Division of Epidemiology, Department of Environmental Health, University of Cincinnati College of Medicine, P.O. Box 670056, Cincinnati, OH 45267, USA.
Department of Epidemiology, Brown University School of Public Health, 121 South Main St, Box G-S121-2, Providence, RI 02912, USA.
Environ Int. 2019 Feb;123:148-155. doi: 10.1016/j.envint.2018.11.050. Epub 2018 Dec 4.
Animal studies suggest polybrominated diphenyl ethers (PBDEs) may be obesogens. However, epidemiologic studies investigating childhood exposure to PBDEs and adiposity are limited, with several reporting an inverse association.
To investigate associations between repeated childhood PBDE concentrations and adiposity measures at age 8 years.
We examined 206 children from the Health Outcomes and Measures of the Environment Study, a birth cohort in Cincinnati, OH (2003-2006). Serum PBDEs were measured at ages 1, 2, 3, 5, and 8 years. We used multiple imputation to estimate missing PBDE concentrations. At 8 years, we measured weight, height, waist circumference, and body fat percentage. We used multiple informant models to estimate age-specific associations between PBDEs and adiposity measures.
We observed significant inverse associations between BDE-153 with all adiposity measures that became increasingly stronger with later childhood measurements. A 10-fold increase in BDE-153 at ages 1 and 8 years was associated with 2% (95% CI -3.9, -0.1) and 7% (95% CI -9.1, -4.7) lower body fat, respectively. No statistically significant associations were found with BDE-28, -47, -99, or -100. Child sex modified some associations; inverse associations between BDE-153 and body fat were stronger among boys, while positive and null associations were noted among girls.
Childhood BDE-153 concentrations were inversely associated with adiposity measures and these associations became stronger as BDE-153 measurements were more proximal to adiposity measures. Inverse associations could be attributed to reverse causality arising from greater storage of PBDEs in adipose tissue of children with higher adiposity.
动物研究表明多溴二苯醚 (PBDEs) 可能是致肥胖物。然而,研究儿童时期 PBDE 暴露与肥胖的流行病学研究有限,有几项研究报告存在负相关。
研究儿童时期反复接触 PBDE 浓度与 8 岁时肥胖指标的关系。
我们研究了辛辛那提健康结果和环境测量研究中的 206 名儿童,这是俄亥俄州的一个出生队列(2003-2006 年)。在 1、2、3、5 和 8 岁时测量血清 PBDE 浓度。我们使用多重插补估计缺失的 PBDE 浓度。在 8 岁时,我们测量体重、身高、腰围和体脂百分比。我们使用多信息模型估计 PBDE 与肥胖指标的年龄特异性关联。
我们观察到 BDE-153 与所有肥胖指标之间存在显著的负相关,随着儿童后期测量值的增加,这种相关性变得越来越强。在 1 岁和 8 岁时,BDE-153 增加 10 倍,分别与体脂减少 2%(95%CI-3.9,-0.1)和 7%(95%CI-9.1,-4.7)相关。BDE-28、-47、-99 和-100 与肥胖指标之间无统计学显著关联。儿童性别修饰了一些关联;BDE-153 与体脂之间的负相关在男孩中更强,而在女孩中则呈正相关和无关联。
儿童时期 BDE-153 浓度与肥胖指标呈负相关,且随着 BDE-153 测量值与肥胖指标的距离越近,这种相关性越强。这种负相关可能归因于更高肥胖儿童体内脂肪组织中 PBDE 储存量增加引起的反向因果关系。