Evidence map›Paper›PMID 33356526›Full record

ArticleEnvironmental health perspectives2020

Prenatal Exposure to Per- and Polyfluoroalkyl Substances, Umbilical Cord Blood DNA Methylation, and Cardio-Metabolic Indicators in Newborns: The Healthy Start Study.

Anne P Starling, Cuining Liu, Guannan Shen, Ivana V Yang, Katerina Kechris, Sarah J Borengasser, Kristen E Boyle, Weiming Zhang, Harry A Smith, Antonia M Calafat and 3 more

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
6.4field-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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
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  9. Epigenetic Consequences of In Utero PFAS Exposure: Implications for Development and Long-Term Health.International journal of environmental research and public health · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Anne P StarlingDepartment of Epidemiology, Colorado School of Public Health, Aurora, Colorado, USA.
Cuining LiuDepartment of Biostatistics and Informatics, Colorado School of Public Health, Aurora, Colorado, USA.
Guannan ShenDepartment of Biostatistics and Informatics, Colorado School of Public Health, Aurora, Colorado, USA.
Ivana V YangDepartment of Epidemiology, Colorado School of Public Health, Aurora, Colorado, USA.
Katerina KechrisDepartment of Biostatistics and Informatics, Colorado School of Public Health, Aurora, Colorado, USA.
Sarah J BorengasserDepartment of Pediatrics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Kristen E BoyleDepartment of Pediatrics, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Weiming ZhangDepartment of Biostatistics and Informatics, Colorado School of Public Health, Aurora, Colorado, USA.
Harry A SmithLifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Antonia M CalafatDivision of Laboratory Sciences, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Richard F HammanDepartment of Epidemiology, Colorado School of Public Health, Aurora, Colorado, USA.
John L AdgateDepartment of Environmental and Occupational Health, Colorado School of Public Health, Aurora, Colorado, USA.
Dana DabeleaDepartment of Epidemiology, Colorado School of Public Health, Aurora, Colorado, USA.
Colorado School of Public Health · USUniversity of Colorado Anschutz Medical Campus · USCenters for Disease Control and Prevention · US

Funding

PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Edward L Melanson · 1995 to 2026
$32.6M
The Early Life Exposome and Childhood Health - The Colorado Healthy Start 3 Cohort StudyUH3OD023248 · OD · UNIVERSITY OF COLORADO DENVER · PI Traci Allison Bekelman, Dana Dabelea · 2018 to 2026
$14.8M
Exploring the Fuel-Mediated Programming of Neonatal GrowthR01DK076648 · NIDDK · UNIVERSITY OF COLORADO DENVER/HSC DENVER · PI DABELEA, DANA · 2009 to 2018
$7.0M
Endocrine disruptors, epigenetic programming and neonatal outcomesR01ES022934 · NIEHS · UNIVERSITY OF COLORADO DENVER · PI ADGATE, JOHN L., DABELEA, DANA · 2014 to 2017
$2.3M
A mechanistic study of prenatal air pollution exposure and offspring obesity riskR00ES025817 · NIEHS · UNIVERSITY OF COLORADO DENVER · PI STARLING, ANNE · 2017 to 2019
$713k
Maternal obesity, micronutrient supplementation, and epigenetic programmingK01DK109077 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI BORENGASSER, SARAH JEAN · 2016 to 2018
$403k
NIDDK NIH HHS K01 DK109077NIDDK NIH HHS P30 DK048520NIDDK NIH HHS R01 DK076648NIEHS NIH HHS R00 ES025817NIEHS NIH HHS R01 ES022934NIH HHS UH3 OD023248
6 · The paper itself

Abstract

backgroundPer- and polyfluoroalkyl substances (PFAS) are environmentally persistent chemicals widely detected in women of reproductive age. Prenatal PFAS exposure is associated with adverse health outcomes in children. We hypothesized that DNA methylation changes may result from prenatal PFAS exposure and may be linked to offspring cardio-metabolic phenotype.

objectivesWe estimated associations of prenatal PFAS with DNA methylation in umbilical cord blood. We evaluated associations of methylation at selected sites with neonatal cardio-metabolic indicators.

methodsAmong 583 mother-infant pairs in a prospective cohort, five PFAS were quantified in maternal serum (median 27 wk of gestation). Umbilical cord blood DNA methylation was evaluated using the Illumina HumanMethylation450 array. Differentially methylated positions (DMPs) were evaluated at a false discovery rate

resultsMaternal serum PFAS concentrations were below the median for females in the U.S. general population. Moderate to high pairwise correlations were observed between PFAS concentrations ( DISCUSSION: DNA methylation in umbilical cord blood was associated with maternal serum PFAS concentrations during pregnancy, suggesting potential associations with offspring growth, metabolism, and immune function. Future research should explore whether DNA methylation changes mediate associations between prenatal PFAS exposures and child health outcomes. https://doi.org/10.1289/EHP6888.

Indexed as

BiomarkersDNA MethylationEnvironmental ExposureEnvironmental PollutantsFetal BloodFluorocarbonsHumansInfant, NewbornBiomarkersEnvironmental PollutantsFluorocarbons

Identifiers

PMID33356526
PMCPMC7759236
OpenAlexW3117484463

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.