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Exposure to phthalates in children aged 5-7years: Associations with thyroid function and insulin-like growth factors
Wei Wu1, Feng Zhou2, Yue Wang2
1MOE Key Laboratory of Environment & Health, Institute of Environmental Medicine, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China; School of Laboratory Medicine, Hubei University of Chinese Medicine, 1 Huangjia Lake West Road, Wuhan 430065, China.
Insights
Phthalate exposure in preschool children may impact thyroid function and growth hormones. Higher phthalate levels in urban children correlated with altered thyroid hormones and decreased insulin-like growth factor 1 and binding protein 3.
Area of Science:
- Environmental Health
- Pediatric Endocrinology
- Toxicology
Background:
- Phthalates are common environmental contaminants.
- Preschool children may be vulnerable to endocrine disruption.
- Thyroid hormones and growth factors are critical for development.
Purpose of the Study:
- To assess the relationship between urinary phthalate metabolite concentrations and thyroid function in preschool children.
- To investigate associations with growth hormone parameters.
- To compare phthalate exposure levels between urban and rural settings.
Main Methods:
- Collected demographic data and biological samples from 216 children aged 5-7 years.
- Measured urinary concentrations of eight mono-phthalate metabolites (mPAEs).
- Analyzed associations between mPAEs, thyroid hormones (free triiodothyronine, free thyroxine), and growth hormones (IGF-1, IGFBP-3).
Main Results:
- Urban children exhibited higher mPAE concentrations than rural children.
- Most mPAEs showed positive associations with free triiodothyronine and free thyroxine.
- Increased monomethyl phthalate and mono-n-butyl phthalate were linked to decreased IGF-1.
- Increased monomethyl phthalate and monoethyl phthalate were linked to decreased insulin-like growth factor binding protein 3.
Conclusions:
- Phthalate exposure in 5-7-year-old children may disrupt thyroid hormone levels.
- Phthalate exposure may negatively impact growth hormone parameters.
- Environmental phthalate exposure warrants further investigation for potential health risks in children.
Abstract:
This study aimed to evaluate the associations between phthalate concentrations and thyroid function in preschool children. We collected demographic data and biological samples from 216 children aged 5-7years. We calculated urinary concentrations of eight mono-phthalate metabolites (mPAEs) separately for children from urban and rural areas and investigated their associations with thyroid function and growth hormones. mPAE concentrations were higher in children from the urban area than in those from the rural area, and most mPAEs were positively associated with free triiodothyronine and free thyroxine. The insulin-like growth factor 1 (IGF-1) concentration decreased 0.082ng/mL (95% confidence interval [CI]: -1.34, -0.113) with each 1ng/mL increase in monomethyl phthalate (MMP) and 0.132ng/mL (95% CI: -0.209, -0.055) with each 1ng/mL increase in mono-n-butyl phthalate. The insulin-like growth factor binding protein 3 concentration decreased by 0.01mg/L (95% CI: -0.001, -0.000) or 0.01mg/L (95% CI: -0.003, -0.000) with each 1ng/mL increase in MMP or monoethyl phthalate, respectively. Exposure to some phthalates at 5-7years of age might interfere with thyroid hormones and growth.
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