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子宫内及儿童期多溴二苯醚暴露与7岁时的体重:CHAMACOS研究

In utero and childhood polybrominated diphenyl ether exposures and body mass at age 7 years: the CHAMACOS study.

作者信息

Erkin-Cakmak Ayca, Harley Kim G, Chevrier Jonathan, Bradman Asa, Kogut Katherine, Huen Karen, Eskenazi Brenda

机构信息

Center for Environmental Research and Children's Health (CERCH), School of Public Health, University of California, Berkeley, Berkeley, California, USA.

出版信息

Environ Health Perspect. 2015 Jun;123(6):636-42. doi: 10.1289/ehp.1408417. Epub 2015 Feb 27.

Abstract

BACKGROUND

Polybrominated diphenyl ethers (PBDEs) are lipophilic flame retardants that bioaccumulate in humans. Child serum PBDE concentrations in California are among the highest worldwide. PBDEs may be associated with obesity by disrupting endocrine systems.

OBJECTIVE

In this study, we examined whether pre- and postnatal exposure to the components of pentaBDE mixture was associated with childhood obesity in a population of Latino children participating in a longitudinal birth cohort study in the Salinas Valley, California.

METHODS

We measured PBDEs in serum collected from 224 mothers during pregnancy and their children at 7 years of age, and examined associations with body mass index (BMI) at age 7 years.

RESULTS

Maternal PBDE serum levels during pregnancy were associated with higher BMI z-scores in boys (BMI z-score βadjusted = 0.26; 95% CI: -0.19, 0.72) but lower scores in girls (BMI z-score βadjusted = -0.41; 95% CI: -0.87, -0.05) at 7 years of age (pinteraction = 0.04). In addition, child's serum BDE-153 concentration (log10), but not other pentaBDE congeners, demonstrated inverse associations with BMI at age 7 years (BMI z-score βadjusted = -1.15; 95% CI: -1.53, -0.77), but there was no interaction by sex.

CONCLUSIONS

We estimated sex-specific associations with maternal PBDE levels during pregnancy and BMI at 7 years of age, finding positive associations in boys and negative associations in girls. Children's serum BDE-153 concentrations were inversely associated with BMI at 7 years with no difference by sex. Future studies should examine the longitudinal trends in obesity with PBDE exposure and changes in hormonal environment as children transition through puberty, as well as evaluate the potential for reverse causality.

摘要

背景

多溴二苯醚(PBDEs)是亲脂性阻燃剂,可在人体内生物蓄积。加利福尼亚州儿童血清中的PBDE浓度在全球范围内处于最高水平。PBDEs可能通过干扰内分泌系统而与肥胖相关。

目的

在本研究中,我们调查了产前和产后暴露于五溴二苯醚混合物成分是否与参与加利福尼亚州萨利纳斯山谷一项纵向出生队列研究的拉丁裔儿童群体中的儿童肥胖有关。

方法

我们测量了224名母亲孕期及她们7岁孩子血清中的PBDEs,并研究了其与7岁时体重指数(BMI)的关联。

结果

孕期母亲血清PBDE水平与7岁男孩较高的BMI z评分相关(调整后的BMI z评分β = 0.26;95%置信区间:-0.19,0.72),但与7岁女孩较低的评分相关(调整后的BMI z评分β = -0.41;95%置信区间:-0.87,-0.05)(交互作用p = 0.04)。此外,儿童血清BDE-153浓度(log10)而非其他五溴二苯醚同系物与7岁时的BMI呈负相关(调整后的BMI z评分β = -1.15;95%置信区间:-1.53,-0.77),但不存在性别交互作用。

结论

我们估计了孕期母亲PBDE水平与7岁时BMI的性别特异性关联,发现男孩呈正相关,女孩呈负相关。儿童血清BDE-153浓度与7岁时的BMI呈负相关,且无性别差异。未来的研究应考察随着儿童进入青春期,肥胖与PBDE暴露及激素环境变化之间的纵向趋势,并评估反向因果关系的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34cb/4455588/0735df3281ba/ehp.1408417.g001.jpg

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