Evidence mapPaperPMID 32620010Full record

ArticleThe Journal of clinical endocrinology and metabolism2020

Pregnancy Per- and Polyfluoroalkyl Substance Concentrations and Postpartum Health in Project Viva: A Prospective Cohort.

Susanna D Mitro, Sharon K Sagiv, Abby F Fleisch, Lindsay M Jaacks, Paige L Williams, Sheryl L Rifas-Shiman, Antonia M Calafat, Marie-France Hivert, Emily Oken, Tamarra M James-Todd

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.1field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Susanna D MitroPopulation Health Sciences Program, Harvard University, Boston, MA, US.
Sharon K SagivDepartment of Epidemiology, University of California, Berkeley School of Public Health, Berkeley, CA, US.
Abby F FleischPediatric Endocrinology and Diabetes, Maine Medical Center; and Center for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME, US.
Lindsay M JaacksDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, US.
Paige L WilliamsDepartment of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, MA, US.
Sheryl L Rifas-ShimanDivision of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, US.
Antonia M CalafatDivision of Laboratory Sciences, Centers for Disease Control and Prevention, Atlanta, GA, US.
Marie-France HivertDivision of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, US.
Emily OkenDivision of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, US.
Tamarra M James-ToddDepartment of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, US.
Harvard University · USBerkeley Public Health Division · USBrigham and Women's Hospital · USCenters for Disease Control and Prevention · USHarvard Global Health Institute · USMaine Medical Center · US

Funding

Prenatal environmental determinants of health in young adulthood: a lifecourse approachR01HD034568 · HARVARD PILGRIM HEALTH CARE, INC. · 1998 to 2025
$3.6M
Training Program in Environmental EpidemiologyT32ES007069 · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · 1985 to 2005
$2.9M
Environmental Chemicals, Adiposity, and Bone Accrual Across AdolescenceR01ES030101 · NIEHS · MAINEHEALTH · PI Abby Fleisch · 2022 to 2023
$901k
Long-term prospective associations of PFAS with musculoskeletal and cardiovascular health among older adultsR01ES024765 · HARVARD PILGRIM HEALTH CARE, INC. · 2025 to 2025
$488k
NICHD NIH HHS R01 HD034568NICHD NIH HHS R01 HD096032NIEHS NIH HHS K23 ES024803NIEHS NIH HHS R01 ES024765NIEHS NIH HHS R01 ES030101NIEHS NIH HHS T32 ES007069NIH HHS UH3 OD023286
6 · The paper itself

Abstract

contextPer- and polyfluoroalkyl substances (PFAS) are environmental chemicals linked to weight gain and type 2 diabetes.

objectiveWe examined the extent to which PFAS plasma concentrations during pregnancy were associated with postpartum anthropometry and biomarkers. DESIGN, PATIENTS, AND MEASURES: We studied women recruited between 1999 and 2002 in the Project Viva prospective cohort with pregnancy plasma concentrations of PFAS, including perfluorooctanesulfonic acid (PFOS), perfluorooctanoic acid (PFOA), and 2-(N-ethyl-perfluorooctane sulfonamide) acetic acid (EtFOSAA). Three-year postpartum anthropometry measurements were available from 786 to 801 women, blood pressure from 761 women, and blood biomarkers from 450 to 454 women. We used multivariable regression to evaluate the association of log2-transformed PFAS with postpartum anthropometry, blood pressure, and blood biomarkers (leptin, adiponectin, sex hormone binding globulin [SHBG], hemoglobin A1c, interleukin-6 [IL-6], C-reactive protein), adjusting for age, prepregnancy body mass index, marital status, race/ethnicity, education, income, smoking, parity, and breastfeeding history.

resultsPregnancy concentrations of certain PFAS were associated with greater adiposity (eg, 0.4 cm [95% confidence interval [95%CI]: -0.1, 0.9] greater waist circumference per doubling in EtFOSAA; 0.2 cm [95%CI: -0.1, 0.5] greater mid-upper arm circumference per doubling in PFOA; 1.2 mm [95%CI: 0.1, 2.2] thicker sum of subscapular and triceps skinfolds per doubling in PFOS) and higher systolic blood pressure (eg, 1.2 mm Hg [95%CI: 0.3, 2.2] per doubling in PFOS) at 3 years postpartum. Higher EtFOSAA concentrations were also associated with 10.8% higher IL-6 (95%CI: 3.3, 18.9) and 6.1% lower SHBG (95%CI: 0.7, 11.2) per doubling.

conclusionsPregnancy concentrations of EtFOSAA, PFOS, and PFOA were associated with adverse postpartum cardiometabolic markers.

Indexed as

AdiposityAdultAlkanesulfonic AcidsBody Mass IndexCaprylatesCohort StudiesEnvironmental ExposureEnvironmental PollutantsFemaleFluorocarbonsHumansMassachusettsParityPostpartum PeriodPregnancyPregnancy ComplicationsAlkanesulfonic AcidsCaprylatesEnvironmental PollutantsFluorocarbonsperfluorooctane sulfonic acidperfluorooctanoic acidsulfluramidSulfonamidesanthropometrybiomarkersPFASpostpartumpregnancy

Identifiers

PMID32620010
PMCPMC7418448
OpenAlexW3039390786

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.