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Phthalates exposure and pubertal development in a 15-year follow-up birth cohort study in Taiwan
Pen-Hua Su1,2, Jing-Yang Huang3,4, Shu-Li Julie Wang5,6
1Department of Pediatrics, Chung Shan Medical University Hospital, Taichung, Taiwan.
Insights
Prenatal and childhood exposure to phthalates, endocrine disruptors, may impact pubertal development. Certain phthalate metabolites showed associations with pubertal timing and uterine volume in children.
Area of Science:
- Environmental Health
- Pediatric Endocrinology
- Toxicology
Background:
- Phthalates are common endocrine-disrupting chemicals.
- Exposure can occur prenatally and throughout childhood.
- These chemicals are linked to adverse effects on child development.
Purpose of the Study:
- To investigate the association between phthalate exposure and pubertal development.
- To explore the relationship between prenatal and childhood phthalate levels and Tanner stages.
- To assess phthalate metabolite associations with reproductive organ volumes and hormone levels.
Main Methods:
- A population-based birth cohort study followed 90 children for 15 years.
- Urine samples and developmental assessments were collected at ages 2, 5, 8, 11, and 14.
- Logistic regression and correlation analyses were used to evaluate associations.
Main Results:
- Significant differences in phthalate metabolite levels were observed between pubertal groups in boys and girls.
- Uterine volume at age 14 was negatively associated with several phthalate metabolites.
- No significant correlations were found between phthalate metabolites and ovarian or testicular volume.
Conclusions:
- Phthalate exposure at specific developmental windows may influence reproductive development during puberty.
- Further research is needed to establish causality.
- Timing of exposure is critical for potential developmental impacts.
Purpose:
Phthalates are ubiquitous endocrine disruptors that can affect pubertal development in children. The association of fetal and childhood levels of phthalates with pubertal development were explored.
Methods:
We conduct a population-based birth cohort study to investigate the association between prenatal and childhood exposure to phthalates and pubertal development. Initially, a total of 445 children were recruited from 2000 to 2001, of which 90 children were followed for 15 years which measurements of urine and development assessed at 2, 5, 8, 11, and 14 years. We defined higher Tanner stage as the 14-year-old Tanner stage ≥ 4 and 5 for boys and girls, respectively. A logistic regression analysis was conducted to estimate the crude and adjusted odds ratio of a higher Tanner stage at 14 years old. The Pearson correlation coefficient and multiple linear regression were used to estimate the association of testicular volume, uterine volume, ovarian volume, and blood hormones at 14 years of age with the log-transformed concentration of phthalates at 2, 5, 8, 11, and 14 years.
Results:
In boys, a significantly different geometric mean of mono-benzyl phthalate (MBzP) was observed in 11-year-olds; 6.82 and 2.96 in the lower Tanner stage group and higher Tanner stage group. In girls, a significant difference in the geometric mean of mono(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP) in 11-year-olds and mono-ethyl phthalate (MEP) in 2-year-olds was observed; MEHHP was 32.97 and 18.13 in the lower Tanner stage group and higher Tanner stage group, and MEP was 26.54 and 65.74 in the lower Tanner stage group and higher Tanner stage group, respectively. Uterine volume at 14 years old was negatively associated with several phthalate metabolites (MEHP at 8 years old, MnBP at 8 years old, MBzP at 14 years old, MMP prenatally, MMP at 8 years old, and MEP at 8 years old) after adjusting for covariates. However, no significant correlations were found between phthalate metabolites and ovarian or testicular volume.
Conclusion:
Phthalate exposure at certain time points may influence the reproductive development of children during puberty; however, further studies should be conducted to determine the causal nature of this association.
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