In utero exposure to bisphenols and asthma, wheeze, and lung function in school-age children: a prospective meta-analysis of 8 European birth cohorts
•In utero exposure to BPA was prevalent from 1999 to 2010.•In utero exposure to BPA may increase the risk of asthma and wheeze among school-age girls.•No evidence of an association with lung function at school-age nor wheezing patterns across childhood. In utero exposure to bisphenols, widely used i...
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| Veröffentlicht in: | Environment international Jg. 162; H. 8; S. 107178 |
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| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
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Netherlands
Elsevier Ltd
01.04.2022
Elsevier |
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| ISSN: | 0160-4120, 1873-6750, 1873-6750 |
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| Abstract | •In utero exposure to BPA was prevalent from 1999 to 2010.•In utero exposure to BPA may increase the risk of asthma and wheeze among school-age girls.•No evidence of an association with lung function at school-age nor wheezing patterns across childhood.
In utero exposure to bisphenols, widely used in consumer products, may alter lung development and increase the risk of respiratory morbidity in the offspring. However, evidence is scarce and mostly focused on bisphenol A (BPA) only.
To examine the associations of in utero exposure to BPA, bisphenol F (BPF), and bisphenol S (BPS) with asthma, wheeze, and lung function in school-age children, and whether these associations differ by sex.
We included 3,007 mother–child pairs from eight European birth cohorts. Bisphenol concentrations were determined in maternal urine samples collected during pregnancy (1999–2010). Between 7 and 11 years of age, current asthma and wheeze were assessed from questionnaires and lung function by spirometry. Wheezing patterns were constructed from questionnaires from early to mid-childhood. We performed adjusted random-effects meta-analysis on individual participant data.
Exposure to BPA was prevalent with 90% of maternal samples containing concentrations above detection limits. BPF and BPS were found in 27% and 49% of samples. In utero exposure to BPA was associated with higher odds of current asthma (OR = 1.13, 95% CI = 1.01, 1.27) and wheeze (OR = 1.14, 95% CI = 1.01, 1.30) (p-interaction sex = 0.01) among girls, but not with wheezing patterns nor lung function neither in overall nor among boys. We observed inconsistent associations of BPF and BPS with the respiratory outcomes assessed in overall and sex-stratified analyses.
This study suggests that in utero BPA exposure may be associated with higher odds of asthma and wheeze among school-age girls. |
|---|---|
| AbstractList | Background: In utero exposure to bisphenols, widely used in consumer products, may alter lung development and increase the risk of respiratory morbidity in the offspring. However, evidence is scarce and mostly focused on bisphenol A (BPA) only. Objective: To examine the associations of in utero exposure to BPA, bisphenol F (BPF), and bisphenol S (BPS) with asthma, wheeze, and lung function in school-age children, and whether these associations differ by sex. Methods: We included 3,007 mother–child pairs from eight European birth cohorts. Bisphenol concentrations were determined in maternal urine samples collected during pregnancy (1999–2010). Between 7 and 11 years of age, current asthma and wheeze were assessed from questionnaires and lung function by spirometry. Wheezing patterns were constructed from questionnaires from early to mid-childhood. We performed adjusted random-effects meta-analysis on individual participant data. Results: Exposure to BPA was prevalent with 90% of maternal samples containing concentrations above detection limits. BPF and BPS were found in 27% and 49% of samples. In utero exposure to BPA was associated with higher odds of current asthma (OR = 1.13, 95% CI = 1.01, 1.27) and wheeze (OR = 1.14, 95% CI = 1.01, 1.30) (p-interaction sex = 0.01) among girls, but not with wheezing patterns nor lung function neither in overall nor among boys. We observed inconsistent associations of BPF and BPS with the respiratory outcomes assessed in overall and sex-stratified analyses. Conclusion: This study suggests that in utero BPA exposure may be associated with higher odds of asthma and wheeze among school-age girls. Methods: We included 3,007 mother-child pairs from eight European birth cohorts. Bisphenol concentrations were determined in maternal urine samples collected during pregnancy (1999-2010). Between 7 and 11 years of age, current asthma and wheeze were assessed from questionnaires and lung function by spirometry. Wheezing patterns were constructed from questionnaires from early to mid-childhood. We performed adjusted randomeffects meta-analysis on individual participant data. Results: Exposure to BPA was prevalent with 90% of maternal samples containing concentrations above detection limits. BPF and BPS were found in 27% and 49% of samples. In utero exposure to BPA was associated with higher odds of current asthma (OR = 1.13, 95% CI = 1.01, 1.27) and wheeze (OR = 1.14, 95% CI = 1.01, 1.30) (pinteraction sex = 0.01) among girls, but not with wheezing patterns nor lung function neither in overall nor among boys. We observed inconsistent associations of BPF and BPS with the respiratory outcomes assessed in overall and sex-stratified analyses. Conclusion: This study suggests that in utero BPA exposure may be associated with higher odds of asthma and wheeze among school-age girls. •In utero exposure to BPA was prevalent from 1999 to 2010.•In utero exposure to BPA may increase the risk of asthma and wheeze among school-age girls.•No evidence of an association with lung function at school-age nor wheezing patterns across childhood. In utero exposure to bisphenols, widely used in consumer products, may alter lung development and increase the risk of respiratory morbidity in the offspring. However, evidence is scarce and mostly focused on bisphenol A (BPA) only. To examine the associations of in utero exposure to BPA, bisphenol F (BPF), and bisphenol S (BPS) with asthma, wheeze, and lung function in school-age children, and whether these associations differ by sex. We included 3,007 mother–child pairs from eight European birth cohorts. Bisphenol concentrations were determined in maternal urine samples collected during pregnancy (1999–2010). Between 7 and 11 years of age, current asthma and wheeze were assessed from questionnaires and lung function by spirometry. Wheezing patterns were constructed from questionnaires from early to mid-childhood. We performed adjusted random-effects meta-analysis on individual participant data. Exposure to BPA was prevalent with 90% of maternal samples containing concentrations above detection limits. BPF and BPS were found in 27% and 49% of samples. In utero exposure to BPA was associated with higher odds of current asthma (OR = 1.13, 95% CI = 1.01, 1.27) and wheeze (OR = 1.14, 95% CI = 1.01, 1.30) (p-interaction sex = 0.01) among girls, but not with wheezing patterns nor lung function neither in overall nor among boys. We observed inconsistent associations of BPF and BPS with the respiratory outcomes assessed in overall and sex-stratified analyses. This study suggests that in utero BPA exposure may be associated with higher odds of asthma and wheeze among school-age girls. In utero exposure to bisphenols, widely used in consumer products, may alter lung development and increase the risk of respiratory morbidity in the offspring. However, evidence is scarce and mostly focused on bisphenol A (BPA) only.BACKGROUNDIn utero exposure to bisphenols, widely used in consumer products, may alter lung development and increase the risk of respiratory morbidity in the offspring. However, evidence is scarce and mostly focused on bisphenol A (BPA) only.To examine the associations of in utero exposure to BPA, bisphenol F (BPF), and bisphenol S (BPS) with asthma, wheeze, and lung function in school-age children, and whether these associations differ by sex.OBJECTIVETo examine the associations of in utero exposure to BPA, bisphenol F (BPF), and bisphenol S (BPS) with asthma, wheeze, and lung function in school-age children, and whether these associations differ by sex.We included 3,007 mother-child pairs from eight European birth cohorts. Bisphenol concentrations were determined in maternal urine samples collected during pregnancy (1999-2010). Between 7 and 11 years of age, current asthma and wheeze were assessed from questionnaires and lung function by spirometry. Wheezing patterns were constructed from questionnaires from early to mid-childhood. We performed adjusted random-effects meta-analysis on individual participant data.METHODSWe included 3,007 mother-child pairs from eight European birth cohorts. Bisphenol concentrations were determined in maternal urine samples collected during pregnancy (1999-2010). Between 7 and 11 years of age, current asthma and wheeze were assessed from questionnaires and lung function by spirometry. Wheezing patterns were constructed from questionnaires from early to mid-childhood. We performed adjusted random-effects meta-analysis on individual participant data.Exposure to BPA was prevalent with 90% of maternal samples containing concentrations above detection limits. BPF and BPS were found in 27% and 49% of samples. In utero exposure to BPA was associated with higher odds of current asthma (OR = 1.13, 95% CI = 1.01, 1.27) and wheeze (OR = 1.14, 95% CI = 1.01, 1.30) (p-interaction sex = 0.01) among girls, but not with wheezing patterns nor lung function neither in overall nor among boys. We observed inconsistent associations of BPF and BPS with the respiratory outcomes assessed in overall and sex-stratified analyses.RESULTSExposure to BPA was prevalent with 90% of maternal samples containing concentrations above detection limits. BPF and BPS were found in 27% and 49% of samples. In utero exposure to BPA was associated with higher odds of current asthma (OR = 1.13, 95% CI = 1.01, 1.27) and wheeze (OR = 1.14, 95% CI = 1.01, 1.30) (p-interaction sex = 0.01) among girls, but not with wheezing patterns nor lung function neither in overall nor among boys. We observed inconsistent associations of BPF and BPS with the respiratory outcomes assessed in overall and sex-stratified analyses.This study suggests that in utero BPA exposure may be associated with higher odds of asthma and wheeze among school-age girls.CONCLUSIONThis study suggests that in utero BPA exposure may be associated with higher odds of asthma and wheeze among school-age girls. In utero exposure to bisphenols, widely used in consumer products, may alter lung development and increase the risk of respiratory morbidity in the offspring. However, evidence is scarce and mostly focused on bisphenol A (BPA) only. To examine the associations of in utero exposure to BPA, bisphenol F (BPF), and bisphenol S (BPS) with asthma, wheeze, and lung function in school-age children, and whether these associations differ by sex. We included 3,007 mother–child pairs from eight European birth cohorts. Bisphenol concentrations were determined in maternal urine samples collected during pregnancy (1999–2010). Between 7 and 11 years of age, current asthma and wheeze were assessed from questionnaires and lung function by spirometry. Wheezing patterns were constructed from questionnaires from early to mid-childhood. We performed adjusted random-effects meta-analysis on individual participant data. Exposure to BPA was prevalent with 90% of maternal samples containing concentrations above detection limits. BPF and BPS were found in 27% and 49% of samples. In utero exposure to BPA was associated with higher odds of current asthma (OR = 1.13, 95% CI = 1.01, 1.27) and wheeze (OR = 1.14, 95% CI = 1.01, 1.30) (p-interaction sex = 0.01) among girls, but not with wheezing patterns nor lung function neither in overall nor among boys. We observed inconsistent associations of BPF and BPS with the respiratory outcomes assessed in overall and sex-stratified analyses. This study suggests that in utero BPA exposure may be associated with higher odds of asthma and wheeze among school-age girls. In utero exposure to bisphenols, widely used in consumer products, may alter lung development and increase the risk of respiratory morbidity in the offspring. However, evidence is scarce and mostly focused on bisphenol A (BPA) only. To examine the associations of in utero exposure to BPA, bisphenol F (BPF), and bisphenol S (BPS) with asthma, wheeze, and lung function in school-age children, and whether these associations differ by sex. We included 3,007 mother-child pairs from eight European birth cohorts. Bisphenol concentrations were determined in maternal urine samples collected during pregnancy (1999-2010). Between 7 and 11 years of age, current asthma and wheeze were assessed from questionnaires and lung function by spirometry. Wheezing patterns were constructed from questionnaires from early to mid-childhood. We performed adjusted random-effects meta-analysis on individual participant data. Exposure to BPA was prevalent with 90% of maternal samples containing concentrations above detection limits. BPF and BPS were found in 27% and 49% of samples. In utero exposure to BPA was associated with higher odds of current asthma (OR = 1.13, 95% CI = 1.01, 1.27) and wheeze (OR = 1.14, 95% CI = 1.01, 1.30) (p-interaction sex = 0.01) among girls, but not with wheezing patterns nor lung function neither in overall nor among boys. We observed inconsistent associations of BPF and BPS with the respiratory outcomes assessed in overall and sex-stratified analyses. This study suggests that in utero BPA exposure may be associated with higher odds of asthma and wheeze among school-age girls. |
| ArticleNumber | 107178 |
| Author | Duarte-Salles, Talita Lertxundi, Aitana Chatzi, Leda Zabaleta, Carlos Casas, Maribel Duijts, Liesbeth Yang, Tiffany C. Iñiguez, Carmen Jaddoe, Vincent W.V. Santos, Susana Vrijheid, Martine Granum, Berit Kannan, Kurunthachalam Vafeiadi, Marina Fernandez, Mariana F. Abellan, Alicia Sunyer, Jordi Mensink-Bout, Sara M. Philippat, Claire Sakhi, Amrit K. Vela-Soria, Fernando Beneito, Andrea Garcia-Aymerich, Judith Lopez-Espinosa, Maria-Jose Siroux, Valérie Trasande, Leonardo Garcia-Esteban, Raquel |
| Author_xml | – sequence: 1 givenname: Alicia surname: Abellan fullname: Abellan, Alicia organization: ISGlobal, Barcelona, Spain – sequence: 2 givenname: Sara M. surname: Mensink-Bout fullname: Mensink-Bout, Sara M. organization: The Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands – sequence: 3 givenname: Raquel surname: Garcia-Esteban fullname: Garcia-Esteban, Raquel organization: ISGlobal, Barcelona, Spain – sequence: 4 givenname: Andrea surname: Beneito fullname: Beneito, Andrea organization: Epidemiology and Environmental Health Joint Research Unit, FISABIO–Universitat Jaume I–Universitat de València, Valencia, Spain – sequence: 5 givenname: Leda surname: Chatzi fullname: Chatzi, Leda organization: Department of Preventive Medicine, University of Southern California, Los Angeles, USA – sequence: 6 givenname: Talita surname: Duarte-Salles fullname: Duarte-Salles, Talita organization: Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain – sequence: 7 givenname: Mariana F. surname: Fernandez fullname: Fernandez, Mariana F. organization: Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain – sequence: 8 givenname: Judith surname: Garcia-Aymerich fullname: Garcia-Aymerich, Judith organization: ISGlobal, Barcelona, Spain – sequence: 9 givenname: Berit surname: Granum fullname: Granum, Berit organization: Norwegian Institute of Public Health, Oslo, Norway – sequence: 10 givenname: Carmen surname: Iñiguez fullname: Iñiguez, Carmen organization: Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain – sequence: 11 givenname: Vincent W.V. surname: Jaddoe fullname: Jaddoe, Vincent W.V. organization: The Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands – sequence: 12 givenname: Kurunthachalam surname: Kannan fullname: Kannan, Kurunthachalam organization: Departments of Pediatrics and Environmental Medicine, New York University School of Medicine, New York, NY, United States – sequence: 13 givenname: Aitana surname: Lertxundi fullname: Lertxundi, Aitana organization: Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain – sequence: 14 givenname: Maria-Jose surname: Lopez-Espinosa fullname: Lopez-Espinosa, Maria-Jose organization: Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain – sequence: 15 givenname: Claire surname: Philippat fullname: Philippat, Claire organization: University Grenoble Alpes, Inserm, CNRS, Team of Environmental Epidemiology Applied to Reproduction and Respiratory Health, Institute for Advanced Biosciences (IAB), Grenoble, France – sequence: 16 givenname: Amrit K. surname: Sakhi fullname: Sakhi, Amrit K. organization: Norwegian Institute of Public Health, Oslo, Norway – sequence: 17 givenname: Susana surname: Santos fullname: Santos, Susana organization: The Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands – sequence: 18 givenname: Valérie surname: Siroux fullname: Siroux, Valérie organization: University Grenoble Alpes, Inserm, CNRS, Team of Environmental Epidemiology Applied to Reproduction and Respiratory Health, Institute for Advanced Biosciences (IAB), Grenoble, France – sequence: 19 givenname: Jordi surname: Sunyer fullname: Sunyer, Jordi organization: ISGlobal, Barcelona, Spain – sequence: 20 givenname: Leonardo surname: Trasande fullname: Trasande, Leonardo organization: Departments of Pediatrics and Environmental Medicine, New York University School of Medicine, New York, NY, United States – sequence: 21 givenname: Marina surname: Vafeiadi fullname: Vafeiadi, Marina organization: Department of Social Medicine, University of Crete, Greece – sequence: 22 givenname: Fernando surname: Vela-Soria fullname: Vela-Soria, Fernando organization: Instituto de Investigación Biosanitaria (ibs.GRANADA), Granada, Spain – sequence: 23 givenname: Tiffany C. surname: Yang fullname: Yang, Tiffany C. organization: Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom – sequence: 24 givenname: Carlos surname: Zabaleta fullname: Zabaleta, Carlos organization: Paediatrics Service, Hospital Zumarraga, Gipuzkoa, Spain – sequence: 25 givenname: Martine surname: Vrijheid fullname: Vrijheid, Martine organization: ISGlobal, Barcelona, Spain – sequence: 26 givenname: Liesbeth surname: Duijts fullname: Duijts, Liesbeth organization: The Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands – sequence: 27 givenname: Maribel surname: Casas fullname: Casas, Maribel email: maribel.casas@isglobal.org organization: ISGlobal, Barcelona, Spain |
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| Snippet | •In utero exposure to BPA was prevalent from 1999 to 2010.•In utero exposure to BPA may increase the risk of asthma and wheeze among school-age girls.•No... In utero exposure to bisphenols, widely used in consumer products, may alter lung development and increase the risk of respiratory morbidity in the offspring.... Methods: We included 3,007 mother-child pairs from eight European birth cohorts. Bisphenol concentrations were determined in maternal urine samples collected... Background: In utero exposure to bisphenols, widely used in consumer products, may alter lung development and increase the risk of respiratory morbidity in the... |
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| SubjectTerms | Asthma Asthma - epidemiology Benzhydryl Compounds - urine Birth Cohort Bisphenol A bisphenol F bisphenol S Child environment Female Human health and pathology Humans Life Sciences Lung Lung function lungs Male maternal exposure meta-analysis morbidity Mother-child cohort Phenols Pregnancy Prospective Studies Pulmonology and respiratory tract Respiratory Sounds - etiology risk Santé publique et épidémiologie urine Wheezing |
| Title | In utero exposure to bisphenols and asthma, wheeze, and lung function in school-age children: a prospective meta-analysis of 8 European birth cohorts |
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