Publications by authors named "Christian Lindh"

Background: Endocrine disrupting chemicals (EDCs) can cross the placenta and thereby expose the fetus, which may lead to developmental consequences. It is still unclear which chemicals are of concern regarding neurodevelopment and specifically behaviour, when being exposed to a mixture.

Objective: The objective is to determine associations between prenatal exposure to EDCs and behavioural difficulties.

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Background: Perfluoroalkyl substances (PFAS) have been associated with impaired antibody levels after childhood vaccinations and immunosuppressive effects in animals. However, the in vivo effects of PFAS on antigen specific human T cell responses have not been investigated in adults. In Ronneby, Sweden, the drinking water of one of the water works was previously highly contaminated with primarily perfluorohexane sulfonic acid (PFHxS) and perfluorooctane sulfonic acid (PFOS).

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Background: Medication overuse headache is a prevalent secondary headache due to the overuse of analgesics, mainly over-the-counter analgesics. Over-the-counter analgesics have been associated with disrupted male endocrinology, while the effects on female endocrinology remain nearly unknown. The aim was to understand the effect of long-term analgesic exposure in females with medication overuse headache on Anti-Müllerian hormone, a surrogate measure of female fertility.

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Introduction: Snus is suggested as a risk factor for cardiometabolic disease, but little is known about health effects in young populations, particularly in women. We aimed to investigate associations between snus and cardiometabolic health markers among young men and women.

Method: This study was conducted within the BAMSE birth cohort and included participants followed up around 24 years (n=2256) and 26 years (n=1011).

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  • A study was conducted among 299 farmworkers in Costa Rica to investigate the impact of pesticide exposure on respiratory and allergic health outcomes.
  • Researchers used questionnaires and urine samples to measure pesticide biomarkers and assess symptoms over the past year, employing complex statistical models.
  • Results indicated that specific pesticide metabolites, particularly those from organophosphates and fungicides, were linked to higher risks of asthma and rhinitis, with some herbicides showing negative associations, suggesting a complex relationship between pesticide exposure and health.
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Traditional methods for measuring chemical exposure have challenges in terms of obtaining sufficient data; therefore, improved methods for better assessing occupational exposure are needed. One possible approach to mitigate these challenges is to use self-monitoring methods such as sensors, diaries, or biomarkers. In the present study, a self-monitored method for measuring soot exposure, which included real-time air monitoring, a work diary, and the collection of urine samples, was evaluated.

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Background: In experimental studies, several polycyclic aromatic hydrocarbons (PAHs) have shown endocrine disrupting properties, but very few epidemiological studies have examined their impact on pubertal development and results have been heterogenous.

Objective: To explore if maternal PAH exposure during pregnancy was associated with the offspring's timing of pubertal onset.

Methods: We studied 582 mother-daughter dyads originating from a population-based cohort in a rural setting in Bangladesh.

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  • A study investigated the impact of exposure to various pesticides on respiratory health among avocado farmworkers in Michoacán, Mexico.
  • Urine samples from 105 farmworkers were analyzed for pesticide metabolites, and their respiratory symptoms were assessed through surveys and exposure-intensity scoring.
  • The results indicated mostly no direct associations between individual pesticide exposure and respiratory health; however, a mixture of pesticides, especially pyrethroids, was linked to an increased likelihood of night cough among workers.
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Purpose: To examine associations of prenatal biomarkers of pesticide exposure with birth size measures and length of gestation among newborns from the Infants' Environmental Health (ISA) birth cohort, Costa Rica.

Methods: We included 386 singleton liveborn newborns with data on birth size measures, length of gestation, and maternal urinary biomarkers of chlorpyrifos, synthetic pyrethroids, mancozeb, pyrimethanil, and 2, 4-D during pregnancy. We associated biomarkers of exposure with birth outcomes using multivariate linear regression and generalized additive models.

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Relatively little is known about the relationship between socio-demographic factors and the chemical exposome in adolescent populations. This knowledge gap hampers global efforts to meet certain UN sustainability goals. The present work addresses this problem in Swedish adolescents by discerning patterns within the chemical exposome and identify demographic groups susceptible to heightened exposures.

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Objective: To investigate whether maternal paracetamol use in early pregnancy is associated with cerebral palsy (CP) in offspring.

Study Design: We conducted a registry and biobank-based case-control study with mother-child pairs. We identified CP cases (n = 322) born between 1995 and 2014 from a nationwide CP-registry.

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Background: Some endocrine disrupting chemicals (EDC), are "obesogens" and have been associated with overweight and obesity in children. Daily exposure to different classes of EDCs demands for research with mixtures approach.

Objectives: This study evaluates the association, considering sex-specific effects, between prenatal exposure to EDC mixture and children's body fat at seven years of age.

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  • A study investigated the impact of prenatal exposure to various non-organophosphate pesticides on the neurodevelopment of children at one year old, using urine samples from pregnant women to measure pesticide levels.
  • Findings revealed that higher levels of 2,4-D were linked to lower language and motor skills in all children, while chlorpyrifos exposure correlated with reduced cognitive skills, particularly among boys.
  • Additionally, girls showed lower language abilities with increased pyrimethanil exposure, but pyrethroid levels did not significantly affect developmental outcomes.
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  • The study investigates the cognitive and mental health effects of pesticide exposure among avocado farmworkers in Michoacán, Mexico, focusing on insecticides, fungicides, and herbicides.
  • Data was collected from 105 farmworkers, including their pesticide use and urine samples, to assess health outcomes using cognitive tests and psychological inventories.
  • Results indicated that higher levels of certain pesticide metabolites in urine correlated with increased anxiety and psychological distress, while one specific metabolite was associated with lower distress levels.
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Cardiovascular disease (CVD) development may be linked to persistent organic pollutants (POPs), including organochlorine compounds (OCs) and perfluoroalkyl and polyfluoroalkyl substances (PFAS). To explore underlying mechanisms, we investigated metabolites, proteins, and genes linking POPs with CVD risk. We used data from a nested case-control study on myocardial infarction (MI) and stroke from the Swedish Mammography Cohort - Clinical ( = 657 subjects).

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Filaggrin (FLG), a skin barrier protein, is associated with higher dermal uptake of some chemicals in carriers of loss-of-function (null) mutations. This study investigates FLG mutations and systemic effects following dermal exposure to chemicals. Individuals (n = 23 FLG null, n = 31 FLG wt) were simultaneously exposed to pyrimethanil, pyrene, oxybenzone, and nickel ions for 4 h.

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Paracetamol/acetaminophen (N-acetyl-p-aminophenol, APAP) is a top selling analgesic used in more than 600 prescription and non-prescription pharmaceuticals. To study efficiently some of the potential undesirable effects associated with increasing APAP consumption (e.g.

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Background: Growing evidence suggests intergenerational effects of paternal pre-conceptional smoking through the germ line, but its specific impact on offspring semen quality remains uncertain because of challenges in isolating paternal exposure from maternal passive smoking or underreporting.

Methods: We reran previous analyses estimating differences in semen parameters and testicular size according to paternal smoking in 867 young adult men, adding first-trimester maternal plasma cotinine to the original adjustment for maternal self-reported smoking. We also estimated differences in sperm DNA fragmentation.

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Background: Relying on freezer stored biospecimens is preferred in epidemiolocal studies exploring environmental pregnancy exposures and later offspring health. Storage duration may increase the pre-analytical variability, potentially adding measurement uncertainty. We investigated evaporation of maternal serum after long-term biobank storage using ions (sodium, Na+; chloride, Cl-) recognized for stability and relatively narrow normal biological reference ranges in human serum.

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  • The study investigates the link between maternal levels of per- and polyfluoralkyl substances (PFAS) in early pregnancy and the risk of small for gestational age (SGA) births in a population from Southern Sweden.
  • Data was analyzed from a sample of 298 SGA cases and 580 non-SGA controls using maternal serum samples to measure four types of PFAS.
  • The findings revealed no overall association between elevated PFAS levels and SGA births, but a notable risk was identified for women of Nordic origin concerning the PFHxS type of PFAS.
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  • Prenatal exposure to endocrine disrupting chemicals (EDCs) may impact children's metabolism, particularly during sensitive developmental periods, but its link to BMI and obesity has been inconsistent.
  • In this study involving 1,105 mother-child pairs, researchers examined how prenatal exposure to various EDCs correlated with children's BMI and overweight status at 5.5 years, while also considering sex-specific effects.
  • Results indicated that higher EDC exposure was associated with lower BMI and overweight odds in girls, while findings for boys were not statistically significant, suggesting potential sex differences in the impact of EDCs.
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Maternal smoking in pregnancy may increase the risk of testicular germ cell cancer (TGCC) in offspring, but current evidence remains inconclusive. We performed a nested case-control study using cotinine measurements in maternal serum and amniotic fluid as a biomarker for tobacco exposure during pregnancy. A total of 654 males with maternal serum (n = 359, n  = 71/288) and/or amniotic fluid (n = 295, n  = 66/229) samples were included.

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Background: Per- and polyfluoroalkyl substances (PFAS) are widely used, environmentally ubiquitous, and stable chemicals that have been associated with lower vaccine-induced antibody responses in children; however, data on adults are limited. The drinking water from one of the two waterworks in Ronneby, Sweden, was heavily contaminated for decades with PFAS from firefighting foams, primarily perfluorohexane sulfonic acid and perfluorooctanesulfonic acid (PFOS). Vaccination against SARS-CoV-2 offered a unique opportunity to investigate antibody responses to primary vaccination in adults who had been exposed to PFAS.

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  • The study examined the presence of 4-hydroxychlorothalonil (HCT), a more toxic derivative of the fungicide chlorothalonil, in the serum of pregnant women from Sweden and Costa Rica.
  • Researchers developed a method to measure HCT levels, finding it in all serum samples, with higher concentrations in Costa Rican women, especially those working in agriculture near banana plantations.
  • The findings highlight significant differences in HCT exposure levels between women in a tropical agricultural environment and those in Sweden, emphasizing the need for further investigation into health impacts related to fungicide exposure.
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