Arsenic exposure affects plasma insulin-like growth factor 1 (IGF-1) in children in rural Bangladesh.

BACKGROUND: Exposure to inorganic arsenic (As) through drinking water during pregnancy is associated with lower birth size and child growth. The aim of the study was to assess the effects of As exposure on child growth parameters to evaluate causal associations. METHODOLOGY/FINDINGS: Children born i...

Full description

Bibliographic Details
Main Authors: Sultan Ahmed, Rokeya Sultana Rekha, Khalid Bin Ahsan, Mariko Doi, Margaretha Grandér, Anjan Kumar Roy, Eva-Charlotte Ekström, Yukiko Wagatsuma, Marie Vahter, Rubhana Raqib
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3841153?pdf=render
_version_ 1818132490997465088
author Sultan Ahmed
Rokeya Sultana Rekha
Khalid Bin Ahsan
Mariko Doi
Margaretha Grandér
Anjan Kumar Roy
Eva-Charlotte Ekström
Yukiko Wagatsuma
Marie Vahter
Rubhana Raqib
author_facet Sultan Ahmed
Rokeya Sultana Rekha
Khalid Bin Ahsan
Mariko Doi
Margaretha Grandér
Anjan Kumar Roy
Eva-Charlotte Ekström
Yukiko Wagatsuma
Marie Vahter
Rubhana Raqib
author_sort Sultan Ahmed
collection DOAJ
description BACKGROUND: Exposure to inorganic arsenic (As) through drinking water during pregnancy is associated with lower birth size and child growth. The aim of the study was to assess the effects of As exposure on child growth parameters to evaluate causal associations. METHODOLOGY/FINDINGS: Children born in a longitudinal mother-child cohort in rural Bangladesh were studied at 4.5 years (n=640) as well as at birth (n=134). Exposure to arsenic was assessed by concurrent and prenatal (maternal) urinary concentrations of arsenic metabolites (U-As). Associations with plasma concentrations of insulin-like growth factor 1 (IGF-1), calcium (Ca), vitamin D (Vit-D), bone-specific alkaline phosphatase (B-ALP), intact parathyroid hormone (iPTH), and phosphate (PO4) were evaluated by linear regression analysis, adjusted for socioeconomic factor, parity and child sex. Child U-As (per 10 µg/L) was significantly inversely associated with concurrent plasma IGF-1 (β=-0.27; 95% confidence interval: -0.50, -0.0042) at 4.5 years. The effect was more obvious in girls (β=-0.29; -0.59, 0.021) than in boys, and particularly in girls with adequate height (β=-0.491; -0.97, -0.02) or weight (β=-0.47; 0.97, 0.01). Maternal U-As was inversely associated with child IGF-1 at birth (r=-0.254, P=0.003), but not at 4.5 years. There was a tendency of positive association between U-As and plasma PO4 in stunted boys (β=0.27; 0.089, 0.46). When stratified by % monomethylarsonic acid (MMA, arsenic metabolite) (median split at 9.7%), a much stronger inverse association between U-As and IGF-1 in the girls (β=-0.41; -0.77, -0.03) was obtained above the median split. CONCLUSION: The results suggest that As-related growth impairment in children is mediated, at least partly, through suppressed IGF-1 levels.
first_indexed 2024-12-11T08:37:40Z
format Article
id doaj.art-60f1805ecd9c43aaaaf5b1aa7949553a
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-11T08:37:40Z
publishDate 2013-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-60f1805ecd9c43aaaaf5b1aa7949553a2022-12-22T01:14:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-01811e8153010.1371/journal.pone.0081530Arsenic exposure affects plasma insulin-like growth factor 1 (IGF-1) in children in rural Bangladesh.Sultan AhmedRokeya Sultana RekhaKhalid Bin AhsanMariko DoiMargaretha GrandérAnjan Kumar RoyEva-Charlotte EkströmYukiko WagatsumaMarie VahterRubhana RaqibBACKGROUND: Exposure to inorganic arsenic (As) through drinking water during pregnancy is associated with lower birth size and child growth. The aim of the study was to assess the effects of As exposure on child growth parameters to evaluate causal associations. METHODOLOGY/FINDINGS: Children born in a longitudinal mother-child cohort in rural Bangladesh were studied at 4.5 years (n=640) as well as at birth (n=134). Exposure to arsenic was assessed by concurrent and prenatal (maternal) urinary concentrations of arsenic metabolites (U-As). Associations with plasma concentrations of insulin-like growth factor 1 (IGF-1), calcium (Ca), vitamin D (Vit-D), bone-specific alkaline phosphatase (B-ALP), intact parathyroid hormone (iPTH), and phosphate (PO4) were evaluated by linear regression analysis, adjusted for socioeconomic factor, parity and child sex. Child U-As (per 10 µg/L) was significantly inversely associated with concurrent plasma IGF-1 (β=-0.27; 95% confidence interval: -0.50, -0.0042) at 4.5 years. The effect was more obvious in girls (β=-0.29; -0.59, 0.021) than in boys, and particularly in girls with adequate height (β=-0.491; -0.97, -0.02) or weight (β=-0.47; 0.97, 0.01). Maternal U-As was inversely associated with child IGF-1 at birth (r=-0.254, P=0.003), but not at 4.5 years. There was a tendency of positive association between U-As and plasma PO4 in stunted boys (β=0.27; 0.089, 0.46). When stratified by % monomethylarsonic acid (MMA, arsenic metabolite) (median split at 9.7%), a much stronger inverse association between U-As and IGF-1 in the girls (β=-0.41; -0.77, -0.03) was obtained above the median split. CONCLUSION: The results suggest that As-related growth impairment in children is mediated, at least partly, through suppressed IGF-1 levels.http://europepmc.org/articles/PMC3841153?pdf=render
spellingShingle Sultan Ahmed
Rokeya Sultana Rekha
Khalid Bin Ahsan
Mariko Doi
Margaretha Grandér
Anjan Kumar Roy
Eva-Charlotte Ekström
Yukiko Wagatsuma
Marie Vahter
Rubhana Raqib
Arsenic exposure affects plasma insulin-like growth factor 1 (IGF-1) in children in rural Bangladesh.
PLoS ONE
title Arsenic exposure affects plasma insulin-like growth factor 1 (IGF-1) in children in rural Bangladesh.
title_full Arsenic exposure affects plasma insulin-like growth factor 1 (IGF-1) in children in rural Bangladesh.
title_fullStr Arsenic exposure affects plasma insulin-like growth factor 1 (IGF-1) in children in rural Bangladesh.
title_full_unstemmed Arsenic exposure affects plasma insulin-like growth factor 1 (IGF-1) in children in rural Bangladesh.
title_short Arsenic exposure affects plasma insulin-like growth factor 1 (IGF-1) in children in rural Bangladesh.
title_sort arsenic exposure affects plasma insulin like growth factor 1 igf 1 in children in rural bangladesh
url http://europepmc.org/articles/PMC3841153?pdf=render
work_keys_str_mv AT sultanahmed arsenicexposureaffectsplasmainsulinlikegrowthfactor1igf1inchildreninruralbangladesh
AT rokeyasultanarekha arsenicexposureaffectsplasmainsulinlikegrowthfactor1igf1inchildreninruralbangladesh
AT khalidbinahsan arsenicexposureaffectsplasmainsulinlikegrowthfactor1igf1inchildreninruralbangladesh
AT marikodoi arsenicexposureaffectsplasmainsulinlikegrowthfactor1igf1inchildreninruralbangladesh
AT margarethagrander arsenicexposureaffectsplasmainsulinlikegrowthfactor1igf1inchildreninruralbangladesh
AT anjankumarroy arsenicexposureaffectsplasmainsulinlikegrowthfactor1igf1inchildreninruralbangladesh
AT evacharlotteekstrom arsenicexposureaffectsplasmainsulinlikegrowthfactor1igf1inchildreninruralbangladesh
AT yukikowagatsuma arsenicexposureaffectsplasmainsulinlikegrowthfactor1igf1inchildreninruralbangladesh
AT marievahter arsenicexposureaffectsplasmainsulinlikegrowthfactor1igf1inchildreninruralbangladesh
AT rubhanaraqib arsenicexposureaffectsplasmainsulinlikegrowthfactor1igf1inchildreninruralbangladesh