Evidence map›Paper›PMID 28576446›Full record

ArticleJournal of epidemiology2017

Prenatal and childhood exposure to phthalate diesters and sex steroid hormones in 2-, 5-, 8-, and 11-year-old children: A pilot study of the Taiwan Maternal and Infant Cohort Study.

Hui-Ju Wen, Lillian Sie, Pen-Hua Su, Chia-Jui Chuang, Hsiao-Yen Chen, Chien-Wen Sun, Li-Hua Huang, Chao Agnes Hsiung, Shu-Li Julie Wang

Open access · goldAbstract read
In one paragraph

Article in Journal of epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 38 citations in OpenAlex.

  1. Foetal Exposure to Phthalates and Endocrine Effects on the Leydig Cell.Basic & clinical pharmacology & toxicology · 2025
    Review
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  13. Endocrine-disrupting chemicals: implications for human health.The lancet. Diabetes & endocrinology · 2020
    Review
  14. Article
  15. Review
  16. Article
  17. Transcriptomics and metabonomics analyses of maternal DEHP exposure on male offspring.Environmental science and pollution research international · 2018
    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.

Hui-Ju WenNational Institute of Environmental Health Sciences, National Health Research Institutes, Miaoli, Taiwan.
Lillian SieNational Institute of Environmental Health Sciences, National Health Research Institutes, Miaoli, Taiwan.
Pen-Hua SuDepartment of Pediatrics, Chung Shan Medical University Hospital, Taichung, Taiwan.
Chia-Jui ChuangNational Institute of Environmental Health Sciences, National Health Research Institutes, Miaoli, Taiwan; Manufacturing Technology Center, Taiwan Semiconductor Manufacturing Company, Hsinchu, Taiwan.
Hsiao-Yen ChenNational Institute of Environmental Health Sciences, National Health Research Institutes, Miaoli, Taiwan.
Chien-Wen SunNational Institute of Environmental Health Sciences, National Health Research Institutes, Miaoli, Taiwan.
Li-Hua HuangDepartment of Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan.
Chao Agnes HsiungInstitute of Population Health Sciences, National Health Research Institutes, Miaoli, Taiwan.
Shu-Li Julie WangNational Institute of Environmental Health Sciences, National Health Research Institutes, Miaoli, Taiwan; Department of Public Health, College of Public Health, China Medical University, Taichung, Taiwan; Research Center for Environmental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Public Health, National Defense Medical Center, Taipei, Taiwan. Electronic address: slwang@nhri.org.tw.
National Health Research Institutes · TWChung Shan Medical University Hospital · TWKaohsiung Medical University · TW

Funding

Optimizing safety of mother and neonate in a mixed methods learning laboratoryP30HS023506 · AHRQ · STANFORD UNIVERSITY · PI HALAMEK, LOUIS PATRICK · 2014 to 2017
$4.0M
6 · The paper itself

Abstract

backgroundPhthalate diesters are commonly used and have been well established as environmental endocrine disruptors. However, few studies have examined their effects on sex steroid hormones in children. We followed children over time to examine the association between pre- and post-natal phthalate exposure and sex steroid hormone levels at 2, 5, 8, and 11 years of age.

methodsWe recruited 430 pregnant women from central Taiwan from 2000 to 2001 and assessed their children at birth, 2, 5, 8, and 11 years of age. We studies children with at least one measurement for both phthalate and hormone levels during each any of the follow-up time point (n = 193). Estradiol, free testosterone, testosterone, and progesterone were measured from venous blood. Three monoesters of di-2-ethylhexyl phthalate (DEHP), mono-benzyl phthalate, mono-n-butyl phthalate, mono-ethyl phthalate, and mono-methyl phthalate were measured in maternal urine collected during the 3rd trimester and child urine collected at each follow-up point. The sum of mono-2-ethylhexyl phthalate (∑MEHP) was calculated by summing the concentrations of the three DEHP monoesters. Generalized estimating equation regression analysis with repeated measures was used to estimate associations between phthalate metabolites and hormone levels.

resultsAfter adjustment for potential confounders, maternal ∑MEHP level was associated with decreased levels of progesterone in girls (β = -0.309 p = 0.001). The child ∑MEHP concentration was associated with decreased levels of progesterone for girls (β = -0.194, p = 0.003) and with decreased levels of free testosterone for boys (β = -0.124, p = 0.004).

conclusionsEarly-life DEHP exposure may alter sex steroid hormones of children over time, which may pose potential reproductive health risks.

Indexed as

Prenatal Exposure Delayed EffectsAdultChildChild, PreschoolCohort StudiesEnvironmental ExposureFemaleGonadal Steroid HormonesHumansMalePhthalic AcidsPilot ProjectsPregnancyTaiwanGonadal Steroid Hormonesphthalic acidPhthalic AcidsBirth cohortChildrenEndocrine disruptorPhthalate diesterSex steroid hormone

Identifiers

PMID28576446
PMCPMC5608604
OpenAlexW2619270649

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.