PMID- 29089129 OWN - NLM STAT- MEDLINE DCOM- 20180503 LR - 20180503 IS - 1879-1026 (Electronic) IS - 0048-9697 (Linking) VI - 618 DP - 2018 Mar 15 TI - Effects of prenatal di(2-ethylhexyl) phthalate exposure on childhood allergies and infectious diseases: The Hokkaido Study on Environment and Children's Health. PG - 1408-1415 LID - S0048-9697(17)32621-9 [pii] LID - 10.1016/j.scitotenv.2017.09.270 [doi] AB - Phthalates are widely used in consumer products, and experimental studies suggest that exposure to phthalates increase the risk of allergies. However, epidemiologic evidence on the associations between prenatal phthalate exposure and allergies/infectious diseases and cord blood immunoglobulin E (IgE) levels is limited. This study aimed to evaluate the associations between maternal mono(2-ethylhexyl) phthalate (MEHP) levels and cord blood IgE levels at birth (n=127), as well as the risk of allergies/infectious diseases in participants up to 7years of age; the participants were 1.5 (n=248), 3.5 (n=222), 7 (n=184) years of age. Maternal blood MEHP level in the second trimester was measured using gas chromatography-mass spectrometry. Participant characteristics were obtained from the medical birth records and self-administered questionnaires during pregnancy and after delivery. Wheeze and eczema were defined according to the Japanese version of the International Study of Asthma and Allergies in Childhood and the American Thoracic Society-Division of Lung Diseases questionnaire, respectively. Infectious diseases were defined using questionnaires for each specified age. To evaluate the associations between maternal MEHP and allergies or infectious diseases, we used logistic regression analysis and generalized estimating equations analysis. Maternal MEHP levels were negatively associated with cord blood IgE levels and increased risks of allergies and infectious diseases up to 7years of age. This is the first study to investigate the effects of prenatal MEHP exposure on IgE levels at birth and allergies/infectious diseases up to 7years of age. Further epidemiological studies should focus on other phthalate metabolites and their health effects on larger populations. CI - Copyright (c) 2017 Elsevier B.V. All rights reserved. FAU - Ait Bamai, Yu AU - Ait Bamai Y AD - Center for Environmental and Health Sciences, Hokkaido University, North 12, West 7, Kita-ku, Sapporo 060-0812, Japan. FAU - Miyashita, Chihiro AU - Miyashita C AD - Center for Environmental and Health Sciences, Hokkaido University, North 12, West 7, Kita-ku, Sapporo 060-0812, Japan. FAU - Araki, Atsuko AU - Araki A AD - Center for Environmental and Health Sciences, Hokkaido University, North 12, West 7, Kita-ku, Sapporo 060-0812, Japan. FAU - Nakajima, Tamie AU - Nakajima T AD - College of Life and Health Sciences, Chubu University, 1200 Matsumoto-cho, Kasugai 487-8501, Japan. FAU - Sasaki, Seiko AU - Sasaki S AD - Department of Public Health, Graduate School of Medicine, Hokkaido University, Kita 15, Nishi 7, Kita-ku, Sapporo 060-8638, Japan. FAU - Kishi, Reiko AU - Kishi R AD - Center for Environmental and Health Sciences, Hokkaido University, North 12, West 7, Kita-ku, Sapporo 060-0812, Japan. Electronic address: rkishi@med.hokudai.ac.jp. LA - eng PT - Journal Article DEP - 20171028 PL - Netherlands TA - Sci Total Environ JT - The Science of the total environment JID - 0330500 RN - 0 (Environmental Pollutants) RN - 0 (Phthalic Acids) RN - 6O7F7IX66E (phthalic acid) SB - IM MH - Child MH - Communicable Diseases/*epidemiology MH - Environmental Pollutants/*blood MH - Female MH - Humans MH - Hypersensitivity/*epidemiology MH - Japan MH - Male MH - Maternal Exposure/*statistics & numerical data MH - Phthalic Acids/*blood MH - Pregnancy MH - Prenatal Exposure Delayed Effects/*epidemiology OTO - NOTNLM OT - Allergies OT - Children OT - Immunoglobulin E OT - Infectious diseases OT - Prenatal exposure OT - di(2-Ethylhexyl) phthalate EDAT- 2017/11/02 06:00 MHDA- 2018/05/04 06:00 CRDT- 2017/11/02 06:00 PHST- 2017/05/12 00:00 [received] PHST- 2017/09/25 00:00 [revised] PHST- 2017/09/25 00:00 [accepted] PHST- 2017/11/02 06:00 [pubmed] PHST- 2018/05/04 06:00 [medline] PHST- 2017/11/02 06:00 [entrez] AID - S0048-9697(17)32621-9 [pii] AID - 10.1016/j.scitotenv.2017.09.270 [doi] PST - ppublish SO - Sci Total Environ. 2018 Mar 15;618:1408-1415. doi: 10.1016/j.scitotenv.2017.09.270. Epub 2017 Oct 28.