In Utero Exposure to Select Phenols and Phthalates and Respiratory Health in Five-Year-Old Boys: A Prospective Study

被引:82
作者
Vernet, Celine [1 ]
Pin, Isabelle [1 ,2 ]
Giorgis-Allemand, Lise [1 ]
Philippat, Claire [1 ]
Benmerad, Meriem [1 ]
Quentin, Joane [1 ,2 ]
Calafat, Antonia M. [3 ]
Ye, Xiaoyun [3 ]
Annesi-Maesano, Isabella [4 ,5 ]
Siroux, Valerie [1 ]
Slama, Remy [1 ]
机构
[1] Univ Grenoble Alpes, CNRS, IAB,U1209,INSERM, Team Environm Epidemiol Appl Reprod & Resp Hlth, Grenoble, France
[2] CHU Grenoble, Serv Pediat, Grenoble, France
[3] Natl Ctr Environm Hlth, Div Lab Sci, Ctr Dis Control & Prevent, Atlanta, GA USA
[4] Sorbonnes Univ, Epidemiol Allerg & Resp Dis EPAR Dept, IPLESP, INSERM, Paris, France
[5] Sorbonnes Univ, UPMC Paris 6, Paris, France
基金
欧洲研究理事会;
关键词
BISPHENOL-A EXPOSURE; PRENATAL EXPOSURE; LUNG-FUNCTION; ASTHMA; AGE; WHEEZE; TRICLOSAN; CHEMICALS; RESPONSES; CHILDREN;
D O I
10.1289/EHP1015
中图分类号
X [环境科学、安全科学];
学科分类号
083001 [环境科学];
摘要
BACKGROUND: Phenols and phthalates may have immunomodulatory and proinflammatory effects and thereby adversely affect respiratory health. OBJECTIVE: We estimated the associations between gestational exposure to select phthalates and phenols and respiratory health in boys. METHODS: Among 587 pregnant women from the EDEN (Etude des Determinants pre du developpement et de la sante de l'Enfant) cohort who delivered a boy, 9 phenols and 11 phthalates metabolites were quantified in spot pregnancy urine samples. Respiratory outcomes were followed up by questionnaires until age 5, when forced expiratory volume in 1 s (FEV1) was measured by spirometry. Adjusted associations of urinary metabolites log-transformed concentrations with respiratory outcomes and FEV1 in percent predicted (FEV1%) were estimated by survival and linear regression models, respectively. RESULTS: No phenol or phthalate metabolite exhibited clear deleterious associations simultaneously with several respiratory outcomes. Ethyl-paraben was associated with increased asthma rate [hazard rate (HR) = 1.10; 95% confidence interval (CI): 1.00, 1.21] and tended to be negatively associated with FEV1% (beta = -0.59; 95% CI: -1.24, 0.05); bisphenol A tended to be associated with increased rates of asthma diagnosis (HR=1.23; 95% CI: 0.97, 1.55) and bronchiolitis/bronchitis (HR = 1.13; 95% CI: 0.99, 1.30). Isolated trends for deleterious associations were also observed between 2,5-dichlorophenol and wheezing, and between monocarboxynonyl phthalate, a metabolite of di-isodecyl phthalate (DIDP), and wheezing. CONCLUSION: Ethyl-paraben, bisphenol A, 2,5-dichlorophenol, and DIDP tended to be associated with altered respiratory health, with ethyl-paraben and bisphenol A exhibiting some consistency across respiratory outcomes. The trends between bisphenol A pregnancy level and increased asthma and bronchiolitis/bronchitis rates in childhood were consistent with a previous cohort study. https://doi.org/10.1289/EHP1015.
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页数:10
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