Philippat Claire, Botton Jérémie, Calafat Antonia M, Ye Xiaoyun, Charles Marie-Aline, Slama Rémy
From the aInserm, IAB, Team of Environmental Epidemiology applied to Reproduction and Respiratory Health, Grenoble, France; bUniversity of Grenoble Alpes, IAB, Grenoble, France; cInserm, Center for research in Epidemiology and Population Health, U1018, Team Epidemiology of Diabetes, Obesity and Renal Disease: Lifelong Approach, Villejuif, France; dUniversité Paris-Sud, Faculty of Pharmacy, Châtenay-Malabry, France; and eCenters for Disease Control and Prevention, Atlanta, GA.
Epidemiology. 2014 Sep;25(5):625-35. doi: 10.1097/EDE.0000000000000132.
Phenols interact with nuclear receptors implicated in growth and adipogenesis regulation. Only a few studies have explored their effects on growth in humans.
We studied the associations of maternal exposure to phenols during pregnancy with prenatal and postnatal growth of male newborns.
Within a cohort of women recruited during pregnancy, we selected 520 mother-son pairs and quantified 9 phenols in spot urine samples collected during pregnancy. We used ultrasonography during pregnancy, together with birth measurements, to assess fetal growth. We modeled individual postnatal growth trajectories from repeated measures of weight and height in the first 3 years of life.
Triclosan concentration was negatively associated with growth parameters measured at the third ultrasound examination but not earlier in pregnancy. At birth, this phenol tended to be negatively associated with head circumference (-1.2 mm for an interquartile range [IQR] increase in ln-transformed triclosan concentration [95% confidence interval = -2.6 to 0.3]) but not with weight or height. Parabens were positively associated with weight at birth. This positive association remained for 3 years for methylparaben (β = 193 g [-4 to 389]) for an IQR increase in ln-transformed concentrations.
We relied on only 1 spot urine sample to assess exposure; because of the high variability in phenol urinary concentrations reported during pregnancy, using only 1 sample may result in exposure misclassification, in particular for bisphenol A. Our study suggested associations between prenatal exposure to parabens and triclosan and prenatal or early postnatal growth.
酚类物质与参与生长和脂肪生成调节的核受体相互作用。仅有少数研究探讨了它们对人类生长的影响。
我们研究了孕期母亲接触酚类物质与男婴产前和产后生长之间的关联。
在一组孕期招募的女性中,我们选取了520对母婴,并对孕期采集的即时尿样中的9种酚类物质进行了定量分析。我们在孕期使用超声检查,并结合出生时的测量数据来评估胎儿生长。我们根据生命最初3年体重和身高的重复测量数据建立了个体产后生长轨迹模型。
三氯生浓度与第三次超声检查时测量的生长参数呈负相关,但与孕期早期无关。出生时,这种酚类物质往往与头围呈负相关(ln转换后的三氯生浓度四分位数间距[IQR]增加1时,头围减少1.2毫米[95%置信区间 = -2.6至0.3]),但与体重或身高无关。对羟基苯甲酸酯与出生体重呈正相关。ln转换后的对羟基苯甲酸甲酯浓度IQR增加1时,这种正相关在3年内持续存在(β = 193克[-4至389])。
我们仅依靠1份即时尿样来评估暴露情况;由于孕期报告的尿中酚类物质浓度变化很大,仅使用1份样本可能会导致暴露分类错误,尤其是对于双酚A。我们的研究表明,产前接触对羟基苯甲酸酯和三氯生与产前或产后早期生长之间存在关联。