Grace R Lyden1, Emily S Barrett2, Sheela Sathyanarayana3, Nicole R Bush4, Shanna H Swan5, Ruby H N Nguyen6. 1. Division of Biostatistics, University of Minnesota School of Public Health, Minneapolis, MN, USA. 2. Department of Epidemiology and Biostatistics, Rutgers School of Public Health, Piscataway, NJ, USA. 3. Department of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle, WA, USA. 4. Departments of Psychiatry and Pediatrics, University of California, San Francisco, San Francisco, CA, USA. 5. Division of Preventive Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA. 6. Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Abstract
BACKGROUND: Preconception life style and health play a pivotal role in positively impacting the health of a pregnancy, and this includes the reduction of exposure to endocrine-disrupting chemicals such as phthalates. We have previously demonstrated that women planning a pregnancy with assisted reproductive technology (ART) have lower phthalate metabolite concentrations than their non-ART-using counterparts. OBJECTIVE: To determine whether women who intended to become pregnant had lower phthalate metabolite concentrations than those who had an unintended pregnancy, or whether change in phthalate exposure across pregnancy differed between these two groups. METHODS: A total of 721 women enrolled in The Infant Development and Environment Study (TIDES), a multicentre US prospective pregnancy cohort; 513 (71%) indicated their pregnancy was planned. Urine samples from first- and third-trimester visits were analysed for 10 specific-gravity-adjusted, natural-log-transformed phthalate metabolites. Simple and multivariable linear regression, adjusting for centre, race, age, income, marital status, and parity, were employed to determine whether phthalate metabolite concentrations differed by pregnancy intention. RESULTS: In bivariate analyses, the geometric mean concentrations of all first-trimester and most third-trimester phthalates were higher in women with unplanned pregnancies. However, after covariate adjustment, only first-trimester monoisobutyl phthalate (MiBP) remained associated with pregnancy intention, and the association changed direction such that unplanned pregnancies had lower MiBP concentrations (ß -0.18, 95% CI -0.35, -0.02). CONCLUSIONS: We did not find evidence of a difference in phthalate exposure between pregnancy planners and non-planners.
BACKGROUND: Preconception life style and health play a pivotal role in positively impacting the health of a pregnancy, and this includes the reduction of exposure to endocrine-disrupting chemicals such as phthalates. We have previously demonstrated that women planning a pregnancy with assisted reproductive technology (ART) have lower phthalate metabolite concentrations than their non-ART-using counterparts. OBJECTIVE: To determine whether women who intended to become pregnant had lower phthalate metabolite concentrations than those who had an unintended pregnancy, or whether change in phthalate exposure across pregnancy differed between these two groups. METHODS: A total of 721 women enrolled in The Infant Development and Environment Study (TIDES), a multicentre US prospective pregnancy cohort; 513 (71%) indicated their pregnancy was planned. Urine samples from first- and third-trimester visits were analysed for 10 specific-gravity-adjusted, natural-log-transformed phthalate metabolites. Simple and multivariable linear regression, adjusting for centre, race, age, income, marital status, and parity, were employed to determine whether phthalate metabolite concentrations differed by pregnancy intention. RESULTS: In bivariate analyses, the geometric mean concentrations of all first-trimester and most third-trimester phthalates were higher in women with unplanned pregnancies. However, after covariate adjustment, only first-trimester monoisobutyl phthalate (MiBP) remained associated with pregnancy intention, and the association changed direction such that unplanned pregnancies had lower MiBP concentrations (ß -0.18, 95% CI -0.35, -0.02). CONCLUSIONS: We did not find evidence of a difference in phthalate exposure between pregnancy planners and non-planners.
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