Details:

Alternative Title:
Environ Res
Personal Author:
Suarez-Lopez, Jose R. ; Amchich, Fatimaezzahra ; Murillo, Jonathan ; Denenberg, Julie
Suarez-Lopez, Jose R. ; Amchich, Fatimaezzahra ; Murillo, Jonathan ; Denenberg, Julie Less -
Description:
Introduction

Agricultural pesticide spray periods increase the pesticide exposure potential of children living nearby and growing evidence indicates that they may affect children’s health. We examined the association of time following a heightened agricultural production period, the Mother’s Day flower harvest (May), with children’s blood pressure (BP).

Methods

We included cross-sectional information of 313 children ages 4-9 years in Ecuadorian agricultural communities (the ESPINA study). Examinations occurred during a period of low flower production, but within 63-100 days (mean= 81.5, SD= 10.9) following the Mother’s Day harvest. BP was measured twice using a pediatric sphygmomanometer and BP percentiles appropriate for age, gender and height were calculated.

Results

Participants were 51% male, 1.6% hypertensive and 7.7% had elevated BP. The mean (SD) BP percentiles were: systolic: 51.7 (23.9); diastolic: 33.3 (20.3). There was an inverse relationship between of time after the spray season with percentiles of systolic (difference [β] per 10.9 days after the harvest: −4.3 [95%CI: −6.9, −1.7]) and diastolic BP (β: −7.5 [−9.6, −5.4]) after adjusting for race, heart rate and BMI-for-age z-score. A curvilinear association with diastolic BP was observed. For every 10.9 days that a child was examined sooner after the harvest, the OR of elevated BP/hypertension doubled (OR: 2.0, 95% CI: 1.3, 3.1). Time after the harvest was positively associated with acetylcholinesterase.

Conclusions

Children examined sooner after a heightened pesticide spray period had higher blood pressure and pesticide exposure markers than children examined later. Further studies with multiple exposure-outcome measures across pesticide spray periods are needed.


Subject:
[+]
Agriculture Article Blood Pressure Child Child, Preschool Cholinesterase Cross-Sectional Studies Ecuador Environmental Exposure Female Floriculture Humans Male Pesticides Agriculture Pesticides
Source:
Environ Res. 175:335-342
Pubmed ID:
31150932
Pubmed Central ID:
PMC6571166
Document Type:
Journal Article
Funding:
R01 ES025792/ES/NIEHS NIH HHS/United States ; R21 ES026084/ES/NIEHS NIH HHS/United States ; R36 OH009402/OH/NIOSH CDC HHS/United States
R01 ES025792/ES/NIEHS NIH HHS/United States ; R21 ES026084/ES/NIEHS NIH HHS/United States ; R36 OH009402/OH/NIOSH CDC HHS/United States Less -
Place as Subject:
Ecuador
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:84b3362a53fdc62eeedb9c49ae18f00c75623000e54c1de510cc7a6bf38718da
Download URL:
https://stacks.cdc.gov/view/cdc/79138/cdc_79138_DS1.pdf
File Type:

Supporting Files

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