Association between Pregnancy Loss and Urinary Phthalate Levels around the Time of Conception.

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Title: Association between Pregnancy Loss and Urinary Phthalate Levels around the Time of Conception.
Authors: Toft, Gunnar1 guntof@rm.dk, Jönsson, Bo A. G.2, Lindh, Christian H.2, Jensen, Tina Kold3, Hjollund, Niels H.4,5, Vested, Anne1, Bonde, Jens Peter6
Source: Environmental Health Perspectives. Mar2012, Vol. 120 Issue 3, p458-463. 6p. 3 Charts.
Subject Terms: *Epidemiology, *Plastics, *Environmental exposure, Chorionic gonadotropins, Confidence intervals, Interviewing, Miscarriage, Questionnaires, Statistical hypothesis testing, Logistic regression analysis, Data analysis, Carbocyclic acids, Data analysis software, Descriptive statistics
Abstract: Background: Animal studies indicate that some phthalate metabolites may harm female reproductive function.Objectives: We assessed the associations between exposure to phthalate metabolites and pregnancy loss.Methods: Using a previously established cohort of couples planning their first pregnancy, we analyzed four primary and two oxidized secondary phthalate metabolites in urine samples collected on day 10 after the first day of the last menstrual period before conception occurred (n = 128) and during the previous cycle (if any, n = 111). Subclinical embryonal loss was identified by repeated measurement of urinary human chorionic gonadotropin, and information on clinical spontaneous abortions was obtained by telephone interview with the mother.Results: Pregnancy loss (n = 48) was increased among women with urinary concentration of monoethylhexyl phthalate (MEHP) in the upper tertile in the conception sample compared with women in the lowest tertile [adjusted odds ratio (OR) = 2.9; 95% confidence interval (CI): 1.1, 7.6]. The corresponding OR for subclinical embryonal loss (n = 32) was 40.7 (95% CI: 4.5, 369.5).Conclusions: The phthalate metabolite MEHP was associated with higher occurrence of preg­nancy loss. Because this is the first human study to show this association and the sample size is small, the findings need to be corroborated in independent studies. [ABSTRACT FROM AUTHOR]
Copyright of Environmental Health Perspectives is the property of National Institute of Environmental Health Sciences and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Association between Pregnancy Loss and Urinary Phthalate Levels around the Time of Conception.
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  Data: <searchLink fieldCode="AR" term="%22Toft%2C+Gunnar%22">Toft, Gunnar</searchLink><relatesTo>1</relatesTo><i> guntof@rm.dk</i><br /><searchLink fieldCode="AR" term="%22Jönsson%2C+Bo+A%2E+G%2E%22">Jönsson, Bo A. G.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Lindh%2C+Christian+H%2E%22">Lindh, Christian H.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Jensen%2C+Tina+Kold%22">Jensen, Tina Kold</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Hjollund%2C+Niels+H%2E%22">Hjollund, Niels H.</searchLink><relatesTo>4,5</relatesTo><br /><searchLink fieldCode="AR" term="%22Vested%2C+Anne%22">Vested, Anne</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Bonde%2C+Jens+Peter%22">Bonde, Jens Peter</searchLink><relatesTo>6</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Environmental+Health+Perspectives%22">Environmental Health Perspectives</searchLink>. Mar2012, Vol. 120 Issue 3, p458-463. 6p. 3 Charts.
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  Data: *<searchLink fieldCode="DE" term="%22Epidemiology%22">Epidemiology</searchLink><br />*<searchLink fieldCode="DE" term="%22Plastics%22">Plastics</searchLink><br />*<searchLink fieldCode="DE" term="%22Environmental+exposure%22">Environmental exposure</searchLink><br /><searchLink fieldCode="DE" term="%22Chorionic+gonadotropins%22">Chorionic gonadotropins</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Miscarriage%22">Miscarriage</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+hypothesis+testing%22">Statistical hypothesis testing</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Carbocyclic+acids%22">Carbocyclic acids</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Animal studies indicate that some phthalate metabolites may harm female reproductive function.Objectives: We assessed the associations between exposure to phthalate metabolites and pregnancy loss.Methods: Using a previously established cohort of couples planning their first pregnancy, we analyzed four primary and two oxidized secondary phthalate metabolites in urine samples collected on day 10 after the first day of the last menstrual period before conception occurred (n = 128) and during the previous cycle (if any, n = 111). Subclinical embryonal loss was identified by repeated measurement of urinary human chorionic gonadotropin, and information on clinical spontaneous abortions was obtained by telephone interview with the mother.Results: Pregnancy loss (n = 48) was increased among women with urinary concentration of monoethylhexyl phthalate (MEHP) in the upper tertile in the conception sample compared with women in the lowest tertile [adjusted odds ratio (OR) = 2.9; 95% confidence interval (CI): 1.1, 7.6]. The corresponding OR for subclinical embryonal loss (n = 32) was 40.7 (95% CI: 4.5, 369.5).Conclusions: The phthalate metabolite MEHP was associated with higher occurrence of preg­nancy loss. Because this is the first human study to show this association and the sample size is small, the findings need to be corroborated in independent studies. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Environmental Health Perspectives is the property of National Institute of Environmental Health Sciences and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1289/ehp.1103552
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        Text: English
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      – SubjectFull: Epidemiology
        Type: general
      – SubjectFull: Plastics
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      – SubjectFull: Environmental exposure
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      – SubjectFull: Chorionic gonadotropins
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      – SubjectFull: Interviewing
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      – SubjectFull: Statistical hypothesis testing
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      – SubjectFull: Descriptive statistics
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      – TitleFull: Association between Pregnancy Loss and Urinary Phthalate Levels around the Time of Conception.
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