCL), and (3) the Conner's Attention Deficit Hyperactivity Disorder (ADHD) index, all outcomes being discrete raw counts. We applied LASSO penalized negative binomial regression models to identify which exposures were associated with the outcomes, while adjusting for co-exposures. In the 1287 children (mean age 8.0 years), 7.3% had a neuropsychiatric medical diagnosis according to parent's reports. During pregnancy, smoking and car traffic showing the strongest associations (e.g. smoking with ADHD index, aMR:1.31 [1.09; 1.59]) among the 13 exposures selected by LASSO, for at least one of the outcomes. During childhood, longer sleep duration, healthy diet and higher family social capital were associated with reduced scores whereas higher exposure to lead, copper, indoor air pollution, unhealthy diet were associated with increased scores. Unexpected decreases in behavioral scores were found with polychlorinated biphenyls (PCBs) and organophosphate (OP) pesticides.Our systematic exposome approach identified several environmental contaminants and healthy lifestyle habits that may influence behavioral problems in children. Modifying environmental exposures early in life may limit lifetime mental health risk.CONCLUSIONSOur systematic exposome approach identified several environmental contaminants and healthy lifestyle habits that may influence behavioral problems in children. Modifying environmental exposures early in life may limit lifetime mental health risk. Environmental exposures in early life influence the development of behavioral outcomes in children, but research has not considered multiple exposures. We therefore aimed to investigate the impact of a broad spectrum of pre- and postnatal environmental exposures on child behavior.We used data from the HELIX (Human Early Life Exposome) project, which was based on six longitudinal population-based birth cohorts in Europe. At 6–11 years, children underwent a follow-up to characterize their exposures and assess behavioral problems. We measured 88 prenatal and 123 childhood environmental factors, including outdoor, indoor, chemical, lifestyle and social exposures. Parent-reported behavioral problems included (1) internalizing, (2) externalizing scores, using the child behavior checklist (CBCL), and (3) the Conner’s Attention Deficit Hyperactivity Disorder (ADHD) index, all outcomes being discrete raw counts. We applied LASSO penalized negative binomial regression models to identify which exposures were associated with the outcomes, while adjusting for co-exposures. In the 1287 children (mean age 8.0 years), 7.3% had a neuropsychiatric medical diagnosis according to parent’s reports. During pregnancy, smoking and car traffic showing the strongest associations (e.g. smoking with ADHD index, aMR:1.31 [1.09; 1.59]) among the 13 exposures selected by LASSO, for at least one of the outcomes. During childhood, longer sleep duration, healthy diet and higher family social capital were associated with reduced scores whereas higher exposure to lead, copper, indoor air pollution, unhealthy diet were associated with increased scores. Unexpected decreases in behavioral scores were found with polychlorinated biphenyls (PCBs) and organophosphate (OP) pesticides.Our systematic exposome approach identified several environmental contaminants and healthy lifestyle habits that may influence behavioral problems in children. Modifying environmental exposures early in life may limit lifetime mental health risk. Environmental exposures in early life influence the development of behavioral outcomes in children, but research has not considered multiple exposures. We therefore aimed to investigate the impact of a broad spectrum of pre- and postnatal environmental exposures on child behavior. We used data from the HELIX (Human Early Life Exposome) project, which was based on six longitudinal population-based birth cohorts in Europe. At 6-11 years, children underwent a follow-up to characterize their exposures and assess behavioral problems. We measured 88 prenatal and 123 childhood environmental factors, including outdoor, indoor, chemical, lifestyle and social exposures. Parent-reported behavioral problems included (1) internalizing, (2) externalizing scores, using the child behavior checklist (CBCL), and (3) the Conner's Attention Deficit Hyperactivity Disorder (ADHD) index, all outcomes being discrete raw counts. We applied LASSO penalized negative binomial regression models to identify which exposures were associated with the outcomes, while adjusting for co-exposures. In the 1287 children (mean age 8.0 years), 7.3% had a neuropsychiatric medical diagnosis according to parent's reports. During pregnancy, smoking and car traffic showing the strongest associations (e.g. smoking with ADHD index, aMR:1.31 [1.09; 1.59]) among the 13 exposures selected by LASSO, for at least one of the outcomes. During childhood, longer sleep duration, healthy diet and higher family social capital were associated with reduced scores whereas higher exposure to lead, copper, indoor air pollution, unhealthy diet were associated with increased scores. Unexpected decreases in behavioral scores were found with polychlorinated biphenyls (PCBs) and organophosphate (OP) pesticides. Our systematic exposome approach identified several environmental contaminants and healthy lifestyle habits that may influence behavioral problems in children. Modifying environmental exposures early in life may limit lifetime mental health risk. |
| ArticleNumber | 106523 |
| Author | Urquiza, Jose Heude, Barbara Chatzi, Leda López-Vicente, Monica Casas, Maribel Maitre, Léa Marquez, Sandra Vrijheid, Martine Manson, Dan Nieuwenhuijsen, Mark Warembourg, Charline Basagaña, Xavier Hernandez-Ferrer, Carles Kampouri, Mariza Wright, John Slama, Remy McEachan, Rosie Gražulevičienė, Regina Philippat, Claire Andrusaityte, Sandra Evandt, Jorunn Robinson, Oliver Guxens, Monica Gonzalez, Juan R. de Castro, Montserrat Vafeidi, Marina Tamayo-Uria, Ibon Gützkow, Kristine B. Julvez, Jordi Smastuen Haug, Line Thomsen, Cathrine |
| Author_xml | – sequence: 1 givenname: Léa surname: Maitre fullname: Maitre, Léa email: lea.maitre@isglobal.org organization: ISGlobal, Barcelona, Spain – sequence: 2 givenname: Jordi surname: Julvez fullname: Julvez, Jordi organization: ISGlobal, Barcelona, Spain – sequence: 3 givenname: Monica surname: López-Vicente fullname: López-Vicente, Monica organization: ISGlobal, Barcelona, Spain – sequence: 4 givenname: Charline surname: Warembourg fullname: Warembourg, Charline organization: ISGlobal, Barcelona, Spain – sequence: 5 givenname: Ibon surname: Tamayo-Uria fullname: Tamayo-Uria, Ibon organization: ISGlobal, Barcelona, Spain – sequence: 6 givenname: Claire surname: Philippat fullname: Philippat, Claire organization: INSERM, Univ. Grenoble Alpes, CNRS, IAB (Institute of Advanced Biosciences), Team of Environmental Epidemiology Applied to Reproduction and Respiratory Health, Grenoble, France – sequence: 7 givenname: Kristine B. surname: Gützkow fullname: Gützkow, Kristine B. organization: Department of Environment and Health, Norwegian Institute of Public Health, Oslo, Norway – sequence: 8 givenname: Monica surname: Guxens fullname: Guxens, Monica organization: ISGlobal, Barcelona, Spain – sequence: 9 givenname: Sandra surname: Andrusaityte fullname: Andrusaityte, Sandra organization: Vytauto Didziojo Universitetas (VDU), Kaunas, Lithuania – sequence: 10 givenname: Xavier surname: Basagaña fullname: Basagaña, Xavier organization: ISGlobal, Barcelona, Spain – sequence: 11 givenname: Maribel surname: Casas fullname: Casas, Maribel organization: ISGlobal, Barcelona, Spain – sequence: 12 givenname: Montserrat surname: de Castro fullname: de Castro, Montserrat organization: ISGlobal, Barcelona, Spain – sequence: 13 givenname: Leda surname: Chatzi fullname: Chatzi, Leda organization: Department of Preventive Medicine, Keck School of Medicine at USC, Los Angeles, USA – sequence: 14 givenname: Jorunn surname: Evandt fullname: Evandt, Jorunn organization: Department of Environment and Health, Norwegian Institute of Public Health, Oslo, Norway – sequence: 15 givenname: Juan R. surname: Gonzalez fullname: Gonzalez, Juan R. organization: ISGlobal, Barcelona, Spain – sequence: 16 givenname: Regina surname: Gražulevičienė fullname: Gražulevičienė, Regina organization: Vytauto Didziojo Universitetas (VDU), Kaunas, Lithuania – sequence: 17 givenname: Line surname: Smastuen Haug fullname: Smastuen Haug, Line organization: Department of Environment and Health, Norwegian Institute of Public Health, Oslo, Norway – sequence: 18 givenname: Barbara surname: Heude fullname: Heude, Barbara organization: Université de Paris, Center for Research in Epidemiology and StatisticS (CRESS), INSERM, INRA, F-75004 Paris, France – sequence: 19 givenname: Carles surname: Hernandez-Ferrer fullname: Hernandez-Ferrer, Carles organization: ISGlobal, Barcelona, Spain – sequence: 20 givenname: Mariza surname: Kampouri fullname: Kampouri, Mariza organization: Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece – sequence: 21 givenname: Dan surname: Manson fullname: Manson, Dan organization: Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK – sequence: 22 givenname: Sandra surname: Marquez fullname: Marquez, Sandra organization: ISGlobal, Barcelona, Spain – sequence: 23 givenname: Rosie surname: McEachan fullname: McEachan, Rosie organization: Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK – sequence: 24 givenname: Mark surname: Nieuwenhuijsen fullname: Nieuwenhuijsen, Mark organization: ISGlobal, Barcelona, Spain – sequence: 25 givenname: Oliver surname: Robinson fullname: Robinson, Oliver organization: MRC-PHE Centre for Environment and Health, School of Public Health, Imperial College London, London, United Kingdom – sequence: 26 givenname: Remy surname: Slama fullname: Slama, Remy organization: INSERM, Univ. Grenoble Alpes, CNRS, IAB (Institute of Advanced Biosciences), Team of Environmental Epidemiology Applied to Reproduction and Respiratory Health, Grenoble, France – sequence: 27 givenname: Cathrine surname: Thomsen fullname: Thomsen, Cathrine organization: Department of Environment and Health, Norwegian Institute of Public Health, Oslo, Norway – sequence: 28 givenname: Jose surname: Urquiza fullname: Urquiza, Jose organization: ISGlobal, Barcelona, Spain – sequence: 29 givenname: Marina surname: Vafeidi fullname: Vafeidi, Marina organization: Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece – sequence: 30 givenname: John surname: Wright fullname: Wright, John organization: Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK – sequence: 31 givenname: Martine orcidid: 0000-0002-7090-1758 surname: Vrijheid fullname: Vrijheid, Martine organization: ISGlobal, Barcelona, Spain |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33773142$$D View this record in MEDLINE/PubMed https://hal.science/hal-04651968$$DView record in HAL |
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| Copyright | 2021 Copyright © 2021. Published by Elsevier Ltd. Distributed under a Creative Commons Attribution 4.0 International License 2021 The Authors. Published by Elsevier Ltd. 2021 |
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•A wide range of pre- and postnatal environmental exposures affects child behavior.•The exposome includes outdoor, indoor, chemical,... Environmental exposures in early life influence the development of behavioral outcomes in children, but research has not considered multiple exposures. We... Background: Environmental exposures in early life influence the development of behavioral outcomes in children,but research has not considered multiple... • A wide range of pre- and postnatal environmental exposures affects child behavior. • The exposome includes outdoor, indoor, chemical, lifestyle and social... Background: Environmental exposures in early life influence the development of behavioral outcomes in children, but research has not considered multiple... |
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| Title | Early-life environmental exposure determinants of child behavior in Europe: A longitudinal, population-based study |
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