Boston University researchers have discovered a link between attention deficit hyperactivity disorder ADHD in children and common industrial chemicals. They found a high blood level of polyfluoroalkyl chemicals (PFCs) is associated with  increased  chance of developing ADHD.  This particular class of chemicals are frequently used in a wide variety of consumer products.


The research is published online, ahead of print, in the journal Environmental Health Perspectives.


The data from the National Health and Nutrition Examination Survey (NHANES), an ongoing national survey of a representative sample of the U.S. population that gathers data on dietary and health factors conducted by the Centers for Disease Control and Prevention, was utilized to compare the PFC levels found in serum samples taken from 571 children, ages 12 to 15.


In a 2003-2004 survey, NHANES examined 2,094 blood samples taken from the U.S. population and found more than 98 percent of the sample had detectable serum levels of PFCs, according to the study.


The parents of 48 of these children reported their children were diagnosed with attention deficit disorder ADD, one of the most common neurodevelopmental disorders in children.


PFCs are highly stable compounds used in industrial and commercial products like stain-resistance coatings, food packaging, and firefighting foams.


Once absorbed into the body, it can take years for some types of PFCs to be partially eliminated.


Although the study indicates there is a link between PFCs and ADHD, lead author Kate Hoffman, PhD, said it is not known if there is a causal relationship between the two.


“There’s a link between this exposure and outcome but we’re not really sure what way that goes,” said Hoffman, who conducted the study while completing her doctorate in environmental health at BUSPH.


“What we can say is children with this outcome tend to have higher levels of PFCs in their blood.”


Because the PFC measurements were collected at the same time as the parental report of ADHD diagnosis, Hoffman said it is unknown whether children with ADHD engage in behavior leading to increased PFC exposure or if higher serum PFC levels in children result in ADHD.


The researchers examined the connection between four PFCs: perfluorooctane sulfonic acid (PFOS), perfluorooctanoic acid (PFOA), perfluorononanoic acid (PFNA), and perfluorohexane sulfonic acid (PFHxS) and samples from children in which there were parental reports of ADHD diagnosis.


The authors focused on ADHD because studies on animals have suggested exposure to PFCs can have neurotoxic effects. There is little information, however, on the chemicals’ effects on human development.


ADHD is one of the most common brain disorders, Dr. Hoffman said. It is also unknown what causes ADHD, she said, other environmental factors are associated with the disorder.


“Given the extremely prevalent exposure to PFCs, further investigation into the impact of PFC exposure on ADHD and other neurodevelopmental endpoints is warranted,” the authors wrote.


The study was funded in part by the Boston University Center for Interdisciplinary Research in Environmental Exposures and Health and by a grant from the National Institute of Environmental Health (NIEHS), National Institutes of Health (NIH).