Department of Environmental Health, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.
Department of Environmental Health, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China; The International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, China.
Chemosphere. 2022 Nov;307(Pt 2):135970. doi: 10.1016/j.chemosphere.2022.135970. Epub 2022 Aug 8.
Epidemiological studies suggested that triclosan (TCS) exposure was ubiquitous among children and could affect their physical growth. However, most studies relied on TCS exposure at single time point, and the impacts of multiple time points TCS exposure were unclear.
To estimate the associations between repeated TCS measurements in childhood (at ages 1, 2, 5, and 7 years) and physical growth at 7 years.
This study included 206 children from Laizhou Wan Birth Cohort (LWBC), China. Urinary TCS concentrations were detected at age of 1, 2, 5, and 7 years, and physical growth including height, weight, waist circumference, and fat percentage was measured at 7 years. Multiple informant models were applied to examine the relationships of repeated TCS measurements in childhood with physical growth, and stratified analysis by gender was performed.
The detection rates of TCS at age of 1, 2, 5, and 7 years were above 60%, with median declining from 0.89 to 0.33 μg/g creatinine. We found TCS at 5 years was positively associated with waist-to-height ratio, and TCS at 7 years was positively associated with physical growth, including weight z-score, BMI z-score, waist circumference, waist-to-height ratio, and fat percentage. Moreover, the above associations for weight z-score, BMI z-score, and fat percentage significantly varied by the period of exposure (pint ˂ 0.05). After stratified by gender, positive associations were only found among boys.
In our study, TCS levels decreased as children's age increased. TCS exposures at age of 5 and 7 years were positively associated with physical growth at 7 years, and these associations were only significant in boys. Given the relatively small sample size, our findings should be interpreted with caution until confirmed by further investigation.
流行病学研究表明,三氯生(TCS)暴露在儿童中普遍存在,可能会影响他们的身体发育。然而,大多数研究依赖于单次 TCS 暴露测量,而多次 TCS 暴露的影响尚不清楚。
评估儿童时期(1 岁、2 岁、5 岁和 7 岁时)反复 TCS 测量与 7 岁时身体生长的关系。
本研究纳入了来自中国莱州湾出生队列(LWBC)的 206 名儿童。在 1 岁、2 岁、5 岁和 7 岁时检测尿 TCS 浓度,在 7 岁时测量身高、体重、腰围和体脂百分比等身体生长指标。采用多信息源模型来检验儿童时期反复 TCS 测量与身体生长之间的关系,并按性别进行分层分析。
TCS 的检出率在 1 岁、2 岁、5 岁和 7 岁时均高于 60%,中位数从 0.89μg/g 肌酐降至 0.33μg/g 肌酐。我们发现,5 岁时 TCS 与腰高比呈正相关,7 岁时 TCS 与身体生长呈正相关,包括体重 z 评分、BMI z 评分、腰围、腰高比和体脂百分比。此外,体重 z 评分、BMI z 评分和体脂百分比的上述关联在暴露期(pint<0.05)上存在显著差异。按性别分层后,仅在男孩中发现了正相关关系。
在本研究中,随着儿童年龄的增长,TCS 水平呈下降趋势。5 岁和 7 岁时的 TCS 暴露与 7 岁时的身体生长呈正相关,且这些关联仅在男孩中具有统计学意义。由于样本量相对较小,我们的研究结果应谨慎解释,需要进一步的研究加以证实。