Prenatal Exposure to Phthalates and the Development of Eczema Phenotypes in Male Children: Results from the EDEN Mother–Child Cohort Study

Contradictory results exist regarding the importance of early-life exposure to phthalates for development of childhood eczema. We evaluated the association between maternal urinary concentrations of phthalate metabolites between the 24th and 28th week of gestation and occurrence of eczema in their s...

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Vydáno v:Environmental health perspectives Ročník 126; číslo 2; s. 027002
Hlavní autoři: Soomro, Munawar Hussain, Baiz, Nour, Philippat, Claire, Vernet, Celine, Siroux, Valerie, Nichole Maesano, Cara, Sanyal, Shreosi, Slama, Remy, Bornehag, Carl-Gustaf, Annesi-Maesano, Isabella
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States National Institute of Environmental Health Sciences 01.02.2018
Environmental Health Perspectives
Témata:
Age
Age of Onset
Asthma
Birth weight
Boys
Child, Preschool
Childhood eczema
Children
Children & youth
Cohort analysis
Cohort Studies
Confidence intervals
Ecology, environment
Eczema
Eczema - epidemiology
Eczema - etiology
Eczema - immunology
Environmental Exposure - adverse effects
Environmental health
Exposure
Female
Folkhälsovetenskap
Food allergies
Gestation
Gestational age
Health
Health aspects
Hospitals
Human exposure
Human health and pathology
Humans
Immunoglobulin E - immunology
Infant
Infant, Newborn
Life Sciences
Logistic Models
Male
Maternal & child health
Medical research
Metabolites
Mothers
Pediatrics
Personal grooming
Phenotype
Phthalates
Phthalic Acids - toxicity
Phthalic Acids - urine
Pregnancy
Prenatal care
Prenatal exposure
Prenatal Exposure Delayed Effects - epidemiology
Prenatal Exposure Delayed Effects - etiology
Prenatal Exposure Delayed Effects - immunology
Prenatal influences
Prevalence
Prospective Studies
Public Health Science
Questionnaires
Risk factors
Santé publique et épidémiologie
Secondary schools
Skin
Skin diseases
Statistical analysis
Survival
Toxicology
Urine
Womens health
United States > US
ISSN:0091-6765, 1552-9924, 1552-9924
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Abstract Contradictory results exist regarding the importance of early-life exposure to phthalates for development of childhood eczema. We evaluated the association between maternal urinary concentrations of phthalate metabolites between the 24th and 28th week of gestation and occurrence of eczema in their sons up to 5 y of age, according to allergic sensitization as assessed by total immunoglobulin E (IgE) in a subsample of individuals. Data on health outcomes and background factors were collected using five standardized annual questionnaires completed by parents at the children's ages of 1-5 y, and their associations with phthalate metabolite urinary concentrations were assessed in 604 mother-son pairs with adjusted multiple logistic regression and Cox's survival model. Several eczema phenotypes were considered. Atopic status was assessed at 5 y of age in 293 boys through total IgE assessment. At 5 y of age, the prevalence of ever eczema was 30.4%. Metabolites of di-isobutyl phthalate (DiBP) and di-isononyl phthalate (DiNP) were positively associated with early-onset (0-24 mo of age) eczema (15.7%) and late-onset (24-60 mo of age) eczema (14.7%). Applying the Cox's model showed a significant association of occurrence of eczema in the first 5 y of life with DiBP and DiNP metabolites. Among IgE-sensitized boys, metabolites of di- -butyl phthalate (DBP) and DiBP were significantly associated with ever eczema {hazard ratio (HR)=1.67 [95% confidence interval (CI): 1.10, 2.54], =0.01 and HR=1.87 (95% CI: 1.01, 3.48), =0.04, respectively}. Occurrence of eczema in early childhood may be influenced by prenatal exposure to certain phthalates in boys. Further investigations are needed to confirm this observation. https://doi.org/10.1289/EHP1829.
AbstractList Background: Contradictory results exist regarding the importance of early-life exposure to phthalates for development of childhood eczema. Objectives: We evaluated the association between maternal urinary concentrations of phthalate metabolites between the 24th and 28th week of gestation and occurrence of eczema in their sons up to 5 y of age, according to allergic sensitization as assessed by total immunoglobulin E (IgE) in a subsample of individuals. Methods: Data on health outcomes and background factors were collected using five standardized annual questionnaires completed by parents at the children's ages of 1-5 y, and their associations with phthalate metabolite urinary concentrations were assessed in 604 mother-son pairs with adjusted multiple logistic regression and Cox's survival model. Several eczema phenotypes were considered. Atopic status was assessed at 5 y of age in 293 boys through total IgE assessment. Results: At 5 y of age, the prevalence of ever eczema was 30.4%. Metabolites of di-isobutyl phthalate (DiBP) and di-isononyl phthalate (DiNP) were positively associated with early-onset (0-24 mo of age) eczema (15.7%) and late-onset (24-60 mo of age) eczema (14.7%). Applying the Cox's model showed a significant association of occurrence of eczema in the first 5 y of life with DiBP and DiNP metabolites. Among IgE-sensitized boys, metabolites of di-n- butyl phthalate (DBP) and DiBP were significantly associated with ever eczema {hazard ratio (HR) = 1.67 [95% confidence interval (CI): 1.10, 2.54], p = 0.01 and HR = 1.87 (95% CI: 1.01, 3.48), p = 0.04, respectively}. Conclusions: Occurrence of eczema in early childhood may be influenced by prenatal exposure to certain phthalates in boys. Further investigations are needed to confirm this observation.
BACKGROUND: Contradictory results exist regarding the importance of early-life exposure to phthalates for development of childhood eczema.OBJECTIVES: We evaluated the association between maternal urinary concentrations of phthalate metabolites between the 24th and 28th week of gestation and occurrence of eczema in their sons up to 5 y of age, according to allergic sensitization as assessed by total immunoglobulin E (IgE) in a subsample of individuals.METHODS: Data on health outcomes and background factors were collected using five standardized annual questionnaires completed by parents at the children's ages of 1–5 y, and their associations with phthalate metabolite urinary concentrations were assessed in 604 mother–son pairs with adjusted multiple logistic regression and Cox's survival model. Several eczema phenotypes were considered. Atopic status was assessed at 5 y of age in 293 boys through total IgE assessment.RESULTS: At 5 y of age, the prevalence of ever eczema was 30.4%. Metabolites of di-isobutyl phthalate (DiBP) and di-isononyl phthalate (DiNP) were positively associated with early-onset (0–24 mo of age) eczema (15.7%) and late-onset (24–60 mo of age) eczema (14.7%). Applying the Cox's model showed a significant association of occurrence of eczema in the first 5 y of life with DiBP and DiNP metabolites. Among IgE-sensitized boys, metabolites of din -butyl phthalate (DBP) and DiBP were significantly associated with ever eczema {hazard ratio ðHRÞ = 1:67 [95% confidence interval (CI): 1.10, 2.54], p = 0:01 and HR = 1:87 (95% CI: 1.01, 3.48), p = 0:04, respectively}.CONCLUSIONS: Occurrence of eczema in early childhood may be influenced by prenatal exposure to certain phthalates in boys. Further investigations are needed to confirm this observation.
Contradictory results exist regarding the importance of early-life exposure to phthalates for development of childhood eczema. We evaluated the association between maternal urinary concentrations of phthalate metabolites between the 24th and 28th week of gestation and occurrence of eczema in their sons up to 5 y of age, according to allergic sensitization as assessed by total immunoglobulin E (IgE) in a subsample of individuals. Data on health outcomes and background factors were collected using five standardized annual questionnaires completed by parents at the children's ages of 1-5 y, and their associations with phthalate metabolite urinary concentrations were assessed in 604 mother-son pairs with adjusted multiple logistic regression and Cox's survival model. Several eczema phenotypes were considered. Atopic status was assessed at 5 y of age in 293 boys through total IgE assessment. At 5 y of age, the prevalence of ever eczema was 30.4%. Metabolites of di-isobutyl phthalate (DiBP) and di-isononyl phthalate (DiNP) were positively associated with early-onset (0-24 mo of age) eczema (15.7%) and late-onset (24-60 mo of age) eczema (14.7%). Applying the Cox's model showed a significant association of occurrence of eczema in the first 5 y of life with DiBP and DiNP metabolites. Among IgE-sensitized boys, metabolites of di- -butyl phthalate (DBP) and DiBP were significantly associated with ever eczema {hazard ratio (HR)=1.67 [95% confidence interval (CI): 1.10, 2.54], =0.01 and HR=1.87 (95% CI: 1.01, 3.48), =0.04, respectively}. Occurrence of eczema in early childhood may be influenced by prenatal exposure to certain phthalates in boys. Further investigations are needed to confirm this observation. https://doi.org/10.1289/EHP1829.
Contradictory results exist regarding the importance of early-life exposure to phthalates for development of childhood eczema.BACKGROUNDContradictory results exist regarding the importance of early-life exposure to phthalates for development of childhood eczema.We evaluated the association between maternal urinary concentrations of phthalate metabolites between the 24th and 28th week of gestation and occurrence of eczema in their sons up to 5 y of age, according to allergic sensitization as assessed by total immunoglobulin E (IgE) in a subsample of individuals.OBJECTIVESWe evaluated the association between maternal urinary concentrations of phthalate metabolites between the 24th and 28th week of gestation and occurrence of eczema in their sons up to 5 y of age, according to allergic sensitization as assessed by total immunoglobulin E (IgE) in a subsample of individuals.Data on health outcomes and background factors were collected using five standardized annual questionnaires completed by parents at the children's ages of 1-5 y, and their associations with phthalate metabolite urinary concentrations were assessed in 604 mother-son pairs with adjusted multiple logistic regression and Cox's survival model. Several eczema phenotypes were considered. Atopic status was assessed at 5 y of age in 293 boys through total IgE assessment.METHODSData on health outcomes and background factors were collected using five standardized annual questionnaires completed by parents at the children's ages of 1-5 y, and their associations with phthalate metabolite urinary concentrations were assessed in 604 mother-son pairs with adjusted multiple logistic regression and Cox's survival model. Several eczema phenotypes were considered. Atopic status was assessed at 5 y of age in 293 boys through total IgE assessment.At 5 y of age, the prevalence of ever eczema was 30.4%. Metabolites of di-isobutyl phthalate (DiBP) and di-isononyl phthalate (DiNP) were positively associated with early-onset (0-24 mo of age) eczema (15.7%) and late-onset (24-60 mo of age) eczema (14.7%). Applying the Cox's model showed a significant association of occurrence of eczema in the first 5 y of life with DiBP and DiNP metabolites. Among IgE-sensitized boys, metabolites of di-n-butyl phthalate (DBP) and DiBP were significantly associated with ever eczema {hazard ratio (HR)=1.67 [95% confidence interval (CI): 1.10, 2.54], p=0.01 and HR=1.87 (95% CI: 1.01, 3.48), p=0.04, respectively}.RESULTSAt 5 y of age, the prevalence of ever eczema was 30.4%. Metabolites of di-isobutyl phthalate (DiBP) and di-isononyl phthalate (DiNP) were positively associated with early-onset (0-24 mo of age) eczema (15.7%) and late-onset (24-60 mo of age) eczema (14.7%). Applying the Cox's model showed a significant association of occurrence of eczema in the first 5 y of life with DiBP and DiNP metabolites. Among IgE-sensitized boys, metabolites of di-n-butyl phthalate (DBP) and DiBP were significantly associated with ever eczema {hazard ratio (HR)=1.67 [95% confidence interval (CI): 1.10, 2.54], p=0.01 and HR=1.87 (95% CI: 1.01, 3.48), p=0.04, respectively}.Occurrence of eczema in early childhood may be influenced by prenatal exposure to certain phthalates in boys. Further investigations are needed to confirm this observation. https://doi.org/10.1289/EHP1829.CONCLUSIONSOccurrence of eczema in early childhood may be influenced by prenatal exposure to certain phthalates in boys. Further investigations are needed to confirm this observation. https://doi.org/10.1289/EHP1829.
Audience Academic
Author Nichole Maesano, Cara
Slama, Remy
Annesi-Maesano, Isabella
Vernet, Celine
Siroux, Valerie
Sanyal, Shreosi
Philippat, Claire
Bornehag, Carl-Gustaf
Baiz, Nour
Soomro, Munawar Hussain
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  fullname: Soomro, Munawar Hussain
  organization: Department of Epidemiology of Allergic and Respiratory Diseases (EPAR), Saint-Antoine Medical School, Pierre Louis Institute of Epidemiology and Public Health (IPLESP UMRS 1136), Institut national de la santé et de la recherche médicale (Inserm), UPMC Université Paris 06, Sorbonne Universités, Paris, France, Department of community Medicine, Al Nafees Medical College and Hospital, Isra University–Islamabad Campus, Islamabad, Pakistan
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  surname: Baiz
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  surname: Vernet
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  givenname: Remy
  surname: Slama
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  givenname: Carl-Gustaf
  surname: Bornehag
  fullname: Bornehag, Carl-Gustaf
  organization: Department of Health Sciences, Karlstad University, Karlstad, Sweden, Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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  givenname: Isabella
  surname: Annesi-Maesano
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Copyright National Institute of Environmental Health Sciences Feb 2018
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Snippet Contradictory results exist regarding the importance of early-life exposure to phthalates for development of childhood eczema. We evaluated the association...
Background: Contradictory results exist regarding the importance of early-life exposure to phthalates for development of childhood eczema. Objectives: We...
Background: Contradictory results exist regarding the importance of early-life exposure to phthalates for development of childhood eczema.Objectives: We...
Contradictory results exist regarding the importance of early-life exposure to phthalates for development of childhood eczema.BACKGROUNDContradictory results...
BACKGROUND: Contradictory results exist regarding the importance of early-life exposure to phthalates for development of childhood eczema.OBJECTIVES: We...
BACKGROUND: Contradictory results exist regarding the importance of early-life exposure to phthalates for development of childhood eczema. OBJECTIVES: We...
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SubjectTerms Age
Age of Onset
Asthma
Birth weight
Boys
Child, Preschool
Childhood eczema
Children
Children & youth
Cohort analysis
Cohort Studies
Confidence intervals
Ecology, environment
Eczema
Eczema - epidemiology
Eczema - etiology
Eczema - immunology
Environmental Exposure - adverse effects
Environmental health
Exposure
Female
Folkhälsovetenskap
Food allergies
Gestation
Gestational age
Health
Health aspects
Hospitals
Human exposure
Human health and pathology
Humans
Immunoglobulin E - immunology
Infant
Infant, Newborn
Life Sciences
Logistic Models
Male
Maternal & child health
Medical research
Metabolites
Mothers
Pediatrics
Personal grooming
Phenotype
Phthalates
Phthalic Acids - toxicity
Phthalic Acids - urine
Pregnancy
Prenatal care
Prenatal exposure
Prenatal Exposure Delayed Effects - epidemiology
Prenatal Exposure Delayed Effects - etiology
Prenatal Exposure Delayed Effects - immunology
Prenatal influences
Prevalence
Prospective Studies
Public Health Science
Questionnaires
Risk factors
Santé publique et épidémiologie
Secondary schools
Skin
Skin diseases
Statistical analysis
Survival
Toxicology
Urine
Womens health
Title Prenatal Exposure to Phthalates and the Development of Eczema Phenotypes in Male Children: Results from the EDEN Mother–Child Cohort Study
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