1. Maternal pre-pregnancy BMI influences the associations between bisphenol and phthalate exposures and maternal weight changes and fat accumulation.
- Author
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Irvine, Nathalie, Bell, Rhonda C., Subhan, Fatheema B., Field, Catherine J., Liu, Jiaying, MacDonald, Amy M., Kinniburgh, David W., Martin, Jonathan W., Dewey, Deborah, and England-Mason, Gillian
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PHTHALATE esters , *BISPHENOL A , *MATERNAL exposure , *FAT , *ADIPOSE tissues , *MULTIPLE pregnancy , *WEIGHT gain , *PHYSIOLOGY , *PLACENTAL growth factor - Abstract
Bisphenols and phthalates are two classes of endocrine-disrupting chemicals (EDCs) thought to influence weight and adiposity. Limited research has investigated their influence on maternal weight changes, and no prior work has examined maternal fat mass. We examined the associations between exposure to these chemicals during pregnancy and multiple maternal weight and fat mass outcomes. This study included a sample of 318 women enrolled in a Canadian prospective pregnancy cohort. Second trimester urinary concentrations of 2 bisphenols and 12 phthalate metabolites were quantified. Self-reported and measured maternal weights and measured skinfold thicknesses were used to calculate gestational weight gain, 3-months and 3- to 5-years postpartum weight retention, late pregnancy fat mass gain, total postpartum fat mass loss, and late postpartum fat mass retention. Adjusted robust regressions examined associations between chemicals and outcomes in the entire study population and sub-groups stratified by pre-pregnancy body mass index (BMI). Bayesian kernel machine regression examined chemical mixture effects. Among women with underweight or normal pre-pregnancy BMIs, MBzP was negatively associated with weight retention at 3- to 5-years postpartum (B = −0.04, 95%CI : −0.07, −0.01). Among women with overweight or obese pre-pregnancy BMIs, MEHP and MMP were positively associated with weight retention at 3-months and 3- to 5-years postpartum, respectively (B's = 0.12 to 0.63, 95%CIs: 0.02, 1.07). DEHP metabolites and MCNP were positively associated with late pregnancy fat mass gain and late postpartum fat mass retention (B's = 0.04 to 0.18, 95%CIs: 0.001, 0.32). Further, the mixture of EDCs was positively associated with late pregnancy fat mass gain. In this cohort, pre-pregnancy BMI was a key determinant of the associations between second trimester exposure to bisphenols and phthalates and maternal weight changes and fat accumulation. Investigations of underlying physiological mechanisms, windows of susceptibility, and impacts on maternal and infant health are needed. [Display omitted] • This study examined EDCs during pregnancy and maternal weight and fat mass outcomes. • Phthalate exposure associated with multiple weight and fat mass outcomes. • Directionality of associations differed based on maternal pre-pregnancy BMI. • Future work needed to examine potential mechanisms and windows of susceptibility. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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