Publication:
Blood Heavy Metal Levels in Children with Autism Spectrum Disorder: A Cross- Sectional Study From Northern India

creativeworkseries.issnISSN 1990-7974 eISSN 1990-7982
dc.contributor.authorSehgal, Rachna
dc.contributor.authorGulati, Sheffali
dc.contributor.authorGupta, Yogendra Kumar
dc.contributor.authorSapra, Savita
dc.contributor.authorMehta, Manju
dc.contributor.authorPandey, Ravindra Mohan
dc.contributor.authorKumar, Gajendra
dc.contributor.authorSrivastava, Amita
dc.contributor.authorKabra, Madhulika
dc.date.accessioned2026-01-05T08:11:14Z
dc.date.available2026-01-05T08:11:14Z
dc.date.issued2019
dc.descriptionRachna Sehgal Vardhman Mahavir Medical College and Safdarjung Hospital, India Sheffali Gulati All India institute of Medical Sciences, New Delhi, India Yogendra Kumar Gupta All India institute of Medical Sciences, New Delhi, India Savita Sapra All India institute of Medical Sciences, New Delhi, India Manju Mehta All India institute of Medical Sciences, New Delhi, India Ravindra Mohan Pandey All India institute of Medical Sciences, New Delhi, India Gajendra Kumar All India institute of Medical Sciences, New Delhi, India Amita Srivastava All India institute of Medical Sciences, New Delhi, India Madhulika Kabra All India institute of Medical Sciences, New Delhi, India
dc.description.abstractAbstract: Introduction: The role of heavy metals in the etio-pathogenesis of ASD is controversial. Paucity of studies from Indian subcontinent with different sociocultural and environmental background prompted the present study. Methods: Sixty children aged three to 12 years with Autism Spectrum Disorder (ASD) and 60 age matched controls were enrolled. Detailed history including possible exposure history to various heavy metals was taken. Severity of ASD was assessed using Childhood Autism Rating Scale 2. Blood level of metals was estimated by Inductively coupled plasma - atomic emission spectroscopy (ICP-AES). Results: Mean blood mercury levels in the two groups of ASD and controls was comparable (p = 0.28). Median blood cadmium and arsenic levels were higher in controls possibly due to higher ground water use and insecticide exposure. (7/60 versus 17/60, p = 0.04) and (2/60 versus 7/60, p = 0.08) while mean blood zinc level was lower in controls. Lead was significantly higher in greater proportion of children with ASD. (11/60 vs 1/60, p = 0.002). Children with ASD had significantly higher pica (26/60 versus 10/60, p = 0.001) and higher median number of days of antibiotics during infancy (24.5 (0-120) versus 15 (0-60), p = 0.004). None of the heavy metal tested had significant correlation with the severity of ASD. Conclusions: Mean blood mercury, lead, zinc, arsenic and cadmium did not show significant association with diagnosis of ASD. High levels of toxic metals in both children with ASD and controls points towards an urgent need to contain environmental pollution by heavy metals.
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4050
dc.language.isoen_US
dc.publisherNepal Paediatric Society (JNPS)
dc.subjectASD
dc.subjectheavy metals
dc.subjectICP-AES
dc.subjectlead
dc.subjectmercury
dc.titleBlood Heavy Metal Levels in Children with Autism Spectrum Disorder: A Cross- Sectional Study From Northern India
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage14
oaire.citation.startPage6
relation.isJournalIssueOfPublication397ebed9-779e-4ea6-818f-6ea25ed3b72a
relation.isJournalIssueOfPublication.latestForDiscovery397ebed9-779e-4ea6-818f-6ea25ed3b72a
relation.isJournalOfPublication6f9be05c-05a9-4a3e-a5b5-a19a15ab042c

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