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Background: Severe iodine deficiency or excess during pregnancy can cause congenital hypothyroidism (CH). Iodine deficiency is common in pregnant women in the United States.Objectives: We conducted a nested case-control study in a cohort of ∼2.5 million births in California to determine whether iodine status is related to CH in a US population.Methods: Dried blood spots from 907 newborns with CH identified by newborn screening and 909 unaffected controls matched by month of birth were obtained from the California Newborn Screening Program to measure whole-blood iodine concentration. Iodine status was compared between cases and controls, and logistic regression was used to assess the association between CH status and blood iodine concentrations. Iodine status was also compared between cases and controls among infants treated in a neonatal intensive care unit (NICU) because CH has been reported in infants exposed to high levels of iodine in the NICU.Results: Blood iodine concentrations did not differ significantly between cases (median: 20.0 ng/mL; IQR: 12.1-29.8 ng/mL) and controls (median: 20.3 ng/mL; IQR: 12.5-30.9 ng/mL; P = 0.59). Neither extremely high nor extremely low blood iodine concentrations (1st, 5th, 95th, and 99th percentiles of the distribution) were more common in cases. Among infants treated in NICUs, however, cases had significantly (P = 0.01) higher iodine (median: 22.7 ng/mL; IQR: 16.4-32.1 ng/mL) compared with controls (median: 17.3 ng/mL; IQR: 8.3-26.6 ng/mL).Conclusions: CH cases did not have significantly higher or lower iodine in this population, which is reassuring given that maternal iodine deficiency is common in the United States. Among newborns in the NICU, CH cases had higher blood iodine concentrations compared with controls, suggesting that excess iodine exposure in the NICU could be causing CH. It may be beneficial to monitor iodine exposure from surgical procedures, imaging, and iodine-containing disinfectants and to consider non-iodine alternatives. [ABSTRACT FROM AUTHOR]

Persistent organic pollutants (POPs) are believed to alter metabolic homeostasis during fetal development, leading to childhood obesity. However, limited studies have explored how fetal chemical exposures relate to birth and infant weight outcomes in low-income Hispanic families at the highest risk of obesity. Therefore, we sought to determine associations between neonatal POPs exposure measured in newborn dried blood spots (DBS) and prenatal diet quality, birth weight, and overweight status at 18 months old. We conducted a case-control study nested within the Starting Early Program randomized controlled trial comparing POPs concentrations in infants with healthy weight (n = 46) and overweight status (n = 52) at age 18 months. Three categories of POPs, organochlorine pesticides (OCPs), polybrominated diphenyl ethers (PBDEs) and perfluoroalkyl substances (PFASs) were measured in archived newborn DBS. We assessed correlations between prenatal diet quality and neonatal POPs concentrations. Multivariable regression analyses examined associations between POPs (dichotomized at the mean) and birth weight z-score and weight status at 18 months, controlling for confounders. Seven of eight chemicals had detectable levels in greater than 94% of the sample. Higher protein, sodium and refined grain intake during pregnancy were correlated with lower POPs in newborn DBS. We found that high concentrations of perfluorooctanesulfonate (unstandardized coefficient [B]: −0.62, 95% confidence interval [CI]: −0.96 to −0.29) and perfluorohexanesulfate (B: −0.65, 95% CI: −0.99 to −0.31) were related to lower birth weight z-scores compared to those with low concentrations. We did not find associations between PBDEs, OCPs, and the other PFASs with birth weight z-scores, or between any POPs and weight status at 18 months. In conclusion, two PFASs were associated with lower birth weight, an important indicator of child health and growth, although direct associations with infant overweight status were not found. Whether neonatal POPs exposures contribute to economic and ethnic disparities in early obesity remains unclear. Image 1 • Persistent organic pollutants (POPs) were detected in newborn dried blood spots. • Healthier prenatal diet quality was correlated with lower POPs exposure. • Perfluoroalkyl substances were associated with lower birth weight z-scores. • Newborn POPs exposure was not associated with overweight status at age 18 months. Persistent organic pollutants (POPs) were associated with prenatal diet and lower birth weight z-scores, but were not associated with overweight status at age 18 months. [ABSTRACT FROM AUTHOR]

The spatial and temporal distributions of polybrominated diphenyl ethers (PBDEs) were investigated in five sediment cores from the Yangtze River Delta of Yangtze River in China. The surficial concentrations of nine tri- through hepta-BDE congeners (Σ 9 BDEs) and BDE209 were highest at urban sites S3 and S2, followed by rural site S1 and estuary sites S5 and S4, respectively, based on dry sediment weight. Both BDE209 and ∑ 9 BDE concentrations exponentially increased between 1990 and 2008. Commercial deca-BDE, penta-BDE, and octa-BDE products were likely PBDE sources in the study area. The relative abundances of BDE209 were higher in sediment cores from estuary than those from urban and rural locations, ascribing to the atmospheric transport from the adjacent densely populated northern and eastern coastal regions. This conclusion was further confirmed by the higher ratios of BDE47/BDE99 and BDE100/BDE99 in cores from the estuary than those from other locations. Unlabelled Image • Surficial PBDE concentrations largely reflected local urban emissions and inputs. • PBDEs in estuary was influenced by atmospheric deposition and sediment discharge to ocean. • ∑ 9 BDE concentrations increased dramatically in the period of ca. 1990–2008. • The variations of BDE47/BDE99 and BDE100/BDE99 values decreased from bottom to top layers. [ABSTRACT FROM AUTHOR]