Evidence map›Paper›PMID 34284018›Full record

ArticleEnvironmental research2021

Associations of single and multiple per- and polyfluoroalkyl substance (PFAS) exposure with vitamin D biomarkers in African American women during pregnancy.

Che-Jung Chang, Dana Boyd Barr, Qiang Zhang, Anne L Dunlop, Melissa M Smarr, Kurunthachalam Kannan, Parinya Panuwet, Vin Tangpricha, Liuhua Shi, Donghai Liang and 2 more

Open access · greenAbstract read
In one paragraph

Article in Environmental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 33 citations in OpenAlex.

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  6. 1α,25(OH)Journal of endocrinological investigation · 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

12 authors at 3 institutions in 1 country.

Che-Jung ChangGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Dana Boyd BarrGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Qiang ZhangGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Anne L DunlopNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Melissa M SmarrGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Kurunthachalam KannanDepartment of Pediatrics and Department of Environmental Medicine, New York University School of Medicine, New York, NY, USA.
Parinya PanuwetGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Vin TangprichaDivision of Endocrinology, Metabolism & Lipids, Department of Medicine, School of Medicine, Emory University, Atlanta, GA, USA.
Liuhua ShiGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Donghai LiangGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Elizabeth J CorwinSchool of Nursing, Columbia University, New York, NY, USA.
P Barry RyanGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA. Electronic address: bryan@emory.edu.
Emory University · USColumbia University · USNew York University · US

Funding

Pilot Project ProgramP30ES019776 · NIEHS · EMORY UNIVERSITY · PI William Michael Caudle · 2013 to 2026
$22.6M
Wadsworth Center's Human Health and Exposure Analysis Resource (WC-HHEAR)U2CES026542 · NIEHS · WADSWORTH CENTER · PI KANNAN, KURUNTHACHALAM, PARSONS, PATRICK J. · 2015 to 2025
$15.6M
The Impact of the Intrauterine and Early Childhood Environments on Neurocognitive and Metabolic Development in African American Youth: Focus on the Gut-Brain AxisUH3OD023318 · OD · EMORY UNIVERSITY · PI PATRICIA A BRENNAN, ANNE Lang DUNLOP · 2018 to 2026
$9.0M
National Exposure Assessment Laboratory at EmoryU2CES026560 · NIEHS · EMORY UNIVERSITY · PI WALLER, LANCE A · 2015 to 2015
$8.3M
The Impact of the Intrauterine and Early Childhood Environments on Neurocognitive and Metabolic Development in African American Youth: Focus on the Gut-Brain AxisUG3OD023318 · OD · EMORY UNIVERSITY · PI BRENNAN, PATRICIA A, DUNLOP, ANNE LANG · 2016 to 2024
$4.5M
Maternal Stress and the Gut-Brain Axis in African American InfantsR01MD009746 · NIMHD · EMORY UNIVERSITY · PI BRENNAN, PATRICIA A, CORWIN, ELIZABETH JEANNE · 2015 to 2019
$3.6M
Microbiome, Environment, and Neurodevelopmental Delay (MEND)P50ES026071 · NIEHS · EMORY UNIVERSITY · PI JONES, DEAN PAUL · 2015 to 2018
$3.3M
Biobehavioral Determinants of the Microbiome and Preterm Birth in Black WomenR01NR014800 · NINR · EMORY UNIVERSITY · PI CORWIN, ELIZABETH JEANNE, DUNLOP, ANNE LANG · 2013 to 2017
$2.8M
Maintenance and Enhancement of the Atlanta African American Maternal-Child Cohort: Exposome Profiling via High-resolution Metabolomics and Integration of Microbiome-Metabolome-Epigenome DataR24ES029490 · NIEHS · EMORY UNIVERSITY · PI ANNE Lang DUNLOP, Dean Paul Jones · 2018 to 2026
$2.4M
Epigenetic and Biobehavioral Determinants of Preterm Birth in Black WomenR01MD009064 · NIMHD · EMORY UNIVERSITY · PI DUNLOP, ANNE LANG, SMITH, ALICIA K · 2014 to 2018
$1.9M
Maintenance and Enhancement of the Atlanta African American Maternal-Child CohortU24ES029490 · NIEHS · EMORY UNIVERSITY · PI DUNLOP, ANNE LANG, JONES, DEAN PAUL · 2024 to 2025
$743k
NIEHS NIH HHS P30 ES019776NIEHS NIH HHS P50 ES026071NIEHS NIH HHS R24 ES029490NIEHS NIH HHS U24 ES029490NIEHS NIH HHS U2C ES026542NIEHS NIH HHS U2C ES026560NIH HHS UG3 OD023318NIH HHS UH3 OD023318NIMHD NIH HHS R01 MD009064NIMHD NIH HHS R01 MD009746NINR NIH HHS R01 NR014800
6 · The paper itself

Abstract

Vitamin D has been linked to various physiological functions in pregnant women and their fetuses. Previous studies have suggested that some per- and polyfluoroalkyl substances (PFAS) may alter serum vitamin D concentrations. However, no study has investigated the relationship between PFAS and vitamin D in pregnant women. This study aims to evaluate the associations of serum PFAS with serum total and free 25-hydroxyvitamin D (25(OH)D) during pregnancy in a cohort of African American women in Atlanta, GA. Blood samples from 442 participants were collected in early pregnancy (8-14 weeks of gestation) for PFAS and 25(OH)D measurements, and additional samples were collected in late pregnancy (24-30 weeks) for the second 25(OH)D measurements. We fit multivariable linear regressions and weighted quantile sum (WQS) regressions to estimate the associations of individual PFAS and their mixtures with 25(OH)D concentrations. We found mostly positive associations of total 25(OH)D with PFHxS (perfluorohexane sulfonic acid), PFOS (perfluorooctane sulfonic acid), PFDA (perfluorodecanoic acid), and NMeFOSAA (N-methyl perfluorooctane sulfonamido acetic acid), and negative associations with PFPeA (perfluoropentanoic acid). For free 25(OH)D, positive associations were observed with PFHxS, PFOS, PFOA (perfluorooctanoic acid), and PFDA, and a negative association with PFPeA among the women with male fetuses in the models using 25(OH)D measured in late pregnancy. In mixture models, a quartile increase in WQS index was associated with 2.88 ng/mL (95%CI 1.14-4.59) and 5.68 ng/mL (95%CI 3.31-8.04) increases in total 25(OH)D measured in the early and late pregnancy, respectively. NMeFOSAA, PFDA, and PFOS contributed the most to the overall effects among the eight PFAS. No association was found between free 25(OH)D and the PFAS mixture. These results suggest that PFAS may affect vitamin D biomarker concentrations in pregnant African American women, and some of the associations were modified by fetal sex.

Indexed as

Alkanesulfonic AcidsEnvironmental PollutantsFluorocarbonsBiomarkersBlack or African AmericanFemaleHumansMalePregnancyVitamin DAlkanesulfonic AcidsBiomarkersEnvironmental PollutantsFluorocarbonsVitamin DChemical mixturesEndocrine disruptorsPer- and polyfluoroalkyl substance (PFAS)Vitamin DWeighted quantile sum (WQS) regression

Identifiers

PMID34284018
PMCPMC8578284
OpenAlexW3186574172

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Registered trials

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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.