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Exploring the Association Between Sleep Patterns, Pubertal Health, and Phthalate Exposure-Preliminary Results from
Martina Jahnátková1, Henrieta Hlisníková2, Ida Petrovičová1
1Department of Zoology and Anthropology, Constantine the Philosopher University in Nitra, 949 74 Nitra, Slovakia.
Insights
Childhood phthalate exposure may be linked to sleep disturbances, with nonlinear effects observed for certain metabolites. Further research in larger cohorts is needed to confirm these findings and their health implications.
Area of Science:
- Environmental Health
- Pediatric Sleep Medicine
- Toxicology
Background:
- Childhood exposure to phthalates is a growing public health concern.
- Understanding the impact of environmental chemicals on child development is crucial.
- Sleep disturbances in children can have long-term health consequences.
Purpose of the Study:
- To investigate the association between phthalate exposure and sleep patterns in children.
- To assess potential health implications of phthalate exposure on pediatric sleep quality.
Main Methods:
- 60 children completed the Pittsburgh Sleep Quality Index (PSQI).
- Urine samples analyzed for phthalate metabolites using high-performance liquid chromatography-tandem mass spectrometry.
- Consumer behavior scores (CBS) and Tanner scale for puberty were also assessed.
Main Results:
- Average sleep duration was 8 hours 44 minutes; 51.7% slept less than 9 hours.
- Nonlinear associations found between hydroxy-mono-isononyl phthalate (OH-MiNP) and Mono-n-octyl phthalate (MnOP) with PSQI scores.
- Adjusting for covariates attenuated the significance of phthalate-sleep quality associations.
Conclusions:
- Preliminary evidence suggests potential nonlinear links between phthalate exposure and children's sleep quality.
- Findings underscore the need for monitoring phthalate exposure in pediatric populations.
- Further validation in larger cohorts is required to confirm these associations and implications.
Background:
This study aims to explore the association between sleep patterns in children and their exposure to phthalates to assess potential health implications.
Methods:
Participants (n = 60) completed the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Consumer behavior scores (CBS) were calculated. The Tanner scale was used to monitor the stages of puberty. First-morning urine samples were analyzed by high-performance liquid chromatography-tandem mass spectrometry.
Results:
The average sleep duration was 8 h and 44 min, with boys sleeping significantly longer (p = 0.01). Notably, 51.7% of participants reported sleeping less than 9 h. The nonlinear effects of phthalate metabolite in association with PSQI were observed for hydroxy-mono-isononyl phthalate (OH-MiNP, p = 0.003) and MnOP (p < 0.001), indicating that the relationship does not follow a simple linear pattern. Simple linear regression revealed a significant positive association between the Mono-n-octyl phthalate (MnOP) and PSQI scores (p = 0.016). After adjustment for place of residence, BMI, CBS, sex, and age, the significance of associations between phthalate metabolites and sleep quality diminished, necessitating cautious interpretation. No statistically significant associations between pubertal changes and the value of PSQI as well as phthalates were observed.
Conclusion:
Our results provide preliminary evidence of potential nonlinear associations that require validation in a larger cohort. The findings highlight the importance of monitoring phthalate exposure in children, as it may influence sleep patterns and overall health.
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