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Pregnancy PFAS and lead track lower birth weight

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In Cincinnati’s HOME Study, PFAS, lead, and organophosphate pesticides associated with lower birth weight; phthalates and BPA did not.

Source

Gestational exposure to endocrine disrupting chemicals in relation to infant birth weight: a Bayesian analysis of the HOME Study

Woods MM, Lanphear BP, Braun JM, et al. · Environmental health : a global access science source · 2017

doi.org/10.1186/s12940-017-0332-3Read the full paper ↗87 citationscc by

What they did

Used Bayesian hierarchical linear models (and LASSO/Elastic Net) on 272 of 389 singleton births with gestational biomarkers at ~16 and 26 weeks.

What they found

Nine phthalates plus BPA averaged +1 g per 10-fold exposure; the PFAS class averaged −11 g; all 5 PFAS trended toward lower weight; smoking cut birth weight 210 g.

The limits

What it doesn't show

Does not prove mechanisms, model chemical-class interactions, or capture nonlinear thresholds.

Key terms

EDC
Endocrine-disrupting chemical that can alter hormone systems.
PFAS
Persistent per- and polyfluoroalkyl substances, including PFOA and PFOS.
BHLM
Bayesian hierarchical linear model that shrinks correlated exposure coefficients.
HOME Study
Cincinnati prospective birth cohort (Health Outcomes and Measures of the Environment).
OPP
Organophosphate pesticide (e.g., DMP, DEP metabolites).
LASSO
Penalized regression that can drop weak predictors.

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Analytic HOME Study n:

Common questions

Analytic n?

272 of 389 singleton births.

Where/when recruited?

Cincinnati prenatal clinics, 2003–2006.

Phthalate/BPA class effect?

+1 g, not significant.

PFAS class?

About −11 g per 10-fold (50% CI).

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