Evidence map›Paper›PMID 40483423›Full record

ArticleEnvironmental health : a global access science source2025

Per- and polyfluoroalkyl substances (PFAS), thyroid hormones, sexual hormones and pubertal development in adolescents residing in the neighborhood of a 3M factory.

Nicolas van Larebeke, Bianca Cox, Sylvie Remy, Stefan Voorspoels, Elly Den Hond, Ann Colles, Martine Leermakers, Greet Schoeters, Veerle Verheyen

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Article 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. Cited by 9 papers.

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0cells of the map it votes in
9citing 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

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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

9 citing papers in PubMed.

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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

9 authors.

Nicolas van LarebekeArcheology, Environmental Changes and Geochemistry, Vrije Universiteit Brussel, Pleinlaan 2, Brussels, 1050, Belgium. Nicolas.vanlarebeke@ugent.be.
Bianca CoxVITO Health, Flemish Institute for Technological Research (VITO), Mol, 2400, Belgium.
Sylvie RemyVITO Health, Flemish Institute for Technological Research (VITO), Mol, 2400, Belgium.
Stefan VoorspoelsMaterials and Chemistry Unit, Flemish Institute for Technological Research (VITO), Boeretang 200, Mol, 2400, Belgium.
Elly Den HondProvincial Institute of Hygiene, Kronenburgstraat 45, Antwerp, 2000, Belgium.
Ann CollesVITO Health, Flemish Institute for Technological Research (VITO), Mol, 2400, Belgium.
Martine LeermakersArcheology, Environmental Changes and Geochemistry, Vrije Universiteit Brussel, Pleinlaan 2, Brussels, 1050, Belgium.
Greet SchoetersDepartment of Biomedical Sciences & Toxicological Centre, University of Antwerp, Universiteitsplein 1, Wilrijk, 2610, Belgium.
Veerle VerheyenVITO Health, Flemish Institute for Technological Research (VITO), Mol, 2400, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNear Antwerp a 3M factory has been active since 1971 emitting PFAS, mainly PFOS, in the local environment. Production of C8 compounds was stopped in 2002, production of other PFAS continued until 2024. This study aimed to examine the association between internal PFAS concentrations and thyroid hormones, sexual hormones, and pubertal development in adolescents living in the neighborhood of the factory.

methodsWe measured PFAS in serum of 146 female and 139 male adolescents. For males sex hormones (LH, testosterone, estradiol, progesterone, inhibin B, FSH) and SHBG were measured in serum. For males and females we assessed serum thyroid hormone levels (TSH, T3, T4 and T3/T4) and pubertal development parameters self-assessed through a standardized questionnaire. Associations between PFAS concentrations and effect biomarkers/health effects were assessed through Generalized Estimating Equations (GEE), using linear models for continuous outcomes, logistic models for binary outcomes, and proportional odds models for ordinal outcomes.

resultsFor males LH, total and bioavailable testosterone showed significant negative associations with PFHxS and PFOA. LH and bioavailable testosterone also showed significant negative associations with other PFAS compounds. SHBG showed significant positive associations with PFDA, PFNA, PFHxS, PFOS and the sum of the linear forms of PFOS, PFOA, PFNA and PFHxS. Males' length and growth spurt showed significant negative associations with PFOS, PFOA and PFAS sum parameters and length and growth spurt separately also with other PFAS compounds. For females growth spurt showed significant negative association with PFOA and a significant positive association with PFOS(branched). For both males and females body hair development showed significant negative associations with PFHxS, and, for males and females separately also with other PFAS compounds. For females, breast development showed significant negative associations with PFOA, pubertal development scale showed significant negative associations with PFOA, PFHxS, PFOS(linear) and the sum of 4 PFAS. For males, TSH showed a significant negative association with PFDA and FT3 showed significant positive associations with PFOA, PFOA and PFNA. For females, FT3 showed a significant negative association with PFOS(branched).

conclusionWe observed significant, consistent and biologically relevant associations of PFAS serum concentrations with sex hormone and SHBG levels in male adolescents. Moreover, a significant delay in physiological processes occurring in puberty was observed in females and males. Associations with thyroid hormones differed significantly by sex.

Indexed as

Environmental ExposureEnvironmental PollutantsFluorocarbonsGonadal Steroid HormonesPubertyThyroid HormonesAdolescentAlkanesulfonic AcidsChildFemaleHumansMaleAlkanesulfonic AcidsEnvironmental PollutantsFluorocarbonsGonadal Steroid HormonesThyroid HormonesBreast developmentFT3Growth spurtLengthLuteinizing HormonePFDAPFHxSPFNAPFOAPFOS

Identifiers

PMID40483423
PMCPMC12144784

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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.