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Lancet
16-May-03
Library: MED
Keywords: PRENATAL MERCURY FISH NEURODEVELOPMENT
Description: Authors of a longitudinal study investigating a possible
link between prenatal mercury exposure from ocean fish and impaired
neurodevelopment in children report their latest findings. (Lancet, 17-May-2003)
360 Park Avenue South - 6th Floor
New York, NY 10010-1710, USA
Tel: 212-633-3810
Issue 17 May 2003
Embargoed 0001 h (London time) 16 May 2003. In North America, the embargo time
for LANCET press material is 6:30pm ET Thursday 15 May 2003.
PRENATAL EXPOSURE TO MERCURY IN FISH NOT ASSOCIATED WITH IMPAIRED
NEURODEVELOPMENT (p 1667, 1686)
A research team from the University of Rochester, USA, with colleagues from the
Seychelles investigated 779 mother-infant pairs enrolled in the Seychelles
Childhood Development Study, established in 1989/1990. Mothers reported high
fish consumption-12 meals a week compared with one meal a week on average in the
USA. The fish in Seychelles contained similar concentrations of methylmercury as
commercial ocean fish elsewhere. Prenatal MeHg exposure was determined from
maternal hair growing during pregnancy.
The investigators assessed neurocognitive, language, memory, motor,
perceptual-motor, and behavioural functions in children at nine years of age.
Out of 21 endpoints, only two tests were associated with prenatal methylmercury
exposure: decreased performance in a motor test (the grooved pegboard using the
non-dominant hand in males), and improved scores in the hyperactivity index of
the Conner's teacher rating scale The investigators comment, however, that these
two results probably arose by chance, and conclude that there is no evidence of
neurodevelopmental risk from prenatal methylmercury exposure resulting solely
from ocean fish consumption.
In an accompanying Commentary (p 1667), Constantine Lyketsos from Johns Hopkins
Hospital, Baltimore, USA, concludes: "On balance, the existing evidence suggests
that methyl mercury exposure from fish consumption during pregnancy, of the
level seen in most parts of the world, does not have measurable cognitive or
behavioural effects in later childhood...For now, there is no reason for
pregnant women to reduce fish consumption below current levels, which are
probably safe."
Dr Constantine G Lyketsos, Division of Geriatric Psychiatry and Neuropsychiatry,
Johns Hopkins Hospital, Baltimore, MD 21287, USA; T) +1 410 955 6158; E)
Kostas@jhmi.edu
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