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Updated: May 6, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
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.
Background And Objective:
Bisphenol-A (BPA) is an endocrine disruptor (ED) that has been associated with obesity and metabolic changes in liver in humans. Non-alcoholic fatty liver disease (NAFLD) affects 40% of all obese children in the United States. Association of BPA with NAFLD in children is poorly understood. We investigated if BPA might play a role.
Methods:
In a cross sectional study of 39 obese and overweight children aged 3-8 years enrolled from the Children Medical Center of Dayton, Ohio, anthropometric, clinical and biochemical assessment of serum samples were conducted. Urinary BPA was measured by liquid chromatography-tandem mass spectrometry (LC-MS/MS) and was adjusted for urinary creatinine BPA (creatinine) using linear regression and spline analyses.
Results:
Higher urinary BPA (creatinine) concentration in overweight and obese children was associated with increasing free thyroxine. In male children BPA (creatinine) decreased with age, and was associated with elevated liver enzyme aspartate aminotransferase and diastolic blood pressure. The association of BPA (creatinine) persisted even after adjusting for age and ethnicity. Also in males, BPA concentration unadjusted for creatinine was significantly associated with serum fasting insulin and homeostasis model assessment for insulin resistance (HOMA-IR) showing non-monotonic exposure-response relationship.
Conclusion:
Urinary BPA in obese children, at least in males is associated with adverse liver and metabolic effects, and high diastolic blood pressure.
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