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Perfluoroalkyl substances and lipid concentrations in plasma during pregnancy among women in the Norwegian Mother and Child Cohort Study

Open access
Starling, Anne P., Engel, Stephanie M., Whitworth, Kristina W., Richardson, David B., Stuebe, Alison M., Daniels, Julie L., Haug, Line Småstuen, Eggesbø, Merete, Becher, Georg, Sabaredzovic, Azemira, Thomsen, Cathrine, Wilson, Ralph E., Travlos, Gregory S., Hoppin, Jane A., Baird, Donna D., Longnecker, Matthew P.·2014·Environment International

Abstract

Background Perfluoroalkyl substances (PFASs) are widespread and persistent environmental pollutants. Previous studies, primarily among non-pregnant individuals, suggest positive associations between PFAS levels and certain blood lipids. If there is a causal link between PFAS concentrations and elevated lipids during pregnancy, this may suggest a mechanism by which PFAS exposure leads to certain adverse pregnancy outcomes, including preeclampsia. Methods This cross-sectional analysis included 891 pregnant women enrolled in the Norwegian Mother and Child (MoBa) Cohort Study in 2003–2004. Non-fasting plasma samples were obtained at mid-pregnancy and analyzed for nineteen PFASs. Total cholesterol, high-density lipoprotein (HDL) cholesterol, low-density lipoprotein cholesterol, and triglycerides were measured in plasma. Linear regression was used to quantify associations between each PFAS exposure and each lipid outcome. A multiple PFAS model was also fitted. Results Seven PFASs were quantifiable in >50% of samples. Perfluorooctane sulfonate (PFOS) concentration was associated with total cholesterol, which increased 4.2 mg/dL per interquartile shift (95% CI=0.8, 7.7) in adjusted models. Five of the seven PFASs studied were positively associated with HDL cholesterol, and all seven had elevated HDL associated with the highest quartile of exposure. Perfluoroundecanoic acid showed the strongest association with HDL: HDL increased 3.7 mg/dL per interquartile shift (95% CI=2.5, 4.9). Conclusion Plasma concentrations of PFASs were positively associated with HDL cholesterol, and PFOS was positively associated with total cholesterol in this sample of pregnant Norwegian women. While elevated HDL is not an adverse outcome per se, elevated total cholesterol associated with PFASs during pregnancy could be of concern if causal.

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Metadata

Authors
Starling, A. P., Engel, S. M., Whitworth, K. W., Richardson, D. B., Stuebe, A. M., Daniels, J. L., Haug, L. S., Eggesbø, M., Becher, G., Sabaredzovic, A., Thomsen, C., Wilson, R. E., Travlos, G. S., Hoppin, J. A., Baird, D. D., & Longnecker, M. P.
Venue
Environment International
Publisher
Elsevier BV
Published
2014-01
Volume
62
Pages
104-112
ISSN
0160-4120 (ISSN-L)
OpenAlex
W2036099712
Cited by
170
References
13
FWCI
5.87
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Perfluoroalkyl substances and lipid concentrations in plasma during pregnancy among women in the Norwegian Mother and Child Cohort Study. https://app.cochat.ai/papers/10.1016/j.envint.2013.10.004
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Starling, A. P., Engel, S. M., Whitworth, K. W., Richardson, D. B., Stuebe, A. M., Daniels, J. L., Haug, L. S., Eggesbø, M., Becher, G., Sabaredzovic, A., Thomsen, C., Wilson, R. E., Travlos, G. S., Hoppin, J. A., Baird, D. D., & Longnecker, M. P. (2014). Perfluoroalkyl substances and lipid concentrations in plasma during pregnancy among women in the Norwegian Mother and Child Cohort Study. Environment International. https://doi.org/10.1016/j.envint.2013.10.004

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.