Baldi I, Gruber A, Rondeau V, et al. Neurobehavioral effects of long-term exposure to pesticides: results from the 4-year follow-up of the PHYTONER study
ABSTRACT The aim of the PHYTONER study is to investigate the role of pesticides on neurobehavioral performances in French vineyard workers.
929 workers affiliated to the health insurance system for farmers in the Bordeaux area of south-western France were enrolled in the study in 1997-1998. They were contacted for a first follow-up in 2001-2003. Participants completed a questionnaire and nine neurobehavioral tests. They were classified according to their life-long pesticide exposure, as directly exposed, indirectly exposed or non-exposed. Educational level, age, sex, alcohol consumption, smoking, psychotropic drug use and depressive symptoms were taken into account in the analysis.
614 subjects were available for investigation at follow-up. Follow-up analysis confirmed that the risk of obtaining a low performance on the tests was higher in exposed subjects, with ORs ranging from 1.35 to 5.60. Evolution of performances over the follow-up period demonstrated that exposed subjects had the worst decreases in performance. The risk of having a two-point lower score on the Mini-Mental State Examination was 2.15 (95% CI 1.18 to 3.94) in exposed subjects.
These results suggest long-term cognitive effects of chronic exposure to pesticides and raise the issue of the risk of evolution towards dementia. The PHYTONER study is the first to provide prospective data on the natural history of neurological disorders associated with pesticide exposure.
- SourceAvailable from: Alexandre Nougadère
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- "Although pesticides help control agricultural pests and organisms harming human activities, they may present a risk for human health. Severe pathologies such as cancers, neurodegenerative diseases or reproductive disorders are suspected of being connected to exposure to pesticides, particularly for specific populations such as farmers and their children (Bailey et al., 2011; Baldi et al., 2011; Inserm, 2013; Koutros et al., 2011; Merhi et al., 2008). In the general population, dietary intake is considered to be the main route of exposure to most pesticides (Cao et al., 2011; Lu et al., 2006; Nougadère et al., 2012). "
ABSTRACT: The French system for monitoring dietary exposure to pesticide residues and its scoring method are presented. This system aims both to assess acute and chronic risks to the general population and to identify food commodities and pesticides that need to be better monitored and/or regulated thanks to 6 priority levels. The method combines four chronic and acute dietary risk indicators based on the results of the most recent national monitoring programmes and maximum residue levels, in connection with individual and national food consumption data. The probability of exceeding the toxicological reference values was estimated for children and adults, for 522 pesticides and their metabolites. Food contributors were detailed and a minimum number of samples to be taken per food was proposed. The majority of the pesticides (87%) was scored at the lowest priority level 1. For pesticides classified in levels 2 to 5, there is a need to refine the assessment. The monitoring should also be extended to include newly authorised substances in levels 2 to 4. Carbendazim, dimethoate, dithiocarbamates and imazalil merit particular attention as they scored at level 6 and are frequently quantified in fruits and vegetables, meaning that risk managers should take corrective measures in order to ensure consumer safety.Food Control 07/2014; 41(1):32–48. DOI:10.1016/j.foodcont.2013.12.025 · 2.82 Impact Factor
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ABSTRACT: Exposure to elements in groundwater (toxic or beneficial) is commonplace yet, outside of lead and mercury, little research has examined the impact of many commonly occurring environmental exposures on mental abilities during the aging process. Inorganic arsenic is a known neurotoxin that has both neurodevelopmental and neurocognitive consequences. The aim of this study was to examine the potential association between current and long-term arsenic exposure and detailed neuropsychological functioning in a sample of rural-dwelling adults and elders. Data were analyzed from 434 participants (133 men and 301 women) of Project FRONTIER, a community-based participatory research study of the epidemiology of health issues of rural-dwelling adults and elders. The results of the study showed that GIS-based groundwater arsenic exposure (current and long-term) was significantly related to poorer scores in language, visuospatial skills, and executive functioning. Additionally, long-term low-level exposure to arsenic was significantly correlated to poorer scores in global cognition, processing speed and immediate memory. The finding of a correlation between arsenic and the domains of executive functioning and memory is of critical importance as these are cognitive domains that reflect the earliest manifestations of Alzheimer's disease. Additional work is warranted given the population health implications associated with long-term low-level arsenic exposure.International Journal of Environmental Research and Public Health 03/2011; 8(3):861-74. DOI:10.3390/ijerph8030861 · 2.06 Impact Factor
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ABSTRACT: Chronic dietary exposure to pesticide residues was assessed for the French population using a total diet study (TDS) to take into account realistic levels in foods as consumed at home (table-ready). Three hundred and twenty-five pesticides and their transformation products, grouped into 283 pesticides according to their residue definition, were sought in 1235 composite samples corresponding to 194 individual food items that cover 90% of the adult and child diet. To make up the composite samples, about 19,000 food products were bought during different seasons from 2007 to 2009 in 36 French cities and prepared according to the food preparation practices recorded in the individual and national consumption survey (INCA2). The results showed that 37% of the samples contained one or more residues. Seventy-three pesticides were detected and 55 quantified at levels ranging from 0.003 to 8.7mg/kg. The most frequently detected pesticides, identified as monitoring priorities in 2006, were the post-harvest insecticides pirimiphos-methyl and chlorpyrifos-methyl-particularly in wheat-based products-together with chlorpyrifos, iprodione, carbendazim and imazalil, mainly in fruit and fruit juices. Dietary intakes were estimated for each subject of INCA2 survey, under two contamination scenarios to handle left-censored data: lower-bound scenario (LB) where undetected results were set to zero, and upper-bound (UB) scenario where undetected results were set to the detection limit. For 90% of the pesticides, exposure levels were below the acceptable daily intake (ADI) under the two scenarios. Under the LB scenario, which tends to underestimate exposure levels, only dimethoate intakes exceeded the ADI for high level consumers of cherry (0.6% of children and 0.4% of adults). This pesticide, authorised in Europe, and its metabolite were detected in both cherries and endives. Under the UB scenario, that overestimates exposure, a chronic risk could not be excluded for nine other pesticides (dithiocarbamates, ethoprophos, carbofuran, diazinon, methamidophos, disulfoton, dieldrin, endrin and heptachlor). For these pesticides, more sensitive analyses of the main food contributors are needed in order to refine exposure assessment.Environment international 05/2012; 45(1):135-50. DOI:10.1016/j.envint.2012.02.001 · 5.66 Impact Factor