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The association between maternal perfluoroalkyl substances exposure and early attention deficit hyperactivity disorder in children: a systematic review and meta-analysis

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Abstract

Some studies have shown that maternal exposure to perfluoroalkyl substances (PFASs) may be associated with early attention deficit hyperactivity disorder (ADHD) in children. The purpose of this systematic review and meta-analysis is to verify this association by reviewing existing studies and to provide a strong basis for preventing ADHD. The researchers searched electronic databases such as PubMed, Science Direct, Scopus, Google Scholar, Web of Science, and Embase for all studies published before October 2020. Finally, we included nine articles for analysis. Our meta-analysis showed that maternal exposure to PFASs was not significantly associated with the prevalence rate of early childhood ADHD (perfluorooctanoic acid (PFOA), odds ratio (OR) = 1.00, 95% confidence interval (95% CI) = 0.75–1.25; perfluorooctane sulfonate (PFOS), OR = 1.01, 95% CI = 0.88–1.14; perfluorohexane sulfonate (PFHxS), OR = 1.08, 95% CI = 0.80–1.09; perfluorononanoic acid (PFNA), OR = 1.13, 95% CI = 0.99–1.28; perfluorodecanoic acid (PFDA), OR = 1.23, 95% CI = 0.15–2.32). Due to significant heterogeneity, we subsequently performed subgroup analysis and sensitivity analysis. Through subgroup analysis, we found that PFOS concentration of children’s blood and the prevalence rate of early childhood ADHD were statistically positively correlated, and there was also a positive correlation between PFOS exposure and the prevalence rate of early childhood ADHD in the America. Moreover, there was also a statistically positive correlation between PFNA concentration in maternal blood and the prevalence rate of early childhood ADHD. Sensitivity analysis showed that the final results did not change much, the sensitivity was low, and the results were relatively stable. In conclusion, a causal relationship between maternal PFASs exposure and ADHD in children was unlikely. Among them, PFOS, PFNA, and ADHD might have positive associations worthy of further investigation.

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Availability of data and materials

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Funding

This research was supported by the Health Department Science Research Foundation of Hebei Province (Project No.20090057) and Innovative experiment project of Hebei Medical University (NO.USIP2020164).

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  1. Aibin Qu and Tengrui Cao contributed equally to this work.

Authors and Affiliations

  1. Department of Preventive Medicine, School of Public Health, Hebei Medical University, Hebei Key Laboratory of Environment and Human Health, Zhongshan East Road 361, Shijiazhuang, 050017, Hebei, People’s Republic of China

    Aibin Qu & Tengrui Cao

  2. Department of Occupational and Environmental Health, School of Public Health, Hebei Medical University, Hebei Key Laboratory of Environment and Human Health, Zhongshan East Road 361, Shijiazhuang, 050017, Hebei, People’s Republic of China

    Li Zixuan, Wenjuan Wang, Ran Liu, Xue Wang, Yaxiong Nie & Xiaolin Zhang

  3. Department of Epidemiology and Hygienic Statistics, School of Public Health, Hebei Medical University, Hebei Key Laboratory of Environment and Human Health, Zhongshan East Road 361, Shijiazhuang, 050017, Hebei, People’s Republic of China

    Suju Sun & Xuehui Liu

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  1. Aibin Qu
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Contributions

Conceived and designed the experiments, XLZ, XHL, and SJS; performed the experiments, ZXL, WJW, RL, XW, and YXN; analyzed the data, ABQ and TRC; contributed analysis tools, XLZ; wrote the paper, XHL, ABQ, and TRC. All authors read and approved the final manuscript.

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Correspondence to Xuehui Liu or Xiaolin Zhang.

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Qu, A., Cao, T., Li, Z. et al. The association between maternal perfluoroalkyl substances exposure and early attention deficit hyperactivity disorder in children: a systematic review and meta-analysis. Environ Sci Pollut Res 28, 67066–67081 (2021). https://doi.org/10.1007/s11356-021-15136-2

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