Growing body of evidence suggests links with workplace and environmental factors
A mother’s workplace exposure to solvents may heighten her child’s risk of autism, suggests research published online in the journal Occupational & Environmental Medicine.
While cautious interpretation is needed, the findings add to a growing body of evidence indicating that environmental and workplace factors may be linked to the development of the condition, say the researchers.
Autism is a neurodevelopmental disorder that includes repetitive behaviours and difficulties communicating and socialising with others. In the US alone, recent figures indicate that one in every 68 children is on the autistic spectrum.
The speed with which the number of new cases has increased suggests that factors other than genes may be involved, say the researchers. And several studies have suggested links between prenatal exposure to environmental chemicals and pollutants.
As workplace exposures are often higher than environmental ones, the researchers wanted to explore if these might potentially be linked to the development of autism.
They drew on data collected for the CHildhood Autism Risks from Genetics and Environment (CHARGE) study. These included personal, health, and job history information for the parents of 537 children formally diagnosed with autism spectrum disorders and 414 children with typical neurodevelopment.
For each job, specialists (industrial hygienists) assessed the intensity and frequency of exposure for 750 mothers and 891 fathers to 16 agents that have been linked to neurological and/or congenital abnormalities from three months before pregnancy through to the birth of the child.
These included medicines, metals, pesticides, anaesthetics, asphalt, brake fluid, plastics and polymers, radiation, cleaners/disinfectants and solvents to include paints and degreasers as well as other chemicals.
Exposure levels were classified as none; rare (a few times a year); moderate (weekly); and frequent (several times a week/daily). Intensity was categorised as low, moderate or high, the last of which was taken to mean well above background levels.
The most common occupational exposures among the mums were to disinfectants/cleaners, solvents and ethylene oxide; the least common were to perchlorates, asphalt, PCBs, and machine fluids.
For dads, the most common occupational exposures were to disinfectants/cleaners, solvents and metals; the least common were to perchlorates, PCBs, and asphalt.
Mums with autistic children had been more frequently exposed to solvents than those whose children weren’t on the spectrum, the findings showed.
They were 1.5 times more likely to have a child on the autistic spectrum. And moderate intensity cumulative exposure to solvents was associated with a near doubling in risk.
None of the other agents was associated with heightened risk in either parent or when the exposures of both parents were combined.
This is an observational study, and as such, can’t establish cause. Only a few parents had been exposed to some of the agents, and after correcting for statistical bias, the observed associations no longer remained significant.
“However, these results are consistent with earlier reports that have identified solvents as a potential risk factor for [autism spectrum disorders],” write the researchers. Solvents can be absorbed through the skin and lungs, and many remain in the body, including in the brain, they point out.
Notes for editors
Research: The CHARGE study: an assessment of parental occupational exposures and autism spectrum disorder doi 10.1136/oemed-2018-105395
Journal: Occupational & Environmental Medicine
Link to AMS labelling system
Peer reviewed? Yes
Evidence type: Observational
Link to paper: https://oem.bmj.com/lookup/doi/
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