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Pregnancy PFAS and lead track lower birth weight

In Cincinnati’s HOME Study, PFAS, lead, and organophosphate pesticides associated with lower birth weight; phthalates and BPA did not.

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What cohort?

HOME Study, a Cincinnati prospective birth cohort.

Source: Gestational exposure to endocrine disrupting chemicals in relation to infant birth weight: a Bayesian analysis of the HOME Study · DOI · quote verified

When were women recruited?

Prenatal clinics between 2003 and 2006, at 13–19 weeks of pregnancy.

Source: Gestational exposure to endocrine disrupting chemicals in relation to infant birth weight: a Bayesian analysis of the HOME Study · DOI · quote verified

How many births entered the models?

272 of 389 singleton live births (69.9%).

Source: Gestational exposure to endocrine disrupting chemicals in relation to infant birth weight: a Bayesian analysis of the HOME Study · DOI · quote verified

When were exposure biomarkers collected?

Blood and urine at about 16 and 26 weeks gestation.

Source: Gestational exposure to endocrine disrupting chemicals in relation to infant birth weight: a Bayesian analysis of the HOME Study · DOI · quote verified

What mixture method is featured?

Bayesian hierarchical linear models (BHLM) that shrink correlated coefficients.

Source: Gestational exposure to endocrine disrupting chemicals in relation to infant birth weight: a Bayesian analysis of the HOME Study · DOI · quote verified

Phthalates and BPA versus birth weight?

Class mean about +1 g per 10-fold exposure, not statistically significant.

Source: Gestational exposure to endocrine disrupting chemicals in relation to infant birth weight: a Bayesian analysis of the HOME Study · DOI · quote verified

What did all 5 PFAS show?

Associations with reductions in birth weight, though 95% CIs included zero.

Source: Gestational exposure to endocrine disrupting chemicals in relation to infant birth weight: a Bayesian analysis of the HOME Study · DOI · quote verified

Which other exposures tracked lower birth weight?

Lead (Pb) and organophosphate pesticides, plus PFAS.

Source: Gestational exposure to endocrine disrupting chemicals in relation to infant birth weight: a Bayesian analysis of the HOME Study · DOI · quote verified

Smoking contrast?

210 g lower birth weight if maternal cotinine >3 ng/ml.

Source: Gestational exposure to endocrine disrupting chemicals in relation to infant birth weight: a Bayesian analysis of the HOME Study · DOI · quote verified

Why might phthalate/BPA effects be attenuated?

Short half-lives and measurement error for non-persistent chemicals.

Source: Gestational exposure to endocrine disrupting chemicals in relation to infant birth weight: a Bayesian analysis of the HOME Study · DOI · quote verified