Skip to main content
Log in

Lead and sudden infant death

Investigations on blood samples of SID babies

  • Original Investigations
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

To investigate a potential relationship between an elevated lead burden and sudden infant death (SID), the lead concentrations (Pb-B) were determined in 41 blood samples from SID babies and compared with the Pb-B of 5 babies who died traumatically and 77 living control babies. Several factors that may influence the Pb-B were taken into consideration, especially a dependence of the Pb-B on age and social class. Moreover, a post-mortem water shift occurs in the blood. Even taking these factors into consideration the distribution of the Pb-B's of the SID group was found to differ on a highly significant level (>99.9%) from the control group. Five Pb-B's of the SID group were higher than the highest lead concentration found in blood from the control babies. Negative influences of lead on the pre-and postnatal maturation of the brain are discussed in the search for a possible causal connection between an elevated lead burden and the occurrence of SID.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Abbreviations

SID:

sudden infant death

Pb-B:

blood lead concentration

References

  1. Annest JL (1983) Trends in the blood lead levels of the US population, the second national health and nutrition survey (NHANES II) 1976–1980. In: Rutter M, Jones RR (eds) Lead versus health. Wiley, London

    Google Scholar 

  2. Aronow WS (1978) Effect of ambient level of carbon monoxide in cardiopulmonary disease. Chest 74:1

    Google Scholar 

  3. Beal SM (1983) Some epidemiological factors about sudden infant death syndrome (SIDS) in South Australia. In: Tildon JT, Roeder LM, Steinschneider A (eds) Sudden infant death syndrome. Proceedings of the 1982 International Research Conference on the Sudden Infant Death Syndrome, Baltimore. Academic Press, New York London, p 15

    Google Scholar 

  4. Bellinger D, Leviton LA, Waternaux C, Needleman H, Rabinowitz M (1985) A longitudinal study of the developmental toxicity of low-level lead exposure in the prenatal and early postnatal periods. In: Lekkas TD (ed) International Conference on Heavy Metals in the Environment, vol 1. CEP Consultants, Edinburgh, pp 32–34

    Google Scholar 

  5. Biering-Sörensen F, Jorgensen T, Hilden J (1978) Sudden infant death in Copenhagen 1956–71. I. Infant feeding. Acta Paediatr Scand 62:129–135

    Google Scholar 

  6. Biering-Sörensen F, Jorgensen T, Hilden J (1979) Sudden infant death in Copenhagen 1956–71. II. Social factors and morbidity. Acta Paediatr Scand 68:1–9

    Google Scholar 

  7. Bonser RS, Knight BH, West RR (1978) Sudden infant death syndrome in Cardiff, association with epidemic influenza and with temperature 1955–1974. Int J Epidemiol 7:335–342

    Google Scholar 

  8. Brettel HF (1972) Blutalkohol und Blutwassergehalt, Methodik Theorie Praxis. (Arbeitsmethoden der medizinischen und naturwissenschaftlichen Kriminalistik, vol 11) Schmidt-Römhild, Lübeck, p 66

    Google Scholar 

  9. Carpenter RG, Gardner A, McWeeny PM, Emery JL (1977) Multistage scoring-system for identifying infants at risk of unexpected death. Arch Dis Child 52:606–612

    Google Scholar 

  10. Coe JI, Hartmann EE (1960) Sudden unexpected death in infancy. J Pediatr 56:786–794

    Google Scholar 

  11. DFG (Deutsche Forschungsgemeinschaft) (1984) Rückstände und Verunreinigungen in Frauenmilch, Mitteilung XII der Kommission zur Prüfung von Rückständen in Lebensmitteln. Verlag Chemie, Weinheim

    Google Scholar 

  12. Dittmann V, Pribilla O (1983) Zur Epidemiologie des plötzlichen Säuglingstodes (Sudden infant death syndrom, SIDS) im Lübecker Raum, Katamnestische Untersuchungen and 155 von 1971 bis 1981 beobachteten Fällen. Z Rechtsmed 90:277–292

    Google Scholar 

  13. Ehrlich R (1966) Effect of nitrogen dioxide on respiratory infection. Bacteriol Rev 30:604–612

    Google Scholar 

  14. Erickson MM, Poklis A, Gantner GE, Dickinson AW, Hillman LS (1983) Tissue mineral levels in victims of sudden infant death syndrome. I. Toxic metals — lead and cadmium. Pediatr Res 17: 779–784

    Google Scholar 

  15. Ernhart CB, Wolf AW, Kennard MJ, Filipovich HF, Sokol RJ, Erhard P (1985) Intrauterine lead exposure and the status of the neonate. In: Lekkas TD (ed) International Conference on Heavy Metals in the Environment, vol 1. CEP Consultants, Edinburgh, p 35–37

    Google Scholar 

  16. Froggatt P, Lynas MA, Marshall TK (1968) Sudden death in babies: epidemiology. Am J Cardiol 22:457–471

    Google Scholar 

  17. Froggatt P, Lynas MA, Marshall TK (1971) Sudden unexpected death in infants (cot death) report of a collaborative study in Northern Ireland. Ulster Med J 40:116–132

    Google Scholar 

  18. Goldstein IF (1982) Seasonal relationship of sudden infant death syndrome and environmental pollutants. Am J Epidemiol 116: 189–192

    Google Scholar 

  19. Graziano JH, Popovac D, Murphy MJ, Colakovic B, Stein Z, Mehmeti A, Kline J, Ahmedi G, Rajovic B, Gasi E, Haxhiu R, Radovic L, Hoxha I, Zvicer Z, Popovac R, Bozovic R, Shrout P, LoIacono N (1985) Environmental lead and pregnancy outcome. In: Lekkas TD (ed) International Conference on Heavy Metals in the Environment, vol 1. CEP Consultants, Edinburgh, pp 414–416

    Google Scholar 

  20. Greenberg MA, Nelson KE, Carnow BW (1973) A study of the relationship between sudden infant death syndrome and environmental factors. Am J Epidemiol 98:412–422

    Google Scholar 

  21. Grüner O (1967) Der gerichtsmedizinische Alkoholnachweis, 2nd edn. Heymanns, Köln Berlin Bonn München, p 65

    Google Scholar 

  22. Henschler D (1982) Analysen in biologischem Material. Verlag Chemie, Weinheim

    Google Scholar 

  23. Hoppenbrouwers T, Calub M, Arakawa K, Hodgman JE (1981) Seasonal relationship of sudden infant death syndrome and environmental pollutants. Am J Epidemiol 113:623–635

    Google Scholar 

  24. Houstek J (1970) Sudden infant death syndrome in Czechoslovakia: epidemiologic aspects. Proceedings of the 2nd International Conference of Causes of Sudden Death in Infants, Seattle. University Press, Washington, p 55

    Google Scholar 

  25. Iyengar GV (1985) Concentrations of 15 trace elements in some selected adult human tissues and body fluids of clinical interest from several countries: results from a pilot study for the establishment of reference values. Berichte der Kernforschungsanlage Jülich, Nr 1974

  26. Käferstein F, Müller J (1981) Heavy metals in the infant diet. ZEBS-Bericht 1/1981. Reimer, Berlin

    Google Scholar 

  27. Kinney HC, Burger PC, Harrell FE (1983) “Reactive gliosis” in the medulla oblongata of victims of the sudden infant death syndrome. Pediatrics 72:181–196

    Google Scholar 

  28. Kraus JF, Franti CE, Borhani NO (1972) Discriminatory risk factors in post-neonatal sudden unexplained death. Am J Epidemiol 96:328–333

    Google Scholar 

  29. Lewin L (1922) Die Fruchtabtreibung durch Gifte und andere Mittel, 3rd edn. Springer, Berlin, pp 280–289

    Google Scholar 

  30. Lochner C (1987) Bleibelastung und plötzlicher Kindstod —Blutuntersuchungen zur Frage eines möglichen Zusammenhanges. Dissertation, Universität München

  31. Longo LD (1977) The biological effects of carbon monoxide on the pregnant woman, fetus, and newborn infant. Am J Obstet Gynecol 129:69–77

    Google Scholar 

  32. Merck E (1970) Klinisches Labor, 11th edn. Merck, Darmstadt

    Google Scholar 

  33. Merian E (1984) Metalle in der Umwelt. Verlag Chemie, Weinheim

    Google Scholar 

  34. McWeeny PM, Emery JL (1975) Unexpected postneonatal deaths (cot deaths) due to recognizable disease. Arch Dis Child 50:191–196

    Google Scholar 

  35. Naeye RL (1983) Origins of the sudden infant death syndrome. In: Tildon JT, Roeder LM, Steinschneider A (eds) Sudden infant death syndrome. Proceedings of the 1982 International Research Conference on the Sudden Infant Death Syndrome, Baltimore. Academic Press, New York London, pp 77–84

    Google Scholar 

  36. Ong CN, Lee WR (1980) High affinity of lead for fetal hemoglobin. Br J Ind Med 37:292–298

    Google Scholar 

  37. Piasek M, Kostial K (1985) Duration of exposure to lead and reproductive performance in rats. In: Lekkas TD (ed) International Conference on Heavy Metals in the Environment, vol 1. CEP Consultants, Edinburgh, p 463–465

    Google Scholar 

  38. Read A, Stanley F (1983) Postneonatal mortality in Western Australia 1970–1978. Aust Pediatr J 19:18–26

    Google Scholar 

  39. Rom WN (1976) Effects of lead on the female and reproduction: a review. Mt Sinai J Med 43:542

    Google Scholar 

  40. Sachs L (1984) Angewandte Statistik, Anwendung statistischer Methoden, 6th edn. Springer, Berlin Heidelberg New York

    Google Scholar 

  41. Schmidt C, Spann W, Eisenmenger W (1984) Das Phänomen des “plötzlichen Kindstodes” aus sozialer und psychologischer Sicht. Münch Med Wochenschr 126:795

    Google Scholar 

  42. Spiers PS, Wang L (1976) Short pregnancy interval, low birth-weight and the sudden infant death syndrome. Am J Epidemiol 104:15–21

    Google Scholar 

  43. Standfast SJ, Jereb S, Janerich DT (1979) The epidemiology of sudden infant death in upstate New York. J Am Med Wom Assoc 241:1121–1124

    Google Scholar 

  44. Standfast SJ, Jereb S, Janerich DT (1980) The epidemiology of sudden infant death in upstate New York. II. Birth characteristics. Am J Public Health 70:1061–1067

    Google Scholar 

  45. Stark RE, Nathanson SN (1975) Unusual features of cry in an infant dying suddenly and unexpectedly. In: Bosma JF, Showacre J (eds) Development of upper respiratory anatomy and function: implications for sudden infant death syndrome. Government Printing Office. Washington, DC, p 233

    Google Scholar 

  46. Steele R, Langworth JT (1966) The relationship of antenatal and postnatal factors to sudden unexpected death in infancy. Can Med Ass J 94:1165–1171

    Google Scholar 

  47. Stephens RJ, Freeman G, Crane SC (1971) Ultrastructural changes in the terminale bronchiole of the rat during continuous, low-level exposure to nitrogen dioxide. Exp Mol Pathol 14:1–14

    Google Scholar 

  48. Stoeppler M, Mohl C, Ostapczuk P, Goedde M, Roth M, Waidmann E (1984) Rapid and reliable determination of elevated blood lead levels. Fresenius Z Anal Chem 317:486–490

    Google Scholar 

  49. Valdes-Dapena MA (1977) Sudden unexplained infant death, 1970 through 1975: an evolution in understanding. Pathol Annu 12:117–145

    Google Scholar 

  50. Valdes-Dapena MA (1980) Sudden infant death syndrome: a review of the medical literature 1974–1979. Pediatrics 66:597–614

    Google Scholar 

  51. Weigert M (1987) Bestimmung der Bleikonzentration in Leichenblut. Dissertation, Universität München

  52. Wide M (1983) Lead and development of the early embryo. In: Clarkson T, Nordberg G, Sagar P (eds) Reproductive and developmental toxicology of metals. Plenum, New York, pp 343–355

    Google Scholar 

  53. Wilske J (1984) Der plötzliche Säuglingstod, Morphologische Abgrenzung, Pathomechanismus und Folgerungen für die Praxis. Springer, Berlin Heidelberg New York

    Google Scholar 

  54. Winneke G, Beginn U, Ewert T, Havestadt C, Kraemer U, Krause C, Thron HL, Wagner HM (1985) Comparing the effects of perinatal and later childhood lead exposure on neuropsychological outcome. Environ Res 38:155–167

    Google Scholar 

  55. Yount JE, Flanagan WJ, Dingley EF (1979) Evidence of an exponentially increasing evidence of sudden infant death syndrome (SIDS) with decreasing birthweight (BW). Pediatr Res 13:510–517

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Drasch, G.A., Kretschmer, E. & Lochner, C. Lead and sudden infant death. Eur J Pediatr 147, 79–84 (1988). https://doi.org/10.1007/BF00442618

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00442618

Key words

Navigation