A Mixture of Urinary Phthalate Metabolite Concentrations During Pregnancy and Offspring Social Responsiveness Scale Scores.


Journal

Epidemiology (Cambridge, Mass.)
ISSN: 1531-5487
Titre abrégé: Epidemiology
Pays: United States
ID NLM: 9009644

Informations de publication

Date de publication:
01 Jan 2024
Historique:
medline: 1 12 2023
pubmed: 11 10 2023
entrez: 11 10 2023
Statut: ppublish

Résumé

Phthalates are a group of chemicals with ubiquitous exposure worldwide. Exposures to phthalates during pregnancy may play a role in autism spectrum disorder (ASD) etiology by disrupting hormone levels or directly impacting fetal neurodevelopment. However, there is little research quantifying the aggregate effect of phthalates on child ASD-related behaviors. We used data from two prospective pregnancy and birth cohorts-the Health Outcomes and Measures of the Environment (HOME) and the Early Autism Risk Longitudinal Investigation (EARLI). HOME is a general population cohort while participants in EARLI were at higher familial risk for ASD. Using quantile g-computation and linear regression models, we assessed the joint and individual associations of a mixture of six phthalate metabolites during pregnancy with child ASD-related traits measured by Social Responsiveness Scale (SRS) scores at ages 3-8 years. Our analyses included 271 participants from HOME and 166 participants from EARLI. There were imprecise associations between the phthalate mixture and SRS total raw scores in HOME (difference in SRS scores per decile increase in every phthalate = 1.3; 95% confidence interval [CI] = -0.2, 2.8) and EARLI (difference in SRS scores per decile increase in every phthalate = -0.9; 95% CI = -3.5, 1.7). The cohort-specific effect sizes of the pthalates-SRS associations were small and CIs were imprecise. These results suggest that if there are associations between phthalate metabolites during pregnancy and child SRS scores, they may differ across populations with different familial liabilities. Further studies with larger sample sizes are warranted.

Sections du résumé

BACKGROUND BACKGROUND
Phthalates are a group of chemicals with ubiquitous exposure worldwide. Exposures to phthalates during pregnancy may play a role in autism spectrum disorder (ASD) etiology by disrupting hormone levels or directly impacting fetal neurodevelopment. However, there is little research quantifying the aggregate effect of phthalates on child ASD-related behaviors.
METHODS METHODS
We used data from two prospective pregnancy and birth cohorts-the Health Outcomes and Measures of the Environment (HOME) and the Early Autism Risk Longitudinal Investigation (EARLI). HOME is a general population cohort while participants in EARLI were at higher familial risk for ASD. Using quantile g-computation and linear regression models, we assessed the joint and individual associations of a mixture of six phthalate metabolites during pregnancy with child ASD-related traits measured by Social Responsiveness Scale (SRS) scores at ages 3-8 years.
RESULTS RESULTS
Our analyses included 271 participants from HOME and 166 participants from EARLI. There were imprecise associations between the phthalate mixture and SRS total raw scores in HOME (difference in SRS scores per decile increase in every phthalate = 1.3; 95% confidence interval [CI] = -0.2, 2.8) and EARLI (difference in SRS scores per decile increase in every phthalate = -0.9; 95% CI = -3.5, 1.7).
CONCLUSIONS CONCLUSIONS
The cohort-specific effect sizes of the pthalates-SRS associations were small and CIs were imprecise. These results suggest that if there are associations between phthalate metabolites during pregnancy and child SRS scores, they may differ across populations with different familial liabilities. Further studies with larger sample sizes are warranted.

Identifiants

pubmed: 37820223
doi: 10.1097/EDE.0000000000001682
pii: 00001648-990000000-00193
doi:

Substances chimiques

phthalic acid 6O7F7IX66E
Environmental Pollutants 0
Phthalic Acids 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

84-93

Subventions

Organisme : NIEHS NIH HHS
ID : P30 ES013508
Pays : United States
Organisme : NIEHS NIH HHS
ID : R01 ES020349
Pays : United States

Informations de copyright

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

J.B. was financially compensated for serving as an expert witness for plaintiffs in litigation related to PFAS-contaminated drinking water. The remaining authors report no conflicts of interest.

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Auteurs

Emma X Yu (EX)

From the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.

Joseph M Braun (JM)

Department of Epidemiology, Brown University School of Public Health, Providence, RI.

Kristen Lyall (K)

AJ Drexel Autism Institute, Drexel University, Philadelphia, PA.

Irva Hertz-Picciotto (I)

Department of Public Health Sciences and The MIND Institute, School of Medicine, University of California-Davis, Davis, CA.

M Daniele Fallin (MD)

Rollins School of Public Health, Emory University, Atlanta, GA.

Lisa A Croen (LA)

Kaiser Permanente Division of Research, Oakland, CA.

Aimin Chen (A)

Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Yingying Xu (Y)

Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH.

Kimberly Yolton (K)

Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH.

Craig J Newschaffer (CJ)

Department of Biobehavioral Health, Penn State University, University Park, PA.

Ghassan B Hamra (GB)

From the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.

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