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Table 3 Meta-analysis study characteristics

From: Sex difference of pre- and post-natal exposure to six developmental neurotoxicants on intellectual abilities: a systematic review and meta-analysis of human studies

First Author, Year

Country (Cohort)

N (%males)

Neurotoxicant

Compound

Biomarker and Timing of Exposure

Median of Exposure (ppb)

Outcome Measure

Azar, 2021 [55]

Canada (MIREC)

584–589 (48.8–49.1)

PBDE

ΣPBDEc

1st trimester blood

12.9

FSIQ and PIQ on WPPSI-III at 3–4 years

Bouchard, 2011 [57]

USA (CHAMACOS)

297 (47.5)

OPP

∑DAPd

Mean of 5–27 weeks’ gestation urine and 18–39 weeks’ gestation urine 

41.3

FSIQ on WISC-IV at 7 years

Desrochers-Couture, 2018 [63]

Canada (MIREC)

601–606 (~ 48.8)

Lead

Lead

N/A

N/A

Cord blood

Child blood at 3–4 years

7.9

6.7

FSIQ, PIQ, and VIQ on WPPSI-III at 3–4 years

Dietrich, 1993 [64]

USA (Cincinnati Lead Study)

251 (N/A)

Lead

N/A

Cord Blood

83.0a

PIQ on WISC-R at 6.5 years

Eskenazi, 2013 [66]

USA (CHAMACOS)

231–256 (45.5–45.7)

PBDE

ΣPBDEc

2nd trimester blood or maternal blood at delivery

24.9

PIQ on WPPSI-III at 5 years and FSIQ on WISC-IV at 7 years

Gascon, 2015 [69]

Spain (INMA- Sabadell)

367 (52.0)

Phthalate

ΣDEHPe

Average of 1st and 3rd trimester urine

99,800

GCI, PPS, VS on MSCA at 4 years

Guo, 2020 [53]

China (SMBCS)

297 (~ 57.0)

Lead

Mercury

N/A

Maternal urine at delivery

Maternal urine at delivery

1.7

0.4

FSIQ, PRI, and VCI, on C-WISC at 7 years

Huang, 2012 [101]

Taiwan (N/A)

133 (~ 51.9)

Lead

N/A

Blood at 2–3 years

Blood at 5–6 years

25.0

23.0

FSIQ on WPPSI-R at 5–6 years and WISC-III at 8–9 years

Hyland, 2019 [73]

USA (CHAMACOS)

321–323 (47.9- 48.5)

Phthalate

ΣDEHPe

Median of 13- and 26-week urine

78.1

FSIQ, PRI, and VCI on WISC-IV at 7 years and 10.5 years

Julvez, 2013 [76]

UK (ALSPAC)

914 (52.4)

Mercury

N/A

Umbilical cord tissue

26.0a

FSIQ on WISC-III short form at 8 years

Jusko, 2019 [77]

Netherlands (Generation R)

708 (51.3)

OPP

∑DAPd

Mean of three urines

 ~ 314 nmol/g

Mosaics and Categories subtests on SON-R at 6 years

Li, 2019 [79]

USA (HOME)

245–251 (~ 43.0–45.0)

Phthalate

ΣDEHPf

26 weeks’ gestation urine

69.8

FSIQ on WPPSI-III at 5 years or WISC-IV at 8 years

Llop, 2017 [80]

Spain (INMA)

1362 (52.3)

Mercury

N/A

Cord blood

8.80a

GCI, PPS, VS on MSCA at 4 years

McMichael, 1992 [83]

Australia (Port Pirie Cohort Study)

548 (N/A)

Lead

N/A

Lifetime average blood up to 4 years

 ~ 190a

GCI on MSCA at 4 years

Ntantu Nkinsa, 2020 [88]

Canada (MIREC)

505–510 (48.5–48.8)

OPP

∑DAPd

1st trimester urine

27.8

FSIQ and PIQ on WPPSI-III at 3–4 years

Pocock, 1987 [90]

UK (The Institute of Child Health/Southampton Study)

402 (45.3)

Lead

N/A

Incisor teeth at 6 years

Males: 3980b

Females: 4020b

FSIQ on WISC-R at 6 years

Tatsuta, 2020 [54]

Japan (TSCD)

289 (51.2)

Lead

Mercury

N/A

Cord blood

Cord blood

8.0

 ~ 15.6

FSIQ, PRI, and VCI on Japanese version of the WISC-IV at 12 years

Taylor, 2017 [95]

UK (ALSPAC)

1826 (56.6)

Lead

N/A

1st trimester blood

34.1

FSIQ, PIQ, and VIQ on WISC-III (UK) at 8 years

Torres-Olascoaga, 2020 [96]

Mexico (ELEMENT)

188–214 (~ 46.8)

Phthalate

ΣDEHPe

2nd trimester urine

N/A

GCI on MSCA at 4 years

van den Dries, 2020 

Netherlands (Generation R)

1269–1274 (~ 50.5)

Phthalate

ΣDEHPe

Mean of three urines

 ~ 0.042

Mosaics and Categories subtests on SON-R at 6 years

  1. aArithmetic mean, bgeometric mean
  2. cΣPBDE = BDE-47 + BDE-99 + BDE-100 + BDE-153; dΣDAP = DMP + DMTP + DMDTP + DEP + DETP + DEDTP; eΣDEHP = MEHHP + MEHP + MEOHP + MECPP; fΣDEHP = MEOHP + MEHHP + MECPP
  3. Abbreviations: ALSPAC Avon Longitudinal Study of Parents and Children, BDE Brominated Diphenyl Ethers, CCCEH Columbia Center for Children's Environmental Health, CHAMACOS Center for the Health Assessment of Mothers and Children of Salinas, C-WISC Chinese Version of the Wechsler Intelligence Scale for Children, DAP Dialkyl Phosphates, DEDTP Diethyl Dithiophosphate, DEHP Bis(2-ethylhexyl) Phthalate, DEP Diethyl phosphate, DETP Diethyl Thiophosphate, DMDTP Dimethyl Dithiophosphate, DMP Dimethyl Phosphate, DMTP Dimethyl Thiophosphate, ELEMENT Early Life Exposures in Mexico to ENvironmental Toxicants, FSIQ Full-Scale IQ, GCI General Cognitive Index, HOME Health Outcomes and Measures of the Environment, INMA INfancia y Medio Ambiente (Environment and Childhood) Project, IQ Intelligence Quotient, MABC: The Ma'anshan Birth Cohort, MBzP Monobenzyl Phthalate, MECPP Mono(2-ethyl-5-carboxypentyl) Phthalate, MEHHP Mono(2-ethyl-5-hydroxyhexyl) Phthalate, MEHP Mono(2-ethylhexyl) Phthalate, MEOHP Mono-(2-ethyl-5-oxohexyl) Phthalate, MEP Mono-ethyl Phthalate, MiBP Mono-isobutyl Phthalate, MIREC Maternal-Infant Research on Environmental Chemicals, MnBP Mono-n-butyl Phthalate, MSCA McCarthy Scales of Children's Abilities, OPP Organophosphate Pesticides, PBDE Polybrominated Diphenyl Ethers, PCB Polychlorinated Biphenyls, PIQ Performance Intelligence, PPS Perceptual Performance Scale, PRI Perceptual Reasoning Index, SMBCS Sheyang Mini Birth Cohort Study, SON-R Snijders-Oomen Nonverbal Intelligence Test, TSCD Tohoku Study of Child Development, UK United Kingdom, USA United States of America, VCI Verbal Comprehension Index, VIQ Verbal Intelligence, VS Verbal Scale, VSI Visual Spatial Index, WISC-III Wechsler Intelligence Scale for Children, Third Edition, WISC-IV Wechsler Intelligence Scale for Children, Fourth Edition, WISC-R Wechsler Intelligence Scale for Children, Revised, WPPSI-III Wechsler Preschool & Primary Scale of Intelligence, Third Edition, WPPSI-R Wechsler Preschool & Primary Scale of Intelligence, Revised