Importance
Bisphenol A (BPA), a prevalent endocrine disrupting chemical, has been associated with wheezing in children, but few studies have examined its impact on lung function or wheeze in older children.
Objective
The objectives of this study were to test whether BPA exposure was associated with lung function, with wheeze, and with pattern of wheeze in children over the first five years.
Design
A birth cohort study, enrolled during early pregnancy.
Setting
Greater Cincinnati, Ohio area.
Participants
398 mother-infant dyads,.
Exposure
We collected maternal urine during pregnancy (16 and 28 weeks) and child urine annually to assess gestational and child BPA exposure.
Main Outcome Measures
We assessed parent-reported wheeze every 6 months for 5 years and measured child forced expiratory volume in one second (FEV1) at age 4 and 5 years. We evaluated associations of BPA with respiratory outcomes: FEV1, child wheeze, and wheeze phenotype.
Results
Urinary BPA concentrations and FEV1 data were available for 208 children, and urinary BPA and parent-reported wheeze data were available for 360 children. Mean maternal urinary BPA ranged from 0.5 to 316 μg/g of creatinine. In multivariable analysis, every 10-fold increase in mean maternal urinary BPA was associated with 14.2% decrease in %FEV1 at 4 years (95% CI −24.5, −3.9) but no association was found at 5 years. In multivariable analysis, every 10-fold increase in mean maternal urinary BPA concentration was marginally associated with a 55% increase in the odds of wheezing (OR 1.55, 95% CI 0.91, 2.63). While mean maternal urinary BPA concentration was not associated with wheeze phenotypes, a 10-fold increase in 16 week maternal BPA was associated with a 4.3 fold increase in odds of persistent wheeze (OR 4.3, 95% CI 1.4, 13.3). Child BPA concentrations were not associated with FEV1 or wheeze.
Conclusions and Relevance
These results provide evidence that suggest that prenatal, but not postnatal, exposure to BPA is associated with diminished lung function and the development of persistent wheeze in children.