Featuring fresh takes and real-time analysis from HuffPost's signature lineup of contributors
GET UPDATES FROM Dr Raj Persaud
 
GET UPDATES FROM Dr Nicholas Morris
 

Early Childhood Near Traffic Elevates Chances of Later Autism - Do Our Brains Need Protecting From the Modern World?

Posted: 17/01/2013 00:00

Prince Charles has been campaigning on saving the planet in response to becoming a grandfather - ironically his daughter-in-law could be vulnerable right now to a common environmental hazard which has just been linked with harm to the brain of her unborn child.

A team of researchers based at the Children's Hospital of Los Angeles and the University of Southern California, report that mothers who live near higher road traffic pollution during their pregnancy, and for the first year of their baby's life, suffer elevated risk of later autism in those children.

Children with autism are more likely to live at residences that have the highest exposure to traffic-related air pollution, during gestation and the first year of life, compared with children whose development is 'normal'.

The study compared 279 children with autism and 245 children with typical or 'normal' psychological growth. The mother's address was used to estimate exposure to traffic-related pollution for each phase of pregnancy and first year of life. Regional air pollutant measures were based on the Environmental Protection Agency's Air Quality System data. Pollutant levels for children with autism and for those with more typical development were compared.

Autism spectrum disorders are characterized by difficulties in communication, social interaction combined with repetitive behaviours, or restricted interests. The incidence rate of all autism spectrum disorders has been climbing dramatically in recent years, yet no one knows why. Some blame over-diagnosis, others believe this is a genuine and alarming rapid increase. The rate in the USA has now reached as high as one in 110 children, or almost 1% of all children born today.

Air pollution has begun to emerge as a potential risk factor for autism. For example, a 2006 study identified an increased risk of autism based on exposure to diesel exhaust particles, metals (mercury, cadmium, and nickel), and chlorinated solvents in Northern California. Another investigation in 2010 also reported associations between autism and air toxicology at the birth residences of children from North Carolina and West Virginia. High levels of air pollutants have been associated with poor birth outcomes, immunology changes, and decreased cognitive abilities.

Heather Volk, the lead author of the latest study, led a team which had also found a similar association between the risk of autism and an early life residence around 300 metres from a freeway, in a study published last year. Traffic-related air pollutant mixture varies depending on distance from the source, returning to near-background daytime levels beyond a distance of around 300 metres (about 1000 feet). Residence within around 300 meters of a freeway at time of delivery of a baby, compared to greater than 1,400 meters, was associated with nearly a doubling in odds of having a child who later developed autism. Proximity to smaller roadways didn't show associations with autism, which is consistent with higher concentration of pollutants near major freeways, and declines in particulate matter to background levels, beyond 300 meters from a major road.

Heather Volk, Fred Lurmann, Bryan Penfold, Irva Hertz-Picciotto and Rob McConnell, the authors of this latest research, entitled 'Traffic-Related Air Pollution, Particulate Matter, and Autism' have now found children with autism were three times as likely to have been exposed during the first year of life to higher traffic-related air pollution, compared with children with more typical or normal development. Similarly, exposure to traffic-related air pollution during pregnancy was also associated with autism.

The authors of the study point out that concentrations of many air pollutants, including diesel exhaust particles are elevated near major roads, and such diesel exhaust particles plus polycyclic aromatic hydrocarbons (commonly present in diesel exhaust) have been shown to negatively impact brain function.

Dr Geraldine Dawson, chief science officer at 'Autism Speaks', in the same issue of the academic journal where the traffic-autism link finding has just been published (Journal of the American Medical Association Psychiatry), points out that in the past six years prevalence of Autistic Spectrum Disorders has increased 78% in the USA.

Dr Luke Knibbs and Professor Lidia Morawska from the International Laboratory for Air Quality and Health, Queensland University of Technology, report in a recent review paper, that fine particles found in traffic pollution are small enough to reach the brain directly. No one knows yet how autism is caused, but clues could come from what is already known of the negative impact of traffic pollution on adult brains.

Knibbs and Morawska point out just one hour of exposure to diesel exhaust produces functional brain changes in adults, while another recent study they cite, reported that levels of serum brain-derived neurotrophic factor (BDNF), an important chemical linked to normal brain development, learning, memory and possibly crucially protective from depression and dementia, did not increase following 20 min of cycling near a major road, as it normally does following exercise.

In the study on cycling near a major road, the same exercise performed in a particle-free filtered environment, led to a 14% increase in BDNF. Exposure to Traffic Related Air Pollution (TRAP) in transport environments seems to reduce exercise benefits on BDNF levels.

Knibbs and Morawska, in their review from the academic journal 'Environment International', highlight that past research indicates wearing an efficient respirator, or face mask, greatly reduces exposure to Traffic Related Air Pollution, and has been shown to have health benefits.

Knibbs and Morawska emphasise that makeshift handkerchief masks appear to offer little health protection, compared to purpose-designed respirators or face masks.

The study investigating traffic pollution and autism made allowances for social class and economic circumstances - traffic pollution was linked to autism no matter how wealthy or poor families were. In other words living in Buckingham Palace, but near major busy roads is as dangerous, according to this new research, to the brain of a foetus or newborn, as being brought up in tougher neighbourhoods.

Sceptics of these findings argue air pollution has been generally declining in the US while autism rates have been supposedly rising, plus they contend the most traffic polluted cities in the world don't necessarily seem to suffer the highest autism levels.

But, if the effect of traffic pollution on our brains turns out to be truly harmful, given it's estimated 11% of the U.S. population live within 100 m of a four-lane highway, the public health implications are profound.

Prince Charles is exhorting grandparents to become environmental campaigners; if you are swayed by this study, the next generation needs protecting critically right now.

 
FOLLOW UK LIFESTYLE
Prince Charles has been campaigning on saving the planet in response to becoming a grandfather - ironically his daughter-in-law could be vulnerable right now to a common environmental hazard which has...
Prince Charles has been campaigning on saving the planet in response to becoming a grandfather - ironically his daughter-in-law could be vulnerable right now to a common environmental hazard which has...
 
 
  • Comments
  • 9
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Favorites
Recency  | 
Popularity
photo
HUFFPOST SUPER USER
The Ghost of Awesome
21:08 on 18/01/2013
"The paper was peer reviewed for one of the most prestigious journals in academic medicine and psychiatry"

That is not a comment which has to be made.

"The paper specifically analysed the data taking into account the possibility that other variables could explain the finding,"

Now Doctor, tell me how I can get access to this paper.
photo
HUFFPOST BLOGGER
Dr Raj Persaud
08:54 on 26/01/2013
Many thanks for your comment: http://archpsyc.jamanetwork.com/article.aspx?articleid=1393589#qundefined is the link to the paper. Otherwise just type JAMA Psychiatry into google and it will take you to the home page. From the home page you will find statistics like the 2011 impact factor of the journal is 12.01 - this is how academic journals are rated - an explanation on the home page: 'the impact factor is a measure of citation rate per article, and is calculated by dividing 1 year's worth of citations to a journal's articles published in the previous 2 years by the number of major articles [eg, research papers, reviews] published by that journal in those 2 years'. By academic standards in this field I believe this would be regarded as a high impact factor. The editor is Joseph T. Coyle, Professor of Psychiatry and Neuroscience at Harvard Medical School, Boston, Massachusetts. Best wishes Raj Persaud
photo
HUFFPOST SUPER USER
The Ghost of Awesome
18:41 on 28/01/2013
You are polite, I will give you that. But for all this I shall take account of the validity of the paper on the merits of its conclusions.
photo
HUFFPOST SUPER USER
Steelsil
Warren/Grayson 2016! Yes We Can!
23:15 on 16/01/2013
Correlation is not causality.  Who lives near a freeway?  People with lower incomes.  Lower incomes correlate with many things - more drug / alcohol / tobacco abuse, less medical care, and poorer functioning in the world in general.  This website needs a science editor who can screen out these kind of articles that confuse correlation with causality.
photo
HUFFPOST BLOGGER
Dr Raj Persaud
23:48 on 16/01/2013
Many thanks for your comment. The paper was peer reviewed for one of the most prestigious journals in academic medicine and psychiatry, and so your well made point is precisely the kind of sensible observation which would have been raised by those critiquing the study before publication. The analysis of the data in the study took account of the possibility that there are other correlations with living near traffic polluted roads, such as socio-economic status. The paper specifically analysed the data taking into account the possibility that other variables could explain the finding, such as correlations with poverty, and the results still stood up. For example from p 73 of the paper: 'Pertinent covariates were included in each model to adjust for potential confounding due to socio-demographic and lifestyle characteristics. We included children’s sex and ethnicity, maximum education level of the parents, mother’s age, and whether the mother smoked during her pregnancy, as described previously.' Also from the paper p74 final paragraph: 'For all regional pollutant measures, adjustment for demographic and socio-economic variables did not alter the associations. As with traffic related air pollution, when we included population density in the models that included exposure during the first year of life, the associations with PM2.5, PM10, and nitrogen dioxide did not change, nor did they change when living in an urban area vs a rural area was included.'
photo
HUFFPOST SUPER USER
Steelsil
Warren/Grayson 2016! Yes We Can!
01:03 on 17/01/2013
Thanks for clarifying that, Dr. Persaud.
photo
novelist2000
veritas non olet
04:50 on 18/01/2013
Since i get extreme migraines from diesel pollution, I have been sort of monitoring this topic fror a while. I also thought first that the selection of people who live in these cheaper locations might have something to do with it but then remembered reading about Tokyo where they had isolated a compound in diesel exhaust that caused genetic mutations. This may well be the or one of the causalities behind the correlations.

Studies about statistical correlations are really only to be viewed as the basis for further studies to explore possible causes. Without establishing statistical correlations first you'd be researching rather in the dark. I reckon, neither of you is wrong.
photo
HUFFPOST SUPER USER
Steelsil
Warren/Grayson 2016! Yes We Can!
07:24 on 18/01/2013
The author posted a response and said that they had ruled out the issues I mentioned. It would have been good to put that in the article, and it would be good if the website had an editor that would ensure that all study reports contained such this information.