Reproductive endocrinology

Prenatal Testosterone Exposure Is Linked to Sexually Dimorphic Changes in Body Composition in 7-Year-Old Children

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Boys exposed to higher prenatal levels of FT had higher fat mass, whereas no relation was seen in girls, suggesting a sex-specific susceptibility to prenatal testosterone exposure on child body composition.

Study context

Population
Mother-child pairs in the Odense Child Cohort (maternal polycystic ovary syndrome (PCOS), n = 101); maternal free testosterone (FT) calculated from total testosterone (TT) by mass spectrometry at gestational week 28; DXA body composition at age 7 yearsDXA, n = 897
Participants
1,008 pairs
Exposure
Maternal third-trimester FT, by child sex
  • Boysn = 520
Outcome
Body fat
Follow-up
Age 7 years
Methodological detailsOdense Child Cohort, mother-child pairs
  • Odense Child Cohort
  • Mother-child pairs

Main finding

As reported in the abstract

Body fat (FMI) per doubling of maternal FT

Boys: increase in FMI per doubling of FT (P = .04)

4.2%

Observational data: associations, not effects.

Further findings

BMI and BMI z score per doubling of maternal FT, boys · age 7 years

Boys: increase in BMI (P = .05)
0.2
Boys: increase in BMI z score (P = .04)
0.1

Original publication

Prenatal Testosterone Exposure Is Linked to Sexually Dimorphic Changes in Body Composition in 7-Year-Old Children. J Clin Endocrinol Metab. Published 11 February 2025. doi:10.1210/clinem/dgaf085

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