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Published on: March 6, 2018
Environmental Phenols and Growth in Infancy: The Infant Feeding and Early Development Study
Danielle R Stevens1, Mandy Goldberg1, Margaret Adgent2
1Epidemiology Branch, National Institute of Environmental Health Sciences, Durham, NC 27709, USA.
Insights
Early infant exposure to phenols, common endocrine disruptors, is linked to higher body mass index (BMI) and faster BMI increases. This suggests potential long-term health risks, including obesity and cardiometabolic issues.
Area of Science:
- Environmental Health
- Pediatric Endocrinology
- Toxicology
Background:
- Rapid infant body mass index (BMI) increases are linked to later obesity.
- Exposure to endocrine-disrupting chemicals like phenols may influence infant BMI.
- Phenols are common environmental contaminants with potential health impacts.
Purpose of the Study:
- To investigate associations between environmental phenol exposures and infant BMI in a US prospective cohort.
- To examine how early-life phenol exposure affects BMI z-score levels and trajectories in infants.
Main Methods:
- Measured urinary phenols in 199 infants at 6-8 and 12 weeks.
- Assessed BMI z-score through 12 visits up to 36 weeks of age.
- Analyzed associations between averaged early phenols and BMI z-score using mean differences and relative risk ratios.
Main Results:
- Benzophenone-3, methylparaben, propylparaben, and combined phenols were associated with higher mean BMI z-score.
- Benzophenone-3, dichlorophenols, and combined phenols were linked to an increased risk of rapid BMI z-score trajectory.
- Specific phenols showed significant associations with both BMI level and growth patterns.
Conclusions:
- Early infant exposure to phenols is associated with increased mean BMI z-score and rapid BMI increases.
- These findings suggest potential long-term cardiometabolic consequences of early phenol exposure.
- Environmental phenol exposure is a critical factor to consider in infant growth and obesity prevention.
Context:
Higher mean and rapid increases in body mass index (BMI) during infancy are associated with subsequent obesity and may be influenced by exposure to endocrine-disrupting chemicals such as phenols.
Objective:
In a prospective US-based cohort conducted 2010-2014, we investigated associations between environmental phenol exposures and BMI in 199 infants.
Methods:
We measured 7 urinary phenols at ages 6-8 and 12 weeks and assessed BMI z-score at up to 12 study visits between birth and 36 weeks. We examined individual and joint associations of averaged early infancy phenols with level of BMI z-score using mean differences (β [95% CI]) and with BMI z-score trajectories using relative risk ratios (RR [95% CI]).
Results:
Benzophenone-3, methyl and propyl paraben, and all phenols jointly were positively associated with higher mean BMI z-score (0.07 [-0.05, 0.18], 0.10 [-0.08, 0.27], 0.08 [-0.09, 0.25], 0.17 [-0.08, 0.43], respectively). Relative to a stable trajectory, benzophenone-3, 2,4-dichlorophenol, 2,5-dichlorophenol, and all phenols jointly were positively associated with risk of a rapid increase trajectory (1.46 [0.89, 2.39], 1.33 [0.88, 2.01], 1.66 [1.03, 2.68], 1.41 [0.71, 2.84], respectively).
Conclusion:
Early phenol exposure was associated with a higher mean and rapid increase in BMI z-score across infancy, signaling potential long-term cardiometabolic consequences of exposure.
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