Garthika Navaranjan1, Tim K Takaro2, Amanda J Wheeler3,4, Miriam L Diamond1, Huan Shu5,6, Meghan B Azad7, Allan B Becker7, Ruixue Dai8, Shelley A Harris1,9, Diana L Lefebvre10, Zihang Lu8, Piush J Mandhane11, Kathleen McLean12, Theo J Moraes1,8, James A Scott1, Stuart E Turvey13, Malcolm R Sears10, Padmaja Subbarao1,8, Jeffrey R Brook14. 1. University of Toronto, 223 College Street, Toronto, ON, M5T 1R4, Canada. 2. Simon Fraser University, Burnaby, BC, Canada. 3. Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, VIC, Australia. 4. University of Tasmania, Hobart, TAS, Australia. 5. Stockholm University, Stockholm, Sweden. 6. Karlstad University, Karlstad, Sweden. 7. University of Manitoba, Winnipeg, MB, Canada. 8. Hospital for Sick Children, Toronto, ON, Canada. 9. Cancer Care Ontario, Toronto, ON, Canada. 10. McMaster University, Hamilton, ON, Canada. 11. University of Alberta, Edmonton, AB, Canada. 12. BC Centre for Disease Control, Vancouver, BC, Canada. 13. University of British Columbia, Vancouver, BC, Canada. 14. University of Toronto, 223 College Street, Toronto, ON, M5T 1R4, Canada. jeff.brook@utoronto.ca.
Abstract
BACKGROUND: Few studies have examined phthalate exposure during infancy and early life, critical windows of development. The Canadian Healthy Infant Longitudinal Development (CHILD) study, a population-based birth cohort, ascertained multiple exposures during early life. OBJECTIVE: To characterize exposure to phthalates during infancy and early childhood. METHODS: Environmental questionnaires were administered, and urine samples collected at 3, 12, and 36 months. In the first 1578 children, urine was analyzed for eight phthalate metabolites: mono-methyl phthalate (MMP), mono-ethyl phthalate (MEP), mono-butyl phthalate (MBP), mono-benzyl phthalate (MBzP), mono-2-ethylhexyl phthalate (MEHP), mono-(2-ethyl-5-oxohexyl) phthalate (MEOHP), mono-(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP), and mono-3-carboxypropyl phthalate (MCPP). Geometric mean (GM) concentrations were calculated by age, together with factors that may influence concentrations. Trends with age were examined using mixed models and differences within factors examined using ANOVA. RESULTS: The highest urinary concentration was for the metabolite MBP at all ages (GM: 15-32 ng/mL). Concentrations of all phthalate metabolites significantly increased with age ranging from GM: 0.5-15.1 ng/mL at 3 months and 1.9-32.1 ng/mL at 36 months. Concentrations of all metabolites were higher in the lowest income categories except for MEHP at 3 months, among children with any breastfeeding at 12 months, and in urine collected on dates with warmer outdoor temperatures (>17 °C), except for MBzP at 3 months and MEHP at 3 and 12 months. No consistent differences were found by gender, study site, or maternal age. CONCLUSIONS: Higher phthalate metabolite concentrations were observed among children in lower income families. Examination of factors associated with income could inform interventions aimed to reduce infant phthalate exposure.
BACKGROUND: Few studies have examined phthalate exposure during infancy and early life, critical windows of development. The Canadian Healthy Infant Longitudinal Development (CHILD) study, a population-based birth cohort, ascertained multiple exposures during early life. OBJECTIVE: To characterize exposure to phthalates during infancy and early childhood. METHODS: Environmental questionnaires were administered, and urine samples collected at 3, 12, and 36 months. In the first 1578 children, urine was analyzed for eight phthalate metabolites: mono-methyl phthalate (MMP), mono-ethyl phthalate (MEP), mono-butyl phthalate (MBP), mono-benzyl phthalate (MBzP), mono-2-ethylhexyl phthalate (MEHP), mono-(2-ethyl-5-oxohexyl) phthalate (MEOHP), mono-(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP), and mono-3-carboxypropyl phthalate (MCPP). Geometric mean (GM) concentrations were calculated by age, together with factors that may influence concentrations. Trends with age were examined using mixed models and differences within factors examined using ANOVA. RESULTS: The highest urinary concentration was for the metabolite MBP at all ages (GM: 15-32 ng/mL). Concentrations of all phthalate metabolites significantly increased with age ranging from GM: 0.5-15.1 ng/mL at 3 months and 1.9-32.1 ng/mL at 36 months. Concentrations of all metabolites were higher in the lowest income categories except for MEHP at 3 months, among children with any breastfeeding at 12 months, and in urine collected on dates with warmer outdoor temperatures (>17 °C), except for MBzP at 3 months and MEHP at 3 and 12 months. No consistent differences were found by gender, study site, or maternal age. CONCLUSIONS: Higher phthalate metabolite concentrations were observed among children in lower income families. Examination of factors associated with income could inform interventions aimed to reduce infantphthalate exposure.
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