PMID- 27640070 OWN - NLM STAT- MEDLINE DCOM- 20170529 LR - 20180415 IS - 1096-0953 (Electronic) IS - 0013-9351 (Linking) VI - 151 DP - 2016 Nov TI - Association between serum concentrations of persistent organic pollutants and gestational diabetes mellitus in primiparous women. PG - 706-712 LID - S0013-9351(16)30540-0 [pii] LID - 10.1016/j.envres.2016.09.002 [doi] AB - BACKGROUND: There is growing evidence that persistent organic pollutants (POPs) may play an important role in increasing the risk of gestational diabetes mellitus (GDM). OBJECTIVES: The aim of this study was to examine the association between polychlorinated biphenyls (PCBs, 10 congeners) and polybrominated diphenyl ethers (PBDEs, 8 congeners) and GDM in primiparous women with no family history of diabetes in first-degree relatives during the third trimester of pregnancy. METHODS: This case-control study was performed among the three university hospitals of Tehran University of Medical Sciences. Serum samples were collected from cases (n=70) that were diagnosed with GDM and from controls (n=70) with a normal pregnancy that attended the same hospital for a routine prenatal visit. Pollutant levels were analyzed by Gas Chromatography Mass Spectrometry (GC/MS). RESULTS: Logistic regression analyses manifested the positive association between total POPs (sum of total PCBs and PBDEs) (Odds ratio (OR)=1.61, 95% CI: 1.31-1.97, p-value <0.0001) and total PCBs (OR=1.75, 95% CI: 1.35-2.27, p-value<0.0001) and GDM considering confounding variables (age, gestational age, pre-pregnancy body mass index (BMI), and total maternal serum lipid). In addition, we found a positive association between total PBDEs and GDM (OR =2.21; 95% CI: 1.48-3.30, p-value <0.0001). Finally, we found a positive association between Ln PCB 187, 118 and Ln PBDE 99, 28 with GDM. Meanwhile a negative association between Ln PCB 28 and GDM was established. CONCLUSION: Our data suggest that exposure to certain POPs (PCBs and PBDEs) could be a potential modifying risk factor for GDM. CI - Copyright (c) 2016 Elsevier Inc. All rights reserved. FAU - Eslami, Bita AU - Eslami B AD - Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran. FAU - Naddafi, Kazem AU - Naddafi K AD - Center for Air Pollution Research (CAPR), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, Iran. FAU - Rastkari, Noushin AU - Rastkari N AD - Center for Air Pollution Research (CAPR), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, Iran. FAU - Rashidi, Batool Hossein AU - Rashidi BH AD - Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran. FAU - Djazayeri, Abolghasem AU - Djazayeri A AD - Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran. FAU - Malekafzali, Hossein AU - Malekafzali H AD - Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: malek179@gmail.com. LA - eng PT - Journal Article DEP - 20160916 PL - Netherlands TA - Environ Res JT - Environmental research JID - 0147621 RN - 0 (Environmental Pollutants) RN - 0 (Halogenated Diphenyl Ethers) RN - 7REL09ZX35 (pentabromodiphenyl ether) RN - DFC2HB4I0K (Polychlorinated Biphenyls) SB - IM MH - Adult MH - Body Mass Index MH - Case-Control Studies MH - Diabetes, Gestational/*blood MH - Environmental Pollutants/*blood MH - Female MH - Gas Chromatography-Mass Spectrometry MH - Gestational Age MH - Halogenated Diphenyl Ethers/*blood MH - Humans MH - Iran MH - Logistic Models MH - Maternal Exposure/*adverse effects MH - Parity MH - Polychlorinated Biphenyls/*blood MH - Pregnancy OTO - NOTNLM OT - Case-control study OT - Gestational Diabetes Mellitus OT - Persistent Organic Pollutants (POPs) OT - Polybrominated Diphenyl Ethers (PBDEs) OT - Polychlorinated Biphenyls (PCBs) EDAT- 2016/10/21 06:00 MHDA- 2017/05/30 06:00 CRDT- 2016/09/19 06:00 PHST- 2016/04/10 00:00 [received] PHST- 2016/08/28 00:00 [revised] PHST- 2016/09/05 00:00 [accepted] PHST- 2016/10/21 06:00 [pubmed] PHST- 2017/05/30 06:00 [medline] PHST- 2016/09/19 06:00 [entrez] AID - S0013-9351(16)30540-0 [pii] AID - 10.1016/j.envres.2016.09.002 [doi] PST - ppublish SO - Environ Res. 2016 Nov;151:706-712. doi: 10.1016/j.envres.2016.09.002. Epub 2016 Sep 16.