Subject    :    [2019 Feb;43(1)] Association of Bisphenol A and Its Substitutes, Bisphenol F and Bisphenol S, with Obesity in United States Children and Adolescents
Writer KDA
Date 2019-03-06 10:19:46 Hit 217
Diabetes Metab J. 2019 Feb;43(1):59-75. English.
Published online Feb 19, 2019.  https://doi.org/10.4093/dmj.2018.0045 
Copyright © 2019 Korean Diabetes Association
   
Association of Bisphenol A and Its Substitutes, Bisphenol F and Bisphenol S, with Obesity in United States Children and Adolescents
Buyun Liu,1 Hans-Joachim Lehmler,2 Yangbo Sun,1 Guifeng Xu,1 Qi Sun,3,4 Linda G. Snetselaar,1Robert B. Wallace,1 and Wei Bao1,5,6,7,8
1Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA.
2Department of Occupational and Environmental Health, College of Public Health, University of Iowa, Iowa City, IA, USA.
3Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
4Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
5Obesity Research and Education Initiative, University of Iowa, Iowa City, IA, USA.
6Fraternal Order of Eagles Diabetes Research Center, University of Iowa, Iowa City, IA, USA.
7Environmental Health Sciences Research Center, University of Iowa, Iowa City, IA, USA.
8Center for Global and Regional Environmental Research, University of Iowa, Iowa City, IA, USA.

Corresponding author: Wei Bao. Department of Epidemiology, College of Public Health, University of Iowa, 145 N. Riverside Dr, Room S431 CPHB, Iowa City, IA 52242, USA. Email: wei-bao@uiowa.edu 
 
Received March 15, 2018; Accepted June 04, 2018.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

 
Abstract

Background

Bisphenol F (BPF) and bisphenol S (BPS) are increasingly used as substitutes for bisphenol A (BPA), an environmental obesogen. However, health effects of BPF and BPS remain unclear. In this study, we evaluated the associations of BPA, BPF, and BPS with obesity in children and adolescents.

Methods

We used data from the U.S. National Health and Nutrition Examination Survey 2013 to 2014, a nationally representative study. We included 745 participants aged 6 to 17 years old. General obesity was defined based on the 2000 Centers for Disease Control and Prevention body mass index-for-age growth charts for the United States. Abdominal obesity was defined as waist-to-height ratio ≥0.5.

Results

After adjustment for demographic, socioeconomic and lifestyle factors, and urinary creatinine levels, the odds ratio of general obesity comparing the highest with lowest quartile of urinary bisphenol levels was 1.74 (95% confidence interval [CI], 0.92 to 3.31) for BPA, 1.54 (95% CI, 1.02 to 2.32) for BPF, and 1.36 (95% CI, 0.53 to 3.51) for BPS. Moreover, the associations were stronger in boys than in girls for BPA and BPF. Similar results were observed for abdominal obesity.

Conclusion

This study for the first time showed that exposure to BPF, a commonly used substitute for BPA, was positively associated with higher risk of obesity in children and adolescents. The association of BPA and BPF with general and abdominal obesity was primarily observed in boys, suggesting a possible sex difference. Further investigations on the underlying mechanisms are needed.

   
Keywords:
AdolescentBisphenol ABisphenol FBis(4-hydroxyphenyl)sulfoneChildObesity
 

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