2017
DOI: 10.1161/hypertensionaha.116.08281
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Maternal Urinary Bisphenol A Concentration During Midterm Pregnancy and Children’s Blood Pressure at Age 4

Abstract: Abstract-Bisphenol A (BPA) has been reported to be associated with adverse health effects, including high blood pressure (BP). BPA is also suspected to cross placenta in pregnancy and might affect children's health. The present study was aimed to evaluate the effect of prenatal exposure to BPA on the BP of the child at the age of 4. We followed up 645 children at the age of 4 who were born from women who participated midterm during their pregnancy in a birth cohort study from August 2008 to July 2011. Because … Show more

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Cited by 48 publications
(38 citation statements)
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References 40 publications
(39 reference statements)
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“…Potential covariates for inclusion in the statistical models were selected a priori, following a literature review [ 12 , 13 , 41 ]. Prenatal information was obtained using questionnaires at the time of recruitment; variables of interest included maternal age (years), gestational age (weeks), smoking (yes or no), drinking alcohol during pregnancy (yes or no), educational attainment (≤ or > than high school), parity (first vs. second or later child), and CES-D scores (0–60 points).…”
Section: Methodsmentioning
confidence: 99%
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“…Potential covariates for inclusion in the statistical models were selected a priori, following a literature review [ 12 , 13 , 41 ]. Prenatal information was obtained using questionnaires at the time of recruitment; variables of interest included maternal age (years), gestational age (weeks), smoking (yes or no), drinking alcohol during pregnancy (yes or no), educational attainment (≤ or > than high school), parity (first vs. second or later child), and CES-D scores (0–60 points).…”
Section: Methodsmentioning
confidence: 99%
“…Generalized additive models (GAMs) were constructed to investigate the relationship between prenatal and postnatal BPA concentrations and social impairments at age 4. BPA has non-monotonic effects [ 41 , 43 ]; therefore, we constructed 2 models, including 1 with a linear BPA term and another spline model for BPA exposure (4 degrees of freedom). When the shape of the association in GAMs looked nonlinear, we compared the AIC of linear and spline models to select a better-fit model for a given set of data.…”
Section: Methodsmentioning
confidence: 99%
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“…It has to be noted that, although exposure levels of BPA as the ones estimated in Slovenia are considered safe (using the EFSA (t-TDI) as reference dose), several cohort studies have recently associated environmentally relevant BPA exposure levels with adverse health effects. Exposure to BPA above a certain threshold (4.5 μg/g creatinine in mother urine) during pregnancy has been associated with higher diastolic blood pressure of the children (Bae et al, 2017), while other studies have associated environmentally relevant exposure levels with autism spectrum disorders (Stein et al, 2015) and obesity (Oppeneer and Robien, 2015). It is expected that future cohort studies that properly account for differences in BED (and not only for differences in the biomonitored data), would provide more robust associations between BPA exposure levels and potential health effects.…”
Section: Discussionmentioning
confidence: 99%
“…BPA exposure during both childhood and adulthood has been linked to incidence of CVD. Children who experienced in utero exposure to elevated BPA levels possessed significantly higher diastolic blood pressure at age 4 [198]. In adults, the association of BPA with CVD was first reported during review of the 2003-2004 NHANES data, where in 1455 adults, the mean urinary BPA levels were higher in those diagnosed with coronary artery heart disease, angina, and myocardial infarction [199].…”
Section: Cardiovascular Diseasementioning
confidence: 99%