Prenatal exposure to phthalate esters and behavioral syndromes in children at 8 years of age: Taiwan Maternal and Infant Cohort Study

Few studies have shown an association between prenatal phthalate exposure and adverse effects on neurodevelopment and behavior in young children. We aimed to assess the relationship between prenatal exposure to phthalate esters and behavior syndromes in children at 8 years of age. A total of 122 mot...

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Veröffentlicht in:Environmental health perspectives 2015-01, Vol.123 (1), p.95-100
Hauptverfasser: Lien, Yin-Ju, Ku, Hsiu-Ying, Su, Pen-Hua, Chen, Suh-Jen, Chen, Hsiao-Yen, Liao, Pao-Chi, Chen, Wei-J, Wang, Shu-Li
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container_end_page 100
container_issue 1
container_start_page 95
container_title Environmental health perspectives
container_volume 123
creator Lien, Yin-Ju
Ku, Hsiu-Ying
Su, Pen-Hua
Chen, Suh-Jen
Chen, Hsiao-Yen
Liao, Pao-Chi
Chen, Wei-J
Wang, Shu-Li
description Few studies have shown an association between prenatal phthalate exposure and adverse effects on neurodevelopment and behavior in young children. We aimed to assess the relationship between prenatal exposure to phthalate esters and behavior syndromes in children at 8 years of age. A total of 122 mother-child pairs from the general population in central Taiwan were studied from 2000 to 2009. Mono-methyl phthalate (MMP), mono-ethyl phthalate (MEP), mono-butyl phthalate (MBP), mono-benzyl phthalate (MBzP), and three di-(2-ethylhexyl) phthalate (DEHP) metabolites-mono-2-ethylhexyl, mono-2-ethyl-5-hydroxyhexyl, and mono-2-ethyl-5-oxohexyl phthalates (MEHP, MEHHP, and MEOHP)--were measured in maternal urine collected during the third trimester of pregnancy using liquid chromatography-electrospray ionization-tandem mass spectrometry. Behavioral syndromes of children at 8 years of age were evaluated using the Child Behavior Checklist (CBCL). Associations between log10-transformed creatinine-corrected phthalate concentrations and standardized scores of the CBCL were estimated using linear regression models or multinomial logistic regressions with adjustments for potential confounders. Externalizing problem scores were significantly higher in association with a 1-unit increase in log10-transformed creatinine-corrected concentrations of maternal MBP (β = 4.29; 95% CI: 0.59, 7.99), MEOHP (β = 3.74; 95% CI: 1.33, 6.15), and MEHP (β = 4.28 ; 95% CI: 0.03, 8.26) after adjusting for the child's sex, intelligence, and family income. Meanwhile, MBP and MEOHP were significantly associated with Delinquent Behavior and Aggressive Behavior scores. The same pattern was found for borderline and/or clinical ranges. Our findings suggest positive associations between maternal DEHP and dibutyl phthalate (DBP) exposure and externalizing domain behavior problems in 8-year-old children.
doi_str_mv 10.1289/ehp.1307154
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We aimed to assess the relationship between prenatal exposure to phthalate esters and behavior syndromes in children at 8 years of age. A total of 122 mother-child pairs from the general population in central Taiwan were studied from 2000 to 2009. Mono-methyl phthalate (MMP), mono-ethyl phthalate (MEP), mono-butyl phthalate (MBP), mono-benzyl phthalate (MBzP), and three di-(2-ethylhexyl) phthalate (DEHP) metabolites-mono-2-ethylhexyl, mono-2-ethyl-5-hydroxyhexyl, and mono-2-ethyl-5-oxohexyl phthalates (MEHP, MEHHP, and MEOHP)--were measured in maternal urine collected during the third trimester of pregnancy using liquid chromatography-electrospray ionization-tandem mass spectrometry. Behavioral syndromes of children at 8 years of age were evaluated using the Child Behavior Checklist (CBCL). Associations between log10-transformed creatinine-corrected phthalate concentrations and standardized scores of the CBCL were estimated using linear regression models or multinomial logistic regressions with adjustments for potential confounders. Externalizing problem scores were significantly higher in association with a 1-unit increase in log10-transformed creatinine-corrected concentrations of maternal MBP (β = 4.29; 95% CI: 0.59, 7.99), MEOHP (β = 3.74; 95% CI: 1.33, 6.15), and MEHP (β = 4.28 ; 95% CI: 0.03, 8.26) after adjusting for the child's sex, intelligence, and family income. Meanwhile, MBP and MEOHP were significantly associated with Delinquent Behavior and Aggressive Behavior scores. The same pattern was found for borderline and/or clinical ranges. 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We aimed to assess the relationship between prenatal exposure to phthalate esters and behavior syndromes in children at 8 years of age. A total of 122 mother-child pairs from the general population in central Taiwan were studied from 2000 to 2009. Mono-methyl phthalate (MMP), mono-ethyl phthalate (MEP), mono-butyl phthalate (MBP), mono-benzyl phthalate (MBzP), and three di-(2-ethylhexyl) phthalate (DEHP) metabolites-mono-2-ethylhexyl, mono-2-ethyl-5-hydroxyhexyl, and mono-2-ethyl-5-oxohexyl phthalates (MEHP, MEHHP, and MEOHP)--were measured in maternal urine collected during the third trimester of pregnancy using liquid chromatography-electrospray ionization-tandem mass spectrometry. Behavioral syndromes of children at 8 years of age were evaluated using the Child Behavior Checklist (CBCL). Associations between log10-transformed creatinine-corrected phthalate concentrations and standardized scores of the CBCL were estimated using linear regression models or multinomial logistic regressions with adjustments for potential confounders. Externalizing problem scores were significantly higher in association with a 1-unit increase in log10-transformed creatinine-corrected concentrations of maternal MBP (β = 4.29; 95% CI: 0.59, 7.99), MEOHP (β = 3.74; 95% CI: 1.33, 6.15), and MEHP (β = 4.28 ; 95% CI: 0.03, 8.26) after adjusting for the child's sex, intelligence, and family income. Meanwhile, MBP and MEOHP were significantly associated with Delinquent Behavior and Aggressive Behavior scores. The same pattern was found for borderline and/or clinical ranges. 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Perspect</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>123</volume><issue>1</issue><spage>95</spage><epage>100</epage><pages>95-100</pages><issn>0091-6765</issn><eissn>1552-9924</eissn><abstract>Few studies have shown an association between prenatal phthalate exposure and adverse effects on neurodevelopment and behavior in young children. We aimed to assess the relationship between prenatal exposure to phthalate esters and behavior syndromes in children at 8 years of age. A total of 122 mother-child pairs from the general population in central Taiwan were studied from 2000 to 2009. Mono-methyl phthalate (MMP), mono-ethyl phthalate (MEP), mono-butyl phthalate (MBP), mono-benzyl phthalate (MBzP), and three di-(2-ethylhexyl) phthalate (DEHP) metabolites-mono-2-ethylhexyl, mono-2-ethyl-5-hydroxyhexyl, and mono-2-ethyl-5-oxohexyl phthalates (MEHP, MEHHP, and MEOHP)--were measured in maternal urine collected during the third trimester of pregnancy using liquid chromatography-electrospray ionization-tandem mass spectrometry. Behavioral syndromes of children at 8 years of age were evaluated using the Child Behavior Checklist (CBCL). Associations between log10-transformed creatinine-corrected phthalate concentrations and standardized scores of the CBCL were estimated using linear regression models or multinomial logistic regressions with adjustments for potential confounders. Externalizing problem scores were significantly higher in association with a 1-unit increase in log10-transformed creatinine-corrected concentrations of maternal MBP (β = 4.29; 95% CI: 0.59, 7.99), MEOHP (β = 3.74; 95% CI: 1.33, 6.15), and MEHP (β = 4.28 ; 95% CI: 0.03, 8.26) after adjusting for the child's sex, intelligence, and family income. Meanwhile, MBP and MEOHP were significantly associated with Delinquent Behavior and Aggressive Behavior scores. The same pattern was found for borderline and/or clinical ranges. Our findings suggest positive associations between maternal DEHP and dibutyl phthalate (DBP) exposure and externalizing domain behavior problems in 8-year-old children.</abstract><cop>United States</cop><pub>National Institute of Environmental Health Sciences</pub><pmid>25280125</pmid><doi>10.1289/ehp.1307154</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source Jstor Complete Legacy; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access
subjects Adult
Age
Aggressiveness
Behavior
Checklist
Child
Child Behavior Disorders - chemically induced
Child Behavior Disorders - epidemiology
Children
Children & youth
Children's Health
Cohort analysis
Cohort Studies
Demographics
Environmental aspects
Esters
Exposure
Families & family life
Female
Health
Health aspects
Health risk assessment
Humans
Infants
Ionization
Linear Models
Liquid chromatography
Logistic Models
Male
Mass spectrometry
Medical research
Metabolites
Mother and child
Personal grooming
Phthalates
Phthalic Acids - toxicity
Phthalic Acids - urine
Pregnancy
Pregnancy Trimester, Third - urine
Prenatal exposure
Prenatal Exposure Delayed Effects
Prenatal influences
Psychological aspects
Regression
Studies
Taiwan - epidemiology
Urine
Womens health
title Prenatal exposure to phthalate esters and behavioral syndromes in children at 8 years of age: Taiwan Maternal and Infant Cohort Study
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