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Published on: June 2, 2023
Urinary biomarkers for phthalates associated with asthma in Norwegian children
Randi J Bertelsen1, Karin C Lødrup Carlsen, Antonia M Calafat
1Department of Food, Water and Cosmetics, Norwegian Institute of Public Health, Oslo, Norway. randi.jacobsen.bertelsen@fhi.no
Insights
High phthalate metabolite levels, specifically mono(carboxyoctyl) phthalate (MCOP) and mono(carboxynonyl) phthalate (MCNP), were linked to increased asthma risk in children. These findings highlight potential environmental health concerns for childhood respiratory conditions.
Area of Science:
- Environmental Health
- Pediatric Asthma
- Toxicology
Background:
- High-molecular-weight phthalates in indoor dust are linked to childhood asthma.
- Limited research exists on phthalate biomarkers and respiratory health outcomes.
Purpose of the Study:
- To investigate the association between urinary phthalate metabolite concentrations and current asthma in children.
- To identify specific phthalate metabolites that may serve as biomarkers for asthma risk.
Main Methods:
- Cross-sectional analysis of 623 10-year-old Norwegian children.
- Measurement of 11 phthalate metabolites in first morning void urine samples.
- Logistic regression models adjusted for potential confounders.
Main Results:
- Current asthma was associated with the highest quartiles of mono(carboxyoctyl) phthalate (MCOP) and mono(carboxynonyl) phthalate (MCNP).
- The adjusted odds ratio for asthma was 1.9 for the highest MCOP quartile and 2.2 for the highest MCNP quartile.
- No significant associations were found for other phthalate metabolites.
Conclusions:
- Elevated urinary MCOP and MCNP concentrations are associated with current asthma in children.
- These metabolites, derived from diisononyl phthalate and diisodecyl phthalate, may indicate increased asthma risk.
- Findings should be interpreted cautiously due to the study's cross-sectional design and short phthalate half-life.
Background:
High-molecular-weight phthalates in indoor dust have been associated with asthma in children, but few studies have evaluated phthalate biomarkers in association with respiratory outcomes.
Objectives:
We explored the association between urinary concentrations of phthalate metabolites and current asthma.
Methods:
In a cross-sectional analysis, 11 metabolites of 8 phthalates [including four metabolites of di(2-ethylhexyl) phthalate] were measured in one first morning void collected from 2001 through 2004 from 623 10-year-old Norwegian children. Logistic regression models controlling for urine specific gravity, sex, parental asthma, and income were used to estimate associations between current asthma and phthalate metabolite concentrations by quartiles or as log10-transformed variables.
Results:
Current asthma was associated with both mono(carboxyoctyl) phthalate (MCOP) and mono(carboxynonyl) phthalate (MCNP), although the association was limited to those in the highest quartile of these chemicals. The adjusted odds ratio (aOR) for current asthma was 1.9 (95% CI: 1.0, 3.3) for the highest MCOP quartile compared with the lowest quartile, and 1.3 (95% CI: 0.98, 1.7) for an interquartile-range increase. The aOR for current asthma was 2.2 (95% CI: 1.2, 4.0) for the highest MCNP quartile and 1.3 (95% CI: 1.0, 1.7) for an interquartile-range increase. The other phthalate metabolites were not associated with current asthma.
Conclusions:
Current asthma was associated with the highest quartiles of MCOP and MCNP, metabolites of two high molecular weight phthalates, diisononyl phthalate and diisodecyl phthalate, respectively. Given the short biological half-life of the phthalates and the cross-sectional design, our findings should be interpreted cautiously.
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