PMID- 34999026 OWN - NLM STAT- MEDLINE DCOM- 20220401 LR - 20220531 IS - 1096-0953 (Electronic) IS - 0013-9351 (Linking) VI - 208 DP - 2022 May 15 TI - Attention deficit among preschool and school-aged children living near former metal-processing plants in Romania. PG - 112689 LID - S0013-9351(22)00016-0 [pii] LID - 10.1016/j.envres.2022.112689 [doi] AB - Industrial areas affected by high and long-term heavy metal pollution have a great impact on health of the resident population. Children represent a group at high-risk with an increased susceptibility to chronic heavy metal intoxication. Our work included the assessment of attention particularities through a case-control study in pre-school and school-aged children (4-6 years and 8-11 years) from two study areas, Copsa Mica and Zlatna, compared to a non-polluted locality with no history of heavy metal pollution. Copsa Mica and Zlatna are two of the most polluted heavy metals regions in Romania due to non-ferrous metallurgy for a long period of time. Recruitment of participants was made by a random selection of an entire class for each age within the schools and kindergartens from the study areas (Copsa Mica and Zlatna) and from the non-polluted region. Interpretation of data was performed using statistical analysis (ANOVA and Student's t-test). Preschool children (4-6 years) were tested using Wechsler Preschool and Primary Scale of Intelligence (WPPSI) tests, Animal House and labyrinth samples. The results of the attention tests applied to pre-school children were lower in the study areas compared to the control group, but no statistical differences were found. The results of the attention tests applied to children aged between 8 and 11 years (Toulouse-Pieron test and Traffic light test) indicate lower average scores within the study groups from polluted areas, compared to the control group. Differences with statistically significance were registered for the 8 years age group (p = 0.037). In these areas efficient strategies and precise intervention measures are needed in order to limit or remove the heavy metal exposure and protect the human health, especially the groups exposed to a high level of risk. CI - Copyright (c) 2022. Published by Elsevier Inc. FAU - Nedelescu, Mirela AU - Nedelescu M AD - (")Carol Davila" University of Medicine and Pharmacy, Faculty of Medicine, 8 Eroii Sanitari Blvd, Bucharest, Romania; National Institute of Public Health, Department of Food Hygiene and Nutrition, 1-3 Dr. Leonte Street, Bucharest, Romania. FAU - Stan, Miriana AU - Stan M AD - "Carol Davila" University of Medicine and Pharmacy "Carol Davila", Faculty of Pharmacy, 6 Traian Vuia Street, Bucharest, Romania. Electronic address: miriana.stan@umfcd.ro. FAU - Ciobanu, Anne-Marie AU - Ciobanu AM AD - "Carol Davila" University of Medicine and Pharmacy "Carol Davila", Faculty of Pharmacy, 6 Traian Vuia Street, Bucharest, Romania. FAU - Balalau, Cristian AU - Balalau C AD - (")Carol Davila" University of Medicine and Pharmacy, Faculty of Medicine, 8 Eroii Sanitari Blvd, Bucharest, Romania. FAU - Filippini, Tommaso AU - Filippini T AD - CREAGEN - Environmental, Genetic and Nutritional Epidemiology Research Center, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via Campi 287, Modena, Italy. FAU - Baconi, Daniela AU - Baconi D AD - "Carol Davila" University of Medicine and Pharmacy "Carol Davila", Faculty of Pharmacy, 6 Traian Vuia Street, Bucharest, Romania. LA - eng PT - Journal Article DEP - 20220107 PL - Netherlands TA - Environ Res JT - Environmental research JID - 0147621 RN - 0 (Metals, Heavy) SB - IM MH - Case-Control Studies MH - Child MH - Child, Preschool MH - *Environmental Monitoring MH - Environmental Pollution/analysis MH - Humans MH - *Metals, Heavy/analysis MH - Romania/epidemiology OTO - NOTNLM OT - Attention tests OT - Children OT - Heavy metals OT - Lead exposure OT - Neurotoxicity EDAT- 2022/01/10 06:00 MHDA- 2022/04/02 06:00 CRDT- 2022/01/09 20:45 PHST- 2021/08/11 00:00 [received] PHST- 2021/12/14 00:00 [revised] PHST- 2022/01/04 00:00 [accepted] PHST- 2022/01/10 06:00 [pubmed] PHST- 2022/04/02 06:00 [medline] PHST- 2022/01/09 20:45 [entrez] AID - S0013-9351(22)00016-0 [pii] AID - 10.1016/j.envres.2022.112689 [doi] PST - ppublish SO - Environ Res. 2022 May 15;208:112689. doi: 10.1016/j.envres.2022.112689. Epub 2022 Jan 7.