Child and Adolescent Manganese Biomarkers and Adolescent Postural Balance in Marietta CARES Cohort Participants.

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Title: Child and Adolescent Manganese Biomarkers and Adolescent Postural Balance in Marietta CARES Cohort Participants.
Authors: McBride, Danielle E.1 dani.mcbride@uky.edu, Bhattacharya, Amit2, Sucharew, Heidi3, Brunst, Kelly J.2, Barnas, Mary4, Cox, Cyndy2, Altman, Lorenna2, Hilbert, Timothy J.2, Burkle, Jeff2,5, Westneat, Susan1, Martin, Kaitlin Vollet1, Parsons, Patrick J.6,7, Praamsma, Meredith L.6,7, Palmer, Christopher D.6,7, Kannan, Kurunthachalam6,7, Smith, Donald R.8, Wright, Robert9, Amarasiriwardena, Chitra9, Dietrich, Kim N.2, Cecil, Kim M.2,10
Source: Environmental Health Perspectives. May2024, Vol. 132 Issue 5, p057010-1-057010-18. 18p.
Subject Terms: *Manganese, *Environmental health, *Environmental exposure, *Pollutants, *Lead, *Biomarkers, Cotinine, Pearson correlation (Statistics), Parents, Blood chemical analysis, Hair analysis, Liquid chromatography-mass spectrometry, Research funding, Multiple regression analysis, Sex distribution, Body weight, Nails (Anatomy), Descriptive statistics, Age distribution, Longitudinal method, Psychology of movement, Caregivers, Stature, Comparative studies, Data analysis software, Confidence intervals, Intelligence tests, Postural balance, Social classes, Adolescence, Children
Geographic Terms: Georgia
Abstract: BACKGROUND: Manganese (Mn) plays a significant role in both human health and global industries. Epidemiological studies of exposed populations demonstrate a dose-dependent association between Mn and neuromotor effects ranging from subclinical effects to a clinically defined syndrome. However, little is known about the relationship between early life Mn biomarkers and adolescent postural balance OBJECTIVES: This study investigated the associations between childhood and adolescent Mn biomarkers and adolescent postural balance in participants from the longitudinal Marietta Communities Actively Researching Exposures Study (CARES) cohort. METHODS: Participants were recruited into CARES when they were 7–9 y old, and reenrolled at 13–18 years of age. At both time points, participants provided samples of blood, hair, and toenails that were analyzed for blood Mn and lead (Pb), serum cotinine, hair Mn, and toenail Mn. In adolescence, participants completed a postural balance assessment. Greater sway indicates postural instability (harmful effect), whereas lesser sway indicates postural stability (beneficial effect). Multivariable linear regression models were conducted to investigate the associations between childhood and adolescent Mn biomarkers and adolescent postural balance adjusted for age, sex, height–weight ratio, parent/caregiver intelligence quotient, socioeconomic status, blood Pb, and serum cotinine. RESULTS: CARES participants who completed the adolescent postural balance assessment (푛 = 123) were 98% White and 54% female and had a mean age of 16 y (range: 13–18 y). In both childhood and adolescence, higher Mn biomarker concentrations were significantly associated with greater adolescent sway measures. Supplemental analyses revealed sex-specific associations; higher childhood Mn biomarker concentrations were significantly associated with greater sway in females compared with males DISCUSSION: This study found childhood and adolescent Mn biomarkers were associated with subclinical neuromotor effects in adolescence. This study demonstrates postural balance as a sensitive measure to assess the association between Mn biomarkers and neuromotor function. [ABSTRACT FROM AUTHOR]
Copyright of Environmental Health Perspectives is the property of National Institute of Environmental Health Sciences and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Child and Adolescent Manganese Biomarkers and Adolescent Postural Balance in Marietta CARES Cohort Participants.
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  Data: <searchLink fieldCode="JN" term="%22Environmental+Health+Perspectives%22">Environmental Health Perspectives</searchLink>. May2024, Vol. 132 Issue 5, p057010-1-057010-18. 18p.
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  Data: BACKGROUND: Manganese (Mn) plays a significant role in both human health and global industries. Epidemiological studies of exposed populations demonstrate a dose-dependent association between Mn and neuromotor effects ranging from subclinical effects to a clinically defined syndrome. However, little is known about the relationship between early life Mn biomarkers and adolescent postural balance OBJECTIVES: This study investigated the associations between childhood and adolescent Mn biomarkers and adolescent postural balance in participants from the longitudinal Marietta Communities Actively Researching Exposures Study (CARES) cohort. METHODS: Participants were recruited into CARES when they were 7–9 y old, and reenrolled at 13–18 years of age. At both time points, participants provided samples of blood, hair, and toenails that were analyzed for blood Mn and lead (Pb), serum cotinine, hair Mn, and toenail Mn. In adolescence, participants completed a postural balance assessment. Greater sway indicates postural instability (harmful effect), whereas lesser sway indicates postural stability (beneficial effect). Multivariable linear regression models were conducted to investigate the associations between childhood and adolescent Mn biomarkers and adolescent postural balance adjusted for age, sex, height–weight ratio, parent/caregiver intelligence quotient, socioeconomic status, blood Pb, and serum cotinine. RESULTS: CARES participants who completed the adolescent postural balance assessment (푛 = 123) were 98% White and 54% female and had a mean age of 16 y (range: 13–18 y). In both childhood and adolescence, higher Mn biomarker concentrations were significantly associated with greater adolescent sway measures. Supplemental analyses revealed sex-specific associations; higher childhood Mn biomarker concentrations were significantly associated with greater sway in females compared with males DISCUSSION: This study found childhood and adolescent Mn biomarkers were associated with subclinical neuromotor effects in adolescence. This study demonstrates postural balance as a sensitive measure to assess the association between Mn biomarkers and neuromotor function. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Environmental Health Perspectives is the property of National Institute of Environmental Health Sciences and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1289/EHP13381
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        Text: English
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      – SubjectFull: Manganese
        Type: general
      – SubjectFull: Environmental health
        Type: general
      – SubjectFull: Environmental exposure
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      – SubjectFull: Pollutants
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      – SubjectFull: Lead
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      – SubjectFull: Biomarkers
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      – SubjectFull: Cotinine
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      – SubjectFull: Pearson correlation (Statistics)
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      – SubjectFull: Parents
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      – SubjectFull: Blood chemical analysis
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      – SubjectFull: Hair analysis
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      – SubjectFull: Liquid chromatography-mass spectrometry
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      – SubjectFull: Body weight
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      – SubjectFull: Nails (Anatomy)
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Longitudinal method
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      – SubjectFull: Adolescence
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      – SubjectFull: Children
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      – SubjectFull: Georgia
        Type: general
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