Publications by authors named "Gennings C"

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: Recent studies have shown associations between relative abundances of specific gut microbes and cognitive function; however, few studies have explored the potential interplay between the gut microbiome and food insecurity in association with the risk of cognitive impairment (RCI). This study investigated the role of food insecurity as an effect modifier between the gut microbiome, including groups of gut microbes (microbial cliques), and RCI.

Methods: Data came from the Survey of the Health of Wisconsin and its ancillary Wisconsin Microbiome Study.

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Emerging research suggests that exposures to metals during pregnancy and consequent disruptions in gut microbiome (GM) are associated with depressive disorders in childhood. , a GM bacteria, has been studied for its potential antidepressant effects. However, its role in influencing the association between prenatal metal exposures and depressive symptoms during childhood is unknown.

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Article Synopsis
  • - Prenatal and early-life exposure to air pollution and extreme temperatures are linked to increased risks of asthma and wheezing in children, but the specific vulnerable periods and how these effects vary by sex remain unclear.
  • - The study analyzed data from 468 mother-child pairs in Mexico City, finding that exposure to particulate matter (PM) and nitrogen oxides (NO) during mid-gestation and the first year of life significantly increased the odds of wheeze, with some temperature effects being less consistent.
  • - Results indicated that the impact of air pollution on respiratory issues is stronger in males, and a combined high exposure to PM and temperature during infancy led to an increased risk of wheeze.
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Alterations to the gut microbiome and exposure to metals during pregnancy have been suggested to impact inflammatory bowel disease. Nonetheless, how prenatal exposure to metals eventually results in long-term effects on the gut microbiome, leading to subclinical intestinal inflammation, particularly during late childhood, has not been studied. It is also unknown whether such an interactive effect drives a specific subgroup of children toward elevated susceptibility to intestinal inflammation.

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Objectives: Metabolic dysfunction-associated steatotic liver disease (MASLD) is common in children. We hypothesized environmental toxins could drive progression to metabolic dysfunction-associated steatohepatitis (MASH), and assayed serum toxins and metabolites in children with histologically characterized MASLD/MASH.

Methods: Environmental chemicals, common in household items, perfluoroalkyl substances (PFAS), polybrominated flame retardants (polybrominated diphenyl ethers [PBDEs]), and metabolic profiles were assayed in children enrolled in the multicenter NASH Clinical Research Network Pediatric Database 2.

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Early life phthalates exposure has been associated with adverse respiratory outcomes. However, evidence linking prenatal phthalates exposure and childhood lung function has been inconclusive. Additionally, few studies have examined phthalates exposure as a mixture and explored sexually dimorphic associations.

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Background: Metal(oid)s have been cross-sectionally associated with lung function outcomes in childhood but there is limited data on their combined effects starting in utero. Child sex may further modify these effects.

Objective: Examine associations between in utero and early life exposure to metals assessed via novel dentine biomarkers and childhood lung function and explore effect modification by child sex.

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Background: The association between prenatal household air pollution (HAP) exposure and childhood blood pressure (BP) is unknown.

Objective: Within the Ghana Randomized Air Pollution and Health Study (GRAPHS) we examined time-varying associations between ) maternal prenatal and ) first-year-of-life HAP exposure with BP at 4 years of age and, separately, whether a stove intervention delivered prenatally and continued through the first year of life could improve BP at 4 years of age.

Methods: GRAPHS was a cluster-randomized cookstove intervention trial wherein pregnant women were randomized to one of two stove interventions: ) a liquefied petroleum gas (LPG) stove or improved biomass stove, or ) control (open fire cooking).

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Objective: We aimed to evaluate the association between food groups and mixtures of urinary metal concentrations in a sample of women; as well as identify the most important metals within each mixture.

Methods: This is a cross-sectional analysis between food groups consumption and mixtures of various metals in urine from 439 women, ≥18 years old, from Northen Mexico. We estimated the dietary intake of 20 food groups through a validated semi-quantitative food frequency questionnaire.

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Emerging research suggests that exposures to metals during pregnancy and gut microbiome (GM) disruptions are associated with depressive disorders in childhood. , a GM bacteria, has been studied for its potential antidepressant effects. However, its role in the influence of prenatal metal exposures on depressive symptoms during childhood is unknown.

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Externalizing disorders, such as attention-deficit/hyperactivity disorder (ADHD), account for the majority of the child/adolescent referrals to mental health services and increase risk for later-life psychopathology. Although the expression of externalizing disorders is more common among males, few studies have addressed how sex modifies associations between metal exposure and adolescent externalizing symptoms. This study aimed to examine sex-specific associations between co-exposure to multiple metals and externalizing symptoms in adolescence and young adulthood.

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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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Background: Childhood depression is a major public health issue worldwide. Previous studies have linked both prenatal metal exposures and the gut microbiome to depression in children. However, few, if any, have studied their interacting effect in specific subgroups of children.

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Phthalate use and the concentrations of their metabolites in humans vary by geographic region, race, ethnicity, sex, product use and other factors. Exposure during pregnancy may be associated with detrimental reproductive and developmental outcomes. No studies have evaluated the predictors of exposure to a wide range of phthalate metabolites in a large, diverse population.

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The impact of a household air pollution (HAP) stove intervention on child lung function has been poorly described. To assess the effect of a HAP stove intervention for infants prenatally to age 1 on, and exposure-response associations with, lung function at child age 4. The Ghana Randomized Air Pollution and Health Study randomized pregnant women to liquefied petroleum gas (LPG), improved biomass, or open-fire (control) stove conditions through child age 1.

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Many analytical methods used in gut microbiome research focus on either single bacterial taxa or the whole microbiome, ignoring multibacteria relationships (microbial cliques). We present a novel analytical approach to identify microbial cliques within the gut microbiome of children at 9-11 years associated with prenatal lead (Pb) exposure. Data came from a subset of participants ( = 123) in the Programming Research in Obesity, Growth, Environment and Social Stressors cohort.

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Article Synopsis
  • - The review investigates how exposure to per- and polyfluoroalkyl substances (PFAS) impacts human health by examining the human metabolome through 28 observational studies, highlighting the connections between PFAS and various metabolic changes.
  • - The studies analyzed considered different types of PFAS, with most focusing on long-chain PFAS and encompassing a range of population sizes, methodologies, and study designs, predominantly cross-sectional.
  • - Significant findings include altered levels of amino acids, fatty acids, and other metabolites linked to PFAS exposure, suggesting disruptions in crucial metabolic pathways related to energy and cell membrane function.
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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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A growing body of literature suggests that developmental exposure to individual or mixtures of environmental chemicals (ECs) is associated with autism spectrum disorder (ASD). However, investigating the effect of interactions among these ECs can be challenging. We introduced a combination of the classical exposure-mixture Weighted Quantile Sum (WQS) regression and a machine-learning method termed Signed iterative Random Forest (SiRF) to discover synergistic interactions between ECs that are (1) associated with higher odds of ASD diagnosis, (2) mimic toxicological interactions, and (3) are present only in a subset of the sample whose chemical concentrations are higher than certain thresholds.

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Article Synopsis
  • New statistical methods have emerged to better estimate the health effects of exposure to multiple chemicals, with Weighted Quantile Sum (WQS) regression being one of the latest techniques.
  • This study introduces an enhanced WQS regression model that incorporates two indices (one for positive effects and one for negative effects) along with a penalization term to improve analysis.
  • Through simulations and a case study on nutrient effects on obesity using NHANES data, the new model demonstrated improved estimation accuracy and identified key nutrients like sodium and magnesium as significant factors in these relationships.
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Objective: Bronchopulmonary dysplasia (BPD) is a serious yet common morbidity of preterm birth. Although prior work suggests a possible role for phthalate exposure in the development of BPD, no study has rigorously evaluated this. Our objective was to determine whether hospital-based phthalate exposure is associated with the development of BPD and to identify developmental windows sensitive to exposure.

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Background: Metal exposures are associated with gut microbiome (GM) composition and function, and exposures early in development may be particularly important. Considering the role of the GM in association with many adverse health outcomes, understanding the relationship between prenatal metal exposures and the GM is critically important. However, there is sparse knowledge of the association between prenatal metal exposure and GM later in childhood.

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Background: Prenatal household air pollution impairs birth weight and increases pneumonia risk however time-varying associations have not been elucidated and may have implications for the timing of public health interventions.

Methods: The Ghana Randomized Air Pollution and Health Study (GRAPHS) enrolled 1,414 pregnant women from Kintampo, Ghana and measured personal carbon monoxide (CO) exposure four times over pregnancy. Birth weight was measured within 72-hours of birth.

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Article Synopsis
  • Prenatal exposure to phthalates may negatively impact child development, specifically affecting gender-specific play behavior in children.
  • The study analyzed data from 715 mother-child pairs to investigate the links between single phthalates and a phthalate mixture with play behaviors, using a variety of statistical methods.
  • Results indicated that boys exposed to di-isononyl phthalate (DINP) showed decreased masculine play behavior, while girls exposed to a different phthalate (MOiNCH) exhibited declines in both feminine and masculine play behavior.
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