Publications by authors named "Anne Starling"

Introduction: Organophosphate esters (OPEs) are increasing in use as flame retardants and plasticizers and concerns have been raised given their endocrine-disrupting activities and possible obesogenic consequences. However, longitudinal studies on gestational OPE exposure and childhood obesity are scarce. This study examined whether OPE levels in maternal urine during pregnancy were associated with the risk of childhood obesity.

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Background/objectives: Prenatal exposure to ambient air pollution is associated with adverse cardiometabolic outcomes in childhood. We previously observed that prenatal black carbon (BC) was inversely associated with adiponectin, a hormone secreted by adipocytes, in early childhood. Changes to DNA methylation have been proposed as a potential mediator linking in utero exposures to lasting health impacts.

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Assess if cord blood differentially methylated regions (DMRs) representing human metastable epialleles (MEs) associate with offspring adiposity in 588 maternal-infant dyads from the Colorado Health Start Study. DNA methylation was assessed via the Illumina 450K array (~439,500 CpG sites). Offspring adiposity was obtained via air displacement plethysmography.

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Article Synopsis
  • - The study investigates the links between exposure to various endocrine-disrupting chemicals (EDCs) and glucose-insulin regulation in pregnant women, focusing on 37 specific biomarkers found in urine samples from 298 participants during mid-pregnancy.
  • - Findings suggest that a mixture of EDCs, particularly di(2-ethylhexyl) phthalate (DEHP) metabolites, is positively associated with higher levels of fasting glucose and insulin, as well as insulin resistance, even when accounting for the mother's body mass index (BMI).
  • - The results highlight potential health risks, including gestational diabetes, due to EDC exposure during pregnancy, although only a few EDCs were linked to changes in hemoglobin A1c or
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Background: Per and polyfluoroalkyl substances (PFAS), a class of environmentally and biologically persistent chemicals, have been used across many industries since the middle of the 20 century. Some PFAS have been linked to adverse health effects.

Objective: Our objective was to incorporate known and potential PFAS sources, physical characteristics of the environment, and existing PFAS water sampling results into a PFAS risk prediction map that may be used to develop a PFAS water sampling prioritization plan for the Colorado Department of Public Health and Environment (CDPHE).

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Introduction: Existing evidence suggests that exposure to phthalates is higher among younger age groups. However, limited knowledge exists on how phthalate exposure, as well as exposure to replacement plasticizers, di(isononyl) cyclohexane-1,2-dicarboxylate (DINCH) and di-2-ethylhexyl terephthalate (DEHTP), change from infancy through early childhood.

Methods: Urine samples were collected across the first 5 years of life from typically developing infants and young children enrolled between 2017 and 2020 in the longitudinal UNC Baby Connectome Project.

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  • Phthalates, synthetic chemicals found in consumer products, are linked to preterm births, but previous studies have methodological flaws and insufficient data on the effects of alternative phthalate compounds like di-2-ethylhexyl phthalate (DEHP).
  • Using data from the NIH's ECHO Program spanning from 1998 to 2022, researchers analyzed the impact of 20 phthalate metabolites on birth outcomes such as gestational age and birth weight, focusing on mother-child pairs with phthalate measurements during pregnancy.
  • The study found strong associations between certain phthalates (like phthalic acid and diisononyl phthalate) and negative birth outcomes,
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Background: Widespread exposure to organophosphate ester (OPE) flame retardants with potential reproductive toxicity raises concern regarding the impacts of gestational exposure on birth outcomes. Previous studies of prenatal OPE exposure and birth outcomes had limited sample sizes, with inconclusive results.

Objectives: We conducted a collaborative analysis of associations between gestational OPE exposures and adverse birth outcomes and tested whether associations were modified by sex.

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  • - The 2017-2018 U.S. PFAS exposure burden calculator summarizes and standardizes PFAS exposure scores across different studies, allowing for better comparison of PFAS burdens even if the studies measured different substances.
  • - The study aimed to use this calculator to compare PFAS exposure and its effects on cardiometabolic health in adolescents from the HOME Study and NHANES between 2015 and 2018.
  • - Results indicated significant differences in PFAS burden scores between the two study groups, with the HOME Study showing associations between higher PFAS scores and increased levels of cholesterol and insulin.
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  • Synthetic chemicals like bisphenols, parabens, and triclosan may contribute to preterm birth (PTB) and low birth weight (LBW) due to their ability to disrupt hormones and cause oxidative stress.
  • A study with 3,619 mother-infant pairs found that higher concentrations of benzophenone-3 and methylparaben during pregnancy were linked to lower birth weight and increased odds of being small for gestational age (SGA).
  • The findings suggest that while the effects are concerning, certain compounds like 2,4-dichlorophenol showed an unexpected association with lower odds of low birth weight, indicating complex interactions that need further investigation.
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Background: Prenatal exposures to certain poly- and perfluoroalkyl substances (PFAS) are associated with reduced humoral responses to some childhood immunizations.

Objective: We estimated associations between prenatal PFAS exposure and child antibody titers for measles, mumps, rubella (MMR), and varicella after immunization.

Methods: We measured serum antibody titers of 145 children (4-8 y old) enrolled in the Healthy Start cohort in Colorado, whose mothers had PFAS quantified mid-pregnancy (2009-2014).

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Background: Phthalate exposures are ubiquitous during pregnancy and may contribute to racial and ethnic disparities in preterm birth.

Objectives: We investigated race and ethnicity in the relationship between biomarkers of phthalate exposure and preterm birth by examining: ) how hypothetical reductions in racial and ethnic disparities in phthalate metabolites might reduce the probability of preterm birth; and ) exposure-response models stratified by race and ethnicity.

Methods: We pooled individual-level data on 6,045 pregnancies from 16 U.

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Article Synopsis
  • * A meta-analysis of 37 studies revealed that higher MEA is linked to different DNA methylation patterns in offspring at birth, childhood, and adolescence, with significant findings at 473 specific sites associated with maternal factors like smoking and nutrition.
  • * The research underscores the connection between socio-economic status and biological processes, enhancing our understanding of how maternal education impacts health through genetic mechanisms and emphasizing the role of social determinants in health disparities.
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Background/objectives: Observational and experimental studies have suggested that prenatal exposure to per- and polyfluoroalkyl substances (PFAS) can increase childhood adiposity and cardiometabolic disruption. However, most previous studies have used weight-based measures that cannot distinguish between fat mass and lean mass. We evaluated associations of prenatal PFAS exposure with precisely measured body composition and cardiometabolic biomarkers in early childhood.

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  • Childhood appetitive traits are influenced by early-life epigenetic processes, particularly through DNA methylation (DNAm), where methyl groups attach to DNA and potentially affect appetite regulation.
  • The study analyzed DNAm in cord blood from two cohorts, using multiple regression models to examine how different DNAm patterns correlated with children's eating behaviors reported by parents.
  • While no direct associations were found at individual DNA sites, examining grouped methylation patterns revealed significant connections between DNAm and various appetitive traits, suggesting that DNA methylation in newborns might play a role in shaping eating behaviors as children grow.
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Background: Early life exposure to air pollution, such as particulate matter ≤2.5 μm (PM), may be associated with obesity and adverse cardiometabolic health outcomes in childhood. However, the toxicity of PM varies according to its chemical composition.

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EXPOSURE TO POLY: and perfluoroalkyl substances (PFAS) in early life may increase the risk of childhood asthma, but evidence has been inconsistent. We estimated associations between maternal serum concentrations of PFAS during pregnancy and clinician-diagnosed asthma incidence in offspring through age eight. We included 597 mother-child pairs with PFAS quantified in mid-pregnancy serum and childhood medical records reviewed for asthma diagnoses.

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  • * Conducted over 14 years across multiple U.S. sites, it analyzed data from 2,174 pregnant individuals who provided urine samples and completed depression screenings within a year after childbirth.
  • * Results showed that virtually all participants had detectable levels of several harmful chemicals, highlighting a potential area for reducing PPD risk through dietary and lifestyle changes.
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  • Seasonal variations at birth can influence DNA methylation, which may affect health outcomes over a person’s lifetime.
  • A study involving multiple cohorts discovered specific DNA methylation patterns linked to different birth seasons, revealing 26 differentially methylated regions (DMRs) at birth and 32 in childhood.
  • Results suggested that geographic latitude plays a role in these associations, linking certain genes to conditions like schizophrenia and asthma, particularly in infants born in higher latitudes (≥50°N).
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Background: Gestational phthalate and phenol exposure disrupts adipogenesis, contributing to obesity in mice. Whether gestational phthalate or phenol exposure is associated with infant body composition has not been investigated in humans.

Objective: We examined associations between biomarkers of phthalate and phenol exposure in midpregnancy and infant size and body composition at birth and at 5 months of age.

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