Polybrominated diphenyl ether (PBDE) and poly- and perfluoroalkyl substance (PFAS) exposures during pregnancy and maternal depression

被引:32
作者
Vuong, Ann M. [1 ,2 ]
Yolton, Kimberly [3 ]
Braun, Joseph M. [4 ]
Sjodin, Andreas [5 ]
Calafat, Antonia M. [5 ]
Xu, Yingying [3 ]
Dietrich, Kim N. [2 ]
Lanphear, Bruce P. [6 ,7 ]
Chen, Aimin [2 ,8 ]
机构
[1] Univ Nevada, Dept Environm & Occupat Hlth, Las Vegas Sch Publ Hlth, 4700 S Maryland Pkwy,Suite 335,MS 3063, Las Vegas, NV 89119 USA
[2] Univ Cincinnati, Dept Environm Hlth, Div Epidemiol, Coll Med, POB 670056, Cincinnati, OH 45267 USA
[3] Univ Cincinnati, Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Div Gen & Community Pediat,Coll Med, 3333 Burnet Ave,MLC 7035, Cincinnati, OH 45229 USA
[4] Brown Univ, Dept Epidemiol, Sch Publ Hlth, 121 South Main St,Box G-S121-2, Providence, RI 02912 USA
[5] Ctr Dis Control & Prevent, Natl Ctr Environm Hlth, Div Lab Sci, Atlanta, GA 30341 USA
[6] Simon Fraser Univ, BC Childrens Hosp, Res Inst, 8888 Univ Dr, Burnaby, BC V5A 1S6, Canada
[7] Simon Fraser Univ, Fac Hlth Sci, 8888 Univ Dr, Burnaby, BC V5A 1S6, Canada
[8] Univ Penn, Perelman Sch Med, Dept Biostat Epidemiol & Informat, 423 Guardian Dr,Blockley Hall 231, Philadelphia, PA 19104 USA
关键词
Polybrominated diphenyl ethers (PBDEs); Poly; and perfluoroalkyl substances (PFAS); Depression; Maternal; Pregnancy; Women; BROMINATED FLAME RETARDANTS; POLYCHLORINATED-BIPHENYLS PCBS; POLYUNSATURATED FATTY-ACIDS; THYROID-HORMONE; OCCUPATIONAL-EXPOSURE; PERFLUOROOCTANE SULFONATE; COGNITIVE-DEVELOPMENT; PERINATAL DEPRESSION; POSTNATAL DEPRESSION; DISORDERS PRIOR;
D O I
10.1016/j.envint.2020.105694
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Background: Experimental studies in rodents suggest that polybrominated diphenyl ethers (PBDEs) and poly- and perfluoroalkyl substances (PFAS) may contribute to depressive symptoms. Few studies have examined the impact of these chemicals on depression in adults. Objective: To examine the associations between serum PBDE and PFAS concentrations during pregnancy and repeated measures of depressive symptoms in women assessed from pregnancy to 8 years postpartum. Methods: This study was based on 377 women from the Health Outcomes and Measures of the Environment Study, a birth cohort in Cincinnati, OH (USA). PBDEs (BDE-28, -47, -99, -100, -153, and SPBDEs) and PFAS (perfluorooctanoate [PFOA], perfluorooctane sulfonate [PFOS], perfluorohexane sulfonate [PFHxS], perfluorononanoate [PFNA]) were quantified in maternal serum at 16 +/- 3 weeks gestation. Depressive symptoms were measured using the Beck Depression Inventory-II (BDI-II) at similar to 20 weeks gestation and up to seven times during postpartum visits (4 weeks, 1, 2, 3, 4, 5, and 8 years). We used linear mixed models to estimate covariate-adjusted associations between chemical concentrations and repeated measures of BDI-II. Multinomial logistic regression models were used to estimate the relative risk ratios of having a medium or high depression trajectory. Results: We found that a 10-fold increase in BDE-28 at 16 +/- 3 weeks gestation was associated with significantly increased BDI-II scores (beta = 2.5 points, 95% confidence interval [CI] 0.8, 4.2) from pregnancy to 8 years postpartum. Significant positive associations were also observed with BDE-47, -100, -153, and SPBDEs. A 10-fold increase in SPBDEs was associated with a 4.6-fold increased risk (95% CI 1.8, 11.8) of a high trajectory for BDI-II compared to a low trajectory. We observed no significant associations between PFAS and BDI-II scores. Conclusion: PBDEs during pregnancy were associated with more depressive symptoms among women in this cohort.
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