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Table 1 Studies of maternal prenatal urinary phthalate metabolites and fetal growth outcomes measured at birth

From: Fetal growth in environmental epidemiology: mechanisms, limitations, and a review of associations with biomarkers of non-persistent chemical exposures during pregnancy

Reference

Country, years

N

Urinary phthalate metabolites

Timing of urine collection

Birth size outcome(s)

Notes1

All2

Girls2

Boys2

Wolff et al. 2008 [89]

USA

1998-2002

404

∑LMW: MMP, MEP, MBP, MiBP

∑HMW: MBzP, MCPP, MECPP, MEHHP, MEOHP, MEHP

∑DEHP: MECPP, MEHHP, MEOHP, MEHP

3rd trimester

BW

BL

HC

primiparas only

+ BL (MBzP)

+ HC (MEP, ∑LMW)

  

Suzuki et al. 2010 [95]

Japan

2005-2008

149

MMP, MEP, MnBP, MBzP, MEHP, MEHHP, MEOHP, MiNP, MnOP

29 weeks

BW

BL

HC

 

NS

  

Philippat et al. 2012 [96]

France

2003-2006

287

∑LMW: MEP, MBP, MiBP

∑HMW: MBzP, MCPP, MCOP, MCNP, MEHP, MEHHP, MEOHP, MECPP

∑DEHP: MEHP, MEHHP, MEOHP, MECPP

22 weeks

BW

BL

HC

   

- BW (MCPP, MECPP)

- BL (MCPP)

Zhao et al.

2014 [97]

China

2012-2013

126

MBP, MMP

∑DEHP: MEHP, MEHHP, MEOHP

3rd trimester

BW

BL

 

- BW (MEHHP, MEOHP)

NS

- BW (MEHHP, MEOHP)

Smarr et al. 2015 [98]

USA

2005-2009

233

MMP, MEP, MBP, MiBP, MBzP, MECPP, MCMHP, MEOHP, MEHHP, MEHP, MCPP, MCHP, MiNP, MnOP

pre-conception

BW

BL

HC

not adjusted for GA

- BW (MMP, MEP, MCMHP, MOP)

- BL (MMP)

- HC (MEP, MEOHP, MECPP)

  

Botton et al. 2016 [99]

France

2003-2006

520

∑LMW: MEP, MBP, MiBP

∑HMW: MBzP, MCOP, MCPP, MCNP, MECPP, MEHHP, MEOHP, MEHP

∑DEHP: MECPP, MEHHP, MEOHP, MEHP

26 weeks

BW

BL

HC

   

+ BL (MCNP)

Casas et al. 2016 [100]

Spain

2004-2006

390

MBzP

∑LMW: MEP, MiBP, MnBP

∑DEHP: MEHP, MEHHP, MEOHP, MECPP

12, 32

weeks*

BW

BL

HC

 

NS

+ BW (MiBP)

+ BW (MBzP, MnBP)

Ferguson et al. 2016 [101, 102]

USA

2006-2008

482

MEP, MBP, MiBP, MBzP, MCPP

∑DEHP: MECPP, MEHHP, MEOHP, MEHP

10, 18, 26, 35 weeks*

BW

 

NS

NS

NS

Polanska et al. 2016 [103]

Poland

2007

165

∑LMW: MEP, MiBP, MBzP, MnBP, OH-MnBP

∑HMW: MEHP, MEHHP, MEOHP, MHiNP, MOiNP, MOP

∑DEHP: MEHP, MEHHP, MEOHP

∑DBP: MnBP, OH-MnBP

∑DiNP: MHiNP, MOiNP

3rd trimester

BW

BL

HC

 

NS

  

Sathyanarayana et al. 2016 [104]

USA

2010-2012

674

MEP, MBzP, MBP, MCPP, MCOP

∑DEHP: MEHP, MEHHP, MEOHP, MECPP

1st trimester

BW

not adjusted for GA

 

+ BW (MEHHP)

NS

<37 weeks only; not adjusted for GA

+ BW (MEHP, MEHHP, MEOHP, MECPP, ∑DEHP)

NS

≥37 weeks only; not adjusted for GA

NS

+ BW (MCOP)

Shoaff et al. 2016 [105]

USA

2003-2006

368

∑DEHP: MEHHP, MEHP, MEOHP, MECPP

16, 26 weeks*

BW

BL

HC

not adjusted for GA

NS

  

Watkins et al. 2016 [106]

USA

2009-2012

68

MEP, MBzP, MCPP

∑DBP: MnBP, MiBP

∑DEHP: MEHP, MEHHP, MEOHP, MECPP

1st trimester

BW

BL

HC

  

- BW (∑DBP)

+ BL (MCPP)

NS

delivery

 

+ BW (MCPP)

+ BL (MBzP, ∑DBP)

+ HC (MCPP)

+ BW (∑DBP)

+ BL (MCPP)

1st trimester, delivery*

 

NS

+ BW (∑DBP)

+ HC (∑DBP)

Gao et al. 2017 [107]

China

2013-2014

3103

MMP, MEP, MBP, MBzP

∑DEHP: MEHP, MEHHP, MEOHP

10 weeks

BW

BL

HC

not adjusted for GA

- BW (MBzP)

  

Huang et al. 2017 [108]

Taiwan

2010

162

∑Phthalates: MMP, MEP, MiBP, MnBP, MBzP, MEHP, MEOHP, MEHHP, MECPP

11 weeks

BW

BL

HC

 

NS

  

26 weeks

- BL (MMP, ∑Phthalates)

- HC (∑Phthalates)

  

delivery

- HC (∑Phthalates)

  

Messerlian et al. 2017 [109]

USA

2005-2016

364

MEP, MCPP, MCOP, MCNP

∑DEHP: MEHP, MEHHP, MEOHP, MECPP

pre-conception

BW

non-IVF births; not adjusted for GA

- BW (MCNP)

  

6, 21, 35 weeks*

+ BW (MBP, MiBP, MBzP)

  

Woods et al. 2017 [110]

USA

2003-2006

272

MBP, MiBP, MEP, MBzP, MCPP, MEHP, MEHHP, MEOHP

16, 27 weeks*

BW

 

NS

  

Chiu et al. 2018 [111]

USA

2015-2016

300

MEP, MiBP, MnBP, MBzP, MEHP, MEHHP, MEOHP, MECPP

1st, 2nd, 3rd trimesters*

BW

 

NS

  

Zhang et al. 2018 [112]

China

2013-2014

3103

MMP, MEP, MBP, MBzP

∑DEHP: MEHP, MEHHP, MEOHP

1st, 2nd, 3rd trimesters*

BW

not adjusted for GA

- BW (MMP, MEP)

- BL (MMP, MEP)

NS

Zhu et al. 2018 [113]

China

2014

1002

∑LMW: MMP, MEP, MiBP, MnBP

∑DEHP: MECPP, MEHHP, MEOHP

delivery

BW

BL

  

NS

+ BW (∑DEHP, MECPP, MEOHP)

  1. 1Unless otherwise specified, studies included term, preterm, parous, and nulliparous births, and models of birth outcomes adjusted for or standardized to gestational age
  2. 2Blank cells indicate associations were not examined; NS indicates that associations within that category were examined but not statistically significant at p<0.05
  3. *Average of two or more urine samples
  4. Abbreviations. BL, birth length; BW, birth weight; GA, gestational age; HC, head circumference; IVF, in vitro fertilization; MBP, monobutyl phthalate; MBzP, monobenzyl phthalate; MCHP, monocyclohexyl phthalate; MCOP, monocarboxy-isooctyl phthalate; MCNP, monocarboxy-isononyl phthalate; MCPP, mono-3-carboxypropyl phthalate; MCMHP, mono-[(2-carboxymethyl) hexyl] phthalate; MEP, monoethyl phthalate; MECPP, mono-2-ethyl-5-carboxypentyl phthalate; MEHHP, mono-2-ethyl-5-hydroxyhexyl phthalate; MEHP, mono-2-ethylhexyl phthalate; MEOHP, mono-2-ethyl-5-oxohexylphthalate; MHiNP, mono-hydroxy-iso-nonyl phthalate; MiBP, monoisobutyl phthalate; MiNP, mono-iso-nonyl phthalate; MMP, monomethyl phthalate; MnBP, mono-n-butyl phthalate; MnOP, mono-n-octyl phthalate; MOP, monooctyl phthalate; MOiNP, mono-oxo-iso-nonyl phthalate; OH-MnBP, 3OH-mono-n-butyl phthalate; ∑DBP, molar sum of the dibutyl phthalate metabolites that follow; ∑DEHP, molar sum of the di-2-ethylhexyl phthalate metabolites that follow; ∑DiNP, molar sum of the di-iso-nonyl phthalate metabolites that follow; ∑HMW, molar sum of the high molecular weight phthalate metabolites that follow; ∑LMW, molar sum of the low molecular weight phthalate metabolites that follow