THURSDAY, April 5 (HealthDay News) -- Exposure to a type of
pesticide commonly used on crops eaten by U.S. consumers is linked
to shorter pregnancies and smaller babies, new research says.
The pesticides are known as organophosphates, which kill insects
by disrupting their brains and nervous systems. Originally
developed as nerve poisons during World War II, they can disrupt
human nervous systems as well, according to the U.S. Environmental
Protection Agency.
The effects seen in the study were relatively small. Pregnancies
for women exposed to higher levels of organophosphates had babies
that were, on average, 1/3 pound lighter than women exposed to
lower levels of the pesticides, and their pregnancies were about
three to four days shorter.
Spread out over millions of babies, however, lighter babies and
shorter pregnancies could have serious health consequences, said
senior study author Dr. Bruce Lanphear, a clinician scientist at
the Child & Family Research Institute at BC Children's Hospital
in Vancouver, British Columbia.
"When we see a [1/3 pound] reduction in birth weight, we have to start to take notice," Lanphear said. "For an individual kid, it's maybe not a big deal, but for a population it can be. If you shift the whole population down [1/3 pound], it can lead to dramatic increases in kids who are very small. What we see is subtle shifts that, across a whole population, could have dramatic effects on the premature rate."
Prior research also has found that exposure to higher levels of
organophosphates during pregnancy is associated with lower IQs and
more behavior problems in children.
The study is published in the April 5 online edition of the
journal
Environmental Health Perspectives.
Use of organophosphates has declined in recent years, but it
remains the most commonly used insecticide, said Lanphear, who is
also a professor at Simon Fraser University in British Columbia.
Prior research has shown that more than 90 percent of pregnant
women and children have measurable levels of organophosphate
pesticides in their body.
The study included more than 300 pregnant women in the
Cincinnati area, including whites and blacks living in urban,
suburban and rural areas and representing the full spectrum of
socioeconomic status. Twice during pregnancy, women had their urine
tested for organophosphate metabolites, or chemicals that result
when the pesticides are broken down.
Researchers also tested for or asked about other factors that
could influence the health of a pregnancy and fetus, including
smoking or exposure to secondhand smoke, race, poverty and maternal
depression.
Women whose exposure was in the 85th percentile, meaning they
had the most exposure, had smaller babies and shorter pregnancies
on average than those in the 15th percentile. Women in the 85th
percentile showed evidence of exposure that was 10 times the rate
of exposure for women in the 15th.
The reduction in pregnancy length was statistically significant
only in white women, while reduction in birth weight was
significant only for black women.
The study couldn't pinpoint the main source of pesticide
exposure, but previous research has singled out diet and home
pesticide use as leading sources in non-agricultural settings, the
authors said.
Commenting on the study, experts voiced mixed opinions.
"This is an important study, part of the ever-accumulating body of evidence that pesticides are hazardous to human health, even at low doses," said Dr. Kenneth Spaeth, director of the Occupational and Environmental Medicine Center at North Shore-LIJ Health System in New Hyde Park, N.Y. "We tend to think that the kinds of low-level exposures we get on a regular basis are not harmful, but studies like this help show there is harm, and we need to be much more mindful and rethink how we regulate and understand how these pesticides affect us."
It's known that pesticides reach the fetus, "because we find
traces of pesticides in umbilical cord blood," Spaeth said.
"Pesticides can also accumulate in breast milk, so you get a double
whammy for infants who can be exposed in the womb, and then after
birth."
Dr. Michael Katz, interim medical director for the March of
Dimes, cautioned against drawing firm conclusions from the study.
Although it was carefully designed and conducted, he said,
researchers found an association between pesticide exposure and
shorter pregnancies and lower birth weights, but they don't show
that the pesticides caused the fetal effects.
That would require a randomized controlled trial, which is
unlikely to ever be done because ethical constraints prevent
scientists from deliberately exposing kids to pesticides.
In addition, the differences in birth weight and pregnancy
length were minor and fall within what are normal variations, Katz
added.
"The differences were very small, and there are things that can be statistically significant but aren't biologically significant," he said.
Researchers can't explain why they saw racial differences in the
effect on fetuses. Prior research, however, has shown racial
differences in how people metabolize toxins, while blacks and
whites may be exposed to different organophosphates, experts
said.
More information
The
U.S. National Institute of Environmental Health
Sciences has more on pesticides.