The epidemiologic literature on associations between urinary
phenol concentrations and
lipid profiles during pregnancy is limited. We examined whether urinary concentrations of
phenol and
phenol replacement
biomarkers were associated with serum
lipid levels among pregnant women. This cross-sectional study included 175 women attending the Massachusetts General Hospital Fertility Center who enrolled in the Environment and Reproductive Health (EARTH) Study between 2005 and 2017 and had data available on urinary
phenol biomarkers and serum
lipids during pregnancy. We used linear regression models to assess the relationship between groups of urinary
phenol and
phenol replacement
biomarkers and serum
lipid levels [total
cholesterol,
high density lipoprotein (HDL), non-HDL,
low-density lipoprotein (
LDL) cholesterol, and
triglycerides], while adjusting for age at sample collection, pre-pregnancy BMI, education, race,
infertility diagnosis, cycle type, number of fetuses, trimester and specific gravity. In adjusted models, pregnant women with urinary
propylparaben concentrations in the highest tertile had 10% [22 (95% CI = 5, 40) mg/dL], 12% [19 (95% CI = 2, 36) mg/dL] and 16% [19 (95% CI = 3, 35) mg/dL] higher mean total, non-HDL and
LDL cholesterol, respectively, compared to women with concentrations in the lowest tertile. Similar elevations were observed for urinary
bisphenol A concentrations. Urinary
bisphenol S,
benzophenone-3,
triclosan,
methylparaben,
ethylparaben, and
butylparaben were unrelated to serum
lipids. Among pregnant women, urinary concentrations of
bisphenol A and
propylparaben were associated with higher serum levels of total, non-HDL and
LDL cholesterol.