Background The acoustic startle response (ASR) is a reflex mediated by well-described neural processes. The ASR is modified under different behavioral conditions (e.g. during attention tasks). This can be impaired in behavioral disorders, such as attention deficit disorder. Although extensively studied in animal models and some human clinical conditions, few studies have explored the use of the ASR to assess neurological effects of toxicants, and none in adolescents. Aims To describe the relationship between basic ASR amplitude, sociodemographic characteristics typically used in neurodevelopmental studies, and concurrent methylmercury (MeHg) exposure in a cohort of adolescents. Methods We report on recordings from 232 adolescents aged 8-17 years from the Early Life Exposure in Mexico to Environmental Toxicants (ELEMENT) study. The responses to 12 acoustic startle probes (50ms white noise bursts at ~100dB) per subject were recorded as electromyographic (EMG) activity of the eyeblink muscle. Multivariable linear regression was used to evaluate the association between concurrent MeHg exposure and demographic variables and the amplitude of the EMG activity in response to the acoustic probes (the ASR). Results Participants had a mean (SD) ASR amplitude of 1.67?V (2.09). The ASR showed expected habituation. Subject's age, maternal age at birth, socioeconomic status, mother's education, parent marital status, and smoking during pregnancy were not associated with log-transformed ASR amplitude. Sex of the child was associated with ASR amplitude: boys showed a 1.55?V (95% CI: 1.18, 2.03) smaller response than girls. Concurrent mean blood Hg concentration was 2.06 (2.22) ?g/L and was not associated with ASR magnitude. Conclusions Sex was strongly associated with ASR magnitude and will have to be carefully considered in future analyses. While concurrent blood Hg was not associated with ASR in the current analyses, we are continuing to increase our sample size, explore other mercury biomarkers, exposure windows, age ranges, and related neurological measures.
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