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Prenatal exposure to parabens and anthropometric birth outcomes: A systematic review
Akram Jamal1, Noushin Rastkari2, Reza Dehghaniathar3
1Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Poorsina St., Tehran, Iran.
Insights
Prenatal exposure to parabens, common preservatives, did not show a clear link to birth weight or head circumference. More research is needed to understand their effects on infant development.
Area of Science:
- Environmental Health
- Reproductive Toxicology
- Pediatric Health
Background:
- Parabens are widely used preservatives with known antibacterial properties.
- Concerns exist regarding the potential estrogenic activity of parabens and their impact on health, including adverse birth outcomes.
- Understanding the effects of prenatal exposure to these ubiquitous chemicals is crucial for public health.
Purpose of the Study:
- To systematically review and investigate the association between prenatal exposure to parabens and anthropometric birth outcomes.
- To synthesize current evidence on the relationship between maternal paraben levels during pregnancy and infant measurements.
- To identify gaps in knowledge and limitations in existing research.
Main Methods:
- A systematic literature search was conducted across major scientific databases (PubMed, Web of Science, Scopus, Embase) up to April 18, 2018.
- Studies were screened for relevance, and original articles investigating prenatal paraben exposure and birth outcomes were included.
- Six original articles were selected for the final analysis after removing duplicates and irrelevant records.
Main Results:
- Most pregnant women in the included studies showed evidence of paraben exposure, particularly to methyl and propyl parabens.
- No definitive association was established between prenatal paraben concentrations and infant birth weight or head circumference.
- A positive, though non-significant, association was observed between maternal paraben exposure and infant birth length.
Conclusions:
- Current epidemiological studies lack the methodological rigor and consistency to establish significant associations between prenatal paraben exposure and anthropometric birth outcomes.
- Limitations in study design and inter-study variability impede definitive conclusions.
- Future large-scale, well-designed studies are necessary to elucidate the complex effects of environmental factors like parabens on birth outcomes.
Abstract:
Parabens are ubiquitous substances commonly used as preservatives because of their antibacterial activity. The estrogenic activity of parabens may cause undesirable health effects and adverse birth outcomes. The objective of the present systematic review was to investigate the association between prenatal exposure to parabens and anthropometric birth outcomes. PubMed, Web of Science, Scopus, and Embase databases were systematically searched until April 18, 2018. Of 326 records that remained after removing duplicates, 6 original articles were included in the final analysis after excluding irrelevant articles. The included studies indicated that most of the pregnant mothers were exposed to parabens, especially methyl and propyl parabens. However, no definitive association was found between the prenatal urinary concentration of parabens and birth weight or head circumference. In addition, a positive but non-significant association was detected between birth length and maternal exposure to parabens. The present systematic review revealed that assessment of significant associations in current epidemiological studies is impermissible due to methodological limitations and absence of inter-study consistency. Furthermore, because of the complexity of the effect of environmental factors on health, future large-scale studies with proper study design are required to investigate the effect of parabens exposure on birth outcomes.
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