PMID- 34639400 OWN - NLM STAT- MEDLINE DCOM- 20211025 LR - 20211025 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 18 IP - 19 DP - 2021 Sep 26 TI - Urinary Concentrations of Bisphenol Mixtures during Pregnancy and Birth Outcomes: The MAKE Study. LID - 10.3390/ijerph181910098 [doi] LID - 10098 AB - Bisphenols are endocrine disruptors that may be associated with altered fetal growth in humans, and they have similar biological functions to mimic hormones. In addition, aggregated chemicals showed an adverse effect although individual concentration was at a low level. However, most studies between bisphenols and birth outcomes have focused on the effect of individual bisphenol. Thus, we explored the associations of urinary bisphenol mixtures with birth outcomes. We conducted a prospective birth cohort study in South Korea. One hundred eighty mother-infant pairs were recruited from 2017 to 2019. Bisphenol A (BPA), bisphenol F (BPF), and bisphenol S (BPS) in one spot urine were analyzed using ultra-performance liquid chromatography-tandem mass spectrometry. We used two statistical approaches to examine potential associations of BPA, BPF, and BPS with birth weight and gestational age: (1) multivariable linear regression; (2) Bayesian kernel machine regression (BKMR). The geometric means of BPA, BPF, and BPS were 2.1, 0.2, and 0.1 mug/L, respectively. In stratified linear analyses by each median value, a higher BPF was positively associated with birth weight (g) (beta = 125.5; 95% CI: 45.0 to 205.9). Mixture analyses using BKMR suggested an inverse association between bisphenol mixtures and birth weight. Our findings suggest that in utero bisphenol exposure may influence birth weight and that such relationships may differ considering non-linearity and the combined effect. FAU - Kim, Seyoung AU - Kim S AUID- ORCID: 0000-0002-0191-4272 AD - National Cancer Control Institute, National Cancer Center, Goyang 10408, Korea. FAU - Park, Eunjung AU - Park E AUID- ORCID: 0000-0002-3586-5800 AD - Hanyang University Institute for Rheumatology Research, Seoul 04763, Korea. FAU - Park, Eun-Kyo AU - Park EK AD - Department of Occupational and Environmental Medicine, Ewha Medical Research Institute, Seoul 07804, Korea. FAU - Lee, Seulbi AU - Lee S AD - Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA. FAU - Kwon, Jeoung-A AU - Kwon JA AD - Institute of Health Services Research, Yonsei University, Seoul 03722, Korea. FAU - Shin, Bo-Hye AU - Shin BH AUID- ORCID: 0000-0001-8637-3059 AD - National Cancer Control Institute, National Cancer Center, Goyang 10408, Korea. AD - Department of Population Health Sciences, Faculty of Life Sciences & Medicine, King's College London, London WC2R 2LS, UK. FAU - Kang, Sora AU - Kang S AD - Department of Medical Informatics, School of Medicine, Ajou University, Suwon 16499, Korea. FAU - Park, Eun-Young AU - Park EY AD - National Cancer Control Institute, National Cancer Center, Goyang 10408, Korea. FAU - Kim, Byungmi AU - Kim B AUID- ORCID: 0000-0001-8621-9190 AD - National Cancer Control Institute, National Cancer Center, Goyang 10408, Korea. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210926 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 RN - 0 (Benzhydryl Compounds) RN - 0 (Endocrine Disruptors) RN - 0 (Phenols) RN - MLT3645I99 (bisphenol A) SB - IM MH - Bayes Theorem MH - *Benzhydryl Compounds MH - Cohort Studies MH - *Endocrine Disruptors MH - Female MH - Humans MH - Phenols MH - Pregnancy MH - Prospective Studies PMC - PMC8508042 OTO - NOTNLM OT - Bayesian kernel machine regression OT - birth outcome OT - birth weight OT - bisphenol OT - mixtures analyses COIS- The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2021/10/14 06:00 MHDA- 2021/10/26 06:00 PMCR- 2021/09/26 CRDT- 2021/10/13 01:06 PHST- 2021/08/19 00:00 [received] PHST- 2021/09/20 00:00 [revised] PHST- 2021/09/21 00:00 [accepted] PHST- 2021/10/13 01:06 [entrez] PHST- 2021/10/14 06:00 [pubmed] PHST- 2021/10/26 06:00 [medline] PHST- 2021/09/26 00:00 [pmc-release] AID - ijerph181910098 [pii] AID - ijerph-18-10098 [pii] AID - 10.3390/ijerph181910098 [doi] PST - epublish SO - Int J Environ Res Public Health. 2021 Sep 26;18(19):10098. doi: 10.3390/ijerph181910098.