Urinary phthalate metabolite concentrations among pregnant women in Northern Puerto Rico: Distribution, temporal variability, and predictors

Phthalate contamination exists in the North Coast karst aquifer system in Puerto Rico. In light of potential health impacts associated with phthalate exposure, targeted action for elimination of exposure sources may be warranted, especially for sensitive populations such as pregnant women. However,...

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Veröffentlicht in:Environment international 2014-01, Vol.62, p.1-11
Hauptverfasser: Cantonwine, David E., Cordero, José F., Rivera-González, Luis O., Anzalota Del Toro, Liza V., Ferguson, Kelly K., Mukherjee, Bhramar, Calafat, Antonia M., Crespo, Noe, Jiménez-Vélez, Braulio, Padilla, Ingrid Y., Alshawabkeh, Akram N., Meeker, John D.
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container_issue
container_start_page 1
container_title Environment international
container_volume 62
creator Cantonwine, David E.
Cordero, José F.
Rivera-González, Luis O.
Anzalota Del Toro, Liza V.
Ferguson, Kelly K.
Mukherjee, Bhramar
Calafat, Antonia M.
Crespo, Noe
Jiménez-Vélez, Braulio
Padilla, Ingrid Y.
Alshawabkeh, Akram N.
Meeker, John D.
description Phthalate contamination exists in the North Coast karst aquifer system in Puerto Rico. In light of potential health impacts associated with phthalate exposure, targeted action for elimination of exposure sources may be warranted, especially for sensitive populations such as pregnant women. However, information on exposure to phthalates from a variety of sources in Puerto Rico is lacking. The objective of this study was to determine concentrations and predictors of urinary phthalate biomarkers measured at multiple times during pregnancy among women living in the Northern karst area of Puerto Rico. We recruited 139 pregnant women in Northern Puerto Rico and collected urine samples and questionnaire data at three separate visits (18±2weeks, 22±2weeks, and 26±2weeks of gestation). Urine samples were analyzed for eleven phthalate metabolites: mono-2-ethylhexyl phthalate (MEHP), mono-2-ethyl-5-hydroxyhexyl phthalate, mono-2-ethyl-5-oxohexyl phthalate, mono-2-ethyl-5-carboxypentyl phthalate, mono-ethyl phthalate (MEP), mono-n-butyl phthalate, mono-benzyl phthalate, mono-isobutyl phthalate, mono-3-carboxypropyl phthalate (MCPP), mono carboxyisononyl phthalate (MCNP), and mono carboxyisooctyl phthalate (MCOP). Detectable concentrations of phthalate metabolites among pregnant women living in Puerto Rico was prevalent, and metabolite concentrations tended to be higher than or similar to those measured in women of reproductive age from the general US population. Intraclass correlation coefficients ranged from very weak (MCNP; 0.05) to moderate (MEP; 0.44) reproducibility among all phthalate metabolites. We observed significant or suggestive positive associations between urinary phthalate metabolite concentrations and water usage/storage habits (MEP, MCNP, MCOP), use of personal care products (MEP), and consumption of certain food items (MCPP, MCNP, and MCOP). To our knowledge this is the first study to report concentrations, temporal variability, and predictors of phthalate biomarkers among pregnant women in Puerto Rico. Preliminary results suggest several potentially important exposure sources to phthalates in this population and future analysis from this ongoing prospective cohort will help to inform targeted approaches to reduce exposure. •Phthalate exposure is prevalent among pregnant women in Puerto Rico.•Compared to the US, urinary phthalate concentrations in Puerto Rico were different.•Within-subject repeatability of phthalates were low to moderate.•Monoethyl p
doi_str_mv 10.1016/j.envint.2013.09.014
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In light of potential health impacts associated with phthalate exposure, targeted action for elimination of exposure sources may be warranted, especially for sensitive populations such as pregnant women. However, information on exposure to phthalates from a variety of sources in Puerto Rico is lacking. The objective of this study was to determine concentrations and predictors of urinary phthalate biomarkers measured at multiple times during pregnancy among women living in the Northern karst area of Puerto Rico. We recruited 139 pregnant women in Northern Puerto Rico and collected urine samples and questionnaire data at three separate visits (18±2weeks, 22±2weeks, and 26±2weeks of gestation). Urine samples were analyzed for eleven phthalate metabolites: mono-2-ethylhexyl phthalate (MEHP), mono-2-ethyl-5-hydroxyhexyl phthalate, mono-2-ethyl-5-oxohexyl phthalate, mono-2-ethyl-5-carboxypentyl phthalate, mono-ethyl phthalate (MEP), mono-n-butyl phthalate, mono-benzyl phthalate, mono-isobutyl phthalate, mono-3-carboxypropyl phthalate (MCPP), mono carboxyisononyl phthalate (MCNP), and mono carboxyisooctyl phthalate (MCOP). Detectable concentrations of phthalate metabolites among pregnant women living in Puerto Rico was prevalent, and metabolite concentrations tended to be higher than or similar to those measured in women of reproductive age from the general US population. Intraclass correlation coefficients ranged from very weak (MCNP; 0.05) to moderate (MEP; 0.44) reproducibility among all phthalate metabolites. We observed significant or suggestive positive associations between urinary phthalate metabolite concentrations and water usage/storage habits (MEP, MCNP, MCOP), use of personal care products (MEP), and consumption of certain food items (MCPP, MCNP, and MCOP). To our knowledge this is the first study to report concentrations, temporal variability, and predictors of phthalate biomarkers among pregnant women in Puerto Rico. Preliminary results suggest several potentially important exposure sources to phthalates in this population and future analysis from this ongoing prospective cohort will help to inform targeted approaches to reduce exposure. •Phthalate exposure is prevalent among pregnant women in Puerto Rico.•Compared to the US, urinary phthalate concentrations in Puerto Rico were different.•Within-subject repeatability of phthalates were low to moderate.•Monoethyl phthalate levels were higher among women who used perfume or cosmetics.</description><identifier>ISSN: 0160-4120</identifier><identifier>EISSN: 1873-6750</identifier><identifier>DOI: 10.1016/j.envint.2013.09.014</identifier><identifier>PMID: 24161445</identifier><identifier>CODEN: ENVIDV</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; aquifers ; Biological and medical sciences ; Biomarkers ; Biomarkers - urine ; coasts ; correlation ; Endocrine disruptor ; Environment ; Environment. Living conditions ; Environmental pollutants toxicology ; Epidemiology ; Exposure ; Female ; Gestation ; Humans ; Karst ; karsts ; Medical sciences ; Metabolites ; personal care products ; Phthalates ; Phthalic Acids - urine ; Populations ; Pregnancy ; Pregnant Women ; Prospective Studies ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Puerto Rico ; questionnaires ; Reproducibility of Results ; Surveys and Questionnaires ; Temporal logic ; temporal variation ; Time Factors ; Toxicology ; United States ; Urine ; Water Pollutants, Chemical - urine ; water utilization ; Young Adult</subject><ispartof>Environment international, 2014-01, Vol.62, p.1-11</ispartof><rights>2013 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>2013.</rights><rights>2013 Elsevier Ltd. All rights reserved. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c592t-7c8e24384bfc1c6886e6183ae870c768e3083dcf296a7a591240062a8258b40d3</citedby><cites>FETCH-LOGICAL-c592t-7c8e24384bfc1c6886e6183ae870c768e3083dcf296a7a591240062a8258b40d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0160412013002080$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=28040568$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24161445$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cantonwine, David E.</creatorcontrib><creatorcontrib>Cordero, José F.</creatorcontrib><creatorcontrib>Rivera-González, Luis O.</creatorcontrib><creatorcontrib>Anzalota Del Toro, Liza V.</creatorcontrib><creatorcontrib>Ferguson, Kelly K.</creatorcontrib><creatorcontrib>Mukherjee, Bhramar</creatorcontrib><creatorcontrib>Calafat, Antonia M.</creatorcontrib><creatorcontrib>Crespo, Noe</creatorcontrib><creatorcontrib>Jiménez-Vélez, Braulio</creatorcontrib><creatorcontrib>Padilla, Ingrid Y.</creatorcontrib><creatorcontrib>Alshawabkeh, Akram N.</creatorcontrib><creatorcontrib>Meeker, John D.</creatorcontrib><title>Urinary phthalate metabolite concentrations among pregnant women in Northern Puerto Rico: Distribution, temporal variability, and predictors</title><title>Environment international</title><addtitle>Environ Int</addtitle><description>Phthalate contamination exists in the North Coast karst aquifer system in Puerto Rico. In light of potential health impacts associated with phthalate exposure, targeted action for elimination of exposure sources may be warranted, especially for sensitive populations such as pregnant women. However, information on exposure to phthalates from a variety of sources in Puerto Rico is lacking. The objective of this study was to determine concentrations and predictors of urinary phthalate biomarkers measured at multiple times during pregnancy among women living in the Northern karst area of Puerto Rico. We recruited 139 pregnant women in Northern Puerto Rico and collected urine samples and questionnaire data at three separate visits (18±2weeks, 22±2weeks, and 26±2weeks of gestation). Urine samples were analyzed for eleven phthalate metabolites: mono-2-ethylhexyl phthalate (MEHP), mono-2-ethyl-5-hydroxyhexyl phthalate, mono-2-ethyl-5-oxohexyl phthalate, mono-2-ethyl-5-carboxypentyl phthalate, mono-ethyl phthalate (MEP), mono-n-butyl phthalate, mono-benzyl phthalate, mono-isobutyl phthalate, mono-3-carboxypropyl phthalate (MCPP), mono carboxyisononyl phthalate (MCNP), and mono carboxyisooctyl phthalate (MCOP). Detectable concentrations of phthalate metabolites among pregnant women living in Puerto Rico was prevalent, and metabolite concentrations tended to be higher than or similar to those measured in women of reproductive age from the general US population. Intraclass correlation coefficients ranged from very weak (MCNP; 0.05) to moderate (MEP; 0.44) reproducibility among all phthalate metabolites. We observed significant or suggestive positive associations between urinary phthalate metabolite concentrations and water usage/storage habits (MEP, MCNP, MCOP), use of personal care products (MEP), and consumption of certain food items (MCPP, MCNP, and MCOP). To our knowledge this is the first study to report concentrations, temporal variability, and predictors of phthalate biomarkers among pregnant women in Puerto Rico. Preliminary results suggest several potentially important exposure sources to phthalates in this population and future analysis from this ongoing prospective cohort will help to inform targeted approaches to reduce exposure. •Phthalate exposure is prevalent among pregnant women in Puerto Rico.•Compared to the US, urinary phthalate concentrations in Puerto Rico were different.•Within-subject repeatability of phthalates were low to moderate.•Monoethyl phthalate levels were higher among women who used perfume or cosmetics.</description><subject>Adult</subject><subject>aquifers</subject><subject>Biological and medical sciences</subject><subject>Biomarkers</subject><subject>Biomarkers - urine</subject><subject>coasts</subject><subject>correlation</subject><subject>Endocrine disruptor</subject><subject>Environment</subject><subject>Environment. Living conditions</subject><subject>Environmental pollutants toxicology</subject><subject>Epidemiology</subject><subject>Exposure</subject><subject>Female</subject><subject>Gestation</subject><subject>Humans</subject><subject>Karst</subject><subject>karsts</subject><subject>Medical sciences</subject><subject>Metabolites</subject><subject>personal care products</subject><subject>Phthalates</subject><subject>Phthalic Acids - urine</subject><subject>Populations</subject><subject>Pregnancy</subject><subject>Pregnant Women</subject><subject>Prospective Studies</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Puerto Rico</subject><subject>questionnaires</subject><subject>Reproducibility of Results</subject><subject>Surveys and Questionnaires</subject><subject>Temporal logic</subject><subject>temporal variation</subject><subject>Time Factors</subject><subject>Toxicology</subject><subject>United States</subject><subject>Urine</subject><subject>Water Pollutants, Chemical - urine</subject><subject>water utilization</subject><subject>Young Adult</subject><issn>0160-4120</issn><issn>1873-6750</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkt1uEzEQhVcIRNPCGyDkGyQuusF_6_VygYTKr1QBQvTamvVOEke7drCdoL5DHxpHCS3cADe2pfnmaOb4VNUTRueMMvViPUe_cz7POWViTrs5ZfJeNWO6FbVqG3q_mhWM1pJxelKdprSmlHKpm4fVCZdMMSmbWXVzFZ2HeE02q7yCETKSCTP0YXTlaYO36HOE7IJPBKbgl2QTcenBZ_IjTOiJ8-RTiHmF0ZMvW4w5kK_OhpfkjUs5un677z0nGadNiDCSHUQHvSv61-cE_LDXG5zNIaZH1YMFjAkfH--z6urd228XH-rLz-8_Xry-rG3T8Vy3ViOXQst-YZlVWitUTAtA3VLbKo2CajHYBe8UtNB0jEtKFQfNG91LOoiz6tVBd7PtJxwOK45mE91UrDABnPmz4t3KLMPOCN0WA7si8PwoEMP3LaZsJpcsjiN4DNtkeLFa8LbhzT9RpnTTduX4H7RVQinKRUHlAbUxpBRxcTs8o2YfD7M2h3iYfTwM7UyJR2l7-vvit02_8lCAZ0cAkoVxEcFbl-44TSVtlL5zEMs37RxGk6zDEpbBRbTZDMH9fZKfyeXdsQ</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Cantonwine, David E.</creator><creator>Cordero, José F.</creator><creator>Rivera-González, Luis O.</creator><creator>Anzalota Del Toro, Liza V.</creator><creator>Ferguson, Kelly K.</creator><creator>Mukherjee, Bhramar</creator><creator>Calafat, Antonia M.</creator><creator>Crespo, Noe</creator><creator>Jiménez-Vélez, Braulio</creator><creator>Padilla, Ingrid Y.</creator><creator>Alshawabkeh, Akram N.</creator><creator>Meeker, John D.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QH</scope><scope>7ST</scope><scope>7TV</scope><scope>7UA</scope><scope>C1K</scope><scope>F1W</scope><scope>H96</scope><scope>L.G</scope><scope>SOI</scope><scope>7SU</scope><scope>8FD</scope><scope>FR3</scope><scope>KR7</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope></search><sort><creationdate>20140101</creationdate><title>Urinary phthalate metabolite concentrations among pregnant women in Northern Puerto Rico: Distribution, temporal variability, and predictors</title><author>Cantonwine, David E. ; Cordero, José F. ; Rivera-González, Luis O. ; Anzalota Del Toro, Liza V. ; Ferguson, Kelly K. ; Mukherjee, Bhramar ; Calafat, Antonia M. ; Crespo, Noe ; Jiménez-Vélez, Braulio ; Padilla, Ingrid Y. ; Alshawabkeh, Akram N. ; Meeker, John D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c592t-7c8e24384bfc1c6886e6183ae870c768e3083dcf296a7a591240062a8258b40d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>aquifers</topic><topic>Biological and medical sciences</topic><topic>Biomarkers</topic><topic>Biomarkers - urine</topic><topic>coasts</topic><topic>correlation</topic><topic>Endocrine disruptor</topic><topic>Environment</topic><topic>Environment. 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In light of potential health impacts associated with phthalate exposure, targeted action for elimination of exposure sources may be warranted, especially for sensitive populations such as pregnant women. However, information on exposure to phthalates from a variety of sources in Puerto Rico is lacking. The objective of this study was to determine concentrations and predictors of urinary phthalate biomarkers measured at multiple times during pregnancy among women living in the Northern karst area of Puerto Rico. We recruited 139 pregnant women in Northern Puerto Rico and collected urine samples and questionnaire data at three separate visits (18±2weeks, 22±2weeks, and 26±2weeks of gestation). Urine samples were analyzed for eleven phthalate metabolites: mono-2-ethylhexyl phthalate (MEHP), mono-2-ethyl-5-hydroxyhexyl phthalate, mono-2-ethyl-5-oxohexyl phthalate, mono-2-ethyl-5-carboxypentyl phthalate, mono-ethyl phthalate (MEP), mono-n-butyl phthalate, mono-benzyl phthalate, mono-isobutyl phthalate, mono-3-carboxypropyl phthalate (MCPP), mono carboxyisononyl phthalate (MCNP), and mono carboxyisooctyl phthalate (MCOP). Detectable concentrations of phthalate metabolites among pregnant women living in Puerto Rico was prevalent, and metabolite concentrations tended to be higher than or similar to those measured in women of reproductive age from the general US population. Intraclass correlation coefficients ranged from very weak (MCNP; 0.05) to moderate (MEP; 0.44) reproducibility among all phthalate metabolites. We observed significant or suggestive positive associations between urinary phthalate metabolite concentrations and water usage/storage habits (MEP, MCNP, MCOP), use of personal care products (MEP), and consumption of certain food items (MCPP, MCNP, and MCOP). To our knowledge this is the first study to report concentrations, temporal variability, and predictors of phthalate biomarkers among pregnant women in Puerto Rico. Preliminary results suggest several potentially important exposure sources to phthalates in this population and future analysis from this ongoing prospective cohort will help to inform targeted approaches to reduce exposure. •Phthalate exposure is prevalent among pregnant women in Puerto Rico.•Compared to the US, urinary phthalate concentrations in Puerto Rico were different.•Within-subject repeatability of phthalates were low to moderate.•Monoethyl phthalate levels were higher among women who used perfume or cosmetics.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>24161445</pmid><doi>10.1016/j.envint.2013.09.014</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0160-4120
ispartof Environment international, 2014-01, Vol.62, p.1-11
issn 0160-4120
1873-6750
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3874859
source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
aquifers
Biological and medical sciences
Biomarkers
Biomarkers - urine
coasts
correlation
Endocrine disruptor
Environment
Environment. Living conditions
Environmental pollutants toxicology
Epidemiology
Exposure
Female
Gestation
Humans
Karst
karsts
Medical sciences
Metabolites
personal care products
Phthalates
Phthalic Acids - urine
Populations
Pregnancy
Pregnant Women
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
Puerto Rico
questionnaires
Reproducibility of Results
Surveys and Questionnaires
Temporal logic
temporal variation
Time Factors
Toxicology
United States
Urine
Water Pollutants, Chemical - urine
water utilization
Young Adult
title Urinary phthalate metabolite concentrations among pregnant women in Northern Puerto Rico: Distribution, temporal variability, and predictors
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