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Published on: March 6, 2018
Prenatal Bisphenol A Exposure and Sex-Differentiated Childhood BMI Over Time: A Longitudinal Korean Cohort Study
Youn-Hee Lim1,2, Yun-Chul Hong2,3,4, Yun Jeong Lee5
1Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Insights
Prenatal exposure to bisphenol A (BPA) affects childhood obesity differently in boys and girls. BPA was linked to increased BMI in boys but decreased BMI in girls, highlighting sex-specific effects.
Area of Science:
- Environmental Health
- Pediatrics
- Endocrinology
Background:
- Prenatal exposure to bisphenol A (BPA), an endocrine-disrupting chemical, is a potential factor in childhood obesity.
- Existing research on sex-specific effects of BPA on childhood obesity is inconsistent.
Purpose of the Study:
- To investigate the sex-specific associations between prenatal bisphenol A (BPA) exposure and childhood body mass index (BMI).
Main Methods:
- Analysis of 528 mother-child pairs from a Korean birth cohort.
- Measurement of maternal urinary BPA concentrations during mid-pregnancy.
- Assessment of children's BMI and BMI Z-score from ages 2 to 10 years using linear and mixed-effects models, stratified by sex.
Main Results:
- Maternal BPA exposure showed a positive association with BMI and BMI Z-score in boys.
- Conversely, BPA exposure was negatively associated with BMI and BMI Z-score in girls.
- These sex-specific differences in BMI were most pronounced at age 10.
Conclusions:
- Prenatal BPA exposure demonstrates sexually dimorphic associations with childhood BMI.
- Findings emphasize the need for sex-specific considerations in environmental health research.
- Results support public health policies aimed at reducing BPA exposure during pregnancy.
Background:
Prenatal exposure to bisphenol A (BPA), an endocrine-disrupting chemical, may influence childhood obesity. Evidence on sex-specific effects remains inconsistent.
Methods:
We analysed 528 mother-child pairs from a Korean birth cohort. Maternal urinary BPA concentrations were measured during mid-pregnancy. Children's BMI and BMI Z-score were assessed at ages 2, 4, 6, 8, and 10 years. Associations were estimated using linear and mixed-effects models, stratified by sex and adjusted for maternal and child covariates.
Results:
The mean maternal BPA concentration was 2.3 μg/g creatinine. BPA exposure was positively associated with BMI and BMI Z-score in boys but negatively associated in girls. At age 10, this divergence was most apparent. Mixed-effects models showed a 0.13 kg/m2 (95% CI: 0.01, 0.25) increase in BMI among boys and a 0.20 kg/m2 (95% CI: -0.32, -0.08) decrease among girls per 1-unit increase in log-transformed BPA. Similar patterns were observed for BMI Z-score.
Conclusions:
Prenatal BPA exposure exhibited sexually dimorphic associations with BMI from early childhood to age 10. These findings underscore the importance of considering sex-specific effects in environmental health research and support policies to reduce BPA exposure during pregnancy.
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