Evidence map›Paper›PMID 31665456›Full record

ArticleThe Journal of clinical endocrinology and metabolism2020

Associations of Exposure to Perfluoroalkyl Substances With Thyroid Hormone Concentrations and Birth Size.

Christina Xiao, Philippe Grandjean, Damaskini Valvi, Flemming Nielsen, Tina Kold Jensen, Pal Weihe, Youssef Oulhote

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
4.2field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 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 4 institutions in 4 countries.

Christina XiaoDepartment of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
Philippe GrandjeanDepartment of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
Damaskini ValviDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, New York.
Flemming NielsenDepartment of Environmental Medicine, University of Southern Denmark, Odense, Denmark.
Tina Kold JensenDepartment of Environmental Medicine, University of Southern Denmark, Odense, Denmark.
Pal WeiheThe Faroese Hospital System, Tórshavn, Faroe Islands.
Youssef OulhoteDepartment of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
Harvard University · USUniversity of Southern Denmark · DKIcahn School of Medicine at Mount Sinai · USUniversity of the Faroe Islands · FO

Funding

Sources, Transport, Exposure & Effects of PFAS (STEEP) Center - RENEWALP42ES027706 · NIEHS · UNIVERSITY OF RHODE ISLAND · PI Elsie Mareca Sunderland · 2017 to 2026
$18.9M
Epidemiology of Immunotoxicant Exposure in ChildrenR01ES012199 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI GRANDJEAN, PHILIPPE ADAM · 2004 to 2015
$3.4M
Effects of perinatal endocrine disrupters in childrenR01ES011681 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI GRANDJEAN, PHILIPPE ADAM · 2001 to 2004
$1.3M
Inflammation and metabolic abnormalities in pollutant-exposed childrenR01ES026596 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI GRANDJEAN, PHILIPPE ADAM · 2017 to 2018
$321k
NIEHS NIH HHS P42 ES027706NIEHS NIH HHS R01 ES011681NIEHS NIH HHS R01 ES012199NIEHS NIH HHS R01 ES026596
6 · The paper itself

Abstract

backgroundAdequate thyroid function during pregnancy is essential for optimal fetal growth. Gestational exposure to perfluoroalkyl substances (PFAS) can negatively affect birth size and disrupt maternal and neonatal thyroid function, although the interrelationship is unclear.

objectiveWe aimed to quantify the associations between maternal serum-PFAS concentrations and birth weight, birth length, and cranial circumference. We also aimed to estimate associations between PFAS and thyroid hormone (TH) concentrations, thereby elucidating whether THs potentially mediate the associations between PFAS concentrations and birth size.

methodsWe studied a population-based prospective cohort of 172 mother-singleton pairs from the Faroe Islands. Twelve PFAS were measured in maternal serum obtained at 34 weeks of gestation. THs were measured in maternal and cord serum. Associations between PFAS concentrations and birth size and TH concentrations were estimated using multivariable linear regressions. Sex-stratified analyses along with a mediation analysis were performed to estimate potential mediating effects of THs in the association between PFAS and birth outcomes.

resultsSeveral PFASs were negatively associated with birth weight, length, and head circumference, and a general positive association between maternal serum-PFASs and cord serum-thyroid-stimulating hormone (TSH; also known as thyrotropin) was found. For instance, a doubling in perfluorooctane sulfonate (PFOS) and perfluorooctanoic acid (PFOA) was associated with a 53% (95% CI, 18%-99%) and 40% (95% CI, 8%-81%) increases in TSH concentrations, respectively. There was little evidence of sexually dimorphic associations. Overall, THs were not found to mediate associations between PFASs and birth size.

conclusionIn this study, several PFASs were negatively associated with birth size and increased THs; however, this did not explain lower birth weight among children exposed to PFAS.

Indexed as

AdultAlkanesulfonic AcidsAnimalsBirth WeightBody SizeCaprylatesDenmarkFemaleFetal DevelopmentFluorocarbonsHumansInfant, NewbornMaleMaternal AgeMaternal ExposurePregnancyAlkanesulfonic AcidsCaprylatesFluorocarbonsperfluorooctane sulfonic acidperfluorooctanoic acidThyroid HormonesWater Pollutants, Chemicalbirth outcomesfetal developmentmediation analysisperfluoroalkyl substancespregnant womenthyroid hormones

Identifiers

PMID31665456
PMCPMC7112969
OpenAlexW2982434330

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.