Cited by 36Effects and risks of endocrine disrupting chemicalsToxic Organic Pollutants ImpactBirth, Development, and Health

Prenatal exposure to phthalate and decreased body mass index of children: A systematic review and meta-analysis

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Lee, Dong-Wook, Lim, Hyun-Mook, Lee, Joong-Yub, Min, Kyung-Bok, Shin, Choong-Ho, Lee, Young-Ah, Hong, Yun-Chul·2022·Scientific Reports

Abstract

Phthalates are well-known endocrine-disrupting chemicals. Many detrimental health effects of phthalates were investigated, but studies on the association of phthalates with obesity in children showed inconsistent results. Thus, this systematic review and meta-analysis were performed to clarify whether prenatal and postnatal exposures to phthalates are associated with physical growth disturbances in children. We performed the systematic review and meta-analysis following the PRISMA 2020 statement guidelines, and found 39 studies that met our inclusion criteria, including 22 longitudinal and 17 cross-sectional studies. We observed a significant negative association between the prenatal exposure to DEHP and the body mass index (BMI) z-score of the offspring (β = - 0.05; 95% CI: - 0.10, - 0.001) in the meta-analysis, while no significant association between the prenatal exposure to DEHP and the body fat percentage of the offspring was observed (β = 0.01; 95% CI: - 0.41, 0.44). In the systematic review, studies on the association between phthalates exposure in childhood and obesity were inconsistent. Prenatal exposure to phthalates was found to be associated with decreased BMI z-score in children, but not associated with body fat percentage. Our findings suggest that phthalates disturb the normal muscle growth of children, rather than induce obesity, as previous studies have hypothesized.

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Authors
Lee, D.-W., Lim, H.-M., Lee, J.-Y., Min, K.-B., Shin, C.-H., Lee, Y.-A., & Hong, Y.-C.
Affiliations
  • Seoul National University (KR)
  • Korea Workers' Compensation and Welfare Service (KR)
Corresponding author
Hong, Yun-Chul
Venue
Scientific Reports
Published
2022-05-27
Volume
12
Issue
1
Pages
8961-8961
ISSN
2045-2322 (ISSN-L)
OpenAlex
W4281801778
Cited by
36
References
97
Citations by year
2026: 5 · 2025: 6 · 2024: 13 · 2023: 10 · 2022: 2
FWCI
0.76
Type
journal article
Language
en
Open access
Locations
  • Scientific Reports (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • Seoul National University Open Repository (Seoul National University) (submittedVersion)
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
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
Keywords
phthalates, prenatal exposure, DEHP, body mass index, childhood obesity, body fat percentage, endocrine disruptors, child growth, postnatal exposure
MeSH terms
Child, Cross-Sectional Studies, Diethylhexyl Phthalate, Female, Humans, Phthalic Acids, Pregnancy, Prenatal Exposure Delayed Effects, Vitamins, Body Mass Index, Pediatric Obesity

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