The association between prenatal exposure to bisphenol A and offspring obesity: A systematic review
Abstract
In recent years, the global prevalence of childhood overweight and obesity has surged. Bisphenol A (BPA), prevalent in the manufacture of polycarbonate plastics and epoxy resins, is associated with this escalating obesity pattern. Both early life stages and pregnancy emerge as pivotal windows of vulnerability. This review systematically evaluates human studies to clarify the nexus between prenatal BPA exposure and offspring obesity. Our extensive literature search covered databases like PubMed, Web of Science, Cochrane Library, Embase, and Scopus, encompassing articles from their inception until July 2023. We utilized the Newcastle-Ottawa Scale (NOS) to evaluate the methodological rigor of the included studies, the Oxford Center for Evidence-Based Medicine Levels of Evidence Working Group (OCEBM) table to determine the level of the evidence, and the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) guidelines to evaluate the certainty of the evidence with statistical significance. We centered on primary studies investigating the link between urinary BPA levels during pregnancy and offspring obesity. Our analysis included thirteen studies, with participant counts ranging from 173 to 1124 mother-child dyads. Among them, eight studies conclusively linked prenatal BPA exposure to increased obesity in offspring. Evaluation metrics for the effect of prenatal BPA on offspring obesity comprised BMI z-score, waist circumference, overweight/obesity classification, aggregate skinfold thickness, body fat percentage, and more. Present findings indicate that prenatal BPA exposure amplifies offspring obesity risk, with potential effect variations by age and gender. Therefore, further research is needed to explore the causal link between prenatal BPA exposure and obesity at different developmental stages and genders, and to elucidate the underlying mechanisms.
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Prenatal BPA exposure is associated with offspring obesity and related anthropometric outcomes in multiple cohorts, with sex- and age-related differences across studies.
“A systematic review focused on prenatal bisphenol A (BPA) concluded that prenatal BPA exposure is associated with offspring obesity and related anthropometric outcomes in multiple cohorts, with evidence of sex- and age-related differences across studies [92].”
From Placental Pathophysiology and Developmental Programming of Adult Cardiometabolic Risk: A Narrative Review of Pregnancy Exposures (2026) · cites this paper as [92]
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- Authors
- Guo, J., Liu, K., Yang, J., & Su, Y.
- Affiliations
- Huazhong University of Science and Technology (CN)
- Tongji Hospital (CN)
- Corresponding author
- Su, Yanwei
- Venue
- Environmental Pollution
- Publisher
- Elsevier BV
- Published
- 2024-03
- Volume
- 344
- Pages
- 123391
- ISSN
- 0269-7491 (ISSN-L)
- OpenAlex
- W4391056196
- Cited by
- 20
- References
- 62
- Citations by year
- 2026: 12 · 2025: 8
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Environmental Pollution (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (81601330)
- Natural Science Foundation of Hubei Province (2022CFB178)
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Effects and risks of endocrine disrupting chemicals
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Toxic Organic Pollutants Impact
- Keywords
- bisphenol A, prenatal exposure, offspring obesity, childhood obesity, urinary BPA, body mass index, waist circumference, skinfold thickness, body fat percentage, sex differences
- MeSH terms
- Bisphenol A Compounds, Benzhydryl Compounds, Child, Female, Humans, Male, Obesity, Phenols, Pregnancy, Prenatal Exposure Delayed Effects, Maternal Exposure, Overweight, Pediatric Obesity
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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