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The association between maternal urinary phthalate metabolites concentrations and pregnancy induced hypertension: Results from the EDEN Mother-Child Cohort
Sorbonne University, FRA ;St AntoiInst Desbrest Epidemiol & Sante Publ IDESP, FRA; University Montpellier, FRA; SMBB Medical University, PAK.
Sorbonne University, FRA ;St Antoine Medical School, FRA.
INSERM, UMR, FRA; Descartes University, Paris, FRA.
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Icahn Sch Med Mt Sinai, USA.ORCID iD: 0000-0003-0417-1686
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2021 (English)In: Journal of gynecology obstetrics and human reproduction, ISSN 2468-7847, Vol. 50, no 10, article id 102216Article in journal (Refereed) Published
Abstract [en]

Background: Studies have suggested that exposure to endocrine disruptors such as phthalates that are widely used in our daily life (food wrapping, cosmetics, toys, medical devices, polyvinyl chloride flooring, and building materials) might be related to raised blood pressure and increased risk of cardiovascular diseases. Phthalates might induce a pro-inflammatory response and increased oxidative stress and may be a cause of pregnancy induced hypertension. Methods: We evaluated the association between maternal exposure to phthalates during pregnancy and pregnancy induced hypertension. 604 pregnant women were included and eleven phthalate metabolites were quantified in spot maternal urine samples collected between the 23rd and 28th week of gestation in a French EDEN mother-child cohort. The associations were assessed by applying multiple logistic regression analysis. Results: Twenty nine (4,8%) mothers developed pregnancy induced hypertension. Two low molecular weight phthalate metabolites: Monoethyl phthalate (MEP) and Mono-n-butyl phthalate (MBP) were positively associated with pregnancy induced hypertension in crude (Odds Ratio: 1.43, 95% Confidence Interval: 1.04-1.96, p-value = 0.02 and 1.48, 1.10-2.01, p-value =0.01) and in adjusted (1.47, 1.01-2.14, p-value = 0.04 and 1.66, 1.11-2.47, p-value = 0.01) models respectively. Conclusion: Our data suggest that prenatal exposure to some phthalates, including MEP and MBP, might play a role in pregnancy induced hypertension. (C) 2021 Elsevier Masson SAS. All rights reserved.

Place, publisher, year, edition, pages
Elsevier Masson , 2021. Vol. 50, no 10, article id 102216
Keywords [en]
Phthalate, Prenatal exposure, Endocrine disruptor, Urinary biomarkers, Mother-child cohort, Pregnancy induced hypertension
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Occupational Health and Environmental Health
Research subject
Public Health Science
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URN: urn:nbn:se:kau:diva-87271DOI: 10.1016/j.jogoh.2021.102216ISI: 000703908600025PubMedID: 34482002Scopus ID: 2-s2.0-85122111343OAI: oai:DiVA.org:kau-87271DiVA, id: diva2:1613260
Available from: 2021-11-22 Created: 2021-11-22 Last updated: 2022-03-07Bibliographically approved

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Bornehag, Carl-Gustaf

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