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Effects of the phthalate exposure during three gestation periods on birth weight and their gender differences: A birth cohort study in China.

Abstract
Phthalate has been widely used as a type of plasticiser in various consuming products in daily life. Recent studies have suggested that prenatal phthalate exposure may have adverse effects on fetal development. We aimed to identify the effects of in utero phthalate exposure on birth weight (BW). We evaluated a birth cohort comprising 3474 pregnant women and their single infants; 3103, 2975 and 2838 urine samples were collected in the first, second and third trimesters, respectively. Phthalate metabolites included monomethyl phthalate (MMP), monoethyl phthalate (MEP), mono-n-butyl phthalate (MBP), monobenzyl phthalate (MBzP), mono-(2-ethylhexyl) phthalate (MEHP), mono-(2-ethyl-5-oxohexyl) phthalate (MEHHP), and mono-(2-ethyl-5-hydroxylhexyl) phthalate (MEOHP), which were analysed in the urine by using high performance liquid chromatography-tandem mass spectrometry. Mixed linear model was used in the statistical analysis. Generally, MMP and MEP exposure during pregnancy was associated with decreased birth weight of infants (MMP, β=-12.192, p=0.009; MEP, β=-11.876, p=0.014). Hierarchical analysis found that MMP and MEOHP exposure was associated with decreased infants' birth weight only in low birth weight groups (MMP, β=-42.538, p=0.005; MEOHP, β=-63.224, p=0.008); MEHP and MEHHP exposure was associated with decreased infants' birth weight in both low birth weight group (MEHP, β=-42.348, p=0.035; MEHHP, β=-50.485, p=0.006) and high birth weight group (MEHP, β=-16.580, p=0.034; MEHHP, β=-18.009, p=0.040), MBP and MEHP exposure were associated with increased infants' birth weight in male NBW group (MBP, β=10.438, p=0.039; MEHP, β=13.223, p=0.017). Moreover, the effect has sex difference. The reduction of birth weight associated with MEHP and MEOHP exposure was stronger in male infants, while MMP and MEP exposure was more significant in female infants.
AuthorsYun-Wei Zhang, Hui Gao, Lei-Jing Mao, Xing-Yong Tao, Xing Ge, Kun Huang, Peng Zhu, Jia-Hu Hao, Qu-Nan Wang, Yuan-Yuan Xu, Zhong-Xiu Jin, Jie Sheng, Ye-Qing Xu, Shuang-Qin Yan, Xu-Guang Tao, Fang-Biao Tao
JournalThe Science of the total environment (Sci Total Environ) Vol. 613-614 Pg. 1573-1578 (Feb 01 2018) ISSN: 1879-1026 [Electronic] Netherlands
PMID28886917 (Publication Type: Journal Article)
CopyrightCopyright © 2017. Published by Elsevier B.V.
Chemical References
  • Phthalic Acids
  • Plasticizers
Topics
  • Adult
  • Birth Weight
  • China
  • Cohort Studies
  • Female
  • Humans
  • Infant, Newborn
  • Male
  • Maternal Exposure (adverse effects)
  • Phthalic Acids (adverse effects)
  • Plasticizers (adverse effects)
  • Pregnancy
  • Sex Factors
  • Young Adult

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