PMID- 35352222 OWN - NLM STAT- MEDLINE DCOM- 20220825 LR - 20220825 IS - 1614-7499 (Electronic) IS - 0944-1344 (Linking) VI - 29 IP - 38 DP - 2022 Aug TI - Exposure to phthalates in early pregnancy and the risk of fetal growth restriction: a nested case-control study in a Zhuang Chinese population. PG - 57318-57329 LID - 10.1007/s11356-022-19919-z [doi] AB - Phthalates (PAEs) are common endocrine disrupting chemicals (EDCs) that disrupt fetal development. The present study aimed to evaluate the effects of single and coexposure to phthalates in early pregnancy on fetal growth restriction (FGR) by a nested case-control study based on the Guangxi Zhuang Birth Cohort (GZBC). Maternal serum concentrations of seven phthalates in 97 neonates with FGR and 291 matched controls were detected through gas chromatography-mass spectrometry (GC-MS). The associations between phthalates and FGR were analyzed using multiple logistic regression, weight quantile sum (WQS) regression, and Bayesian kernel machine regression (BKMR) models. We found that exposures to butyl-benzyl phthalate (BBP, OR(adj) = 1.849, 95% CI: 1.080-3.177, P(adj) = 0.025, P(trend) = 0.046), di (2-ethyl-hexyl) phthalate (DEHP, OR(adj) = 3.893, 95% CI: 1.305-11.910, P(adj) = 0.015, P(trend) = 0.098) and dimethyl phthalate (DMP, OR(adj) = 1.722, 95% CI: 1.089-2.725, P(adj) = 0.020, P(trend) = 0.002) were significantly positively associated with the risk of FGR, while mono-butyl phthalate (MBP) showed a significant negative association with FGR (OR(high) = 0.192, 95% CI: 0.036-0.795, P(adj) = 0.033, P(trend) = 0.035) only among girls. The WQS model identified that BBP, di(2-ethyl)phthalate (DEP), DMP, DEHP, di-n-butyl phthalate (DBP), and MBP were highly weighted in the association with FGR. The BKMR model supported the positive association between joint exposure to phthalates and the risk of FGR and identified no significant interaction between the seven phthalates. Overall, maternal exposure to BBP, DEHP, and DMP may cause adverse effects on FGR, especially with combined effects. CI - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Guo, Xiaojing AU - Guo X AD - Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning, Guangxi, China. FAU - Sheng, Yonghong AU - Sheng Y AD - Department of Teaching and Research, School of Public Health, Guangxi Medical University, Nanning, Guangxi, China. FAU - Liu, Bihu AU - Liu B AD - Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning, Guangxi, China. FAU - Tang, Peng AU - Tang P AD - Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning, Guangxi, China. FAU - Liu, Runfeng AU - Liu R AD - Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning, Guangxi, China. FAU - Wu, Li AU - Wu L AD - Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning, Guangxi, China. FAU - Chen, Jiehua AU - Chen J AD - Department of Microbiology, School of Basic Medicine, Guangxi Medical University, Nanning, Guangxi, China. FAU - Huang, Dongping AU - Huang D AD - Department of Sanitary Chemistry, School of Public Health, Guangxi Medical University, Nanning, Guangxi, China. FAU - Liu, Shun AU - Liu S AD - Department of Maternal, Child and Adolescent Health, School of Public Health, Guangxi Medical University, Nanning, Guangxi, China. FAU - Qiu, Xiaoqiang AU - Qiu X AUID- ORCID: 0000-0001-9881-3664 AD - Department of Epidemiology and Health Statistics, School of Public Health, Guangxi Medical University, Nanning, Guangxi, China. xqqiu9999@163.com. LA - eng GR - AB17195012/the Guangxi Key Research Program/ GR - 81860587/National Natural Science Foundation of China/ PT - Journal Article DEP - 20220329 PL - Germany TA - Environ Sci Pollut Res Int JT - Environmental science and pollution research international JID - 9441769 RN - 0 (Phthalic Acids) RN - 2286E5R2KE (Dibutyl Phthalate) RN - 6O7F7IX66E (phthalic acid) RN - C42K0PH13C (Diethylhexyl Phthalate) SB - IM MH - Bayes Theorem MH - Case-Control Studies MH - China MH - Dibutyl Phthalate MH - *Diethylhexyl Phthalate MH - Female MH - Fetal Growth Retardation/chemically induced/epidemiology MH - Humans MH - Infant, Newborn MH - *Phthalic Acids/analysis MH - Pregnancy OTO - NOTNLM OT - Coexposure OT - Endocrine disrupting chemicals OT - Fetal growth restriction OT - Nested case-control study OT - Phthalates EDAT- 2022/03/31 06:00 MHDA- 2022/08/26 06:00 CRDT- 2022/03/30 05:43 PHST- 2021/12/07 00:00 [received] PHST- 2022/03/22 00:00 [accepted] PHST- 2022/03/31 06:00 [pubmed] PHST- 2022/08/26 06:00 [medline] PHST- 2022/03/30 05:43 [entrez] AID - 10.1007/s11356-022-19919-z [pii] AID - 10.1007/s11356-022-19919-z [doi] PST - ppublish SO - Environ Sci Pollut Res Int. 2022 Aug;29(38):57318-57329. doi: 10.1007/s11356-022-19919-z. Epub 2022 Mar 29.