Bisphenol A and cardiometabolic risk factors in obese children

Naila Khalil1, James R Ebert2, Lei Wang3

  • 13123 Research Blvd, Suite #200, Center for Global Health, Department of Community Health, Boonshoft School of Medicine, Wright State, University, Dayton, OH, USA.

Insights

Bisphenol-A (BPA) exposure in obese children, particularly males, is linked to adverse liver and metabolic health effects. This study investigated the association between BPA and non-alcoholic fatty liver disease (NAFLD) in children.

Area of Science:

  • Environmental health
  • Pediatric endocrinology
  • Hepatology

Background:

  • Bisphenol-A (BPA) is an endocrine disruptor linked to obesity and liver changes.
  • Non-alcoholic fatty liver disease (NAFLD) is prevalent in obese US children.
  • The relationship between BPA and pediatric NAFLD is not well understood.

Purpose of the Study:

  • To investigate the potential role of BPA in the development of NAFLD in children.
  • To examine the association between urinary BPA levels and metabolic/liver markers in obese and overweight children.

Main Methods:

  • Cross-sectional study of 39 obese/overweight children (3-8 years).
  • Anthropometric, clinical, and biochemical assessments were performed.
  • Urinary BPA was measured using LC-MS/MS and adjusted for creatinine.

Main Results:

  • Elevated urinary BPA (creatinine) correlated with higher free thyroxine.
  • In males, BPA (creatinine) was associated with increased aspartate aminotransferase and diastolic blood pressure.
  • BPA was linked to insulin resistance markers (fasting insulin, HOMA-IR) in males, showing a non-monotonic relationship.

Conclusions:

  • Urinary BPA is associated with adverse liver and metabolic outcomes in obese children, especially males.
  • Findings suggest BPA may contribute to liver and metabolic disturbances in this population.
  • Further research is warranted to confirm these associations and explore mechanisms.
Abstract

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