Deierlein Andrea L, Wolff Mary S, Pajak Ashley, Pinney Susan M, Windham Gayle C, Galvez Maida P, Rybak Michael, Calafat Antonia M, Kushi Lawrence H, Biro Frank M, Teitelbaum Susan L
Am J Epidemiol. 2017 Sep 1;186(5):581-592. doi: 10.1093/aje/kwx136.
Phenolic compounds represent a class of environmental chemicals with potentially endocrine-disrupting capabilities. We investigated longitudinal associations between childhood exposure to phenols, from both manmade and natural sources, and subsequent measures of adiposity among girls enrolled in the Breast Cancer and the Environment Research Program between 2004 and 2007. Baseline (ages 6-8 years) urinary concentrations were obtained for creatinine and phenol metabolites: enterolactone, genistein, daidzein, benzophenone-3, bisphenol A, the sum of parabens (methyl, ethyl, and propyl parabens), 2,5-dichlorophenol, and triclosan. Body mass index (weight (kg)/height (m)2), waist circumference, and percent body fat were measured at annual or semiannual examinations through 2015 (n = 1,017). Linear mixed-effects regression was used to estimate how baseline concentrations of phenols (tertile groups) were related to changes in girls' adiposity measurements from ages 7 through 15 years. Enterolactone was inversely associated with body mass index, waist circumference, and percent body fat, while 2,5-dichlorophenol was positively associated with these measurements. A nonmonotonic association was observed for triclosan and girls' adiposity; however, it was due to effect modification by baseline overweight status. Triclosan was positively associated with adiposity only among overweight girls. These results suggest that exposure to specific phenols during childhood may influence adiposity through adolescence.
酚类化合物是一类具有潜在内分泌干扰能力的环境化学物质。我们调查了2004年至2007年参加乳腺癌与环境研究项目的女孩童年时期接触来自人造和天然来源的酚类物质与随后肥胖测量指标之间的纵向关联。获取了基线(6 - 8岁)时尿中肌酐和酚类代谢物的浓度:肠内酯、染料木黄酮、大豆苷元、二苯甲酮 - 3、双酚A、对羟基苯甲酸酯(甲基、乙基和丙基对羟基苯甲酸酯)总和、2,5 - 二氯苯酚和三氯生。在2015年之前的年度或半年检查中测量体重指数(体重(千克)/身高(米)²)、腰围和体脂百分比(n = 1017)。使用线性混合效应回归来估计酚类物质的基线浓度(三分位数组)与7至15岁女孩肥胖测量指标变化之间的关系。肠内酯与体重指数、腰围和体脂百分比呈负相关,而2,5 - 二氯苯酚与这些测量指标呈正相关。观察到三氯生与女孩肥胖之间存在非单调关联;然而,这是由于基线超重状态的效应修饰。三氯生仅在超重女孩中与肥胖呈正相关。这些结果表明,童年时期接触特定酚类物质可能会影响青春期的肥胖情况。