Hair and urine lead, cadmium, nickel, and arsenic levels in children with attention‐deficit hyperactivity disorder: A case–control study in a tertiary care hospital in eastern India

Abstract Attention‐deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inattention and/or hyperactivity–impulsivity. It is one of the most widespread neurodevelopmental conditions and has compound etiopathogenesis involving both environmental and genetic factors....

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Main Authors: Saurav Nayak, Suchanda Sahu, Joseph John, Suravi Patra
Format: Article
Language:English
Published: Wiley 2023-09-01
Series:Precision Medical Sciences
Subjects:
Online Access:https://doi.org/10.1002/prm2.12103
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author Saurav Nayak
Suchanda Sahu
Joseph John
Suravi Patra
author_facet Saurav Nayak
Suchanda Sahu
Joseph John
Suravi Patra
author_sort Saurav Nayak
collection DOAJ
description Abstract Attention‐deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inattention and/or hyperactivity–impulsivity. It is one of the most widespread neurodevelopmental conditions and has compound etiopathogenesis involving both environmental and genetic factors. Though the role of heavy metals on ADHD has been implicated but is less studied. Hair and urine are two non‐invasive methods which can substitute blood as a method of monitoring and assessing heavy metal levels. Twenty‐four cases of ADHD and their age matched healthy children (24) were taken as controls. Hair and urine samples were analyzed for lead, cadmium, nickel, and arsenic using inductively coupled plasma optical emission spectrometry (ICP‐OES) after acid digestion and extraction. The levels of heavy metals were significantly higher in cases; lead (p = .004, .003), cadmium (p = .020, <.001), and nickel (p = .016, <.001) of the hair and urine samples, respectively. Arsenic was below the limit of detection for all the samples. Hence, in conclusion, the heavy metal levels in hair and urine were significantly higher in ADHD cases as compared to their healthy counterparts.
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spelling doaj.art-6b4428f9387c4409af787b55e38690602023-09-14T01:28:58ZengWileyPrecision Medical Sciences2642-25142023-09-0112315315810.1002/prm2.12103Hair and urine lead, cadmium, nickel, and arsenic levels in children with attention‐deficit hyperactivity disorder: A case–control study in a tertiary care hospital in eastern IndiaSaurav Nayak0Suchanda Sahu1Joseph John2Suravi Patra3Department of Biochemistry All India Institute of Medical Sciences Bhubaneswar Odisha IndiaDepartment of Biochemistry All India Institute of Medical Sciences Bhubaneswar Odisha IndiaDepartment of Paediatrics All India Institute of Medical Sciences Bhubaneswar Odisha IndiaDepartment of Psychiatry All India Institute of Medical Sciences Bhubaneswar Odisha IndiaAbstract Attention‐deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by inattention and/or hyperactivity–impulsivity. It is one of the most widespread neurodevelopmental conditions and has compound etiopathogenesis involving both environmental and genetic factors. Though the role of heavy metals on ADHD has been implicated but is less studied. Hair and urine are two non‐invasive methods which can substitute blood as a method of monitoring and assessing heavy metal levels. Twenty‐four cases of ADHD and their age matched healthy children (24) were taken as controls. Hair and urine samples were analyzed for lead, cadmium, nickel, and arsenic using inductively coupled plasma optical emission spectrometry (ICP‐OES) after acid digestion and extraction. The levels of heavy metals were significantly higher in cases; lead (p = .004, .003), cadmium (p = .020, <.001), and nickel (p = .016, <.001) of the hair and urine samples, respectively. Arsenic was below the limit of detection for all the samples. Hence, in conclusion, the heavy metal levels in hair and urine were significantly higher in ADHD cases as compared to their healthy counterparts.https://doi.org/10.1002/prm2.12103ADHDarseniccadmiumhairheavy metalICP‐OES
spellingShingle Saurav Nayak
Suchanda Sahu
Joseph John
Suravi Patra
Hair and urine lead, cadmium, nickel, and arsenic levels in children with attention‐deficit hyperactivity disorder: A case–control study in a tertiary care hospital in eastern India
Precision Medical Sciences
ADHD
arsenic
cadmium
hair
heavy metal
ICP‐OES
title Hair and urine lead, cadmium, nickel, and arsenic levels in children with attention‐deficit hyperactivity disorder: A case–control study in a tertiary care hospital in eastern India
title_full Hair and urine lead, cadmium, nickel, and arsenic levels in children with attention‐deficit hyperactivity disorder: A case–control study in a tertiary care hospital in eastern India
title_fullStr Hair and urine lead, cadmium, nickel, and arsenic levels in children with attention‐deficit hyperactivity disorder: A case–control study in a tertiary care hospital in eastern India
title_full_unstemmed Hair and urine lead, cadmium, nickel, and arsenic levels in children with attention‐deficit hyperactivity disorder: A case–control study in a tertiary care hospital in eastern India
title_short Hair and urine lead, cadmium, nickel, and arsenic levels in children with attention‐deficit hyperactivity disorder: A case–control study in a tertiary care hospital in eastern India
title_sort hair and urine lead cadmium nickel and arsenic levels in children with attention deficit hyperactivity disorder a case control study in a tertiary care hospital in eastern india
topic ADHD
arsenic
cadmium
hair
heavy metal
ICP‐OES
url https://doi.org/10.1002/prm2.12103
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