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Published on: March 6, 2018
Prenatal bisphenol a urine concentrations and early rapid growth and overweight risk in the offspring
Damaskini Valvi1, Maribel Casas, Michelle A Mendez
1From the aCentre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain; bHospital del Mar Research Institute (IMIM), Barcelona, Spain; cCIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain; dPompeu Fabra University, Barcelona, Spain; eDepartment of Nutrition, Gillings School of Public Health, University of North Carolina, Chapel Hill, NC; and fDepartment of Analytical Chemistry, University of Cordoba, Cordoba, Spain.
Insights
Prenatal exposure to bisphenol A (BPA) may be linked to childhood obesity, specifically increased waist circumference and BMI by age 4. However, this association was not observed in infancy, and findings should be interpreted cautiously.
Area of Science:
- Environmental Health
- Pediatric Endocrinology
- Reproductive Toxicology
Background:
- Emerging evidence links prenatal bisphenol A (BPA) exposure to offspring weight gain.
- Human studies on prenatal BPA exposure and postnatal growth remain limited.
- This research investigates the impact of prenatal BPA on child growth and obesity development.
Purpose of the Study:
- To examine the association between prenatal bisphenol A (BPA) exposure and postnatal growth trajectories.
- To assess the relationship between prenatal BPA exposure and obesity-related outcomes in early childhood.
- To determine if BPA exposure during pregnancy influences body mass index (BMI) and waist circumference in children.
Main Methods:
- Maternal urine samples from a Spanish birth cohort (n=402) were analyzed for BPA concentrations in the 1st and 3rd trimesters.
- Prenatal BPA exposure was assessed using average creatinine-adjusted BPA levels.
- Childhood growth and obesity were evaluated using Z scores for weight, BMI, and waist circumference at 14 months and 4 years.
Main Results:
- Prenatal BPA exposure was associated with increased waist circumference and BMI at 4 years of age.
- No significant association was found between prenatal BPA exposure and obesity-related outcomes in infancy.
- Twenty-six percent of children exhibited rapid growth in the first 6 months; 25% were overweight at 14 months and 21% at 4 years.
Conclusions:
- Prenatal BPA exposure shows some association with childhood obesity-related outcomes, but not in infancy.
- Findings suggest a potential link between BPA exposure during pregnancy and later obesity markers.
- Uncertainties in BPA exposure assessment necessitate cautious interpretation of the results.
Background:
Increasing experimental evidence suggests that prenatal bisphenol A (BPA) exposure induces offspring weight gain, but these effects remain largely unexplored in humans. We examined the effects of prenatal BPA exposure on postnatal growth and obesity.
Methods:
BPA concentrations were measured in two spot-urine samples collected in the 1st and 3rd trimesters of pregnancy from mothers in a Spanish birth cohort study (n = 402). We used the average of the two creatinine-adjusted BPA concentrations as the exposure variable. Rapid child growth was defined as a weight gain Z score >0.67 in the first 6 months of life. Age- and sex-specific Z scores for body mass index (BMI) were calculated at age 14 months and 4 years, based on the World Health Organization referent; overweight was defined as a BMI Z score greater than or equal to the 85th percentile. Age- and sex-specific waist circumference Z scores were calculated at age 14 months and 4 years using the analysis population mean.
Results:
Twenty-six percent of children were rapid growers; 25% were overweight at 14 months and 21% at 4 years. Geometric mean BPA concentrations were 2.6 μg/g creatinine (standard deviation = 2.3) in 1st trimester and 2.0 (2.3) in 3rd trimester samples (Pearson r = 0.13). At 4 years, BPA exposure was associated with increased waist circumference (β per log10 μg/g = 0.28 [95% confidence interval = 0.01 to 0.57]) and BMI (β = 0.28 [-0.06 to 0.63]). BPA was not associated with obesity-related outcomes at earlier ages.
Conclusions:
This study provides some evidence for an association between prenatal BPA exposure and obesity-related outcomes in childhood, although not in infancy. The large uncertainties in BPA exposure assessment require that findings be interpreted with caution.
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