Publications by authors named "David C Bellinger"

Background: Child-centred approaches represent a conceptual framework that emphasises the holistic characterisation of individual developmental patterns across cognitive, behavioural and social domains. As a complementary analytic tool, self-organising maps (SOMs), an artificial neural network, offer flexible, data-driven clustering capabilities that are well-suited to modeling complex, multidimensional and longitudinal developmental data. Despite their potential, few studies have applied such methods to profile early neurodevelopment, especially in rural populations.

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Lead (Pb) is a potent neurotoxicant, but few studies have evaluated its effect on neurobehavioral measures that can be used in multiple species including humans. We investigated the effect of prenatal and childhood Pb exposure on children's rate of forgetting using a delayed matching-to-sample (DMTS) task among children 6 to 8 years of age. Blood Pb was measured during pregnancy (second and third trimesters) and at 4 to 6 years of age.

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Background: Exposure to metals and metalloids (hereafter referred to as 'metals') during gestation and early childhood may affect children's neurodevelopment. However, few studies have simultaneously evaluated the impact of exposure to both essential and non-essential metals across specific windows of exposure on children's neurodevelopmental outcomes.

Objective: To investigate whether levels of metals during gestation and the early postnatal period, individually and as a mixture, are related to child cognition at 5 years of age among participants in the New Hampshire Birth Cohort Study (NHBCS).

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: While it is generally assumed that common neurobehavioral assessments, such as the Wechsler Adult Intelligence Scale, Fourth Edition (WAIS-IV), function similarly in clinical and non-clinical populations, this has not been validated in adults with congenital heart disease (CHD). In this study, we examined the latent factor structure of the WAIS-IV in adults with d-transposition of the great arteries (d-TGA) who participated in the Boston Circulatory Arrest Study. : The WAIS-IV was administered as part of a larger assessment battery.

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Importance: Data are limited on the longitudinal implications of socioeconomic status (SES) for neurodevelopmental outcomes among persons with complex congenital heart disease (CHD).

Objectives: To examine the association of family SES, maternal educational level, and maternal IQ with the neurodevelopment of individuals with dextro-transposition of the great arteries (d-TGA) from age 1 to 16 years and to identify how SES-related disparities change with age.

Design, Setting, And Participants: This cohort study analyzed data of participants enrolled in the Boston Circulatory Arrest Study, a randomized clinical trial conducted in Boston, Massachusetts, from 1988 to 1992.

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Background: A growing body of epidemiologic and toxicologic literature indicates that fine airborne particulate matter (PM) pollution is neurotoxic and threatens children's neurobehavioral development, resulting in reduced cognitive function. Understanding the magnitude of this effect is critical for establishing public health policies that will protect children's health, preserve human capital, and support societal progress.

Objective: To quantify the association between ambient PM air pollution and loss of cognitive function in children, as measured by Intelligence Quotient (IQ) scores, through a systematic literature review and meta-analysis.

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Background: Environmental chemical exposures in utero may play a role in autism development. While preconception risk factors for autism are increasingly being investigated, little is known about the influence of chemical exposures during the preconception period, particularly for paternal exposures.

Methods: In 195 children from the Preconception Environmental exposures And Childhood health Effects (PEACE) cohort born to parents recruited from a fertility clinic in Boston, Massachusetts between 2004 and 2017, we quantified concentrations of 11 phthalate metabolites and bisphenol A (BPA) in urine samples collected from mothers and fathers before conception and mothers throughout pregnancy.

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Congenital heart disease affects 1% of infants and is associated with impaired neurodevelopment. Right- or left-sided sulcal features correlate with executive function among people with Tetralogy of Fallot or single ventricle congenital heart disease. Studies of multiple congenital heart disease types are needed to understand regional differences.

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Introduction: High-level prenatal and childhood arsenic (As) exposure characteristic of several regions in Asia (e.g., Bangladesh), may impact motor function.

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Background: Epidemiologic studies of the effects of parental preconception paraben exposures on child behavior are limited despite emerging evidence suggesting that such exposures may affect offspring neurodevelopment.

Objective: We investigated whether maternal and paternal preconception and maternal pregnancy urinary concentrations of parabens were associated with child behavior.

Methods: We analyzed data from the Preconception Environmental exposure And Childhood health Effects Study, an ongoing prospective cohort of children aged 6-13 years and their parents.

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Background: Epidemiologic studies on health effects of parental preconception exposures are limited despite emerging evidence from toxicological studies suggesting that such exposures, including to environmental chemicals, may affect offspring health.

Objective: We investigated whether maternal and paternal preconception and maternal pregnancy urinary phthalate metabolite and bisphenol A (BPA) concentrations were associated with child behavior.

Methods: We analyzed data from the Preconception Environmental exposure And Childhood health Effects (PEACE) Study, an ongoing prospective cohort study of children aged 6-11 years whose parent(s) previously enrolled in the prospective preconception Environment and Reproductive Health (EARTH) study.

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Dramatic advances in the management of congenital heart disease (CHD) have improved survival to adulthood from less than 10% in the 1960s to over 90% in the current era, such that adult CHD (ACHD) patients now outnumber their pediatric counterparts. ACHD patients demonstrate domain-specific neurocognitive deficits associated with reduced quality of life that include deficits in educational attainment and social interaction. Our hypothesis is that ACHD patients exhibit vascular brain injury and structural/physiological brain alterations that are predictive of specific neurocognitive deficits modified by behavioral and environmental enrichment proxies of cognitive reserve (e.

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Background: Studies of prenatal air pollution (AP) exposure on child neurodevelopment have mostly focused on a single pollutant. We leveraged daily exposure data and implemented novel data-driven statistical approaches to assess effects of prenatal exposure to a mixture of seven air pollutants on cognitive functioning in school-age children from an urban pregnancy cohort.

Methods: Analyses included 236 children born at ≥37 weeks gestation.

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Article Synopsis
  • * The SVRIII Brain Connectome study aims to analyze neuroimaging from patients and healthy controls but has faced recruitment and logistical challenges, especially during the COVID-19 pandemic.
  • * Solutions included adding more study sites, improving coordination among researchers, and implementing new strategies for recruiting healthy controls while also overcoming technical issues with neuroimage collection.
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Background: Air pollution exposure during pregnancy affects children's brain function. Maternal stress and nutrition, socioeconomic status, and the child's sex may modify this relationship.

Objective: To identify characteristics of children with the largest increases in full-scale IQ (FSIQ) after their mothers used HEPA filter air cleaners during pregnancy.

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Autism spectrum disorders are more prevalent in children with congenital heart disease (CHD) than in the general population. Children with CHD without diagnosed autism are also at increased risk for neurodevelopmental and psychiatric impairments. We characterized social and behavioral outcomes in children with CHD and examined neurodevelopmental and psychiatric comorbidities.

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Article Synopsis
  • Neurodevelopmental disabilities often occur in individuals with congenital heart disease (CHD), but only a small portion of this is explained by medical and social factors.
  • The study aimed to investigate the connection between damaging gene variants (dDNVs) that haven't been previously linked to these disabilities and neurological outcomes in CHD patients.
  • Conducted across eight US centers, the study analyzed 221 participants' neurodevelopmental assessments and various brain imaging metrics, finding that differences in the presence of dDNVs might relate to differing neurological outcomes.
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Article Synopsis
  • Infants with congenital heart defects face a heightened risk of neurodevelopmental disabilities, but the effects of daily environmental chemical exposure on their development remain unclear.
  • A study tracked 140 infants post-cardiac surgery, measuring various chemical exposure biomarkers and assessing neurodevelopmental outcomes at 18 months using specific developmental scales.
  • Findings revealed that higher exposure to certain chemicals, especially phthalates, correlated with significantly lower language and motor scores, indicating that these environmental factors may negatively influence neurodevelopment in this vulnerable population.*
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Gene-environment and nutrition-environment studies often involve testing of high-dimensional interactions between two sets of variables, each having potentially complex nonlinear main effects on an outcome. Construction of a valid and powerful hypothesis test for such an interaction is challenging, due to the difficulty in constructing an efficient and unbiased estimator for the complex, nonlinear main effects. In this work we address this problem by proposing a Cross-validated Ensemble of Kernels (CVEK) that learns the space of appropriate functions for the main effects using a cross-validated ensemble approach.

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Article Synopsis
  • Elevated exposure to trace metals like arsenic, cadmium, manganese, and lead can harm cognitive development and behavior in children aged 6-12, as shown in a study of 222 kids.
  • The study found that higher levels of these metals in hair samples were linked to decreases in Full Scale IQ and Verbal IQ by about 1 point for each decile increase in metal exposure.
  • Results indicate that middle childhood may be a critical period for susceptibility to the negative effects of environmental neurotoxins, similar to the risks seen in prenatal and early childhood exposure.
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Article Synopsis
  • A study of 419 toddlers with congenital heart disease found their sleep patterns were mostly similar to those of typical children, but some differences were noted.
  • The toddlers were more likely to sleep in their parents' rooms and experienced more disrupted sleep, particularly between the ages of 18-23 months.
  • Additionally, disrupted sleep was linked to lower levels of maternal education and greater medical complexities in the children.
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Background: Developmental exposure to airborne particulate matter (PM) may increase children's risk of developing autism spectrum disorder. We quantified the impact of reducing PM exposure during pregnancy on the development of autistic traits in children. We also assessed associations between indoor fine PM (PM) concentrations during pregnancy and autistic traits.

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