Evidence map›Paper›PMID 40355063›Full record

ArticleEnvironmental research2025

Early life phthalate exposure impacts gray matter and white matter volume in infants and young children.

Emily J Werder, Kun Lu, Chih-Wei Liu, Jake E Thistle, Julia E Rager, Gang Li, Zhengwang Wu, Tengfei Li, Li Wang, Dale P Sandler and 5 more

Abstract read
In one paragraph

Article in Environmental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Emily J WerderDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Epidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC, United States. Electronic address: emily_werder@med.unc.edu.
Kun LuDepartment of Environmental Sciences and Engineering, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Chih-Wei LiuDepartment of Environmental Sciences and Engineering, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Jake E ThistleDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Julia E RagerDepartment of Environmental Sciences and Engineering, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Gang LiDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Zhengwang WuDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Tengfei LiDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Li WangDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Dale P SandlerEpidemiology Branch, National Institute of Environmental Health Sciences, Research Triangle Park, NC, United States.
John H GilmoreDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Joseph PivenDepartment of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Hongtu ZhuBiomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Department of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Weili LinDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Stephanie M EngelDepartment of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States; Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Hazel B Nichols · 2001 to 2026
$36.3M
UNC/UMN Baby Connectome ProjectU01MH110274 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ELISON, JED THOMAS, GILMORE, JOHN HORACE · 2016 to 2019
$4.5M
Mapping the Causal Genetic-Imaging-Clinical Pathway for Alzheimer's DiseaseRF1AG082938 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Bingxin Zhao, Hongtu Zhu · 2023 to 2026
$3.6M
Early Life Phthalate Exposures in Relation to Structural and Functional Brain DevelopmentR01ES033518 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel, Weili Lin · 2021 to 2026
$3.3M
The early life exposome, emerging chemical exposures, and structural and functional brain development in childhoodR00ES035123 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Emily Jean Werder · 2025 to 2026
$498k
NIA NIH HHS RF1 AG082938NIEHS NIH HHS P30 ES010126NIEHS NIH HHS R00 ES035123NIEHS NIH HHS R01 ES033518NIMH NIH HHS U01 MH110274
6 · The paper itself

Abstract

objectivePrenatal phthalate exposure is associated with adverse neurodevelopmental outcomes, yet data on impacts of early life exposure remains limited. We investigated phthalate and replacement plasticizer exposures from 2 weeks to 7 years of age in relation to brain anatomical attributes, using serial structural magnetic resonance imaging (sMRI). MATERIAL AND

methodsChildren were enrolled after birth into the UNC Baby Connectome Project, a longitudinal neuroimaging study (North Carolina, USA; 2017-2020). Urine samples (n = 406) were collected at each visit and analyzed for 17 phthalate and replacement plasticizer metabolites. Among 157 children contributing 369 sMRIs, we calculated metabolite-specific average exposures across each individual's urine samples and used linear mixed models to estimate longitudinal associations of log transformed, specific gravity-adjusted average metabolite concentrations with gray and white matter volume, and cortical volume, thickness, and surface area. We examined sex-specific differences in these associations.

resultsHigher average metabolite concentration was associated with lower gray matter volume (MCPP: (-1.73 cm

conclusionEarly life phthalate/plasticizer exposure may differentially impact various brain region volumes in early childhood, with potential downstream consequences on functional development.

Indexed as

Environmental ExposureEnvironmental PollutantsGray MatterPhthalic AcidsPlasticizersWhite MatterChildChild, PreschoolFemaleHumansInfantLongitudinal StudiesMagnetic Resonance ImagingMaleNorth CarolinaPregnancyEnvironmental Pollutantsphthalic acidPhthalic AcidsPlasticizersChildren's environmental healthEndocrine disrupting chemicalsNeurodevelopmentPhthalates

Identifiers

PMID40355063
PMCPMC12452038

What Socratic holds

Textmetadata
LicenceCC BY
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.