PMID- 23899931 OWN - NLM STAT- MEDLINE DCOM- 20140911 LR - 20171116 IS - 1618-131X (Electronic) IS - 1438-4639 (Linking) VI - 217 IP - 2-3 DP - 2014 Mar TI - Urinary concentrations of dichlorophenol pesticides and obesity among adult participants in the U.S. National Health and Nutrition Examination Survey (NHANES) 2005-2008. PG - 294-9 LID - S1438-4639(13)00096-5 [pii] LID - 10.1016/j.ijheh.2013.07.003 [doi] AB - Accumulating evidence from recent studies has suggested a possible link between exposure to environmental pesticides and obesity. In this study, we assessed the potential associations between exposure to dichlorophenol pesticides and obesity in adults. Study participants aged 20-85 years were selected from the 2005 to 2006 and 2007 to 2008 U.S. National Health and Nutrition Examination Survey, and were categorized as obese and non-obese based on body mass index. Creatinine-corrected urinary concentrations of dichlorophenols were determined to assess level of exposure to environmental pesticides. Multivariate logistic regression was performed using SAS 9.3 to assess the association between 2,4-dichlorophenol (2,4-DCP) and 2,5-dichlorophenol (2,5-DCP) levels in urine and obesity with adjustment for potential confounders. Significantly higher geometric means of urinary concentrations of both 2,5-DCP (p<0.0001) and 2,4-DCP (p=0.0170) were seen in obese adults, compared to that in non-obese adults. A dose-dependent increase in the prevalence of obesity was observed in the study participants across increasing levels of urinary 2,5-DCP (p-trend<0.0001). Urinary concentrations of 2,5-DCP were significantly associated with obesity among the second (AOR: 1.47, 95% CI: 1.12, 1.93), third (AOR: 1.41, 95% CI: 1.07, 1.87), and fourth (AOR: 1.62, 95% CI: 1.21, 2.17) inter-quartiles after adjustment for age, gender, race, education, total fat intake, and physical activity. A statistically significant association was not seen between urinary 2,4-DCP and obesity. Our findings suggest a potential relationship between exposure to the fumigant insecticide paradichlorobenzene, measured as urinary concentrations of 2,5-DCP, and obesity in adults. Because we cannot rule out the possibility of reverse causality in our study, prospective studies measuring exposure during etiologically relevant periods are warranted. CI - Copyright (c) 2013 Elsevier GmbH. All rights reserved. FAU - Wei, Yudan AU - Wei Y AD - Department of Community Medicine, Mercer University School of Medicine, Macon, GA 31207, USA. Electronic address: wei_yd@mercer.edu. FAU - Zhu, Jianmin AU - Zhu J AD - Department of Mathematics and Computer Science, Fort Valley State University, Fort Valley, GA 31030, USA. FAU - Nguyen, An AU - Nguyen A AD - Department of Community Medicine, Mercer University School of Medicine, Macon, GA 31207, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130708 PL - Germany TA - Int J Hyg Environ Health JT - International journal of hygiene and environmental health JID - 100898843 RN - 0 (Chlorophenols) RN - 0 (Insecticides) RN - 0 (Pesticides) RN - 3B11G9AKBA (2,5-dichlorophenol) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - *Body Mass Index MH - Chlorophenols/adverse effects/*urine MH - Environmental Exposure/adverse effects/*analysis MH - Female MH - Humans MH - Insecticides/adverse effects/*urine MH - Logistic Models MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Nutrition Surveys MH - Obesity/etiology/*urine MH - Pesticides/*urine MH - United States MH - Young Adult OTO - NOTNLM OT - Adults OT - BMI OT - Dichlorophenols OT - Obesity OT - Pesticide EDAT- 2013/08/01 06:00 MHDA- 2014/09/12 06:00 CRDT- 2013/08/01 06:00 PHST- 2012/10/15 00:00 [received] PHST- 2013/06/26 00:00 [revised] PHST- 2013/07/01 00:00 [accepted] PHST- 2013/08/01 06:00 [entrez] PHST- 2013/08/01 06:00 [pubmed] PHST- 2014/09/12 06:00 [medline] AID - S1438-4639(13)00096-5 [pii] AID - 10.1016/j.ijheh.2013.07.003 [doi] PST - ppublish SO - Int J Hyg Environ Health. 2014 Mar;217(2-3):294-9. doi: 10.1016/j.ijheh.2013.07.003. Epub 2013 Jul 8.