Influencing factors of colostrum exposure to low-level lead and their relationship with early neural development of infants  

作　　者：Shiguang Li Guoping Wang Kui Fu Chunru Qi Xianguo Wu Qinghao Kong Yingyi Liang 

机构地区：[1]Center for Maternal and Child Health, Shanxi Provincial Children＇s Hospital, Taiyuan 030013, Shanxi Province, China

出　　处：《Neural Regeneration Research》2007年第9期557-560,共4页中国神经再生研究（英文版）

基　　金：Key Technologies Research & Development Program of Shanxi Province, No.041074

摘　　要：BACKGROUND： Exposure to low-level lead has a toxic effect on the development of neonates, which has attracted wide attention. Colostrum lead level can be used as the indication of lead exposure. OBJECTIVE： To observe the relationship of colostrum lead level and the neurobehavioral development of infants. DESIGN： A prospective control observation. SETTING： Center for Maternal and Child Health, Shanxi Provincial Children＇s Hospital. PARTICIPANTS： Totally 128 neonates of full-term normal delivery, 76 male and 52 female, from Shanxi Provincial Maternal and Child Health Center and Jiexiu Maternal and Child Health Center were involved in this study. All the involved neonates had no peripartal ischemic/hypoxic history or fetus intrauterine developmental lag. Pregnant women had no various acute and chronic diseases in pregnancy, family history of neurological disease or occupational lead exposure. 128 portions of colostrum sample of full-term normal delivery were collected. Informed consents of detected items were obtained from the puerperants and their relatives. METHODS： ① Experimental grouping： Lead level in the colostrum was determined by atomic absorption spectrometry. According to lead level in the colostrum, the neonates were classified into two exposure groups of greater than or equal to 0.24 μmol/L in a high-level lead group and less than 0.24 μ mol/L in a low-level lead group. ② Experimental evaluation： Mental developmental index （MDI） and psychological developmental index （PDI） of 3-month-old infants were evaluated with Bayley Scales of Infant Development （BSID）. The relationships of MDI, PDI and colostrum lead level were performed correlation regression analysis; The relationship of colostrum lead level and development was performed multi-factor analysis with family environment and health questionnaires. MAIN OUTCOME MEASURES： ① Evaluation results of MDI and PDI. ② Multi-factor analysis results. RESULTS： Totally 128 neonates were involved in the study. Ten and eleveBACKGROUND： Exposure to low-level lead has a toxic effect on the development of neonates, which has attracted wide attention. Colostrum lead level can be used as the indication of lead exposure. OBJECTIVE： To observe the relationship of colostrum lead level and the neurobehavioral development of infants. DESIGN： A prospective control observation. SETTING： Center for Maternal and Child Health, Shanxi Provincial Children＇s Hospital. PARTICIPANTS： Totally 128 neonates of full-term normal delivery, 76 male and 52 female, from Shanxi Provincial Maternal and Child Health Center and Jiexiu Maternal and Child Health Center were involved in this study. All the involved neonates had no peripartal ischemic/hypoxic history or fetus intrauterine developmental lag. Pregnant women had no various acute and chronic diseases in pregnancy, family history of neurological disease or occupational lead exposure. 128 portions of colostrum sample of full-term normal delivery were collected. Informed consents of detected items were obtained from the puerperants and their relatives. METHODS： ① Experimental grouping： Lead level in the colostrum was determined by atomic absorption spectrometry. According to lead level in the colostrum, the neonates were classified into two exposure groups of greater than or equal to 0.24 μmol/L in a high-level lead group and less than 0.24 μ mol/L in a low-level lead group. ② Experimental evaluation： Mental developmental index （MDI） and psychological developmental index （PDI） of 3-month-old infants were evaluated with Bayley Scales of Infant Development （BSID）. The relationships of MDI, PDI and colostrum lead level were performed correlation regression analysis; The relationship of colostrum lead level and development was performed multi-factor analysis with family environment and health questionnaires. MAIN OUTCOME MEASURES： ① Evaluation results of MDI and PDI. ② Multi-factor analysis results. RESULTS： Totally 128 neonates were involved in the study. Ten and eleve

关 键 词：LEAD COLOSTRUM neural development 

分 类 号：R174.2[医药卫生—妇幼卫生保健] R995[医药卫生—公共卫生与预防医学]