Arsenic and manganese exposure and children's intellectual function

• Published in: Neurotoxicology (Park Forest South) Vol. 32; no. 4; pp. 450 - 457
• Main Authors: Wasserman, Gail A., Liu, Xinhua, Parvez, Faruque, Factor-Litvak, Pam, Ahsan, Habibul, Levy, Diane, Kline, Jennie, van Geen, Alexander, Mey, Jacob, Slavkovich, Vesna, Siddique, Abu B., Islam, Tariqul, Graziano, Joseph H.
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier B.V 01.08.2011; Elsevier
• Subjects: Age Factors; Arsenic; Arsenic - adverse effects; Arsenic - blood; Arsenic - urine; Arsenic Poisoning - blood; Arsenic Poisoning - etiology; Arsenic Poisoning - psychology; Arsenic Poisoning - urine; Bangladesh; Biological and medical sciences; Biomarkers - blood; Biomarkers - urine; Carcinogenesis, carcinogens and anticarcinogens; Case-Control Studies; Chemical agents; Chemical and industrial products toxicology. Toxic occupational diseases; Chi-Square Distribution; Child; Child Behavior - drug effects; Child Development - drug effects; Children; Comprehension - drug effects; Cross-Sectional Studies; Female; Humans; Intelligence - drug effects; Intelligence Tests; Male; Manganese; Manganese - adverse effects; Manganese - blood; Manganese - urine; Manganese Poisoning - blood; Manganese Poisoning - etiology; Manganese Poisoning - psychology; Manganese Poisoning - urine; Medical sciences; Memory - drug effects; Metals and various inorganic compounds; Perception - drug effects; Regression Analysis; Risk Assessment; Risk Factors; Toxicology; Tumors; Verbal Behavior - drug effects; Water; Water Pollutants, Chemical - adverse effects; Asia; Bangladesh; Water; Bangladesh; Children; Arsenic; Manganese; Human; Carcinogen; Transition metal; Exposure; Child
• ISSN: 0161-813X; 1872-9711
• DOI: 10.1016/j.neuro.2011.03.009

► We examine intellectual function in 299 8–11 year olds in Bangladesh, in four groups. ► Groups are stratified by design on well-water arsenic (±10μg/L) and manganese (±500μg/L). ► With adjustment for other sociodemographic features, Blood Mn was associated with poorer Perceptual Reasoning and Working Memory scores. ► With adjustment for other sociodemographic features, Blood As was associated with poorer Verbal Comprehension scores. ► By design, children's exposure was relatively lower than in earlier work: at these levels, we found no evidence for a Mn x As interaction. Recently, epidemiologic studies of developmental neurotoxicology have been challenged to increase focus on co-exposure to multiple toxicants. Earlier reports, including our own work in Bangladesh, have demonstrated independent associations between neurobehavioral function and exposure to both arsenic (As) and manganese (Mn) in school-aged children. Our earlier studies, however, were not designed to examine possible interactive effects of exposure to both As and Mn. To allow investigation of possible synergistic impact of simultaneous exposures, we recruited a new sample of 299 8–11 year old children, stratified by design on As (above and below 10μg/L) and Mn (above and below 500μg/L) concentrations of household wells. When adjusted only for each other, both As and Mn in whole blood (BAs; BMn) were significantly negatively related to most WISC-IV subscale scores. With further adjustment for socio-demographic features and ferritin, BMn remained significantly associated with reduced Perceptual Reasoning and Working Memory scores; associations for BAs, and for other subscales, were expectably negative, significantly for Verbal Comprehension. Urinary As (per gram creatinine) was significantly negatively associated with Verbal Comprehension scores, even with adjustment for BMn and other contributors. Mn by As interactions were not significant in adjusted or unadjusted models (all p's>0.25). Findings are consistent with other reports documenting adverse impact of both As and Mn exposure on child developmental outcomes, although associations appear muted at these relatively low exposure levels.