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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 phenols and growth in boys
Claire Philippat1, Jérémie Botton, Antonia M Calafat
1From the aInserm, IAB, Team of Environmental Epidemiology applied to Reproduction and Respiratory Health, Grenoble, France; bUniversity of Grenoble Alpes, IAB, Grenoble, France; cInserm, Center for research in Epidemiology and Population Health, U1018, Team Epidemiology of Diabetes, Obesity and Renal Disease: Lifelong Approach, Villejuif, France; dUniversité Paris-Sud, Faculty of Pharmacy, Châtenay-Malabry, France; and eCenters for Disease Control and Prevention, Atlanta, GA.
Insights
Maternal exposure to phenols like triclosan and parabens during pregnancy may affect male newborn growth. Prenatal paraben exposure showed a positive association with birth weight and continued to be linked to weight gain up to three years.
Area of Science:
- Endocrinology
- Environmental Health
- Pediatrics
Background:
- Phenols are environmental chemicals known to interact with nuclear receptors controlling growth and adipogenesis.
- Limited research exists on the impact of phenol exposure on human growth during development.
Purpose of the Study:
- To investigate the association between maternal urinary phenol concentrations during pregnancy and prenatal and postnatal growth in male newborns.
- To assess the impact of specific phenols, including triclosan and parabens, on fetal development and early childhood growth trajectories.
Main Methods:
- A cohort study involving 520 mother-son pairs.
- Quantification of nine phenols in maternal urine samples collected during pregnancy.
- Assessment of fetal growth via ultrasonography and birth measurements.
- Modeling of postnatal growth (weight and height) for the first three years of life.
Main Results:
- Triclosan exposure was linked to reduced growth parameters in late pregnancy but not earlier.
- A trend of negative association between triclosan and head circumference at birth was observed.
- Parabens, particularly methylparaben, were positively associated with birth weight and showed sustained positive associations with weight gain up to three years postpartum.
Conclusions:
- Prenatal exposure to certain phenols, specifically parabens and triclosan, may influence prenatal and early postnatal growth in male infants.
- The study highlights potential developmental effects of common environmental phenols.
- Limitations include the use of single spot urine samples for exposure assessment, potentially leading to misclassification.
Background:
Phenols interact with nuclear receptors implicated in growth and adipogenesis regulation. Only a few studies have explored their effects on growth in humans.
Objectives:
We studied the associations of maternal exposure to phenols during pregnancy with prenatal and postnatal growth of male newborns.
Methods:
Within a cohort of women recruited during pregnancy, we selected 520 mother-son pairs and quantified 9 phenols in spot urine samples collected during pregnancy. We used ultrasonography during pregnancy, together with birth measurements, to assess fetal growth. We modeled individual postnatal growth trajectories from repeated measures of weight and height in the first 3 years of life.
Results:
Triclosan concentration was negatively associated with growth parameters measured at the third ultrasound examination but not earlier in pregnancy. At birth, this phenol tended to be negatively associated with head circumference (-1.2 mm for an interquartile range [IQR] increase in ln-transformed triclosan concentration [95% confidence interval = -2.6 to 0.3]) but not with weight or height. Parabens were positively associated with weight at birth. This positive association remained for 3 years for methylparaben (β = 193 g [-4 to 389]) for an IQR increase in ln-transformed concentrations.
Conclusion:
We relied on only 1 spot urine sample to assess exposure; because of the high variability in phenol urinary concentrations reported during pregnancy, using only 1 sample may result in exposure misclassification, in particular for bisphenol A. Our study suggested associations between prenatal exposure to parabens and triclosan and prenatal or early postnatal growth.
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