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Prenatal Polybrominated Diphenyl Ether Exposure and Body Mass Index in Children Up To 8 Years of Age
Ann M Vuong1, Joseph M Braun, Andreas Sjödin
1Division of Epidemiology, Department of Environmental Health, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Insights
Prenatal exposure to polybrominated diphenyl ethers (PBDEs) was not linked to height or weight in children. However, higher maternal PBDE levels, particularly BDE-153, were associated with lower BMI, waist circumference, and body fat in children up to 8 years old.
Area of Science:
- Environmental health
- Toxicology
- Pediatric health
Background:
- Prenatal exposure to endocrine disruptors is linked to childhood obesity.
- Epidemiologic data on polybrominated diphenyl ethers (PBDEs) as obesogens are limited.
- Animal studies suggest PBDEs may play a role in obesity development.
Purpose of the Study:
- To investigate the association between maternal serum PBDE concentrations during pregnancy and anthropometric measures in children aged 1-8 years.
- To examine specific PBDE congeners (BDEs 28, 47, 99, 100, 153) and their relation to child body composition.
- To assess the potential of PBDEs as obesogens in early childhood.
Main Methods:
- Study included 318 mother-child pairs from the HOME Study cohort (Cincinnati, OH, 2003-2006).
- Maternal serum PBDEs measured during pregnancy; child anthropometry (height, weight, BMI, waist circumference, body fat) assessed up to age 8.
- Linear mixed models and generalized estimating equations used to analyze associations, accounting for repeated measures.
Main Results:
- No significant associations found between prenatal PBDEs and child height or weight z-scores.
- A 10-fold increase in maternal BDE-153 was linked to lower BMI z-score, smaller waist circumference, and reduced body fat percentage in children.
- Increased BDE-100 and total PBDEs (ΣPBDEs) were associated with decreased waist circumference.
Conclusions:
- The findings suggest a potential inverse relationship between certain prenatal PBDE exposures and child adiposity, possibly due to reverse causality.
- BDE-153, BDE-100, and total PBDEs may influence child body composition, warranting further investigation.
- Further research is needed to clarify the complex role of PBDEs in child development and obesity risk.
Background:
Prenatal exposure to endocrine disruptors has been associated with increased risk of childhood obesity. However, epidemiologic studies on polybrominated diphenyl ethers (PBDEs) are limited despite animal studies indicating PBDEs' potential role as an obesogen.
Objectives:
We investigated whether maternal concentrations of BDEs 28, 47, 99, 100, 153, and ΣPBDEs during pregnancy were associated with anthropometric measures in children aged 1-8 years.
Methods:
We examined 318 mother-child pairs in the Health Outcomes and Measures of the Environment (HOME) Study, a birth cohort enrolled from 2003 through 2006 (Cincinnati, OH). Serum PBDEs were measured at 16 ± 3 weeks gestation. We measured child height (1-8 years), weight (1-8 years), body mass index (BMI) (2-8 years), waist circumference (4-8 years), and body fat (8 years). To account for repeated measures, we used linear mixed models and generalized estimating equations to estimate associations between maternal PBDEs and child anthropometric measures.
Results:
We found no statistically significant associations between prenatal PBDEs and height or weight z-score. A 10-fold increase in maternal serum BDE-153 was associated with lower BMI z-score (β = -0.36; 95% CI: -0.60, -0.13) at 2-8 years, smaller waist circumference (β = -1.81 cm; 95% CI: -3.13, -0.50) at 4-8 years, and lower percent body fat (β = -2.37%; 95% CI: -4.21, -0.53) at 8 years. A decrease in waist circumference at 4-8 years was observed with a 10-fold increase in BDE-100 (β = -1.50 cm; 95% CI: -2.93, -0.08) and ΣPBDEs (β = -1.57 cm; 95% CI: -3.11, -0.02).
Conclusions:
Reverse causality may have resulted in prenatal PBDEs, particularly BDE-153, and decreased BMI, waist circumference, and body fat. Citation: Vuong AM, Braun JM, Sjödin A, Webster GM, Yolton K, Lanphear BP, Chen A. 2016. Prenatal polybrominated diphenyl ether exposure and body mass index in children up to 8 years of age. Environ Health Perspect 124:1891-1897; http://dx.doi.org/10.1289/EHP139.
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