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Updated: Dec 27, 2025

Long-term Behavioral and Reproductive Consequences of Embryonic Exposure to Low-dose Toxicants
Published on: March 6, 2018
Urinary bisphenol A concentrations and adiposity measures at age 7 years in a prospective birth cohort
Jianqiu Guo1, Jiming Zhang1, Chunhua Wu1
1School of Public Health/ Key Laboratory of Public Health Safety of Ministry of Education/ Key Lab of Health Technology Assessment, National Health Commission of the People's Republic of China, Fudan University, No.130 Dong'an Road, Shanghai, 200032, China.
Insights
Prenatal exposure to Bisphenol A (BPA) is linked to increased childhood waist circumference and central obesity risk, particularly in girls. This study highlights potential endocrine disruptor effects on child development.
Area of Science:
- Environmental Health
- Pediatric Endocrinology
- Epidemiology
Background:
- Early-life exposure to endocrine-disrupting chemicals like Bisphenol A (BPA) is a growing concern for child health.
- Limited prospective birth cohort data exists on the association between BPA exposure and childhood obesity.
- Childhood obesity is a significant public health issue with long-term health implications.
Purpose of the Study:
- To investigate the relationship between maternal and childhood Bisphenol A (BPA) exposure and adiposity measures in children at age 7.
- To assess associations with body mass index, waist circumference, skinfold thickness, and waist-to-height ratio.
- To explore potential sex-specific effects of BPA on child adiposity.
Main Methods:
- A population-based prospective cohort study involving 430 mother-child pairs in rural East China.
- Quantification of Bisphenol A (BPA) concentrations in maternal and child urine samples at ages 3 and 7 years.
- Statistical analysis of associations between urinary BPA levels and various child adiposity measures at age 7.
Main Results:
- Maternal urinary BPA concentration was significantly associated with increased child waist circumference at age 7 (β = 0.508 cm).
- This association was primarily observed in girls during sex-stratified analyses.
- Higher tertiles of prenatal BPA exposure were linked to a significantly increased risk of central obesity (p for trend = 0.022).
Conclusions:
- Prenatal Bisphenol A (BPA) exposure may contribute to increased waist circumference in children.
- The findings suggest BPA exposure elevates the risk of central obesity, especially in school-age girls.
- Further research is warranted to understand the mechanisms and long-term consequences of early-life BPA exposure.
Abstract:
Bisphenol A (BPA) exposure during early life may increase risk of childhood obesity, however, prospective evidence of birth cohort is limited and inconclusive. We aimed to explore the associations of maternal and childhood BPA exposure with child adiposity measures, including body mass index, waist circumference and skinfold thickness and waist to height ratio of children at 7 years. 430 mother-child pairs were examined from a population-based prospective cohort in a rural area of East China. BPA concentrations of spot urine samples were quantified in mothers and their children aged 3 and 7 years. Maternal urinary BPA concentration was significantly positively associated with waist circumference in children aged 7 years (β = 0.508 cm, 95% CI: 0.067, 0.950). These significant associations were not modified by child sex, but they were only observed among girls in sex-stratified analyses. Risk of central obesity related to prenatal BPA exposure was significantly higher in the second and the third tertile than those in the first tertile (odds ratio, OR = 2.510, 95% CI = 1.146, 5.499; OR = 2.584, 95% CI = 1.186, 5.631, respectively; p for trend = 0.022). The present findings suggested that prenatal exposure to BPA may enhance waist circumference of children and thereby increase risk of central obesity in school-age girls.
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