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Published on: March 6, 2018
Lactational Exposure to Polybrominated Diphenyl Ethers and Its Relation to Early Childhood Anthropometric
Kate Hoffman1, Michelle Mendez, Anna Maria Siega-Riz
1UNC Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
Insights
Polybrominated diphenyl ethers (PBDEs) in breast milk showed no overall association with early childhood growth. Sex-specific analyses revealed some associations, particularly with weight-for-height z-scores in boys and girls, warranting further research.
Area of Science:
- Environmental Health
- Pediatric Health
- Toxicology
Background:
- Polybrominated diphenyl ethers (PBDEs) are widespread environmental contaminants.
- PBDEs may impact child growth and development.
Purpose of the Study:
- To examine the link between PBDEs in breast milk and early childhood anthropometric measurements.
- Investigate associations with weight-for-age, height-for-age, and weight-for-height z-scores.
Main Methods:
- Followed a North Carolina cohort (PIN Babies study) through 36 months of age.
- Analyzed breast milk for five PBDE congeners.
- Collected anthropometric data from 246 children, adjusting for multiple covariates and stratifying by sex.
Main Results:
- No significant overall association between PBDEs in breast milk and anthropometric measures.
- Inverse association between PBDEs and weight-for-height z-scores observed in boys, but imprecisely estimated.
- Girls showed a tendency towards increased weight-for-height z-scores with PBDE exposure, except for BDE-153.
Conclusions:
- Limited evidence for PBDE-associated anthropometric changes in early childhood via lactation.
- Results suggest the need for sex-specific analyses in larger populations to confirm findings.
Background:
Polybrominated diphenyl ethers (PBDEs) are ubiquitous environmental contaminants that may influence growth and development.
Objective:
We investigated the association between exposure to PBDEs via breast milk and anthropometric measurements in early childhood.
Methods:
The Pregnancy Infection and Nutrition (PIN) Babies studies followed a cohort of North Carolina pregnant women and their children through 36 months of age. Breast milk samples obtained at 3 months postpartum were analyzed for PBDEs. We collected height and weight records from well-baby doctor visits and also measured children during study visits (n = 246 children with > 1,400 anthropometric measurements). We assessed the relationship between breast milk concentrations of five PBDE congeners-BDEs 28, 47, 99, 100, and 153-and child's weight-for-age, height-for-age, and weight-for-height z-scores (WAZ, HAZ, and WHZ, respectively), adjusting for age; maternal age, race, prepregnancy BMI; parity; smoking during pregnancy; and breastfeeding, and stratifying by sex.
Results:
Overall, PBDE exposures via breast milk were not associated with early-life anthropometric measures in the PIN Babies cohort. When stratified by sex, PBDEs in milk were inversely associated with WHZ for boys; however, associations did not follow a consistent pattern across the concentration gradient and were imprecisely estimated. Among girls, PBDEs tended to be associated with increased WHZ except for BDE-153, which was inversely associated with WHZ, though all estimates were imprecisely estimated.
Conclusions:
We observed little evidence of associations between early-life PBDE exposures via breast milk and anthropometric measurements overall; however, our results prompt the need for sex-specific investigations in larger cohorts.
Citation:
Hoffman K, Mendez M, Siega-Riz AM, Herring AH, Sjödin A, Daniels JL. 2016. Lactational exposure to polybrominated diphenyl ethers and its relation to early childhood anthropometric measurements. Environ Health Perspect 124:1656-1661; http://dx.doi.org/10.1289/EHP201.
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