[Association between early pregnancy bisphenol A exposure and sleep problems among preschool children]

Q F Zhang1, H H Bao, W K Wu

  • 1Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei 230032, China.

Insights

Maternal exposure to bisphenol A (BPA) during early pregnancy is linked to increased sleep problems in preschool girls. Boys showed no significant association, suggesting a potential sex-specific effect of BPA on child sleep development.

Area of Science:

  • Environmental Health
  • Pediatric Sleep Medicine
  • Toxicology

Background:

  • Bisphenol A (BPA) is an endocrine-disrupting chemical with widespread human exposure.
  • Prenatal exposure to environmental chemicals is a growing concern for child neurodevelopment and health.
  • Sleep problems in early childhood can have long-term implications for development and well-being.

Purpose of the Study:

  • To investigate the association between maternal bisphenol A (BPA) exposure during the first trimester of pregnancy and sleep problems in preschool children.
  • To determine if this association differs by child's sex.

Main Methods:

  • A cohort of 1,259 mother-child pairs from the China-Anhui Birth Cohort Study (Ma'anshan Cohort) was analyzed.
  • Maternal serum BPA concentrations were measured in early pregnancy and categorized into low, medium, and high exposure groups.
  • Multivariate multinomial logistic regression was used to assess the relationship between BPA exposure and preschool children's sleep problems, adjusting for confounders.

Main Results:

  • Maternal high BPA exposure during early pregnancy was associated with an increased risk of occasional sleep problems in preschool children (OR=1.44, 95% CI: 1.01-2.06).
  • In girls, both medium and high BPA exposure were linked to occasional sleep problems (OR=1.61, 95% CI: 1.05-2.46; OR=2.40, 95% CI: 1.42-4.04, respectively).
  • High BPA exposure was also associated with frequent sleep problems in girls (OR=2.64, 95% CI: 1.34-5.17), while no significant associations were found in boys.

Conclusions:

  • Maternal bisphenol A exposure in early pregnancy may be a risk factor for sleep problems in preschool children, particularly girls.
  • The findings suggest a potential sex-specific effect of prenatal BPA exposure on sleep disturbances.
  • Further research is warranted to confirm these findings and explore underlying biological mechanisms.

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