Obesity

Prenatal exposure to per- and polyfluoroalkyl substances and early childhood adiposity and cardiometabolic health in the Healthy Start study

Int J Obes (Lond)Published Prospective cohort study

Authors' conclusion

Our results agree with previous studies showing that prenatal serum concentrations of certain PFAS are positively associated with early childhood adiposity. Notably, associations were stronger for measures incorporating precisely measured fat mass compared to measures of body size or weight. Early life increases in adiposity may precede the development of adverse cardiometabolic health outcomes in children exposed to PFAS during gestation.

Study context

Population
Mother-infant pairs in the Healthy Start longitudinal cohort; children assessed at median age 4.6 years
Participants
373 mother-infant pairs
Exposure
Prenatal maternal mid-pregnancy serum PFAS concentrations (five PFAS) and early childhood adiposity
Outcome
Early childhood adiposity via air displacement plethysmography
Follow-up
Early childhood (median age 4.6 years)
Methodological detailslongitudinal, multiple linear regression and Bayesian kernel machine regression, adjusted for potential confounders, effect modification by child sex evaluated
  • Longitudinal
  • Multiple linear regression and Bayesian kernel machine regression
  • Adjusted for potential confounders
  • Effect modification by child sex evaluated

Main finding

As reported in the abstract

Percent fat mass · median age 4.6 years

Perfluorooctanoate (PFOA): % fat mass per log2-unit increase

0.89%

95% CI 0.15, 1.64

Observational data: associations, not effects.

Secondary outcomes

Cardiometabolic blood markers (fasting lipids, glucose, insulin, adipokines)

Generally not associated with prenatal PFAS

Original publication

Prenatal exposure to per- and polyfluoroalkyl substances and early childhood adiposity and cardiometabolic health in the Healthy Start study. Int J Obes (Lond). Published 2 December 2023. doi:10.1038/s41366-023-01420-3

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