Evidence map›Paper›PMID 36184579›Full record

ArticleRespirology (Carlton, Vic.)2023

Longitudinal effects of prenatal exposure to plastic-derived chemicals and their metabolites on asthma and lung function from childhood into adulthood.

Rachel E Foong, Peter Franklin, Francesca Sanna, Graham L Hall, Peter D Sly, Eric B Thorstensen, Dorota A Doherty, Jeffrey A Keelan, Roger J Hart

Open access · hybridAbstract read
In one paragraph

Article in Respirology (Carlton, Vic.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  7. Article
  8. Article
  9. The association between environmental endocrine-disrupting chemicals and allergic disorders in children: A comprehensive systematic review and meta-analysis.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025
    Review
  10. Transgenerational effects of bisphenol S exposure on the development of experimental asthma.Journal of environmental science and health. Part C, Toxicology and carcinogenesis · 2025
    Article
  11. Article
  12. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Rachel E FoongWal-Yan Centre for Respiratory Research, Telethon Kids Institute, Perth, Western Australia, Australia.ORCID 0000-0002-1201-6785
Peter FranklinSchool of Population Health, University of Western Australia, Perth, Western Australia, Australia.
Francesca SannaWal-Yan Centre for Respiratory Research, Telethon Kids Institute, Perth, Western Australia, Australia.
Graham L HallWal-Yan Centre for Respiratory Research, Telethon Kids Institute, Perth, Western Australia, Australia.ORCID 0000-0002-6217-9494
Peter D SlyChild Health Research Centre, The University of Queensland, South Brisbane, Queensland, Australia.ORCID 0000-0001-6305-2201
Eric B ThorstensenLiggins Institute, University of Auckland, Auckland, New Zealand.
Dorota A DohertyWomen and Infants Research Foundation, King Edward Memorial Hospital, Perth, Western Australia, Australia.
Jeffrey A KeelanWomen and Infants Research Foundation, King Edward Memorial Hospital, Perth, Western Australia, Australia.
Roger J HartWomen and Infants Research Foundation, King Edward Memorial Hospital, Perth, Western Australia, Australia.
The University of Western Australia · AUThe Kids Research Institute Australia · AUThe University of Queensland · AUUniversity of Auckland · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveEnvironmental exposure to phthalates and bisphenol A (BPA), chemicals used in the production of plastics, may increase risk for asthma and allergies. However, little is known about the long-term effects of early life exposure to these compounds. We investigated if prenatal exposure to these compounds was associated with asthma, allergy and lung function outcomes from early childhood into adulthood in a cohort study.

methodsMaternal serum samples collected from 846 pregnant women in the Raine Study were assayed for BPA and phthalate metabolites. The children of these women were followed up at 5, 13 and 22 years where spirometry and respiratory questionnaires were conducted to determine asthma and allergy status. Lung function trajectories were derived from longitudinal spirometry measurements. Multinomial logistic regression and weighted quantile sum regression was used to test associations of individual and chemical mixtures with asthma phenotypes and lung function trajectories.

resultsEffects of prenatal BPA and phthalates on asthma phenotypes were seen in male offspring, where BPA was associated with increased risk for persistent asthma, while mono-iso-butyl phthalate and mono-iso-decyl phthalate was associated with increased risk for adult asthma. Prenatal BPA had no effect on lung function trajectories, but prenatal phthalate exposure was associated with improved lung function.

conclusionPrenatal BPA exposure was associated with increased likelihood of persistent asthma in males, while prenatal phthalate exposure was associated with increased likelihood of adult asthma in males. Results suggest that prenatal exposure to prenatal BPA and phthalates affect asthma risk, particularly in males, however lung function was not adversely affected.

Indexed as

AsthmaHypersensitivityPrenatal Exposure Delayed EffectsBenzhydryl CompoundsBisphenol A CompoundsChild, PreschoolCohort StudiesEnvironmental ExposureFemaleHumansLungMaleMaternal ExposurePhthalic AcidsPregnancyBenzhydryl Compoundsbisphenol ABisphenol A Compoundsphthalic acidPhthalic Acidsasthmaenvironmental exposurelongitudinal birth cohort studylung functionpregnancythe Raine study

Identifiers

PMID36184579
PMCPMC10946907
OpenAlexW4300002547

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.