PMID- 22879996 OWN - NLM STAT- MEDLINE DCOM- 20130110 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 7 IP - 8 DP - 2012 TI - Perfluorinated compounds in umbilical cord blood and adverse birth outcomes. PG - e42474 LID - 10.1371/journal.pone.0042474 [doi] LID - e42474 AB - BACKGROUND: Previous animal studies have shown that perfluorinated compounds (PFCs) have adverse impacts on birth outcomes, but the results have been inconclusive in humans. We investigated associations between prenatal exposure to perfluorooctanoic acid (PFOA), perfluorooctyl sulfonate (PFOS), perfluorononanoic acid (PFNA), and perfluoroundecanoic acid (PFUA) and birth outcomes. METHODS: In total, 429 mother-infant pairs were recruited from the Taiwan Birth Panel Study (TBPS). Demographic data were obtained by interviewing mothers using a structured questionnaire and birth outcomes were extracted from medical records. Cord blood was collected for PFOA, PFOS, PFNA, and PFUA analysis by ultra-high-performance liquid chromatography/tandem mass spectrometry. RESULTS: The geometric mean (standard deviation) levels of PFOA, PFOS, PFNA, and PFUA in cord blood plasma were 1.84 (2.23), 5.94 (1.95), 2.36(4.74), and 10.26 (3.07) ng/mL, respectively. Only PFOS levels were found to be inversely associated with gestational age, birth weight, and head circumference [per ln unit: adjusted beta (95% confidence interval, CI) = -0.37 (-0.60, -0.13) wks, -110.2 (-176.0, -44.5) gm and -0.25 (-0.46, -0.05) cm]. Additionally, the odds ratio of preterm birth, low birth weight, and small for gestational age increased with PFOS exposure [per ln unit: adjusted odds ratio (OR) (95%CI) = 2.45 (1.47, 4.08), 2.61(0.85, 8.03) and 2.27 (1.25, 4.15)]. When PFOS levels were divided into quartiles, a dose-response relation was observed. However, PFOA, PFNA, and PFUA were not observed to have any convincing impact on birth outcomes. CONCLUSIONS: An adverse dose-dependent association was observed between prenatal PFOS exposure and birth outcomes. However, no associations were found for the other examined PFCs. FAU - Chen, Mei-Huei AU - Chen MH AD - Institute of Occupational Medicine and Industrial Hygiene, National Taiwan University College of Public Health, Taipei, Taiwan. FAU - Ha, Eun-Hee AU - Ha EH FAU - Wen, Ting-Wen AU - Wen TW FAU - Su, Yi-Ning AU - Su YN FAU - Lien, Guang-Wen AU - Lien GW FAU - Chen, Chia-Yang AU - Chen CY FAU - Chen, Pau-Chung AU - Chen PC FAU - Hsieh, Wu-Shiun AU - Hsieh WS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120803 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Alkanesulfonic Acids) RN - 0 (Fluorocarbons) RN - 9H2MAI21CL (perfluorooctane sulfonic acid) SB - IM MH - Adult MH - Alkanesulfonic Acids/blood MH - Confidence Intervals MH - Female MH - Fetal Blood/*metabolism MH - Fluorocarbons/*blood MH - Humans MH - Infant, Newborn MH - Odds Ratio MH - Pregnancy MH - *Pregnancy Outcome MH - Regression Analysis MH - Taiwan PMC - PMC3411780 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2012/08/11 06:00 MHDA- 2013/01/11 06:00 PMCR- 2012/08/03 CRDT- 2012/08/11 06:00 PHST- 2012/05/03 00:00 [received] PHST- 2012/07/06 00:00 [accepted] PHST- 2012/08/11 06:00 [entrez] PHST- 2012/08/11 06:00 [pubmed] PHST- 2013/01/11 06:00 [medline] PHST- 2012/08/03 00:00 [pmc-release] AID - PONE-D-12-12787 [pii] AID - 10.1371/journal.pone.0042474 [doi] PST - ppublish SO - PLoS One. 2012;7(8):e42474. doi: 10.1371/journal.pone.0042474. Epub 2012 Aug 3.