Evidence map›Paper›PMID 25230320›Full record

ArticleEnvironmental health perspectives2014

Asthma in inner-city children at 5-11 years of age and prenatal exposure to phthalates: the Columbia Center for Children's Environmental Health Cohort.

Robin M Whyatt, Matthew S Perzanowski, Allan C Just, Andrew G Rundle, Kathleen M Donohue, Antonia M Calafat, Lori A Hoepner, Frederica P Perera, Rachel L Miller

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 3 pooled it
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 3 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Pooled it
  2. Phthalate Exposures and Placental Health in Animal Models and Humans: A Systematic Review.Toxicological sciences : an official journal of the Society of Toxicology · 2022
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
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  9. Article
  10. The association between environmental endocrine-disrupting chemicals and allergic disorders in children: A comprehensive systematic review and meta-analysis.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025
    Review
  11. Article
  12. Article
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  14. Review
  15. Article
  16. Article
  17. Article
  18. A study on the association of placental and maternal urinary phthalate metabolites.Journal of exposure science & environmental epidemiology · 2023
    Article
  19. Environmental Health Knowledge Does Not Necessarily Translate to Action in Youth.International journal of environmental research and public health · 2023
    Article
  20. Mycotoxins fromMycology · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Robin M WhyattDepartment of Environmental Health Sciences, Columbia Center for Children's Environmental Health, Mailman School of Public Health, Columbia University, New York, New York, USA.
Matthew S Perzanowski
Allan C Just
Andrew G Rundle
Kathleen M Donohue
Antonia M Calafat
Lori A Hoepner
Frederica P Perera
Rachel L Miller
Center for Children · USColumbia University · USCenters for Disease Control and Prevention · US

Funding

True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MATTHEW S PERZANOWSKI · 1998 to 2026
$44.7M
The Columbia Center for Children's Environmental HealthP01ES009600 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PERERA, FREDERICA P · 1999 to 2014
$11.2M
Urban Diesel Exposure and Inner City AsthmaR01ES013163 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MILLER, RACHEL L · 2005 to 2016
$6.5M
Phthalate Exposure and Inner City Pediatric AsthmaR01ES014393 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WHYATT, ROBIN MARJORIE · 2007 to 2011
$3.1M
NIEHS NIH HHS P01 ES009600NIEHS NIH HHS P01 ES09600/RD83214101NIEHS NIH HHS P30 ES009089NIEHS NIH HHS P30ES009089NIEHS NIH HHS R01 ES013163NIEHS NIH HHS R01 ES014393NIEHS NIH HHS R01ES014393NIEHS NIH HHS R01ES13163
6 · The paper itself

Abstract

backgroundStudies suggest that phthalate exposures may adversely affect child respiratory health.

objectivesWe evaluated associations between asthma diagnosed in children between 5 and 11 years of age and prenatal exposures to butylbenzyl phthalate (BBzP), di-n-butyl phthalate (DnBP), di(2-ethylhexyl) phthalate (DEHP), and diethyl phthalate (DEP).

methodsPhthalate metabolites were measured in spot urine collected from 300 pregnant inner-city women. Children were examined by an allergist or pulmonologist based on the first parental report of wheeze, other respiratory symptoms, and/or use of asthma rescue/controller medication in the preceding 12 months on repeat follow-up questionnaires. Standardized diagnostic criteria were used to classify these children as either having or not having current asthma at the time of the physician examination. Children without any report of wheeze or the other asthma-like symptoms were classified as nonasthmatics at the time of the last negative questionnaire. Modified Poisson regression analyses were used to estimate relative risks (RR) controlling for specific gravity and potential confounders.

resultsOf 300 children, 154 (51%) were examined by a physician because of reports of wheeze, other asthma-like symptoms, and/or medication use; 94 were diagnosed with current asthma and 60 without current asthma. The remaining 146 children were classified as nonasthmatic. Compared with levels in nonasthmatics, prenatal metabolites of BBzP and DnBP were associated with a history of asthma-like symptoms (p < 0.05) and with the diagnosis of current asthma: RR = 1.17 (95% CI: 1.01, 1.35) and RR = 1.25 (95% CI: 1.04, 1.51) per natural log-unit increase, respectively. Risk of current asthma was > 70% higher among children with maternal prenatal BBzP and DnBP metabolite concentrations in the third versus the first tertile.

conclusionPrenatal exposure to BBzP and DnBP may increase the risk of asthma among inner-city children. However, because this is the first such finding, results require replication.

Indexed as

AdultAsthmaChildChild, PreschoolEnvironmental ExposureEnvironmental PollutantsFemaleHumansMaleNew YorkPhthalic AcidsPregnancyPrenatal Exposure Delayed EffectsRespiratory SoundsUrban HealthEnvironmental PollutantsPhthalic Acids

Identifiers

PMID25230320
PMCPMC4181924
OpenAlexW2164500422

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.