Association of developmental coordination disorder with early life exposure to fine particulate matter in Chinese preschoolers

Cai, J, Shen, Y, Meng, X, Zhao, Y, Niu, Y, Chen, R, Du, W ORCID: https://orcid.org/0000-0002-5115-7214, Quan, G, Barnett, AL, Jones, G ORCID: https://orcid.org/0000-0003-3867-9947, Kan, H and Hua, J, 2023. Association of developmental coordination disorder with early life exposure to fine particulate matter in Chinese preschoolers. The Innovation, 4 (1): 100347. ISSN 2666-6758

Preview

Text 1617630_a2334_Du.pdf - Published version Download (1MB) | Preview

Abstract

Although fine particulate matter (PM2.5) is a neurotoxicant, little is known about whether early-life PM2.5 exposure is associated with an increased risk of developmental coordination disorder (DCD). We conducted a cohort study of 109 731 children aged 3–5 years from 551 county-level cities in China between April 2018 and December 2019. Residential PM2.5 exposure was estimated using a hybrid satellite-based exposure model. Children’s motor performance was assessed using the Little DCD Questionnaire (LDCDQ). Linear mixed-effect models and generalized linear mixed models with a binomial distribution were used to examine the associations of PM2.5 exposure with LDCDQ scores and risk of DCD, respectively. Both prenatal and postnatal exposure to a higher level of PM2.5 was significantly associated with reduced total LDCDQ score, and the impacts were evident on subscales of control during movement and general coordination function but not fine motor function. For example, an interquartile range increase in PM2.5 exposure in ages 0–3 was associated with a 0.19 (95% confidence interval [CI]: 0.05, 0.33) decrement in the total score. Additionally, higher PM2.5 exposure was associated with increased risk of DCD, and the adjusted odds ratios were 1.06 (95% CI: 1.01, 1.10) and 1.06 (95% CI: 1.01, 1.13) for each interquartile range increase in PM2.5 exposure during the first trimester and the first 3 years, respectively. Children who were from rural areas, had neonatal intensive care unit admission, or were exclusively breastfed for less than 6 months appeared to be more susceptible to PM2.5 exposure than their counterparts. Our findings provide robust evidence that early-life PM2.5 exposure contributes to an elevated risk of DCD.

Item Type:	Journal article
Publication Title:	The Innovation
Creators:	Cai, J., Shen, Y., Meng, X., Zhao, Y., Niu, Y., Chen, R., Du, W., Quan, G., Barnett, A.L., Jones, G., Kan, H. and Hua, J.
Publisher:	Elsevier
Date:	23 January 2023
Volume:	4
Number:	1
ISSN:	2666-6758
Identifiers:	Number Type 10.1016/j.xinn.2022.100347 DOI 1617630 Other
Rights:	© 2022 the author(s). Creative Commons Attribution – NonCommercial – NoDerivs (CC BY-NC-ND 4.0).
Divisions:	Schools > School of Social Sciences
Record created by:	Jeremy Silvester
Date Added:	11 Nov 2022 12:44
Last Modified:	09 Dec 2022 10:37
URI:	https://irep.ntu.ac.uk/id/eprint/47379

Actions (login required)

Edit View

Statistics

Views

Downloads