2017
DOI: 10.1016/j.chemosphere.2017.08.165
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Systematic review and meta-analysis of early life exposure to di(2-ethylhexyl) phthalate and obesity related outcomes in rodents

Abstract: The results of this systematic review indicate that early life exposure to DEHP is potentially associated with increased adiposity in rodents. More data is needed to strengthen the evidence base.

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Cited by 56 publications
(21 citation statements)
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“…With no further changes in body weight nor fat mass, no alteration in physical activity and normal glucose and insulin levels, we did not detect any changes which could be an indication of metabolic disruption through adipogenesis or endocrine pancreas function by developmental exposure to DEHP. Our findings do not support the results of a recent meta-analysis ( 14 ) which showed that early life exposure to DEHP is significantly associated with increased fat weight, but not body weight. It should be noted, however, that the authors judged the quality of evidence for body weight and fat weight to be low due to concerns regarding risk of bias and unexplained inconsistency (i.e., substantial heterogeneity).…”
Section: Discussioncontrasting
confidence: 99%
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“…With no further changes in body weight nor fat mass, no alteration in physical activity and normal glucose and insulin levels, we did not detect any changes which could be an indication of metabolic disruption through adipogenesis or endocrine pancreas function by developmental exposure to DEHP. Our findings do not support the results of a recent meta-analysis ( 14 ) which showed that early life exposure to DEHP is significantly associated with increased fat weight, but not body weight. It should be noted, however, that the authors judged the quality of evidence for body weight and fat weight to be low due to concerns regarding risk of bias and unexplained inconsistency (i.e., substantial heterogeneity).…”
Section: Discussioncontrasting
confidence: 99%
“…The first line of evidence that developmental exposure to DEHP may promote metabolic disorders was the increases in serum cholesterol (CHOL), triglycerides (TGs) and glucose reported in multiple studies ( 11 13 ). Recently, Wassenaar and Legler ( 14 ) conducted a systematic review and meta-analysis of experimental rodent studies with DEHP, and reported a statistically significant positive association between developmental exposure to DEHP and increased fat pad weight. However, further associations with triglycerides, free fatty acids (FFA) and leptin could not be analyzed due to few or no data available.…”
Section: Introductionmentioning
confidence: 99%
“…A recent meta-analysis of developmental DEHP exposure in animal studies also indicated that early life phthalate exposures results in increased fat weight. 59 Absolute pancreas weights were increased in mice perinatally exposed to DEHP + DINP + DBP compared with controls, but this difference was mitigated when comparing pancreas weights relative to body weight, and therefore the increased pancreas weights might have been due to the modest increased body weights observed in DEHP + DINP + DBP-exposed females. Decreased relative brain weights were observed in females exposed to a mixture of all three phthalates, and to a lesser degree of significance in males exposed to all three phthalates.…”
Section: Discussionmentioning
confidence: 98%
“…This observation is consistent with the theory that phthalate exposure increases the risk of obesity, and indicates that a mixture of HMW and LMW phthalates have the largest impact on body fat at PND21, with females being more sensitive than males. A recent meta-analysis of developmental DEHP exposure in animal studies also indicated that early life phthalate exposures results in increased fat weight 59 . Absolute pancreas weights were increased in mice perinatally exposed to DEHP+DINP+DBP compared with controls, but this difference was mitigated when comparing pancreas weights relative to body weight, and therefore the increased pancreas weights might have been due to the modest increased body weights observed in DEHP+DINP+DBP-exposed females.…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, chronic exposure to DEHP induced significant genotoxicity via kinds of pathways to reverse effects including the potential carcinogenic mechanism and potential adverse health outcomes [32,33]. However, researches proved that long-term exposure to DEHP in early life related to obesity and neuro-behavior and reproductive outcomes [34,35]. Previous researches proved that the toxicity of DEHP in parents can be transferred to offspring and thus affect the development and growth of animals [36].…”
Section: Introductionmentioning
confidence: 99%