title: Prenatal phenol and phthalate exposures and birth outcomes.
abstract: BACKGROUND
  Many phthalates and phenols are hormonally active and are suspected to alter the course of development.
  
  
  OBJECTIVE
  We investigated prenatal exposures to phthalate and phenol metabolites and their associations with body size measures of the infants at birth.
  
  
  METHODS
  We measured 5 phenol and 10 phthalate urinary metabolites in a multiethnic cohort of 404 women in New York City during their third trimester of pregnancy and recorded size of infants at birth.
  
  
  RESULTS
  Median urinary concentrations were > 10 microg/L for 2 of 5 phenols and 6 of 10 phthalate monoester metabolites. Concentrations of low-molecular-weight phthalate monoesters (low-MWP) were approximately 5-fold greater than those of high-molecular-weight metabolites. Low-MWP metabolites had a positive association with gestational age [0.97 day gestational age per ln-biomarker; 95% confidence interval (CI), 0.07-1.9 days, multivariate adjusted] and with head circumference. Higher prenatal exposures to 2,5-dichlorophenol (2,5-DCP) predicted lower birth weight in boys (-210 g average birth weight difference between the third tertile and first tertile of 2,5-DCP; 95% CI, 71-348 g). Higher maternal benzophenone-3 (BP3) concentrations were associated with a similar decrease in birth weight among girls but with greater birth weight in boys.
  
  
  CONCLUSIONS
  We observed a range of phthalate and phenol exposures during pregnancy in our population, but few were associated with birth size. The association of 2,5-DCP and BP3 with reduced or increased birth weight could be important in very early or small-size births. In addition, positive associations of urinary metabolites with some outcomes may be attributable partly to unresolved confounding with maternal anthropometric factors.
authors: Department of Community and Preventive Medicine, Mount Sinai School of Medicine, New York, New York 10029, USA. mary.wolff@mssm.edu
authors: Mary S
authors: MS
authors: Wolff
authors: Stephanie M
authors: SM
authors: Engel
authors: Gertrud S
authors: GS
authors: Berkowitz
authors: Xiaoyun
authors: X
authors: Ye
authors: Manori J
authors: MJ
authors: Silva
authors: Chenbo
authors: C
authors: Zhu
authors: James
authors: J
authors: Wetmur
authors: Antonia M
authors: AM
authors: Calafat
mesh_terms: D000328:Adult; D001724:Birth Weight / Q000187:drug effects*; D001827:Body Height / Q000187:drug effects*; D015331:Cohort Studies; D004785:Environmental Pollutants / Q000633:toxicity* / Q000652:urine; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D018811:Maternal Exposure; D019800:Phenol / Q000633:toxicity* / Q000652:urine; D010795:Phthalic Acids / Q000633:toxicity* / Q000652:urine; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011263:Pregnancy Trimester, Third / Q000652:urine; D012737:Sex Factors
chemical_list: D004785:Environmental Pollutants; D010795:Phthalic Acids; D019800:Phenol; C032279:phthalic acid