Evidence map›Paper›PMID 31663775›Full record

ArticleEnvironmental health perspectives2019

Exposure to Bisphenol A and Bisphenol S and Incident Type 2 Diabetes: A Case-Cohort Study in the French Cohort D.E.S.I.R.

Fanny Rancière, Jérémie Botton, Rémy Slama, Marlène Z Lacroix, Laurent Debrauwer, Marie Aline Charles, Ronan Roussel, Beverley Balkau, Dianna J Magliano, D.E.S.I.R. Study Group

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 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
7.6field-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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 122 citations in OpenAlex.

  1. Pooled it
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  9. International journal of molecular sciences · 2025
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  12. Consumption of Bottled Water and Chronic Diseases: A Nationwide Cross-Sectional Study.International journal of environmental research and public health · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

Fanny RancièreCentre of Research in Epidemiology and Statistics (CRESS), Unité mixte de recherche (UMR) 1153, Institut national de la santé et de la recherche médicale (Inserm), Université de Paris, Paris, France.
Jérémie BottonFaculté de Pharmacie, Université Paris-Saclay, Châtenay-Malabry, France.
Rémy SlamaTeam of Environmental Epidemiology Applied to Reproduction and Respiratory Health, U1209, Institute for Advanced Biosciences (IAB), Inserm-Centre national de la recherche scientifique (CNRS) and Université Grenoble-Alpes joint research center, Grenoble, France.
Marlène Z LacroixToxalim, Université de Toulouse, Institut national de la recherche agronomique (INRA), National Veterinary College of Toulouse (ENVT), Institut National Polytechnique de Toulouse (INPT-EI Purpan), Université Toulouse III - Paul Sabatier (UPS), Toulouse, France.
Laurent DebrauwerToxalim, Université de Toulouse, Institut national de la recherche agronomique (INRA), National Veterinary College of Toulouse (ENVT), Institut National Polytechnique de Toulouse (INPT-EI Purpan), Université Toulouse III - Paul Sabatier (UPS), Toulouse, France.
Marie Aline CharlesCentre of Research in Epidemiology and Statistics (CRESS), Unité mixte de recherche (UMR) 1153, Institut national de la santé et de la recherche médicale (Inserm), Université de Paris, Paris, France.
Ronan RousselCentre de Recherche des Cordeliers, UMRS 1138, Inserm, Paris, France.
Beverley BalkauCentre for Research in Epidemiology and Population Health (CESP), UMRS 1018, Inserm, Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Université Paris-Saclay, Villejuif, France.
Dianna J MaglianoDiabetes and Population Health, Baker Heart and Diabetes Institute, Melbourne, Australia.
D.E.S.I.R. Study GroupInstitut inter-Régional pour la Santé (IRSA), La Riche, France.
Inserm · FRUniversité Toulouse III - Paul Sabatier · FRBaker Heart and Diabetes Institute · AUCentre National de la Recherche Scientifique · FRInstitut de Recherche en Santé, Environnement et Travail · FRUniversité Paris-Saclay · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe question of whether exposure to bisphenol A (BPA) contributes to the development of type 2 diabetes is still unresolved. Most epidemiological evidence on the association between BPA and diabetes is from cross-sectional studies or longitudinal studies with single urinary measurements. No prospective study has examined exposure to BPA analogs such as bisphenol S (BPS) in relation to incident type 2 diabetes.

objectivesWe aimed to investigate whether exposure to BPA and BPS, assessed at up to two time points, was associated with the incidence of type 2 diabetes.

methodsWe performed a case-cohort study on 755 participants without diabetes at baseline and followed-up over 9 y as part of the French prospective cohort Data from an Epidemiological Study on the Insulin Resistance Syndrome (D.E.S.I.R.). BPA-glucuronide (BPA-G) and BPS-glucuronide (BPS-G) were assessed in fasting spot urine samples collected during the health examinations at baseline and 3 y later. Associations with incident diabetes were examined using Prentice-weighted Cox regression models adjusted for potential confounders.

resultsA total of 201 incident cases of type 2 diabetes were diagnosed over the follow-up, including 30 in the subcohort. Compared with participants with the lowest average BPA exposure (below the first quartile), participants in the second, third, and fourth quartile groups of exposure had a near doubling of the risk of type 2 diabetes, with a hazard ratio DISCUSSION: This study shows positive associations between exposure to BPA and BPS and the incidence of type 2 diabetes, independent of traditional diabetes risk factors. Our results should be confirmed by recent, population-based observational studies in different populations and settings. Overall, these findings raise concerns about using BPS as a BPA substitute. Further research on BPA analogs is warranted. https://doi.org/10.1289/EHP5159.

Indexed as

AdultBenzhydryl CompoundsBisphenol A CompoundsBisphenol S CompoundsCohort StudiesDiabetes Mellitus, Type 2Environmental ExposureEnvironmental PollutantsFemaleFranceHumansIncidenceMalePhenolsRisk FactorsSulfonesBenzhydryl Compoundsbisphenol ABisphenol A Compoundsbisphenol SBisphenol S CompoundsEnvironmental PollutantsPhenolsSulfones

Identifiers

PMID31663775
PMCPMC6867193
OpenAlexW2982356922

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.