Evidence map›Paper›PMID 33890111›Full record

ArticleThe Journal of clinical endocrinology and metabolism2021

Life-course Exposure to Perfluoroalkyl Substances in Relation to Markers of Glucose Homeostasis in Early Adulthood.

Damaskini Valvi, Kurt Højlund, Brent A Coull, Flemming Nielsen, Pal Weihe, Philippe Grandjean

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

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  10. Developmental perfluorooctanesulfonic acid exposure impairs exocrine pancreas function in zebrafish (Danio rerio).Toxicological sciences : an official journal of the Society of Toxicology · 2025
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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

6 authors at 4 institutions in 3 countries.

Damaskini ValviDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.ORCID 0000-0003-4633-229X
Kurt HøjlundSteno Diabetes Center Odense, Odense University Hospital, Odense, Denmark.ORCID 0000-0002-0891-4224
Brent A CoullDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Flemming NielsenDepartment of Environmental Medicine, Institute of Public Health, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-5657-405X
Pal WeiheDepartment of Occupational Medicine and Public Health, The Faroese Hospital System, Tórshavn, Faroe Islands.
Philippe GrandjeanDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.ORCID 0000-0003-4046-9658
Harvard University · USSteno Diabetes Centers · DKUniversity of Southern Denmark · DKUniversity of the Faroe Islands · FO

Funding

The Mount Sinai Transdisciplinary Center on Early Environmental ExposuresP30ES023515 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Manish Arora · 2014 to 2026
$21.3M
Sources, Transport, Exposure & Effects of PFAS (STEEP) Center - RENEWALP42ES027706 · NIEHS · UNIVERSITY OF RHODE ISLAND · PI Elsie Mareca Sunderland · 2017 to 2026
$18.9M
Glucose Metabolism in Adults Prenatally Exposed to Diabetogenic PollutantsR01ES021477 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI GRANDJEAN, PHILIPPE ADAM · 2013 to 2017
$3.0M
Perfluoroalkyl substances and non-alcoholic fatty liver disease in children: Leveraging magnetic resonance imaging to unravel potential mechanisms and exposure mixture effectsR21ES035148 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI OULHOTE, YOUSSEF, VALVI, DAMASKINI · 2023 to 2023
$479k
Developmental Exposure to Perfluoroalkyl Substances and Cardiometabolic Outcomes in Adulthood: Potential Links via the Plasma MetabolomeR21ES029328 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI VALVI, DAMASKINI · 2019 to 2020
$425k
NIEHS NIH HHS P30 ES023515NIEHS NIH HHS P42 ES027706NIEHS NIH HHS R01 ES021477NIEHS NIH HHS R21 ES029328NIEHS NIH HHS R21 ES035148
6 · The paper itself

Abstract

objectiveTo investigate the prospective associations of life-course perfluoroalkyl substances (PFASs) exposure with glucose homeostasis at adulthood.

methodsWe calculated insulin sensitivity and beta-cell function indices based on 2-h oral glucose tolerance tests at age 28 in 699 Faroese born in 1986-1987. Five major PFASs were measured in cord whole blood and in serum from ages 7, 14, 22, and 28 years. We evaluated the associations with glucose homeostasis measures by PFAS exposures at different ages using multiple informant models fitting generalized estimating equations and by life-course PFAS exposures using structural equation models.

resultsAssociations were stronger for perfluorooctane sulfonate (PFOS) and suggested decreased insulin sensitivity and increased beta-cell function-for example, β (95% CI) for log-insulinogenic index per PFOS doubling = 0.12 (0.02, 0.22) for prenatal exposures, 0.04 (-0.10, 0.19) at age 7, 0.07 (-0.07, 0.21) at age 14, 0.05 (-0.04, 0.15) at age 22, and 0.04 (-0.03, 0.11) at age 28. Associations were consistent across ages (P for age interaction > 0.10 for all PFASs) and sex (P for sex interaction > 0.10 for all PFASs, except perfluorodecanoic acid). The overall life-course PFOS exposure was also associated with altered glucose homeostasis (P = 0.04). Associations for other life-course PFAS exposures were nonsignificant.

conclusionsLife-course PFAS exposure is associated with decreased insulin sensitivity and increased pancreatic beta-cell function in young adults.

Indexed as

Environmental ExposureAdolescentAdultAlkanesulfonic AcidsBlood GlucoseCaprylatesChildDecanoic AcidsEnvironmental PollutantsFatty AcidsFemaleFluorocarbonsGlucose Tolerance TestHumansInsulin ResistanceInsulin-Secreting CellsAlkanesulfonic AcidsBlood GlucoseCaprylatesDecanoic AcidsEnvironmental PollutantsFatty AcidsFluorocarbonsperfluorodecanoic acidperfluorohexanesulfonic acidperfluoro-n-nonanoic acidperfluorooctane sulfonic acidperfluorooctanoic acidSulfonic Acidsbeta-cell functiondevelopmental exposuresendocrine disruptorsinsulin resistanceperfluoroalkyl substancestype 2 diabetes

Identifiers

PMID33890111
PMCPMC8277200
OpenAlexW3153329471

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.