PMID- 34890633 OWN - NLM STAT- MEDLINE DCOM- 20220329 LR - 20220329 IS - 1872-9711 (Electronic) IS - 0161-813X (Linking) VI - 88 DP - 2022 Jan TI - Visuospatial processing and fine motor function among 7-years old Guadeloupe children pre- and postnatally exposed to the organochlorine pesticide chlordecone. PG - 208-215 LID - S0161-813X(21)00165-0 [pii] LID - 10.1016/j.neuro.2021.12.003 [doi] AB - BACKGROUND: Chlordecone is an organochlorine that was largely used as an insecticide to control a species of root borers, the Banana weevil (Cosmopolites sordidus), in the French West Indies, Guadeloupe and Martinique. Its molecules have been shown to be very persistent in the environment as pollution in soils leading to contamination of water sources and foodstuff will last for several decades. Our team previously reported associations between prenatal chlordecone exposure and poorer fine motor development at two points in time during infancy. OBJECTIVE: To document whether effects of prenatal exposure to chlordecone previously reported persists until middle-childhood, and whether deleterious effects are observed in domain of visual processing. Associations with postnatal exposure and sex-specific vulnerabilities were also investigated. METHODS: We examined 410 children from the TIMOUN mother-child cohort in Guadeloupe at 7 years of age. Concentrations of chlordecone and other environmental contaminants were measured in cord- and children's blood at age 7 years. Fine motor function was assessed using the Bruininks Oseretsky Test of Motor Proficiency Second Edition (BOT-2). The Computerized Adaptive Testing System (CATSYS) was used to evaluated postural hand tremor, while non-verbal visuospatial processing was measured using the Stanford Binet copying (S-B copying) test. We used adjusted multiple linear regressions to test the relationship between children's scores and both continuous and categorical blood chlordecone concentrations, adding child sex as a moderator in continuous models. RESULTS: Cord chlordecone concentrations are associated with a regular frequency pattern of subtle hand tremors in both hands, and not related to visual processing and fine motor precision. Chlordecone concentrations in blood sample collected at testing time are associated with poorer visual processing when copying geometric figures, but not significantly related to poorer fine movement precision in tasks requiring pencil, scissors and paper. No sex-specific vulnerability was reported in any of the outcomes. CONCLUSIONS: These results at school aged expand those previously reported in the same cohort during infancy at age 7- and 18 months, and corroborate the negative effects of chlordecone exposure on fine motor function in absence of intoxication. Our results support the need to continue public health efforts aimed at reducing exposure especially among women of child bearing age and young children. CI - Copyright (c) 2021 Elsevier B.V. All rights reserved. FAU - Desrochers-Couture, Mireille AU - Desrochers-Couture M AD - Population Health and Optimal Health Practices Research Unit, CHU De Quebec Research Centre, Quebec, Canada. FAU - Cordier, Sylvaine AU - Cordier S AD - Univ Rennes, Inserm, EHESP, Irset (Institut De Recherche En Sante, Environnement Et Travail) - UMR_S 1085, Rennes, France. FAU - Rouget, Florence AU - Rouget F AD - CHU Rennes, Univ Rennes, Inserm, EHESP, Irset (Institut De Recherche En Sante, Environnement Et Travail) - UMR_S 1085, Rennes, France. FAU - Michineau, Leah AU - Michineau L AD - Univ Rennes, Inserm, EHESP, Irset (Institut De Recherche En Sante, Environnement Et Travail) - UMR_S 1085, Rennes, France. FAU - Monfort, Christine AU - Monfort C AD - Univ Rennes, Inserm, EHESP, Irset (Institut De Recherche En Sante, Environnement Et Travail) - UMR_S 1085, Rennes, France. FAU - Thome, Jean-Pierre AU - Thome JP AD - LEAE-CART (Laboratoire d'Ecologie Animale Et d'Ecotoxicologie-Centre De Recherche Analytique Et Technologique), Universite De Liege, B-4000, Liege, Belgium. FAU - Kadhel, Philippe AU - Kadhel P AD - CHU De Pointe-a-Pitre, Univ Antilles, Univ Rennes, Inserm, EHESP, Irset (Institut De Recherche En Sante, Environnement Et Travail) - UMR_S 1085, Pointe-a-Pitre, France. FAU - Multigner, Luc AU - Multigner L AD - Univ Rennes, Inserm, EHESP, Irset (Institut De Recherche En Sante, Environnement Et Travail) - UMR_S 1085, Rennes, France. FAU - Muckle, Gina AU - Muckle G AD - Population Health and Optimal Health Practices Research Unit, CHU De Quebec Research Centre, Quebec, Canada. Electronic address: gina.muckle@psy.ulaval.ca. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211207 PL - Netherlands TA - Neurotoxicology JT - Neurotoxicology JID - 7905589 RN - 0 (Insecticides) RN - RG5XJ88UDF (Chlordecone) SB - IM MH - Chlordecone/blood/*toxicity MH - Environmental Exposure/adverse effects/statistics & numerical data MH - Female MH - Guadeloupe MH - Humans MH - Insecticides/blood/*toxicity MH - Male MH - Motor Skills/*drug effects MH - Pregnancy MH - Prenatal Exposure Delayed Effects/*chemically induced MH - Psychomotor Disorders/*chemically induced OTO - NOTNLM OT - Childhood OT - Chlordecone OT - Motor function OT - Organochlorine pesticide OT - Tremor OT - Visual processing EDAT- 2021/12/11 06:00 MHDA- 2022/03/30 06:00 CRDT- 2021/12/10 20:13 PHST- 2021/07/20 00:00 [received] PHST- 2021/10/22 00:00 [revised] PHST- 2021/12/06 00:00 [accepted] PHST- 2021/12/11 06:00 [pubmed] PHST- 2022/03/30 06:00 [medline] PHST- 2021/12/10 20:13 [entrez] AID - S0161-813X(21)00165-0 [pii] AID - 10.1016/j.neuro.2021.12.003 [doi] PST - ppublish SO - Neurotoxicology. 2022 Jan;88:208-215. doi: 10.1016/j.neuro.2021.12.003. Epub 2021 Dec 7.