期刊
FERTILITY AND STERILITY
卷 116, 期 6, 页码 1590-1600出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.fertnstert.2021.07.003
关键词
Fibroids; phenols; parabens; triclocarban; uterine leiomyomata
资金
- National Institute of Environmental Health Sciences (NIEHS) [R01-ES024749]
- Intramural Research Program of the National Institutes of Health (NIH), NIEHS [1ZIAES049013]
- American Recovery and Reinvestment Act funds
The study did not find strong or consistent associations between urinary concentrations of phenols, parabens, and triclocarban biomarkers and the incidence and growth of uterine leiomyomata (fibroids) in reproductive-aged Black women.
Objective: To examine the association of urinary concentrations of phenols, parabens, and triclocarban with incidence and growth of uterine leiomyomata (UL; fibroids). Design: Case-cohort study, nested within the Study of Environment, Lifestyle, and Fibroids, a prospective cohort study. Setting: Clinic visits at baseline and every 20 months for 60 months. Patient(s): 754 Black women aged 23-35 years residing in the Detroit, Michigan area (enrolled during 2010-2012). Intervention: None. Main Outcome Measure(s): At each study visit, women underwent transvaginal ultrasound for measurement of UL incidence and growth and provided urine specimens in which we quantified concentrations of seven phenols, four parabens, and triclocarban. We used Cox proportional hazards regression to estimate hazard ratios and 95% confidence intervals (CIs) characterizing the relation of urinary biomarker concentrations with UL incidence during the 60 months of follow-up. In a subset of UL detected and measured at multiple time points, we used linear regression to assess the associations between biomarker concentrations and UL growth. Result(s): Urinary biomarker concentrations were generally inversely associated with UL incidence, but the associations were weak and nonmonotonic. For example, hazard ratios comparing concentrations >= 90th with <50th percentile were 0.77 (95% CI: 0.46, 1.27) for bisphenol A, 0.72 (95% CI: 0.40, 1.28) for bisphenol S, and 0.76 (95% CI: 0.43, 1.33) for methylparaben. Biomarker concentrations were not strongly associated with UL growth. Conclusion(s): In this study of reproductive-aged Black women, urinary phenols, parabens, and triclocarban biomarkers were neither strongly nor consistently associated with UL incidence and growth. (C) 2021 by American Society for Reproductive Medicine.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据