Evidence map›Paper›PMID 30940137›Full record

ArticleEnvironmental health : a global access science source2019

A repeated measures study of phenol, paraben and Triclocarban urinary biomarkers and circulating maternal hormones during gestation in the Puerto Rico PROTECT cohort.

Amira M Aker, Kelly K Ferguson, Zaira Y Rosario, Bhramar Mukherjee, Akram N Alshawabkeh, Antonia M Calafat, José F Cordero, John D Meeker

Open access · goldAbstract read
In one paragraph

Article in Environmental health : a global access science source, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 3 pooled it
6.9field-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

46 citing papers in PubMed, 3 syntheses or guidelines pooled it, 116 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Bisphenol S and female reproductive toxicity: a scoping review of human studies.Journal of exposure science & environmental epidemiology · 2026
    Article
  6. Article
  7. Review
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  11. Associations among PMEnvironmental research communications · 2025
    Article
  12. Article
  13. Gestational exposure to PMEnvironmental epidemiology (Philadelphia, Pa.) · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Review
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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 6 institutions in 2 countries.

Amira M AkerDepartment of Environmental Health Sciences, University of Michigan School of Public Health, Room 1835 SPH I, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA.
Kelly K FergusonDepartment of Environmental Health Sciences, University of Michigan School of Public Health, Room 1835 SPH I, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA.
Zaira Y RosarioGraduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, San Juan, PR, USA.
Bhramar MukherjeeDepartment of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Akram N AlshawabkehCollege of Engineering, Northeastern University, Boston, MA, USA.
Antonia M CalafatCenters for Disease Control and Prevention, Atlanta, GA, USA.
José F CorderoCollege of Public Health, University of Georgia, Athens, GA, USA.
John D MeekerDepartment of Environmental Health Sciences, University of Michigan School of Public Health, Room 1835 SPH I, 1415 Washington Heights, Ann Arbor, MI, 48109-2029, USA. meekerj@umich.edu.
University of Michigan–Ann Arbor · USCenters for Disease Control and Prevention · USNational Institute of Environmental Health Sciences · USNortheastern University · USUniversity of Georgia · USUniversity of Puerto Rico, Medical Sciences Campus · PR

Funding

Research Experiences and Training Coordination CoreP42ES017198 · NIEHS · NORTHEASTERN UNIVERSITY · PI HARRIS, SEAN M · 2010 to 2024
$38.6M
Environmental Influences on Child Health Outcomes in Puerto Rico (ECHO-PRO)UH3OD023251 · OD · NORTHEASTERN UNIVERSITY · PI Akram N Alshawabkeh · 2018 to 2026
$24.0M
Strategic Vision & Impact on Environmental HealthP30ES017885 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Dana Dolinoy · 2011 to 2026
$21.3M
Environmental Influences on Child Health Outcomes in Puerto Rico (ECHO-PRO)UG3OD023251 · OD · NORTHEASTERN UNIVERSITY · PI ALSHAWABKEH, AKRAM N · 2016 to 2024
$13.0M
Toxicogenomics-based Mechanistic Multimedia Exposure Assessment and Child DevelopmentP50ES026049 · NIEHS · NORTHEASTERN UNIVERSITY · PI SUH, HELEN · 2015 to 2018
$3.6M
NIEHS NIH HHS P30 ES017885NIEHS NIH HHS P42 ES017198NIEHS NIH HHS P42ES017198NIEHS NIH HHS P50 ES026049NIEHS NIH HHS P50ES026049NIH HHS UG3 OD023251NIH HHS UG3OD023251NIH HHS UH3 OD023251NIH HHS UH3OD023251
6 · The paper itself

Abstract

introductionPrenatal exposure to some phenols and parabens has been associated with adverse birth outcomes. Hormones may play an intermediate role between phenols and adverse outcomes. We examined the associations of phenol and paraben exposures with maternal reproductive and thyroid hormones in 602 pregnant women in Puerto Rico. Urinary triclocarban, phenol and paraben biomarkers, and serum hormones (estriol, progesterone, testosterone, sex-hormone-binding globulin (SHBG), corticotropin-releasing hormone (CRH), total triiodothyronine (T3), total thyroxine (T4), free thyroxine (FT4) and thyroid-stimulating hormone (TSH)) were measured at two visits during pregnancy.

methodsLinear mixed models with a random intercept were constructed to examine the associations between hormones and urinary biomarkers. Results were additionally stratified by study visit. Results were transformed to hormone percent changes for an inter-quartile-range difference in exposure biomarker concentrations (%Δ).

resultsBisphenol-S was associated with a decrease in CRH [(%Δ -11.35; 95% CI: -18.71, - 3.33), and bisphenol-F was associated with an increase in FT4 (%Δ: 2.76; 95% CI: 0.29, 5.22). Butyl-, methyl- and propylparaben were associated with decreases in SHBG [(%Δ: -5.27; 95% CI: -9.4, - 1.14); (%Δ: -3.53; 95% CI: -7.37, 0.31); (%Δ: -3.74; 95% CI: -7.76, 0.27)]. Triclocarban was positively associated with T3 (%Δ: 4.08; 95% CI: 1.18, 6.98) and T3/T4 ratio (%Δ: 4.67; 95% CI: -1.37, 6.65), and suggestively negatively associated with TSH (%Δ: -10.12; 95% CI: -19.47, 0.32). There was evidence of susceptible windows of vulnerability for some associations. At 24-28 weeks gestation, there was a positive association between 2,4-dichlorophenol and CRH (%Δ: 9.66; 95% CI: 0.67, 19.45) and between triclosan and estriol (%Δ: 13.17; 95% CI: 2.34, 25.2); and a negative association between triclocarban and SHBG (%Δ: -9.71; 95% CI:-19.1, - 0.27) and between bisphenol A and testosterone (%Δ: -17.37; 95% CI: -26.7, - 6.87).

conclusionPhenols and parabens are associated with hormone levels during pregnancy. Further studies are required to substantiate these findings.

Indexed as

AdultBiomarkersCarbanilidesCohort StudiesEnvironmental MonitoringEnvironmental PollutantsFemaleHormonesHumansMaternal ExposureParabensPhenolsPregnancyPuerto RicoYoung AdultBiomarkersCarbanilidesEnvironmental PollutantsHormonesParabensPhenolstriclocarbanEndocrine disruptionIn-uteroParabensPhenolsPregnancyReproductive hormonesThyroid hormonesTriclocarban

Identifiers

PMID30940137
PMCPMC6444601
OpenAlexW2932210479

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.