Moms exposed to higher levels of pesticides have lower mental development scores. Children whose mothers had higher levels of exposure to a substance found in a commonly used pesticide were more likely to get lower scores on a mental developmental test at 3 years of age than children whose mothers were exposed to lower levels or not at all, new research says.
Megan Horton, a postdoctoral research fellow at Columbia University's Mailman School of Public Health in New York City, and her colleagues followed 348 mothers from low-income areas of New York City whose prenatal exposure to pyrethroid insecticides -- found in pesticides commonly used around the home -- was tracked. The researchers measured not the common pyrethroid called permethrin but rather piperonyl butoxide (PBO), a chemical added to permethrin that boosts its potency, Horton said. They measured PBO because permethrin is metabolized quickly and difficult to measure, she added. The study authors measured the mothers' prenatal exposure by taking air samples or blood samples. To get the air samples, mothers wore backpacks that collected air from their breathing zone, which was then analyzed. Children were then put into four groups or "quartiles," depending on the level of their mothers' exposures to PBO during pregnancy. At age 3, the children were evaluated using standard scales to assess their cognitive and motor development, according to the study published online Feb. 7 in the journal Pediatrics. "Kids who were in the highest quartile range of exposure to PBO were three times as likely to be in the delayed category, compared to kids with lower exposure," Horton said. Horton's team compensated for factors such as gender, ethnicity, education of the mothers, and toxins such as tobacco smoke in the home. Horton said it's impossible to say what levels of pesticide are safe, partly because many factors come into play, such as the type of pesticide used and the ventilation provided. She did not have data on the frequency of pesticide use. "I don't know whether the mothers used it five times a week or once a week," she added. Pyrethroid insecticides have replaced another class of bug killers, known as organophosphorus (OP) insecticides, Horton said. Increasing pesticide regulations from the U.S. Environmental Protection Agency have resulted in fewer residential exposures to OP insecticides, she said. But, pyrethroid insecticides have not been evaluated for long-term effects on the body after low-level exposure, she said. Jennifer Sass, a senior scientist at the Natural Resources Defense Council, who reviewed the study but was not involved with it, said the findings ''should convince every parent and want-to-be parent to avoid these pesticides." Horton suggests that parents turn to so-called integrated pest management, which includes common-sense measures to control pests such as eating only in home eating areas, not bedrooms; keeping cracks and crevices in the house repaired to keep out pests; using trash cans with a lid and liner to contain garbage; and storing food properly. You can also find piperonyl butoxide (PBO) in medications used for treating scabies (a skin infestation) and lice infestations of the head, body, and pubic area. Some of the products containing piperonyl butoxide (PBO),are listed below. Check with your physician before using these products if you are pregnant. • A-200 Lice Control® Topical Spray (containing Piperonyl Butoxide, Pyrethrin) • Lice-X Liquid® Topical Solution (containing Piperonyl Butoxide, Pyrethrin) • Pronto® (containing Piperonyl Butoxide, Pyrethrin) • Pyrinyl® (containing Piperonyl Butoxide, Pyrethrin) • R & C® (containing Piperonyl Butoxide, Pyrethrin) • RID® Medicated Shampoo (containing Piperonyl Butoxide, Pyrethrin) • Stop Lice® Maximum Strength Medicated Shampoo (containing Piperonyl Butoxide, Pyrethrin) • Tegrin-LT® (containing Piperonyl Butoxide, Pyrethrin) Triple X Pediculicide® Medicated Shampoo (containing Piperonyl Butoxide, Pyrethrin)