Prenatal exposure to insecticides and child cardiometabolic risk factors in the VHEMBE birth cohort.

Unlabelled: As part of malaria control programs, many countries spray dichlorodiphenyltrichloroethane (DDT) or pyrethroid insecticides inside dwellings in a practice called indoor residual spraying that results in high levels of exposure to local populations. Gestational exposure to these endocrine- and metabolism-disrupting chemicals may influence child cardiometabolic health.

Methods: We measured the serum concentration of DDT and dichlorodiphenyldichloroethylene (DDE) and urinary concentration of pyrethroid metabolites (-DBCA, -DCCA, -DCCA, 3-PBA) in peripartum samples collected between August 2012 and December 2013 from 637 women participating in the Venda Health Examination of Mothers, Babies and their Environment (VHEMBE), a birth cohort study based in Limpopo, South Africa. We applied marginal structural models to estimate the relationship between biomarker concentrations and child-size (height and weight), adiposity (body mass index [BMI], body fat percentage, waist circumference) and blood pressure at 5 years of age.

Results: Maternal concentrations of all four pyrethroid metabolites were associated with lower adiposity including reduced BMI z-scores, smaller waist circumferences, and decreased body fat percentages. Reductions in BMI z-score were observed only among children of mothers with sufficient energy intake during pregnancy (β- =-0.4, 95% confidence interval (CI) = -0.7,-0.1; p=0.03 and 0.04, respectively) but there was no evidence of effect modification for the other measures of adiposity. Maternal -DDT concentrations were associated with a reduction in body fat percentage (β = -0.4%, 95% CI = -0.8,-0.0).

Conclusions: Gestational exposure to pyrethroids may reduce adiposity in children at 5 years of age.