Evidence map›Paper›PMID 30628845›Full record

ArticleEnvironmental health perspectives2019

Exposure to Perfluoroalkyl Substances during Fetal Life and Pubertal Development in Boys and Girls from the Danish National Birth Cohort.

Andreas Ernst, Nis Brix, Lea Lykke Braskhøj Lauridsen, Jørn Olsen, Erik Thorup Parner, Zeyan Liew, Lars Henning Olsen, Cecilia Høst Ramlau-Hansen

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 3% 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

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 95 citations in OpenAlex.

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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

8 authors at 4 institutions in 2 countries.

Andreas ErnstDepartment of Public Health, Section for Epidemiology, Aarhus University, Aarhus, Denmark.
Nis BrixDepartment of Public Health, Section for Epidemiology, Aarhus University, Aarhus, Denmark.
Lea Lykke Braskhøj LauridsenDepartment of Public Health, Section for Epidemiology, Aarhus University, Aarhus, Denmark.
Jørn OlsenDepartment of Epidemiology, University of California, Los Angeles (UCLA), Los Angeles, California, USA.
Erik Thorup ParnerDepartment of Public Health, Section for Biostatistics, Aarhus University, Aarhus, Denmark.
Zeyan LiewDepartment of Environmental Health Sciences, Yale School of Public Health, New Haven, Connecticut, USA.
Lars Henning OlsenDepartment of Urology, Section for Paediatric Urology, Aarhus University Hospital, Aarhus, Denmark.
Cecilia Høst Ramlau-HansenDepartment of Public Health, Section for Epidemiology, Aarhus University, Aarhus, Denmark.
Aarhus University · DKUniversity of California, Los Angeles · USAarhus University Hospital · DKProvidence Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt remains unsettled whether prenatal exposure to perfluoroalkyl substances (PFASs) affects human reproductive health through potential endocrine disruption.

objectivesWe aimed to explore the associations between prenatal exposure to several PFASs and various aspects of pubertal development in boys and girls.

methodsWe studied two samples ([Formula: see text] and 445) from the Puberty Cohort, nested within the Danish National Birth Cohort (DNBC), measuring PFAS in maternal plasma from early gestation. Data on pubertal development were collected biannually from the age of 11 y until full maturation, using web-based questionnaires. Outcomes were age at menarche, voice break, first ejaculation, and Tanner stages 2 to 5 for pubic hair, breast, genital development, and a combined puberty indicator. A regression model for censored data was used to estimate mean difference (months) in age at achieving the pubertal outcomes across tertiles of PFAS concentrations and with a doubling of PFAS concentrations (continuous). For perfluorooctanoic acid (PFOA) and perfluorooctanesulfonic acid (PFOS), a meta-analysis was used to provide a weighted average of the point estimates from samples 1 and 2.

resultsOverall, prenatal exposure to PFOS, perfluorohexane sulfonate (PFHxS), perfluoroheptane sulfonate (PFHpS), perfluorononanoic acid (PFNA), and perfluorodecanoic acid (PDFA) (girls) and PFHxS and PFHpS (boys) was associated with lower mean age at puberty marker onset. PFDA and PFNA exposure was associated with higher mean age at onset of puberty in boys. Nonmonotonic associations in girls (PFOS, PFHpS, PFDA) and boys (PFDA, PFNA) were observed, showing larger mean age differences for the combined puberty indicator in the middle tertile [girls: PFOS: [Formula: see text] mo, 95% confidence interval (CI): [Formula: see text], [Formula: see text]; PFHpS: [Formula: see text] mo, 95% CI: [Formula: see text], 1.85; PFDA: [Formula: see text] mo, 95% CI: [Formula: see text], 1.83; and boys: PFNA: 4.45 mo, 95% CI: [Formula: see text], 10.21; PFDA: 4.59 mo, 95% CI: [Formula: see text], 10.11] than in the highest tertile with the lowest as reference.

conclusionsOur population-based cohort study suggests sex-specific associations of altered pubertal development with prenatal exposure to PFASs. These findings are novel, and replication is needed. https://doi.org/10.1289/EHP3567.

Indexed as

Prenatal Exposure Delayed EffectsAdolescentChildCohort StudiesDenmarkEndocrine DisruptorsEnvironmental ExposureEnvironmental PollutantsFemaleFluorocarbonsHumansMalePregnancyPubertyEndocrine DisruptorsEnvironmental PollutantsFluorocarbons

Identifiers

PMID30628845
PMCPMC6378681
OpenAlexW2910919969

What OpenQuestion holds

Textmetadata
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.