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Phthalates, thyroid hormones, and adult blood lipids

In 222 Taiwanese adults, urinary phthalate metabolites tracked with thyroid hormones and lipid markers; T4 appeared to sit on the path from DEHP metabolites to HDL-C, but that mediation interval included the null.

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Which phthalate metabolite associated with lower LDL-C?

MMP (β = −0.036).

Source: Mediation effects of thyroid function in the associations between phthalate exposure and lipid metabolism in adults · DOI · quote verified

What did MEP associate with?

Lower total cholesterol and NHC.

Source: Mediation effects of thyroid function in the associations between phthalate exposure and lipid metabolism in adults · DOI · quote verified

What did ΣDEHP metabolites associate with?

Higher HDL-C.

Source: Mediation effects of thyroid function in the associations between phthalate exposure and lipid metabolism in adults · DOI · quote verified

What fraction of the ΣDEHPm–HDL-C link was attributed to T4?

32.2%, but the indirect effect was not significant.

Source: Mediation effects of thyroid function in the associations between phthalate exposure and lipid metabolism in adults · DOI · quote verified

Did the authors still interpret thyroid hormones as mediators?

Yes—they concluded thyroid hormones, especially T4, mediate phthalates and lipids.

Source: Mediation effects of thyroid function in the associations between phthalate exposure and lipid metabolism in adults · DOI · quote verified

Why might thyroid hormones sit on this path?

They stimulate lipid synthesis and promote lipolysis.

Source: Mediation effects of thyroid function in the associations between phthalate exposure and lipid metabolism in adults · DOI · quote verified

What exposure matrix was used for phthalates?

Urinary metabolites, including molar sums of DEHP and DBP metabolites.

Source: Mediation effects of thyroid function in the associations between phthalate exposure and lipid metabolism in adults · DOI · quote verified

Average age and BMI?

About 52.2 years and BMI 24.8.

Source: Mediation effects of thyroid function in the associations between phthalate exposure and lipid metabolism in adults · DOI · quote verified

What plastic-use habits were common?

Most used plastic wrap, containers, and bags.

Source: Mediation effects of thyroid function in the associations between phthalate exposure and lipid metabolism in adults · DOI · quote verified

Is the T4 mediation interval conclusive?

No—the 95% CI for the indirect effect included zero.

Source: Mediation effects of thyroid function in the associations between phthalate exposure and lipid metabolism in adults · DOI · quote verified