Research Suggests Possible Link Between Lithium Exposure and Autism Spectrum Disorder
A new study has found a modest increase in the risk of autism spectrum disorder (ASD) among children born to pregnant women who were exposed to higher levels of lithium in their tap water. The study, published in the journal JAMA Pediatrics, analyzed data from Denmark and found that as lithium levels in water increased, so did the risk of ASD diagnosis.
The researchers checked a database of people with psychiatric disorders and mapped out where pregnant women lived in relation to public waterworks serving more than half of the Danish population. They then measured the concentration of lithium in 151 public waterworks and found a small but significant association between lithium exposure and ASD diagnosis.
Specifically, the study found that children born to women who had the second and third highest exposure levels of lithium during pregnancy had a 24% to 26% higher risk of ASD diagnosis compared to those with lower exposure levels. In contrast, the group with the highest exposure level had a 46% higher risk than those at the lowest level.
However, experts caution that this association does not show a direct link between lithium exposure and autism diagnosis. Dr. Beate Ritz, a co-author of the study, noted that further research is needed to understand the potential relationship between lithium exposure and ASD.
"We need to see if there's a viable and biologically plausible mechanism by which a small amount of lithium in the water supply can somehow do this," she said in a news release. "Replication of this research in other countries would be necessary to confirm these findings."
The study's findings have implications for public health policy, particularly regarding the regulation of lithium levels in drinking water. Dr. David C. Bellinger, a professor of neurology and psychology at Harvard Medical School, noted that "the wisdom of Solomon will be required" to develop guidelines for lithium in drinking water.
"Lithium has been linked to lower rates of hospitalization for psychiatric disorders and suicide," he wrote in an editorial accompanying the study. "However, if all these associations are valid, we would need to prioritize protecting the entire population from excessive lithium exposure."
While some studies have suggested connections between ASD and environmental exposures to things like pesticides, air pollution, and phthalates, none of them has identified a direct cause of the disorder.
"It's an interesting association," said Dr. Max Wiznitzer, director of the Rainbow Autism Center at University Hospitals Rainbow Babies and Children's Hospital in Cleveland, "but causation is definitely not proven."
A new study has found a modest increase in the risk of autism spectrum disorder (ASD) among children born to pregnant women who were exposed to higher levels of lithium in their tap water. The study, published in the journal JAMA Pediatrics, analyzed data from Denmark and found that as lithium levels in water increased, so did the risk of ASD diagnosis.
The researchers checked a database of people with psychiatric disorders and mapped out where pregnant women lived in relation to public waterworks serving more than half of the Danish population. They then measured the concentration of lithium in 151 public waterworks and found a small but significant association between lithium exposure and ASD diagnosis.
Specifically, the study found that children born to women who had the second and third highest exposure levels of lithium during pregnancy had a 24% to 26% higher risk of ASD diagnosis compared to those with lower exposure levels. In contrast, the group with the highest exposure level had a 46% higher risk than those at the lowest level.
However, experts caution that this association does not show a direct link between lithium exposure and autism diagnosis. Dr. Beate Ritz, a co-author of the study, noted that further research is needed to understand the potential relationship between lithium exposure and ASD.
"We need to see if there's a viable and biologically plausible mechanism by which a small amount of lithium in the water supply can somehow do this," she said in a news release. "Replication of this research in other countries would be necessary to confirm these findings."
The study's findings have implications for public health policy, particularly regarding the regulation of lithium levels in drinking water. Dr. David C. Bellinger, a professor of neurology and psychology at Harvard Medical School, noted that "the wisdom of Solomon will be required" to develop guidelines for lithium in drinking water.
"Lithium has been linked to lower rates of hospitalization for psychiatric disorders and suicide," he wrote in an editorial accompanying the study. "However, if all these associations are valid, we would need to prioritize protecting the entire population from excessive lithium exposure."
While some studies have suggested connections between ASD and environmental exposures to things like pesticides, air pollution, and phthalates, none of them has identified a direct cause of the disorder.
"It's an interesting association," said Dr. Max Wiznitzer, director of the Rainbow Autism Center at University Hospitals Rainbow Babies and Children's Hospital in Cleveland, "but causation is definitely not proven."