PMID- 34543780 OWN - NLM STAT- MEDLINE DCOM- 20220216 LR - 20220216 IS - 1878-3252 (Electronic) IS - 0946-672X (Linking) VI - 68 DP - 2021 Dec TI - Association of newborn blood lead concentration with neurodevelopment outcome in early infancy. PG - 126853 LID - S0946-672X(21)00143-7 [pii] LID - 10.1016/j.jtemb.2021.126853 [doi] AB - BACKGROUND: In utero exposure to toxic metal substances can cause severe neurodevelopmental deficits in developing fetus and infant. METHODS: We evaluated the association of newborn umbilical cord blood lead concentration with early neurodevelopmental performance (cognitive, receptive language, expressive language, fine motor, gross motor and social-emotional development). The Bayley Scale of Infants Developments-III (BSID-III) was used to perform neurodevelopment outcomes at an average age of 6.5 months. In this prospective study, total of 167 mother-child pairs were enrolled from Western Rajasthan, India. Association between risk factors of lead contamination and newborn umbilical cord blood lead levels was observed. Multivariate regression was performed to see the association of cord blood lead level with infant neurodevelopment outcome. RESULTS: The obtained newborn umbilical cord blood lead concentration 5.0-10.5 mug/dL was negatively associated with the sub-scale score of gross motor development (beta-coefficient with 95 % CI; -0.29 (-5.0-0.11), p = 0.04). However, no associations were found with the score of cognitive, language, gross motor, and social-emotional development. The umbilical cord blood lead concentration <5.0 mug/dL was also not associated with the BSID-III scores. The mother's regular intake of calcium supplements during the antenatal period was significantly associated with a lower umbilical cord blood lead level (p-value 0.031). CONCLUSION: The data suggest that newborn umbilical cord blood lead concentration 0.5-10.5 mug/dL has a negative association with early gross motor development during infancy. CI - Copyright (c) 2021 Elsevier GmbH. All rights reserved. FAU - Shekhawat, Dolat Singh AU - Shekhawat DS AD - Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, 342005, India. Electronic address: dolat.shek@gmail.com. FAU - Janu, Vikash Chandra AU - Janu VC AD - WQMG/DEST Division, Defence Research and Development Organization, Jodhpur, 342011, India. Electronic address: Janu2k31@gmail.com. FAU - Singh, Pratibha AU - Singh P AD - Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Jodhpur, 342005, India. Electronic address: drpratibha69@hotmail.com. FAU - Sharma, Praveen AU - Sharma P AD - Department of Biochemistry, All India Institute of Medical Sciences, Jodhpur, 342005, India. Electronic address: praveensharma55@gmail.com. FAU - Singh, Kuldeep AU - Singh K AD - Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, 342005, India. Electronic address: singhk@aiimsjodhpur.edu.in. LA - eng PT - Journal Article DEP - 20210901 PL - Germany TA - J Trace Elem Med Biol JT - Journal of trace elements in medicine and biology : organ of the Society for Minerals and Trace Elements (GMS) JID - 9508274 RN - 2P299V784P (Lead) SB - IM MH - Child Development MH - Diagnostic Tests, Routine MH - Female MH - *Fetal Blood MH - Humans MH - India MH - Infant MH - Infant, Newborn MH - *Lead MH - Pregnancy MH - Prospective Studies OTO - NOTNLM OT - Infant OT - Lead OT - Neurodevelopment OT - Newborn OT - Umbilical cord blood EDAT- 2021/09/21 06:00 MHDA- 2022/02/17 06:00 CRDT- 2021/09/20 20:16 PHST- 2021/03/15 00:00 [received] PHST- 2021/07/24 00:00 [revised] PHST- 2021/08/30 00:00 [accepted] PHST- 2021/09/21 06:00 [pubmed] PHST- 2022/02/17 06:00 [medline] PHST- 2021/09/20 20:16 [entrez] AID - S0946-672X(21)00143-7 [pii] AID - 10.1016/j.jtemb.2021.126853 [doi] PST - ppublish SO - J Trace Elem Med Biol. 2021 Dec;68:126853. doi: 10.1016/j.jtemb.2021.126853. Epub 2021 Sep 1.