Evidence map›Paper›PMID 40122280›Full record

ArticleJournal of advanced research2026

From repellent to risk: DEET's adverse effects on hormones and bone health in kids.

Xinyu Zhu, Wanlu Liu, Baihao Lin, Haixia Qian, Mengya Xu, Yuyu Zheng, Yansen Bai

Abstract read
In one paragraph

Article in Journal of advanced research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Xinyu ZhuSchool of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou 511436, China.
Wanlu LiuSchool of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou 511436, China.
Baihao LinSchool of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou 511436, China.
Haixia QianWuchang District Center for Disease Control and Prevention, Wuhan, Hubei, China.
Mengya XuSchool of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou 511436, China.
Yuyu ZhengSchool of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou 511436, China.
Yansen BaiSchool of Public Health, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou 511436, China. Electronic address: baiyansen6@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEarly life bone accumulation, which predicts future fragility fracture risk, is intimately associated with sex hormones. N, N-diethyl-3-methylbenzamide (DEET) is the primary and most effective active ingredient widely used globally, especially among children and adolescents. However, the effects of DEET on sex hormones and bone mass remain unclear.

objectiveWe aimed to explore the adverse effects of DEET exposure on bone mass and to elucidate the potential mediating roles of sex hormones in children and adolescents.

methodsThis cross-sectional study analyzed 864 children and adolescents from NHANES 2013-2016. Urinary 3-diethyl-carbamoyl benzoic acid (DCBA) was employed as a biomarker for DEET exposure. The study examined the relationships between DCBA, sex hormones, and bone mass, with a particular focus on evaluating the independent and serial mediation effects of sex hormones on DEET-bone mass associations.

resultsIncreased DCBA was associated with decreased testosterone (TT), estrogen (E2), and free androgen index (FAI), alongside an increase in sex hormone-binding globulin (SHBG) levels, particularly pronounced among subjects < 12 years [β% (95 % CI) = -0.081 (-0.144, -0.017), -0.064 (-0.114, -0.013), -0.101 (-0.177, -0.024), and 0.020 (-0.009, 0.048), respectively] and non-overweight subjects [β% (95 % CI) = -0.160 (-0.234, -0.086), -0.103 (-0.158, -0.048), -0.195 (-0.282, -0.107), and 0.035 (0.012, 0.058), respectively]. Negative dose-response relationships between DCBA and bone mass were observed in non-overweight participants [β% (95 % CI) = -0.011 (-0.018, -0.005) and -0.027 (-0.041, -0.013) for total bone mineral density (BMD) and total bone mineral content (BMC), respectively], and in children < 12 years for total BMC [β% (95 % CI) = -0.012 (-0.024, 0.000)]. Additionally, TT, E2, and SHBG were found to significantly and independently mediate 15.41 % to 79.84 % of the relationship between DCBA and bone mass. Furthermore, serial mediation effects among sex hormones were detected between TT, E2, and SHBG.

conclusionsDEET exerts a detrimental effect on bone health by interfering with sex hormones in children and adolescents, warranting heightened public concern.

Indexed as

Bone and BonesBone DensityGonadal Steroid HormonesAdolescentBiomarkersChildCross-Sectional StudiesFemaleHumansMaleNutrition SurveysSex Hormone-Binding GlobulinBiomarkersGonadal Steroid HormonesSex Hormone-Binding GlobulinBone mineral contentBone mineral densityChildren and adolescentsN, N-diethyl-3-methylbenzamideSex hormones

Identifiers

PMID40122280
PMCPMC12766232

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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.