Phthalates and thyroid function in preschool age children: sex specific associations
Open accessAbstract
Background Research relating either prenatal or concurrent measures of phthalate exposure to thyroid function in preschool children is inconclusive. Methods In a study of inner-city mothers and their children, metabolites of di-n-butyl phthalate, butylbenzyl phthalate, di-isobutyl phthalate, di(2-ethylhexyl) phthalate, and diethyl phthalate were measured in a spot urine sample collected from women in late pregnancy and from their children at age 3years. We measured children's serum free thyroxine (FT4) and thyroid stimulating hormone (TSH) at age 3. Linear regression models were used to investigate the associations between phthalate metabolites, measured in maternal urine during late pregnancy and measured in child urine at age 3 and thyroid function measured at age 3. Results Mean concentrations (ranges) were 1.42ng/dL (1.02-2.24) for FT4, and 2.62uIU/mL (0.61-11.67) for TSH. In the children at age 3, among girls, FT4 decreased with increasing log e mono-n-butyl phthalate [estimated b=-0.06; 95% CI: (-0.09, -0.02)], log e mono-isobutyl phthalate [b=-0.05; 95% CI: (-0.09, -0.01)], log e monoethyl phthalate [b=-0.04; 95% CI: (-0.07, -0.01)], and log e mono(2-ethyl-5-hydroxyhexyl) phthalate [b=-0.04; 95% CI: (-0.07, -0.003)] and log e mono(2-ethyl-5-oxy-hexyl) phthalate [b=-0.04; 95% CI: (-0.07, -0.004)]. In contrast, among boys, we observed no associations between FT4 and child phthalate metabolites at age 3. On the other hand, in late gestation, FT4 increased with increasing log e mono-(2-ethylhexyl) phthalate [estimated b=0.04; 95% CI: (0.02, 0.06)] and no sex difference was observed. We found no associations between phthalate biomarkers measured in either the child or prenatal samples and TSH at age 3. Conclusions The data show inverse and sex specific associations between specific phthalate metabolites measured in children at age 3 and thyroid function in preschool children. These results may provide evidence for the hypothesis that reductions in thyroid hormones mediate associations between early life phthalate exposure and child cognitive outcomes.
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Phthalate metabolites are associated with altered thyroid function in preschool children.
“In addition to effects on the androgen system, data show that phthalate metabolites were associated with altered thyroid function in preschool children (Morgenstern et al., 2017).”
From Environmental endocrine disruptors at the synapse: mechanisms linking chemical exposure to cognitive and behavioral dysfunction (2026) · cites this paper as Morgenstern et al., 2017
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Jocsak, G., Kiss, D. S., Alymbaeva, D., Diebald, A., Zsarnovszky, A., Heinzlmann, A., & Bartha, T. (2026) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2026.1821381 · Cited by 1 · see citing works
“In addition to effects on the androgen system, data show that phthalate metabolites were associated with altered thyroid function in preschool children (Morgenstern et al., 2017).”
- Authors
- Morgenstern, R., Whyatt, R. M., Insel, B. J., Calafat, A. M., Liu, X., Rauh, V. A., Herbstman, J., Bradwin, G., & Factor-Litvak, P.
- Affiliations
- Columbia University (US)
- Centers for Disease Control and Prevention (US)
- Boston Children's Hospital (US)
- Columbia University Irving Medical Center (US)
- Corresponding author
- Factor-Litvak, Pam
- ORCID
- Venue
- Environment International
- Publisher
- Elsevier BV
- Published
- 2017-09
- Volume
- 106
- Pages
- 11-18
- ISSN
- 0160-4120 (ISSN-L)
- PMC
- PMC5533628
- OpenAlex
- W2619263324
- Cited by
- 95
- References
- 3
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 14 · 2023: 8 · 2022: 11 · 2021: 11 · 2020: 12 · 2019: 10 · 2018: 11 · 2017: 2
- FWCI
- 5.16
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Environment International (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Institute of Environmental Health Sciences (R01ES013543, R01ES014393, R01ES08977)
- U.S. Environmental Protection Agency (P50 ES09600/RD 83214101)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Effects and risks of endocrine disrupting chemicals
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Toxic Organic Pollutants Impact
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Pesticide Exposure and Toxicity
- Keywords
- phthalates, thyroid function, free thyroxine, thyroid-stimulating hormone, prenatal exposure, urinary phthalate metabolites, sex differences, mono(2-ethylhexyl) phthalate, mono-n-butyl phthalate, mono-isobutyl phthalate, monoethyl phthalate, MEHHP, dibutyl phthalate, DEHP, diethyl phthalate, butyl benzyl phthalate, diisobutyl phthalate, preschool children, endocrine disruptors
- MeSH terms
- Adult, Child, Preschool, Environmental Monitoring, Environmental Pollutants, Female, Humans, Male, Mothers, Phthalic Acids, Pregnancy, Sex Factors, Thyrotropin, Thyroxine, Linear Models, Young Adult
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