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Journal of Epidemiology and Community Health 2008;62:e5; doi:10.1136/jech.2007.060350
Copyright © 2008 by the BMJ Publishing Group Ltd.

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Chernobyl exposure as stressor during pregnancy and hormone levels in adolescent offspring

A C Huizink1, M Bartels2, R J Rose3,6, L Pulkkinen4, C J P Eriksson5 and J Kaprio5,6

1 Department of Child and Adolescent Psychiatry, Erasmus Medical Center, Rotterdam, The Netherlands
2 Department of Biological Psychology, Vrije Universiteit, Amsterdam, The Netherlands
3 Department of Psychology, Indiana University, Bloomington, Indiana, USA
4 Department of Psychology, University of Jyväskylä, Finland
5 Department of Mental Health and Alcohol Research, National Public Health Institute, Helsinki, Finland
6 Department of Public Health, University of Helsinki, Finland

Correspondence to:
Anja C Huizink, Erasmus Medical Center Rotterdam/Sophia Children’s Hospital, Department of Child and Adolescent Psychiatry, PO Box 2060, 3000 CB Rotterdam, The Netherlands; a.c.huizink{at}erasmusmc.nl

Background: Animal research suggests a programming effect of prenatal stress in the fetal period, resulting in disruptions in behavioural and neuromotor development. Physiological changes that mediate these effects include alterations in the hypothalamic-pituitary-adrenal axis and in testosterone levels. This human study focuses on changes related to these physiological systems after prenatal stress exposure.

Methods: We examined the potential effect of prenatal stress associated with the Chernobyl disaster in an ongoing genetic epidemiological study in Finland. One birth cohort of twins (n = 121 twin pairs) was exposed in utero to maternal stress, and their saliva cortisol and testosterone levels at age 14 were compared with twins (n = 157 twin pairs) born one year later.

Results: Cortisol levels in both sexes and testosterone levels among females were significantly elevated after prenatal exposure to maternal stress from the second trimester onwards, compared to reference groups of non-exposed adolescents. Exposure explains 3% of variance (p<0.05) in cortisol levels and 18% of variance in testosterone levels (p<0.001). No significant differences were found for exposure from either first or third trimester onwards.

Conclusion: Our results suggest that prenatal exposure to maternal stress in the second trimester of pregnancy may have resulted in prenatal programming of physiological systems relating to cortisol and testosterone levels.


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