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Prenatal phthalate exposure and language development in toddlers from the Odense Child Cohort
Trine Staak Olesen1, Dorthe Bleses2, Helle Raun Andersen1
1Department of Environmental Medicine, Institute of Public Health, University of Southern Denmark, Odense, Denmark.
Insights
Prenatal phthalate exposure may negatively impact early language development in boys. This study found associations between higher phthalate metabolite levels and lower language scores in young males, highlighting potential health risks.
Area of Science:
- Environmental Health
- Developmental Psychology
- Toxicology
Background:
- Phthalates are common chemicals in consumer products with anti-androgenic properties.
- Previous studies suggest links between prenatal phthalate exposure and offspring neuropsychological development.
Purpose of the Study:
- To investigate the association between prenatal phthalate exposure and language development in children aged 20-36 months.
Main Methods:
- Analyzed 3rd trimester urine samples from 518 pregnant women for phthalate metabolites.
- Assessed child language development using the MacArthur-Bates Communicative Development Inventories.
- Used logistic regression, stratified by sex, adjusting for confounders.
Main Results:
- Phthalate metabolites were detected in all samples at lower levels than prior studies.
- Increased prenatal phthalate exposure was linked to lower language development scores in boys.
- Associations were observed for vocabulary and language complexity, but not in girls.
Conclusions:
- Adverse associations between phthalate exposure and early language development were suggested even at low exposure levels.
- Early language development is a predictor of later educational success, indicating potential long-term health relevance.
Background:
Phthalates are a group of chemicals found in a variety of consumer products. They have anti-androgenic properties and human studies have reported associations between prenatal phthalate exposure and neuropsychological development in the offspring despite different cognitive tests, different ages and varying timing of exposure.
Objectives:
To investigate the association between prenatal phthalate exposure and language development in children aged 20-36months.
Methods:
In the Odense Child Cohort, we analyzed 3rd trimester urine samples of 518 pregnant women for content of metabolites of diethyl, di-n-butyl, diisobutyl, butylbenzyl, di(2-ethylhexyl), and diisononyl phthalate, adjusted for osmolality. Language development was addressed using the Danish version of the MacArthur-Bates Communicative Development Inventories "Words and Sentences". Associations were assessed using logistic regression models comparing children below and above the 15th percentile while stratifying by sex and adjusting for maternal age and educational level.
Results:
Phthalate metabolites were detectable in all samples although in lower levels than previous studies. Among boys, increased prenatal phthalate exposure was associated with lower scores in language development; odds ratios for vocabulary score below the 15th percentile with doubling in monoethyl phthalate, and summed di-(2-ethylhexyl) phthalate metabolites were respectively 1.24 (95% confidence interval: 1.05,1.46), and 1.33 (1.01,1.75). Similar associations were found for language complexity. No associations were found for girls.
Conclusions:
Our findings are notable, as adverse associations were suggested even in this low-level exposed population, with only one spot urine sample for exposure assessment and control for confounders. Lower scores in early language development are of relevance to health as this test predicts later educational success.
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