Prenatal phthalate, perfluoroalkyl acid, and organochlorine exposures and term birth weight in three birth cohorts: multi-pollutant models based on elastic net regression

Lenters, V; Portengen, L; Rignell-Hydbom, A; Jönsson, BA; Lindh, CH; Piersma, AH; Toft, G; Bonde, JP; Heederik, D; Rylander, L; Vermeulen, R

HERO ID

5617416

Reference Type

Journal Article

Year

2016

Language

English

PMID

26115335

HERO ID 5617416
In Press No
Year 2016
Title Prenatal phthalate, perfluoroalkyl acid, and organochlorine exposures and term birth weight in three birth cohorts: multi-pollutant models based on elastic net regression
Authors Lenters, V; Portengen, L; Rignell-Hydbom, A; Jönsson, BA; Lindh, CH; Piersma, AH; Toft, G; Bonde, JP; Heederik, D; Rylander, L; Vermeulen, R
Journal Environmental Health Perspectives
Volume 124
Issue 3
Page Numbers 365-372
Abstract BACKGROUND: Some legacy and emerging environmental contaminants are suspected risk factors for intrauterine growth restriction. However, the evidence is equivocal, in part due to difficulties in disentangling the effects of mixtures. OBJECTIVES: We assessed associations between multiple correlated biomarkers of environmental exposure and birth weight. METHODS: We evaluated a cohort of 1250 term (≥37 weeks' gestation) singleton infants, born to 513 mothers from Greenland, 180 from Poland, and 557 from Ukraine, who were recruited during antenatal care visits in 2002‒2004. Secondary metabolites of diethylhexyl and diisononyl phthalates (DEHP, DiNP), eight perfluoroalkyl acids, and organochlorines (PCB-153 and p,p'-DDE) were quantifiable in 72‒100% of maternal serum samples. We assessed associations between exposures and term birth weight, adjusting for co-exposures and covariates, including pre-pregnancy body mass index. To identify independent associations, we applied the elastic net penalty to linear regression models. RESULTS: Two phthalate metabolites (MEHHP, MOiNP), perfluorooctanoate (PFOA), and p,p'-DDE were most consistently predictive of term birth weight based on elastic net penalty regression. In an adjusted, unpenalized regression model of the four exposures, 2-SD increases in natural log-transformed MEHHP, PFOA, and p,p'-DDE were associated with lower birth weight: -87 g (95% CI: -137, -340 per 1.70 ng/mL), -43 g (95% CI: -108, 23; per 1.18 ng/mL), and -135 g (95% CI: -192, -78 per 1.82 ng/g lipid), respectively; while MOiNP was associated with higher birth weight (46 g; 95% CI: -5, 97 per 2.22 ng/mL). CONCLUSIONS: This study suggests that several of the environmental contaminants, belonging to three chemical classes, may be independently associated with impaired fetal growth. These results warrant follow-up in other cohorts.
Doi 10.1289/ehp.1408933
Pmid 26115335
Wosid WOS:000371442500024
Url https://www.proquest.com/scholarly-journals/prenatal-phthalate-perfluoroalkyl-acid/docview/1846401824/se-2?accountid=171501
Is Certified Translation No
Dupe Override No
Comments Journal: Environmental Health Perspectives (Online) ISSN:
Is Public Yes
Language Text English
Keyword Toxicology Abstracts; Pollution Abstracts; Environment Abstracts; MED, Ukraine; Insecticides; Infants; Gestation; Risk factors; Chemical pollution; Body mass index; Secondary metabolites; Metabolites; Organochlorine compounds; Bioindicators; Nitrous oxide; Prenatal experience; AN, Greenland; Phthalic acid; biomarkers; Fetuses; diisononyl phthalate; perfluorooctanoic acid; Regression analysis; Phthalates; Contaminants; Birth weight; ENA 02:Toxicology & Environmental Safety; X 24330:Agrochemicals; P 6000:TOXICOLOGY AND HEALTH
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