107 Environmental Exposure to Metals Mixtures and the Outcome of Cognitive Function in Adolescents

OBJECTIVES/GOALS: Exposure to arsenic, cadmium, manganese, and lead have been linked to adverse neurocognitive outcomes in adults/children, but effects in adolescents are not fully characterized. This study aims to examine the association between exposure to a mixture of metals (As, Cd, Mn, Pb, Se)...

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Main Authors: Roheeni Saxena, Mary Gamble, Gail A. Wasserman, Xinhua Liu, Faruque Parvez, Ana Navas-Acien, Pam Factor-Litvak, Marianthi-Anna Kioumourtzoglou, Elizabeth A. Gibson, Joseph H. Graziano
Format: Article
Language:English
Published: Cambridge University Press 2022-04-01
Series:Journal of Clinical and Translational Science
Online Access:https://www.cambridge.org/core/product/identifier/S2059866122000279/type/journal_article
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author Roheeni Saxena
Mary Gamble
Gail A. Wasserman
Xinhua Liu
Faruque Parvez
Ana Navas-Acien
Pam Factor-Litvak
Marianthi-Anna Kioumourtzoglou
Elizabeth A. Gibson
Joseph H. Graziano
author_facet Roheeni Saxena
Mary Gamble
Gail A. Wasserman
Xinhua Liu
Faruque Parvez
Ana Navas-Acien
Pam Factor-Litvak
Marianthi-Anna Kioumourtzoglou
Elizabeth A. Gibson
Joseph H. Graziano
author_sort Roheeni Saxena
collection DOAJ
description OBJECTIVES/GOALS: Exposure to arsenic, cadmium, manganese, and lead have been linked to adverse neurocognitive outcomes in adults/children, but effects in adolescents are not fully characterized. This study aims to examine the association between exposure to a mixture of metals (As, Cd, Mn, Pb, Se) and cognitive function in adolescents. METHODS/STUDY POPULATION: The Metals, Arsenic, & Nutrition in Adolescents Study (MANAS) is a cross-sectional study of 572 Bangladeshi adolescents. Blood levels of As, Cd, Mn, Pb, and Se were measured via ICP-MS. An abbreviated Cambridge Neuropsychological Test Automated Battery (CANTAB) was administered, with subtests assessing cognitive function and executive function tasks. Linear regression and Bayesian kernel machine regression (BKMR) were used to examine associations between individual metals, the overall mixture of metals, and cognitive function as measured by the CANTAB. RESULTS/ANTICIPATED RESULTS: Linear regression showed that As (B=−2.40) and Mn (B=−5.31) were negatively associated with Spatial Working Memory (p<0.05). Negative associations were also observed between Cd and Spatial Recognition Memory (SRM) (B=−2.77, p<0.05), and between Pb and Delayed Match to Sample (DMS), a measure of visual recognition and memory (B=−3.67, p<0.05). Se and Spatial Span Length (B=0.92, p<0.05) were seen to be positively associated. BKMR showed no overall effect of the mixture but indicated that Pb was negatively associated with DMS, and that Cd was negatively associated with SRM. Se was positively associated with Planning, Reaction Time, and Spatial Span. Posterior inclusion probability consistently rated Se as the most influential mixture component. DISCUSSION/SIGNIFICANCE: Se was positively associated with cognition, while Mn and As were linked to poorer working memory, and Cd and Pb were associated with poorer visual recognition and memory. We saw agreement between linear regression and BKMR in analyzing metal mixture exposures. Findings suggest interventions aimed at adolescents might influence lifelong cognition.
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spelling doaj.art-a8a960827db840718f105a9cff37afaf2023-03-10T07:53:49ZengCambridge University PressJournal of Clinical and Translational Science2059-86612022-04-0162210.1017/cts.2022.27107 Environmental Exposure to Metals Mixtures and the Outcome of Cognitive Function in AdolescentsRoheeni Saxena0Mary Gamble1Gail A. Wasserman2Xinhua Liu3Faruque Parvez4Ana Navas-Acien5Pam Factor-Litvak6Marianthi-Anna Kioumourtzoglou7Elizabeth A. Gibson8Joseph H. Graziano9Columbia UniversityMailman School of Public Health; New York, NYNew York State Psychiatric Institute, New York, NYMailman School of Public Health; New York, NYMailman School of Public Health; New York, NYMailman School of Public Health; New York, NYMailman School of Public Health; New York, NYMailman School of Public Health; New York, NYMailman School of Public Health; New York, NYMailman School of Public Health; New York, NYOBJECTIVES/GOALS: Exposure to arsenic, cadmium, manganese, and lead have been linked to adverse neurocognitive outcomes in adults/children, but effects in adolescents are not fully characterized. This study aims to examine the association between exposure to a mixture of metals (As, Cd, Mn, Pb, Se) and cognitive function in adolescents. METHODS/STUDY POPULATION: The Metals, Arsenic, & Nutrition in Adolescents Study (MANAS) is a cross-sectional study of 572 Bangladeshi adolescents. Blood levels of As, Cd, Mn, Pb, and Se were measured via ICP-MS. An abbreviated Cambridge Neuropsychological Test Automated Battery (CANTAB) was administered, with subtests assessing cognitive function and executive function tasks. Linear regression and Bayesian kernel machine regression (BKMR) were used to examine associations between individual metals, the overall mixture of metals, and cognitive function as measured by the CANTAB. RESULTS/ANTICIPATED RESULTS: Linear regression showed that As (B=−2.40) and Mn (B=−5.31) were negatively associated with Spatial Working Memory (p<0.05). Negative associations were also observed between Cd and Spatial Recognition Memory (SRM) (B=−2.77, p<0.05), and between Pb and Delayed Match to Sample (DMS), a measure of visual recognition and memory (B=−3.67, p<0.05). Se and Spatial Span Length (B=0.92, p<0.05) were seen to be positively associated. BKMR showed no overall effect of the mixture but indicated that Pb was negatively associated with DMS, and that Cd was negatively associated with SRM. Se was positively associated with Planning, Reaction Time, and Spatial Span. Posterior inclusion probability consistently rated Se as the most influential mixture component. DISCUSSION/SIGNIFICANCE: Se was positively associated with cognition, while Mn and As were linked to poorer working memory, and Cd and Pb were associated with poorer visual recognition and memory. We saw agreement between linear regression and BKMR in analyzing metal mixture exposures. Findings suggest interventions aimed at adolescents might influence lifelong cognition.https://www.cambridge.org/core/product/identifier/S2059866122000279/type/journal_article
spellingShingle Roheeni Saxena
Mary Gamble
Gail A. Wasserman
Xinhua Liu
Faruque Parvez
Ana Navas-Acien
Pam Factor-Litvak
Marianthi-Anna Kioumourtzoglou
Elizabeth A. Gibson
Joseph H. Graziano
107 Environmental Exposure to Metals Mixtures and the Outcome of Cognitive Function in Adolescents
Journal of Clinical and Translational Science
title 107 Environmental Exposure to Metals Mixtures and the Outcome of Cognitive Function in Adolescents
title_full 107 Environmental Exposure to Metals Mixtures and the Outcome of Cognitive Function in Adolescents
title_fullStr 107 Environmental Exposure to Metals Mixtures and the Outcome of Cognitive Function in Adolescents
title_full_unstemmed 107 Environmental Exposure to Metals Mixtures and the Outcome of Cognitive Function in Adolescents
title_short 107 Environmental Exposure to Metals Mixtures and the Outcome of Cognitive Function in Adolescents
title_sort 107 environmental exposure to metals mixtures and the outcome of cognitive function in adolescents
url https://www.cambridge.org/core/product/identifier/S2059866122000279/type/journal_article
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