PMID- 23728063 OWN - NLM STAT- MEDLINE DCOM- 20140305 LR - 20220309 IS - 1879-1026 (Electronic) IS - 0048-9697 (Linking) VI - 461-462 DP - 2013 Sep 1 TI - Maternal diet, prenatal exposure to dioxins and other persistent organic pollutants and anogenital distance in children. PG - 222-9 LID - S0048-9697(13)00548-2 [pii] LID - 10.1016/j.scitotenv.2013.05.005 [doi] AB - We investigated the potential endocrine disruptive effect of prenatal exposure to persistent organic pollutants (POPs) through maternal diet, by measuring anogenital distance in newborns and young children. We included 231 mothers and their newborns measured at birth from the Rhea study in Crete, Greece and the Hmar study in Barcelona, Spain and 476 mothers and their children measured between 1 and 2 years from the Rhea study. We used food frequency questionnaires to assess maternal diet and estimated plasma dioxin-like activity by the Dioxin-Responsive Chemically Activated LUciferase eXpression (DR-CALUX(R)) and other POPs in maternal samples. We defined a "high-fat diet" score, as a prenatal exposure estimate, that incorporated intakes of red meat, processed meat, fatty fish, seafood, eggs and high-fat dairy products during pregnancy. Increasing maternal "high-fat diet" score was related to increasing dioxin-like activity and serum concentrations of lipophilic persistent organic pollutants in maternal blood. An inverse dose-response association was found between "high-fat diet" score and anoscrotal distance in newborn males. The highest tertile of the maternal score was associated with -4.2 mm (95% CI -6.6 to -1.8) reduction in anoscrotal distance of newborn males, compared to the lowest tertile. A weak positive association was found between the "high-fat diet" score and anofourchetal distance in newborn females. In young children we found no association between maternal "high-fat diet" score and anogenital distances. In conclusion, maternal high-fat diet may be linked to high prenatal exposure to persistent organic pollutants and endocrine disruptive effects, resulting to phenotypic alterations of the reproductive system. CI - Copyright (c) 2013 Elsevier B.V. All rights reserved. FAU - Papadopoulou, Eleni AU - Papadopoulou E AD - Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain. FAU - Vafeiadi, Marina AU - Vafeiadi M FAU - Agramunt, Silvia AU - Agramunt S FAU - Mathianaki, Kleopatra AU - Mathianaki K FAU - Karakosta, Polyxeni AU - Karakosta P FAU - Spanaki, Ariana AU - Spanaki A FAU - Besselink, Harrie AU - Besselink H FAU - Kiviranta, Hannu AU - Kiviranta H FAU - Rantakokko, Panu AU - Rantakokko P FAU - KaterinaSarri AU - KaterinaSarri FAU - Koutis, Antonis AU - Koutis A FAU - Chatzi, Leda AU - Chatzi L FAU - Kogevinas, Manolis AU - Kogevinas M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130531 PL - Netherlands TA - Sci Total Environ JT - The Science of the total environment JID - 0330500 RN - 0 (Dioxins) RN - 0 (Hydrocarbons, Chlorinated) SB - IM MH - Adult MH - Anal Canal/anatomy & histology MH - Anthropometry MH - Cohort Studies MH - Diet, High-Fat/*adverse effects MH - Dioxins/blood/toxicity MH - Dose-Response Relationship, Drug MH - Female MH - Genitalia/drug effects/*pathology MH - Gestational Age MH - Greece MH - Humans MH - Hydrocarbons, Chlorinated/*blood/toxicity MH - Infant MH - Pregnancy MH - Prenatal Exposure Delayed Effects/*pathology MH - Spain MH - Surveys and Questionnaires OTO - NOTNLM OT - Anogenital distance OT - DR-CALUX OT - Maternal diet OT - Persistent organic pollutants OT - Pregnancy OT - Rhea study EDAT- 2013/06/04 06:00 MHDA- 2014/03/07 06:00 CRDT- 2013/06/04 06:00 PHST- 2013/03/21 00:00 [received] PHST- 2013/05/02 00:00 [revised] PHST- 2013/05/02 00:00 [accepted] PHST- 2013/06/04 06:00 [entrez] PHST- 2013/06/04 06:00 [pubmed] PHST- 2014/03/07 06:00 [medline] AID - S0048-9697(13)00548-2 [pii] AID - 10.1016/j.scitotenv.2013.05.005 [doi] PST - ppublish SO - Sci Total Environ. 2013 Sep 1;461-462:222-9. doi: 10.1016/j.scitotenv.2013.05.005. Epub 2013 May 31.