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Cord-blood PFBS linked to preeclampsia in Shanghai

Among Shanghai births, higher standardized cord PFBS associated with preeclampsia (AOR 1.81) and overall hypertensive disorders of pregnancy (AOR 1.64) in a dose-response pattern.

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What outcome class was studied?

Hypertensive disorders of pregnancy, including preeclampsia.

Source: Prenatal exposure to perfluoroalkyl and polyfluoroalkyl substances and the risk of hypertensive disorders of pregnancy · DOI · quote verified

Where were mothers recruited?

Two large hospitals in Shanghai.

Source: Prenatal exposure to perfluoroalkyl and polyfluoroalkyl substances and the risk of hypertensive disorders of pregnancy · DOI · quote verified

HDP and preeclampsia rates?

6.1% HDP and 2.8% preeclampsia (3.3% gestational hypertension).

Source: Prenatal exposure to perfluoroalkyl and polyfluoroalkyl substances and the risk of hypertensive disorders of pregnancy · DOI · quote verified

Which PFAS had the highest median?

PFOA at 6.98 ng/ml.

Source: Prenatal exposure to perfluoroalkyl and polyfluoroalkyl substances and the risk of hypertensive disorders of pregnancy · DOI · quote verified

Median PFBS?

0.047 ng/ml, yet it was selected for HDP/preeclampsia.

Source: Prenatal exposure to perfluoroalkyl and polyfluoroalkyl substances and the risk of hypertensive disorders of pregnancy · DOI · quote verified

AOR for HDP per standardized PFBS unit?

1.64 (95% CI 1.09–2.47).

Source: Prenatal exposure to perfluoroalkyl and polyfluoroalkyl substances and the risk of hypertensive disorders of pregnancy · DOI · quote verified

How were mixed PFAS handled?

Elastic net selected PFBS (with PFHxS/PFDoA or PFUA) then unpenalized logistic models.

Source: Prenatal exposure to perfluoroalkyl and polyfluoroalkyl substances and the risk of hypertensive disorders of pregnancy · DOI · quote verified

Authors’ conclusion on PFBS?

Cord PFBS positively associated with preeclampsia in a dose-response pattern.

Source: Prenatal exposure to perfluoroalkyl and polyfluoroalkyl substances and the risk of hypertensive disorders of pregnancy · DOI · quote verified

Why might short-chain PFBS still matter?

It is a PFOS replacement now found in cord blood.

Source: Prenatal exposure to perfluoroalkyl and polyfluoroalkyl substances and the risk of hypertensive disorders of pregnancy · DOI · quote verified