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Published on: September 20, 2018
Prenatal phthalate exposure and infant size at birth and gestational duration
Jessica R Shoaff1, Megan E Romano1, Kimberly Yolton2
1Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
Insights
Prenatal phthalate exposure did not impact infant birth size or gestational duration in this study. Further research is needed to explore earlier developmental windows for potential effects of phthalate metabolites.
Area of Science:
- Environmental Health
- Reproductive Toxicology
- Perinatal Epidemiology
Background:
- Widespread phthalate exposure is a public health concern.
- Previous studies on prenatal phthalate exposure and infant outcomes show inconsistent findings.
- Understanding the impact of phthalates on fetal development is crucial.
Purpose of the Study:
- To investigate the association between maternal urinary phthalate metabolite concentrations and infant birth outcomes.
- To quantify the relationship between specific phthalate exposures and birth weight z-scores, length, head circumference, and gestational duration.
- To clarify the impact of phthalate exposure during mid-pregnancy on infant anthropometrics and gestation.
Main Methods:
- A cohort of 368 pregnant women from the HOME Study in Cincinnati, OH, was analyzed.
- Maternal urine samples were collected at 16 and 26 weeks gestation to measure nine phthalate metabolites.
- Infant birth size and gestational duration data were obtained from medical records and analyzed using multivariable linear regression.
Main Results:
- Unadjusted analyses indicated potential associations: monoethyl phthalate (MEP) with birth weight z-scores and mono-3-carboxypropyl phthalate (MCPP) with gestational duration.
- After adjusting for covariates, no statistically significant associations were found between maternal urinary phthalate metabolite concentrations and infant birth size or gestational duration.
- These findings suggest that phthalate exposures measured in mid-pregnancy may not significantly affect these specific infant outcomes.
Conclusions:
- Maternal urinary phthalate metabolite concentrations during pregnancy were not associated with infant birth size or gestational duration in this cohort.
- The study highlights the need for further investigation into potential critical windows of fetal development for phthalate exposure effects.
- Additional research may elucidate the complex relationship between environmental exposures and infant health outcomes.
Background:
Phthalate exposure is widespread. Prior research suggests that prenatal phthalate exposure may influence birth size and gestational duration, but published results have been inconsistent.
Objective:
We quantified the relationship between maternal urinary phthalate concentrations and infant birth weight z-scores, length, head circumference, and gestational duration.
Methods:
In a cohort of 368 women from the HOME Study, based in Cincinnati, OH, we measured nine phthalate metabolites representing exposure to six parent phthalate diesters in urine collected at approximately 16 and 26 weeks gestation. Infant birth size and gestational duration were abstracted from medical records. We used multivariable linear regression to estimate covariate adjusted associations between urinary phthalate metabolite concentrations and infant outcomes.
Results:
In unadjusted models, we observed a negative association between monoethyl phthalate (MEP) and birth weight z-scores, while mono-3-carboxypropyl phthalate (MCPP) was positively associated with gestational duration. After covariate adjustment, phthalate metabolite concentrations were no longer associated with birth size or gestational duration.
Conclusions:
In this cohort, urinary phthalate metabolite concentrations during pregnancy were not associated with infant birth size or gestational duration. Additional research is needed to determine if exposures during earlier periods of fetal development are associated with infant health.
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