Obesity

Phthalate and phthalate replacement concentrations in relationship to adiposity in a multi-racial cohort of children

Int J Obes (Lond)Published Cross-sectional study

Authors' conclusion

We report an inverse association between child urinary DINCH levels, a non-phthalate plasticizer that has replaced DEHP in several applications, and BMI z-score, waist circumference z-score and % body fat in children. Few prior studies of phthalates and their replacements in children have been conducted in diverse populations. Moreover, DINCH has not received a great deal of attention or regulation, but it is a common exposure. In summary, understanding the ubiquitous nature of these chemical exposures and ultimately their sources will contribute to our understanding of their relationship with obesity.

Study context

Population
Racial/ethnically diverse children aged 4–8 years
Participants
630 children
Exposure
Urinary phthalate and phthalate replacement concentrations vs childhood adiposity/obesity markers
Outcome
Association of urinary phthalates (LMW, HMW) and replacements (DINCH, DEHTP) with BMI z-score, waist circumference z-score and % body fat

Main finding

As reported in the abstract

Association of log DINCH (per 1 unit higher) with adiposity

BMI z-score, β

−0.106 (−0.181, −0.031) (95% CI)

Waist circumference z-score, β

−0.119 (−0.189, −0.050) (95% CI)

Percent body fat, β

−0.012 (−0.019, −0.005) (95% CI)

Observational data: associations, not effects.

Further findings

Exposure prevalence

Children with low molecular weight (LMW) and high molecular weight (HMW) phthalate metabolites
All
DINCH above limit of detection
88%

Original publication

Phthalate and phthalate replacement concentrations in relationship to adiposity in a multi-racial cohort of children. Int J Obes (Lond). Published 1 June 2024. doi:10.1038/s41366-024-01548-w

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