妊娠中のネオニコチノイド系殺虫剤ばく露と小児アレルギー 疾患の関連について:子どもの健康と環境に関する全国調査(エコチル調査)

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2026-11-06 国立成育医療研究センター

国立成育医療研究センターの研究グループは、妊娠中のネオニコチノイド系殺虫剤へのばく露と、子どものアトピー性皮膚炎・ぜん鳴の発症経過との関連を、エコチル調査のデータを用いて検証した。全国約8,900組の母子を対象に、妊娠初期・中期の母親の尿中殺虫剤濃度を測定し、子どもの1~6歳までの症状を追跡した。潜在クラス成長分析(LCGA)により、疾患経過を早期発症型、遅発型、持続型、非発症型の4パターンに分類して解析した。その結果、一部の殺虫剤と特定の発症パターンとの間に関連を示唆する傾向はみられたものの、ばく露時期や成分による一貫性はなく、用量反応関係も確認されなかった。多重検定補正後には統計学的に有意な関連は認められず、現在の日本における一般的な環境ばく露レベルでは、妊娠中のネオニコチノイド系殺虫剤ばく露が小児アレルギー疾患の持続的発症に強く関与する証拠は得られなかった。

妊娠中のネオニコチノイド系殺虫剤ばく露と小児アレルギー 疾患の関連について:子どもの健康と環境に関する全国調査(エコチル調査)

<関連情報>

ネオニコチノイド系殺虫剤への出生前曝露と小児期のアレルギー疾患の経過:JECS出生コホートに基づく全国的なリスク評価 Prenatal exposure to neonicotinoid insecticides and childhood allergic disease trajectories: A nationwide risk assessment from the JECS birth cohort

Kiwako Yamamoto-Hanada,Limin Yang,Daisuke Harama,Miori Sato,Yumiko Miyaji,Kei Sakamoto,Minaho Nishizato,Aya Yoshikawa,Natsuhiko Kumasaka,Hidetoshi Mezawa,Maki Fukami,Yukihiro Ohya ,for the Japan Environment, Children’s Study JECS Group
Environment International  Available online: 10 September 2026
DOI:https://doi.org/10.1016/j.envint.2026.110509

Highlights

  • Prenatal neonicotinoid exposure and childhood AD/wheeze trajectories were evaluated.
  • Four distinct AD and wheeze trajectories were identified.
  • Several nominal associations were observed before multiple-testing correction.
  • No robust associations remained after Benjamini-Hochberg correction.
  • Low-level prenatal neonicotinoid exposure showed limited allergy risk.

Abstract

Background
Neonicotinoid insecticides are widely used globally, raising concerns about their impact on human health, particularly during the vulnerable prenatal period. However, long-term epidemiological evidence regarding their role in childhood allergic disease development remains unclear. This study evaluated the association between prenatal neonicotinoid exposure and longitudinal trajectories of atopic dermatitis (AD) and wheeze in early childhood to provide data for environmental risk assessment.

Methods
Using data from the Japan Environment and Children’s Study (JECS), we analyzed a nationwide sub-cohort of approximately 8,900 mother–child pairs. Neonicotinoid concentrations were measured in maternal urine during early and mid-pregnancy. Disease trajectories (1–6 years) for AD and wheeze were identified using Latent Class Growth Analysis (LCGA). Multivariable logistic regression was used to estimate the association between exposure levels and trajectory phenotypes, focusing on the impact of background environmental exposure.

Results
Four distinct trajectories were identified for both AD and wheeze. In the multivariable analyses, several nominal associations were observed (e.g., ACE and late-onset AD: aOR 1.67, 95 % CI 1.09–2.54); however, none remained statistically significant after Benjamini–Hochberg correction. Overall, prenatal exposure to neonicotinoids at current environmental levels in Japan was not consistently associated with any specific trajectory of AD or wheeze.

Conclusion
We found no robust and consistent evidence of an association between prenatal neonicotinoid exposure and childhood atopic dermatitis or wheeze trajectories in this Japanese cohort under relatively low background exposure conditions. Further studies in populations with different exposure profiles are warranted.

医療・健康
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