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Prenatal polycyclic aromatic hydrocarbons exposure and child growth and adiposity: A longitudinal study
Sarvenaz Shahin1, Akhgar Ghassabian2, Sophia M Blaauwendraad3
1Department of Pediatrics, New York University Grossman School of Medicine, New York, NY, United States.
Insights
Prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) is linked to increased childhood growth. This study suggests PAHs may play a role in the developmental programming of children's growth trajectories.
Area of Science:
- Environmental Health
- Pediatric Health
- Developmental Toxicology
Background:
- Childhood exposure to polycyclic aromatic hydrocarbons (PAHs) is associated with altered growth and adiposity.
- The impact of prenatal PAH exposure on early childhood growth and adiposity remains unclear.
Purpose of the Study:
- To investigate the association between prenatal exposure to PAHs and early childhood growth and adiposity.
- To explore the developmental programming effects of PAHs on children's growth.
Main Methods:
- Study included 880 mother-child pairs from the NYU Children's Health and Environment Study (2016-2019).
- Maternal urinary PAH metabolites were measured during pregnancy.
- Child growth parameters (weight, length/height, skinfold thickness) were assessed annually up to age 4.
- Linear mixed-effects models, adjusted for covariates, were used to analyze associations.
Main Results:
- Higher prenatal PAH exposure correlated with increased weight and length/height z-scores in children.
- Associations between PAH exposure and growth measures were stronger at later ages (3 and 4 years).
- Specific PAH metabolites like 2-NAP, 2-PHEN, 1-PYR, and 4-PHEN showed significant associations with higher weight z-scores.
Conclusions:
- Prenatal exposure to PAHs may influence the developmental programming of childhood growth.
- Findings highlight potential long-term impacts of environmental exposures during critical developmental windows.
Background:
Exposure to polycyclic aromatic hydrocarbons (PAHs) during childhood has been associated with altered growth and adiposity in children. The effects of prenatal exposure to PAHs on developmental programming of growth and adiposity are still unknown.
Objective:
To study the association of prenatal exposure to PAHs with early childhood growth and adiposity measures.
Methods:
In NYU Children's Health and Environment Study (2016-2019), we studied 880 mother-child pairs for maternal urinary PAH metabolites in early, mid, and late pregnancy and measured child weight, length/height, triceps, and subscapular skinfold thicknesses at 1, 2, 3, and 4 years. We used linear mixed models to investigate associations between average pregnancy exposure to PAHs and the z-scores of child repeated measures. The models were adjusted for sociodemographic and health-related factors.
Results:
Children prenatally exposed to higher levels of PAHs had greater weight and length/height z scores. We found an interaction with time-point of child assessment, showing stronger associations at later ages. For instance, PAH exposure was associated with higher weight z-scores at 3 years: coefficient per Ln-unit increase in 2-NAP = 0.25 (95%CI: 0.13, 0.37), 2-PHEN = 0.25 (95%CI: 0.11, 0.39), 1-PYR = 0.13 (95%CI: 0.02, 0.24), and 4-PHEN = 0.09 (95%CI: 0.02, 0.15). Higher concentrations of 2-NAP (coefficient = 0.21, 95%CI: 0.11, 0.31), 2-PHEN (coefficient = 0.24, 95%CI: 0.12, 0.35), 3-PHEN (coefficient = 0.13, 95%CI: 0.02, 0.24]), 4-PHEN (coefficient = 0.09, 95%CI: 0.04, 0.15), and 1-PYR (coefficient = 0.11, 95%CI: 0.02, 0.21) were associated with higher weight z-score at 4 years.
Conclusion:
Prenatal PAH exposure may contribute to the developmental programming of growth in childhood.
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