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Chemical exposure

Childhood phthalates linked to teen liver enzymes

Lee S, Lee HA, Park B, et al. · Environmental health : a global access science source · 2023

Open access · cc by · source: Europe PMC

In the Ewha Birth and Growth Cohort, higher childhood urinary phthalates—especially later LMW exposure—tracked with higher AST, ALT, and γ-GTP at ages 10–15, with BMI interactions in girls.

Key findings

Geometric-mean ΣDEHP fell from 377.0 to 229.0 μg/g creatinine between the two childhood windows. Higher LMW phthalates (MiBP, MnBP, ΣDBP) tracked with higher γ-GTP (ages 3–5) and AST/ALT (ages 7–9). Combined high exposure raised enzymes more for LMW compounds; 7–9-year exposure appeared more influential. BMI modified some associations in girls.

Methodology

Authors measured nine urinary phthalate metabolites at ages 3–5 and 7–9 in 164 Ewha cohort children and related creatinine-adjusted tertiles and combined high/low groups to fasting AST, ALT, and γ-GTP at ages 10–15 in 126 participants, adjusting for sex, BMI, SES, secondhand smoke, and inactivity.

Limitations

Spot urines at two visits cannot capture phthalates’ short half-life; n=126 limits sex-stratified power; co-exposure mixtures were not modeled; residual confounding remains possible.

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