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Association of diethylhexyl phthalate with obesity-related markers and body mass change from birth to 3 months of age

Authors
 Jin Hee Kim  ;  Hyunkyung Park  ;  Jangwoo Lee  ;  Geumjoon Cho  ;  Sooran Choi  ;  Gyuyeon Choi  ;  Su Young Kim  ;  So-Hee Eun  ;  Eunsook Suh  ;  Sung Koo Kim  ;  Hai-Joong Kim  ;  Gun-Ha Kim  ;  Jeong Jae Lee  ;  Young Don Kim  ;  Soyong Eom  ;  Seunghyo Kim  ;  Hyo-Bang Moon  ;  Jeongim Park  ;  Kyungho Choi  ;  Sungjoo Kim  ;  Sungkyoon Kim 
Citation
 JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, Vol.70(5) : 466-472, 2016 
Journal Title
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH
ISSN
 0143-005X 
Issue Date
2016
Abstract
BACKGROUND: Several studies have suggested potential links of phthalates to obesity in children and adults. Limited evidence, however, has been available for the relations between diethylhexyl phthalate (DEHP) and obesity-related markers or body mass change in early life.

METHODS: 128 healthy pregnant women were recruited and, after delivery, their newborns' first urine and umbilical cord blood samples were collected. We measured urinary levels of two DEHP metabolites, mono-(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP) and mono-(2-ethyl-5-oxohexyl) phthalate (MEOHP). We also measured the levels of leptin, total cholesterol and triglyceride (TG) in cord serum, and used them along with weight, length, head circumference and ponderal index (PI, 100 g/cm(3)) at birth, as obesity-related markers, and estimated the relations between DEHP metabolites and obesity-related markers using generalised linear models. For the evaluation of body mass increase by early life DEHP exposure, body mass index (BMI) z-score change during 3 months after birth by DEHP metabolites in the first urine samples of the newborns were evaluated using logistic regression.

RESULTS: DEHP exposure was associated with decrease of PI and increase of TG (PI, β=-0.11, p=0.070 and TG, β=0.14, p=0.027), especially for boys (PI, β=-0.13, p=0.021; and TG, β=0.19, p=0.025). Moreover, DEHP exposure was positively associated with body mass increase during 3 months after birth (change of BMI z-scores, OR=4.35, p=0.025).

CONCLUSIONS: Our findings suggest that DEHP exposure may affect body mass change in early life through changes of obesity-related markers.
Files in This Item:
T201602381.pdf Download
DOI
10.1136/jech-2015-206315
Appears in Collections:
1. College of Medicine (의과대학) > Research Institute (부설연구소) > 1. Journal Papers
Yonsei Authors
Eom, So Yong(엄소용)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/155746
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