Evidence map›Paper›PMID 30731329›Full record

ArticleEnvironmental research2019

Prenatal and childhood exposure to phthalates and motor skills at age 11 years.

Arin A Balalian, Robin M Whyatt, Xinhua Liu, Beverly J Insel, Virginia A Rauh, Julie Herbstman, Pam Factor-Litvak

Abstract read
In one paragraph

Article in Environmental research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 11% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 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

7 authors at 2 institutions in 1 country.

Arin A BalalianDepartment of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th street, New York, NY 10032, USA. Electronic address: aa3794@columbia.edu.
Robin M WhyattColumbia Center for Children's Environmental Health, Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, 722 West 168th street, New York, NY 10032, USA. Electronic address: rmw5@cumc.columbia.edu.
Xinhua LiuDepartment of Biostatistics, Mailman School of Public Health, Columbia University, 722 West 168th street, New York, NY 10032, USA. Electronic address: xl26@cumc.columbia.edu.
Beverly J InselDepartment of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th street, New York, NY 10032, USA.
Virginia A RauhHeilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, 722 West 168th street, New York, NY 10032, USA. Electronic address: var1@cumc.columbia.edu.
Julie HerbstmanColumbia Center for Children's Environmental Health, Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, 722 West 168th street, New York, NY 10032, USA.
Pam Factor-LitvakDepartment of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th street, New York, NY 10032, USA. Electronic address: prf1@columbia.edu.
Columbia University · USCenter for Children · US

Funding

True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MATTHEW S PERZANOWSKI · 1998 to 2026
$44.7M
HEALTH EFFECTS OF PAH &ETS IN MINORITY WOMEN &NEWBORNSR01ES008977 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PERERA, FREDERICA P · 1997 to 2011
$12.9M
The Columbia Center for Children's Environmental HealthP01ES009600 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PERERA, FREDERICA P · 1999 to 2014
$11.2M
Prenatal Phthalates, Placenta Function and Fetal GrowthR01ES013543 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HERBSTMAN, JULIE BETH · 2005 to 2014
$4.9M
Phthalate Exposure and Inner City Pediatric AsthmaR01ES014393 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WHYATT, ROBIN MARJORIE · 2007 to 2011
$3.1M
Prenatal pyrethroid exposure and child mental, motor and behavioral developmentR01ES021482 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FACTOR-LITVAK, PAM R, HERBSTMAN, JULIE BETH · 2013 to 2016
$1.7M
EPA R836154NIEHS NIH HHS P01 ES009600NIEHS NIH HHS P30 ES009089NIEHS NIH HHS R01 ES008977NIEHS NIH HHS R01 ES013543NIEHS NIH HHS R01 ES014393NIEHS NIH HHS R01 ES021482
6 · The paper itself

Abstract

backgroundPrevious reports suggest that prenatal phthalate exposure is associated with lower scores on measures of motor skills in infants and toddlers. Whether these associations persist into later childhood or preadolescence has not been studied.

methodsIn a follow up study of 209 inner-city mothers and their children the concentrations of mono-n-butyl phthalate (MnBP), monobenzyl phthalate (MBzP), monoisobutyl phthalate (MiBP), monomethyl phthalate (MEP), mono-carboxy-isooctyl phthalate (MCOP), and four di-2-ethylhexyl phthalate metabolites (ΣDEHP) were measured in spot urine sample collected from the women in late pregnancy and from their children at ages 3, 5, and 7 years. The Bruininks-Oseretsky Test of Motor Proficiency short form (BOT-2) was administered at child age 11 to assess gross and fine motor skills.

resultsThe total number of children included in the study was 209. Of the 209 children, 116(55.5%) were girls and 93 were (45%) boys. Among girls, prenatal MnBP(b=-2.09; 95%CI: [-3.43, -0.75]), MBzP (b=-1.14; [95%CI: -2.13, -0.14]), and MiBP(b=-1.36; 95%CI: [-2.51, -0.21] and MEP(b=-1.23 [95%CI: -2.36, -0.11]) were associated with lower total BOT-2 composite score. MnBP (b= -1.43; 95% CI: [-2.44, -0.42]) was associated with lower fine motor scores and MiBP(b = -0.56; 95% CI: [-1.12, -0.01]) and MEP (b = -0.60; 95% CI: [-1.14, -0.06])was associated with lower gross motor scores. Among boys, prenatal MBzP (b = -0.79; 95% CI: [-1.40, -0.19]) was associated with lower fine motor composite score. The associations between MEP measured at age 3 and the BOT-2 gross motor, fine motor and total motor score differed by sex. In boys, there was an inverse association between ΣDEHP metabolites measured in childhood at ages 3 (b = -1.30; 95% CI: [-2.34, -0.26]) and 7 years (b = -0.96; 95% CI: [-1.79, -0.13]), and BOT-2 fine motor composite scores.

conclusionsHigher prenatal exposure to specific phthalates was associated with lower motor function among 11- year old girls while higher postnatal exposure to ΣDEHP metabolites was associated with lower scores among boys. As lower scores on measures of motor development have been associated with more problems in cognitive, socioemotional functioning and behavior, the findings of this study have implications related to overall child development.

Indexed as

Environmental PollutantsPhthalic AcidsChildChild DevelopmentChild, PreschoolDiethylhexyl PhthalateEnvironmental ExposureFemaleFollow-Up StudiesHumansInfantMaleMotor SkillsPregnancyDiethylhexyl PhthalateEnvironmental Pollutantsphthalic acidPhthalic AcidsAdolescence developmentMotor developmentPerinatal exposurePhthalates

Identifiers

PMID30731329
PMCPMC6814270
OpenAlexW2911445333

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Registered trials

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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.