1 Center for Environmental Research and Children's Health (CERCH) , School of Public Health, University of California, Berkeley , Berkeley, California, USA.
2 Department of Pediatrics, University of California, San Francisco , San Francisco, California, USA.
Environ Health Perspect. 2018 Sep;126(9):97004. doi: 10.1289/EHP3424.
Animal studies suggest that phthalates and bisphenol A (BPA), endocrine-disrupting chemicals found in many consumer products, may impact the timing of puberty.
We aimed to determine the association of prenatal exposure to high-molecular-weight phthalates and BPA with pubertal timing in boys and girls participating in the Center for the Health Assessment of Mothers and Children of Salinas (CHAMACOS) longitudinal cohort study.
We quantified urinary concentrations of eight phthalate metabolites and BPA at two time points during pregnancy among participating mothers ([Formula: see text]) and conducted clinical Tanner staging of puberty on their children every 9 months between 9 and 13 y of age. We conducted accelerated failure time models and examined the role of child overweight/obese status in this association.
The sum of urinary metabolites of di(2-ethylhexyl) phthalate [Formula: see text], monobenzyl phthalate (MBzP), and BPA were associated with later onset of at least one of the three outcomes assessed in girls (thelarche, pubarche, or menarche) and with earlier onset of at least one of the two outcomes assessed in boys (gondarche and pubarche). We found that monocarboxynonyl phthalate, monocarboxyoctyl phthalate, mono(3-carboxypropyl) phthalate, and BPA were associated with later pubarche and menarche mostly among normal-weight girls but not overweight/obese girls. MBzP was associated with later thelarche in all girls, and [Formula: see text] was associated with later thelarche and menarche in all girls. BPA and all phthalate biomarkers were associated with earlier gonadarche and pubarche in all boys as well as in overweight/obese boys when stratified by weight. Among normal-weight boys, associations with BPA were also inverse, whereas associations with phthalate metabolites were close to the null or positive.
Several high-molecular-weight phthalates and BPA were associated with later puberty in girls and earlier puberty in boys included in the CHAMACOS cohort study. Childhood overweight/obesity may modify these associations. https://doi.org/10.1289/EHP3424.
动物研究表明,邻苯二甲酸酯和双酚 A(BPA)是许多消费产品中存在的内分泌干扰化学物质,可能会影响青春期的时间。
我们旨在确定产前暴露于高分子量邻苯二甲酸酯和 BPA 与参加萨利纳斯母婴健康评估中心(CHAMACOS)纵向队列研究的男孩和女孩青春期时间的关系。
我们在两次妊娠期间测量了参与母亲的尿液中 8 种邻苯二甲酸酯代谢物和 BPA 的浓度[公式:见文本],并在 9 至 13 岁之间每 9 个月对其孩子进行一次临床 Tanner 青春期分期。我们进行了加速失效时间模型,并研究了儿童超重/肥胖状态在这种关联中的作用。
二(2-乙基己基)邻苯二甲酸酯[公式:见文本]、单苄基邻苯二甲酸酯(MBzP)和 BPA 的尿液代谢物总和与女孩中至少一种评估结果的青春期开始时间较晚有关(乳房发育、阴毛发育或月经初潮),与男孩中至少一种评估结果的青春期开始时间较早有关(性早熟和阴毛发育)。我们发现,单羧基壬基邻苯二甲酸酯、单羧基辛基邻苯二甲酸酯、单(3-羧丙基)邻苯二甲酸酯和 BPA 主要与正常体重女孩的阴毛发育和月经初潮较晚有关,但与超重/肥胖女孩无关。MBzP 与所有女孩的乳房发育较晚有关,[公式:见文本]与所有女孩的乳房发育和月经初潮较晚有关。BPA 和所有邻苯二甲酸酯生物标志物与所有男孩的性早熟和阴毛发育较早有关,在按体重分层时也与超重/肥胖男孩的性早熟和阴毛发育较早有关。在正常体重男孩中,BPA 的关联也呈负相关,而邻苯二甲酸酯代谢物的关联接近零或为正。
CHAMACOS 队列研究中的一些高分子量邻苯二甲酸酯和 BPA 与女孩青春期较晚和男孩青春期较早有关。儿童超重/肥胖可能会改变这些关联。