Evidence map›Paper›PMID 34878787›Full record

ArticleEnvironmental science & technology2021

Prenatal Exposure to Nonpersistent Chemical Mixtures and Offspring IQ and Emotional and Behavioral Problems.

Michiel A van den Dries, Kelly K Ferguson, Alexander P Keil, Anjoeka Pronk, Suzanne Spaan, Akhgar Ghassabian, Susana Santos, Vincent W V Jaddoe, Leonardo Trasande, Henning Tiemeier and 1 more

Abstract read
In one paragraph

Article in Environmental science & technology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

11 authors.

Michiel A van den DriesDepartment of Child and Adolescent Psychiatry, Erasmus MC University Medical Center Rotterdam, Rotterdam, 3015 CN The Netherlands.
Kelly K FergusonEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Durham, North Carolina 27709, United States.ORCID 0000-0001-8467-3250
Alexander P KeilEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, Durham, North Carolina 27709, United States.
Anjoeka PronkDepartment of Risk Analysis for Products in Development, TNO, Utrecht, 3584 CB, The Netherlands.
Suzanne SpaanDepartment of Risk Analysis for Products in Development, TNO, Utrecht, 3584 CB, The Netherlands.
Akhgar GhassabianDepartment of Pediatrics, New York University School of Medicine, New York City, New York 10016, United States.
Susana SantosThe Generation R Study Group, Erasmus MC University Medical Center Rotterdam, The Generation R Study Group, Rotterdam, 3015 CN The Netherlands.
Vincent W V JaddoeThe Generation R Study Group, Erasmus MC University Medical Center Rotterdam, The Generation R Study Group, Rotterdam, 3015 CN The Netherlands.
Leonardo TrasandeDepartment of Pediatrics, New York University School of Medicine, New York City, New York 10016, United States.
Henning TiemeierDepartment of Child and Adolescent Psychiatry, Erasmus MC University Medical Center Rotterdam, Rotterdam, 3015 CN The Netherlands.
Mònica GuxensDepartment of Child and Adolescent Psychiatry, Erasmus MC University Medical Center Rotterdam, Rotterdam, 3015 CN The Netherlands.ORCID 0000-0002-8624-0333

Funding

The NYU Children’s Health & Environment Study: an ECHO CohortUH3OD023305 · OD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Akhgar Ghassabian, Leonardo Trasande · 2018 to 2026
$59.5M
Brain Influences of Phthalates and Bisphenols in AdolescentsR01ES032826 · NIEHS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Akhgar Ghassabian · 2021 to 2026
$2.8M
Preconceptual Bisphenol and Phthalate Effects on Early Embryonic DevelopmentR01ES029779 · NIEHS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI TRASANDE, LEONARDO · 2018 to 2023
$2.7M
Phthalates, BPA, Trajectories of In and Ex Utero Growth and Cardiometabolic RisksR01ES022972 · NIEHS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI TRASANDE, LEONARDO · 2014 to 2018
$2.7M
The Generation R cohort study as an NIEHS resourceZIAES101575 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI FERGUSON, KELLY · 2009 to 2025
$1.2M
Intramural NIH HHS ZIA ES101575NIEHS NIH HHS HHSN273201500003CNIEHS NIH HHS HHSN273201500003ONIEHS NIH HHS R01 ES022972NIEHS NIH HHS R01 ES029779NIEHS NIH HHS R01 ES032826NIH HHS UH3 OD023305
6 · The paper itself

Abstract

Prenatal exposure to nonpersistent chemicals such as phthalates, bisphenols, and organophosphate (OP) pesticides is ubiquitous and occurs in mixtures. So far, epidemiological studies investigating neurodevelopmental consequences of these exposures have mainly been restricted to single-pollutant models. Thus, we studied the association between prenatal exposure to nonpersistent chemical mixtures and child IQ and emotional and behavioral problems. Data came from 782 mother-child pairs. Eleven phthalate, one bisphenol, and five OP pesticide urinary exposure biomarkers were measured three times during pregnancy and averaged. Nonverbal IQ, internalizing and attention problems, aggressive behavior, and autistic traits were assessed at child age 6 years. We used quantile g-computation to estimate the change in each outcome per quartile increase in all chemicals within the mixture. Higher exposure to the mixture was associated with lower nonverbal IQ (-4.0 points (95%CI = -7.0, -1.0), -5.5 points (95%CI = -10.2, -0.9), and -4.6 points (95%CI = -10.8, 1.5) for the second, third, and fourth quartile, respectively, compared to the first quartile). These results were mainly driven by the phthalate mixture. No association was observed with emotional and behavioral problems. Prenatal exposure to nonpersistent chemical mixtures was associated with lower nonverbal IQ in children. Exposure to chemical mixtures during gestation is universal and may impact neurodevelopment.

Indexed as

Environmental PollutantsPhthalic AcidsPrenatal Exposure Delayed EffectsProblem BehaviorChildFemaleHumansOrganophosphorus CompoundsPregnancyEnvironmental PollutantsOrganophosphorus CompoundsPhthalic Acidschemical mixturesendocrine disruptor chemicalsneurodevelopmentnonpersistent chemicalsprenatal exposuresvulnerable population

Identifiers

PMID34878787
PMCPMC11148873

What OpenQuestion holds

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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.