Association between pre/perinatal exposure to POPs and children's anogenital distance at age 4 years: A study from the INMA-Asturias cohort

Autor: Carmen Freire, Joan O. Grimalt, Adonina Tardón, Ana Cristina Rodríguez-Dehli, Ana Fernández-Somoano, Esther Vizcaino, Miguel García-Villarino, Isolina Riaño-Galán
Přispěvatelé: Grimalt, Joan O., Grimalt, Joan O. [0000-0002-7391-5768]
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Anal Canal
Endocrine Disruptors
010501 environmental sciences
01 natural sciences
Cohort Studies
Anogenital index
chemistry.chemical_compound
0302 clinical medicine
Pregnancy
Halogenated Diphenyl Ethers
Hydrocarbons
Chlorinated

Medicine
030212 general & internal medicine
Maternal-Fetal Exchange
Anthropometry
Perinatal Exposure
Obstetrics
Persistent organic pollutants
Anogenital distance
Fetal Blood
Endocrine disruptor
Maternal Exposure
Child
Preschool

Prenatal Exposure Delayed Effects
Cohort
Environmental Pollutants
Female
Biological Monitoring
Adult
medicine.medical_specialty
03 medical and health sciences
Humans
Sex organ
Genitalia
Persistent organic pollutant
0105 earth and related environmental sciences
business.industry
Infant
Newborn

Public Health
Environmental and Occupational Health

Hexachlorobenzene
Confidence interval
Genital development
chemistry
Spain
business
Zdroj: Scopus
RUO. Repositorio Institucional de la Universidad de Oviedo
Universidad de las Islas Baleares
Digital.CSIC. Repositorio Institucional del CSIC
instname
RUO: Repositorio Institucional de la Universidad de Oviedo
Universidad de Oviedo (UNIOVI)
Popis: Background Prenatal exposure to endocrine-disrupting chemicals may impair genital development and alter reproductive tract anatomy. Anogenital distance (AGD) is a useful biomarker of exposure to chemicals that act as endocrine disruptors. We evaluated associations between prenatal and perinatal exposure to several persistent organic pollutants (POPs) and AGD in 4-year-old children. Methods Data were drawn from the INMA-Asturias cohort. Pediatricians measured the anofourchetal distance in female children and anoscrotal distance in male children. The anogenital index (AGI) was defined as the AGD divided by the child's weight at age of examination. We measured the levels of two hexachlorocyclohexane isomers, hexachlorobenzene, dichlorodiphenyltrichloroethane (DDT) and its metabolites, six polychlorinated biphenyl (PCB) congeners, and six polybrominated diphenyl ether (PBDE) congeners in maternal serum at 12 gestational weeks (n = 155) and in cord blood serum (n = 229). Anthropometric and parental sociodemographic variables were collected via face-to-face interviews. Linear regression models were used to evaluate the relationship between exposure to POPs and AGI, adjusted for confounders and stratified by sex. Results In male children, we found inverse associations between AGI and maternal concentrations of PCB-138 (ß = −0.041, 95% confidence interval [CI]: −0.074, −0.008, second tertile), PCB-153 (ß = −0.052, 95% CI: −0.085, −0.020, second tertile), PCB-180 ß = −0.065, 95% CI: −0.096, −0.035, second tertile; ß = −0.042, 95% CI: −0.073, −0.011, third tertile), PBDE-209 (ß = −0.031, 95% CI: −0.058, −0.006), cord serum concentrations of PCB-153 (ß = −0.029, 95% CI: −0.059, −0.000, second tertile; ß = −0.047, 95% CI: −0.085, −0.008, third tertile), and PCB-180 (ß = −0.041, 95% CI: −0.078, −0.005, third tertile). In female children, AGI was positively associated with maternal serum concentrations of PCB-101 (ß = 0.039, 95% CI: 0.002, 0.076, second tertile), and higher cord serum levels of 4,4′-DDT (ß = 0.032, 95% CI: 0.003, 0.061, third tertile) and 4,4′-DDE (ß = 0.040, 95% CI: 0.011, 0.069, third tertile). Conclusions Our findings provide evidence of associations between specific POPs and AGI in boys and girls aged 4 years, and suggest that pre/perinatal exposure to POPs has a feminizing effect in males and a masculinizing effect in females.
The authors would particularly like to thank all the participants for their generous collaboration and the staff from Hospital San Agustin in Aviles for their effort. This study was funded by grants from, CIBERESP (PhD-employment-contract and fellowship for short stays abroad-2019), FIS-FEDER: PI04/2018, PI09/02311, PI13/02429, PI18/00909; Obra Social Cajastur/Fundación Liberbank, and Universidad de Oviedo. We thank Edanz Group (www.edanzediting.com/ac) for editing a draft of this manuscript, and Fundación NOE Alimerka.
Databáze: OpenAIRE