학술논문
Combined Prenatal Pesticide Exposure and Folic Acid Intake in Relation to Autism Spectrum Disorder
Document Type
article
Author
Source
Environmental Health Perspectives. 125(9)
Subject
Language
Abstract
BackgroundMaternal folic acid (FA) protects against developmental toxicity from certain environmental chemicals.ObjectiveWe examined combined exposures to maternal FA and pesticides in relation to autism spectrum disorder (ASD).MethodsParticipants were California children born from 2000-2007 who were enrolled in the Childhood Autism Risks from Genetics and the Environment (CHARGE) case-control study at age 2-5 y, were clinically confirmed to have ASD (n=296) or typical development (n=220), and had information on maternal supplemental FA and pesticide exposures. Maternal supplemental FA and household pesticide product use were retrospectively collected in telephone interviews from 2003-2011. High vs. low daily FA intake was dichotomized at 800μg (median). Mothers' addresses were linked to a statewide database of commercial applications to estimate agricultural pesticide exposure.ResultsHigh FA intake (≥800μg) during the first pregnancy month and no known pesticide exposure was the reference group for all analyses. Compared with this group, ASD was increased in association with