Evidence map›Paper›PMID 40176054›Full record

Trial reportEnvironmental health : a global access science source2025

Serum concentrations of per- and poly-fluoroalkyl substances (PFAS) in Danish pregnant women-temporal trends during pregnancy, correlations with partners, associations with physical activity, and blood lipid concentrations.

Ida Karoline Bach Jensen, Esben Budtz-Jørgensen, Christian Lindh, Caroline Borup Roland, Signe de Place Knudsen, Jane M Bendix, Stig Molsted, Tine D Clausen, Bente Stallknecht, Ole H Mortensen and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Environmental health : a global access science source, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03679130 (FitMum), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT03679130 nacompletednot on this map

FitMum: Fitness for Good Health of Mother and Child

TypeinterventionalSponsorNordsjaellands HospitalRan2018 to 2022Enrolled220ConditionsPregnancy Related, Physical ActivityArmsStructured supervised exercise training, Motivational counseling supported by health technology
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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.

Ida Karoline Bach JensenDepartment of Gynecology and Obstetrics, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark. ida.jensen@sund.ku.dk.
Esben Budtz-JørgensenDepartment of Public Health, Section of Biostatistics, University of Copenhagen, Copenhagen, Denmark.
Christian LindhDivision of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden.
Caroline Borup RolandDepartment of Gynecology and Obstetrics, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark.
Signe de Place KnudsenDepartment of Gynecology and Obstetrics, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark.
Jane M BendixDepartment of Gynecology and Obstetrics, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark.
Stig MolstedDepartment of Clinical Research, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark.
Tine D ClausenDepartment of Gynecology and Obstetrics, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark.
Bente StallknechtDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Ole H MortensenDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Ellen LøkkegaardDepartment of Gynecology and Obstetrics, Copenhagen University Hospital - North Zealand, Hilleroed, Denmark.
Lisbeth E KnudsenDepartment of Public Health, Section of Environmental Health, University of Copenhagen, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPer- and polyflouralkyl substances (PFAS) are a group of persistent chemicals used extensively in industries and consumer products due to their water-repellent properties. Studies have linked PFAS exposure to adverse health effects, and human exposure to PFAS, especially during pregnancy, is of great concern. In this study, we report how serum PFAS concentrations during pregnancy correlated with serum PFAS of partners from the same household. Further, we report how serum PFAS concentrations change during the course of pregnancy and associations between PFAS and blood lipid concentrations as well as exploratory analyses of associations between physical activity and PFAS concentrations.

methodsIn this secondary analysis of data from the FitMum study conducted from 2018 to 2021, 216 healthy, pregnant women, and 110 of their partners were included. Non-fasting venous blood samples were collected from the mothers at three test visits during pregnancy and at delivery, where blood from partners were also collected. Serum samples from all timepoints were analyzed for 15 short- and long-chained PFAS using liquid chromatography triple quadrupole linear ion trap mass spectrometry. Total cholesterol, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and triglyceride blood concentrations were measured at three test visits during pregnancy and at delivery. Physical activity was measured with a wrist-worn activity tracker 24/7 from inclusion before gestational age week 15 + 0 and throughout pregnancy.

resultsIn serum samples we detected the following PFAS: PFOS, PFOA, PFHxS, PFNA, PFDA, and PFUnDA. The maternal median concentrations at baseline were: PFOS: 4.09 ng/mL, PFOA: 0.81 ng/mL, PFHxS: 0.29 ng/mL, PFNA: 0.42 ng/mL, PFDA: 0.25 ng/mL, and PFUnDA: 0.19 ng/mL. Partner serum PFAS concentrations were 3-145% higher than maternal concentration (except for PFUnDA). PFAS concentrations correlated within couples. All PFAS decreased significantly during pregnancy (PFOS -23.1 percent 95%-CI [-31.9;-13.2] from baseline to delivery). All PFAS concentrations were associated with increased HDL-C concentrations. No associations between physical activity and maternal PFAS concentrations were found.

conclusionsOverall, serum PFAS concentrations decreased during pregnancy. PFAS concentrations within households were strongly correlated. PFAS and HDL-C concentrations were positively associated. We found no associations between physical activity and serum PFAS concentrations.

trial registrationThe study was registered at ClinicalTrials.gov; NCT03679130; 20/09/2018.

Indexed as

Environmental PollutantsExerciseFluorocarbonsLipidsAdultDenmarkFemaleHumansMalePregnancyYoung AdultEnvironmental PollutantsFluorocarbonsLipidsBiomonitoringEnvironmetal chemicalsPerfluorinated substancesPhysical activityPolyflouroalkyl substancesPregnancy

Identifiers

PMID40176054
PMCPMC11963616

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Registered trials

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.