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Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
Prenatal exposure to bisphenol A and phthalates and infant neurobehavior
Kimberly Yolton1, Yingying Xu, Donna Strauss
1Department of Pediatrics, Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, United States. kimberly.yolton@cchmc.org
Insights
Prenatal exposure to certain phthalates, like DBP, may improve infant behavior, while DEHP is linked to altered reflexes in males. Bisphenol A (BPA) showed no significant association with infant neurobehavior.
Area of Science:
- Environmental Health
- Developmental Toxicology
- Neuroscience
Background:
- Prenatal exposure to endocrine-disrupting chemicals (EDCs) like bisphenol A (BPA) and phthalates is a growing concern.
- These chemicals can cross the placenta and potentially impact fetal development, including neurobehavioral outcomes.
- Understanding these associations is crucial for public health and developmental guidance.
Purpose of the Study:
- To investigate the relationship between maternal urinary levels of BPA and common phthalates during pregnancy and infant neurobehavior at 5 weeks of age.
- To determine if the timing of prenatal exposure (16 vs. 26 weeks gestation) influences the observed associations.
- To assess specific neurobehavioral domains using the NICU Network Neurobehavioral Scale (NNNS).
Main Methods:
- A cohort of 350 mother/infant pairs was recruited.
- Maternal urine samples were collected at 16 and 26 weeks of gestation to measure BPA and phthalate metabolite concentrations.
- Infant neurobehavior was assessed at 5 weeks postpartum using the NNNS.
Main Results:
- No significant association was found between prenatal BPA exposure and infant neurobehavioral outcomes.
- Significant associations between phthalate exposure and infant neurobehavior were observed only when exposure was measured at 26 weeks gestation.
- Higher di-butyl phthalate (DBP) metabolites at 26 weeks were linked to improved behavioral organization (decreased arousal, increased self-regulation).
- Higher di-2-ethylhexyl phthalate (DEHP) metabolites at 26 weeks in males were associated with more nonoptimal reflexes.
Conclusions:
- The impact of prenatal phthalate exposure on infant neurobehavior is dependent on the specific phthalate and the timing of exposure during pregnancy.
- Prenatal DBP exposure may be associated with beneficial effects on behavioral organization in infants.
- Prenatal DEHP exposure may be linked to altered reflex patterns in male infants.
- Prenatal BPA exposure did not demonstrate a significant association with infant neurobehavior in this cohort.
Objective:
To examine the association of prenatal exposure to bisphenol A and select common phthalates with infant neurobehavior measured at 5 weeks.
Methods:
We compared the concentration of maternal urinary metabolites of bisphenol A and phthalates at two distinct time points in pregnancy (16w, 26w) with scores on the NICU Network Neurobehavioral Scale (NNNS) at 5 weeks of age in a cohort of 350 mother/infant pairs.
Results:
Prenatal exposure to BPA was not significantly associated with neurobehavioral outcomes at 5 weeks. Significant associations between prenatal exposure to measured phthalates and infant neurobehavioral outcomes differed by type of phthalate and were only seen with exposure measured at 26 weeks. Higher total di-butyl phthalate (DBP) metabolites at 26w were associated with improved behavioral organization evidenced by decreased arousal (p=.04), increased self-regulation (p=.052), and decreased handling (p=.02). In males, higher total di-2-ethylhexyl phthalate (DEHP) metabolites at 26w were associated with more nonoptimal reflexes (p=.02).
Conclusion:
The association between prenatal phthalate exposure and infant neurobehavior differed by type of phthalate and was evident only with exposure measured at 26w. Prenatal exposure to DBP was associated with improved behavioral organization in 5-week-old infants. Prenatal exposure to DEHP was associated with nonoptimal reflexes in male infants. There was no evidence of an association between prenatal BPA exposure and infant neurobehavior.
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