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Table 3 Adjusted associations between ln-units of maternal serum POPs and BMI-for-age-and-sex z-scores, subscapular and triceps skinfold z-scores (βs and 95% CIs) and child obesity/overweight (OR and 95% CI) at 5 years of age, overall and by country

From: Prenatal exposure to persistent organic pollutants and child overweight/obesity at 5-year follow-up: a prospective cohort study

Maternal serum POPs

Child outcomes at five-year follow-up (n = 412)

 

All participants (n = 412)a

Norway (n = 254)b

Sweden (n = 158)b

 

BMI-for-age-and-sex z-score

 

β (95% CI)

p int c

PFOS

0.18 (0.01, 0.35)

0.30 (0.08, 0.51)

−0.11 (−0.41, 0.19)

0.039

PFOA

0.18 (−0.03, 0.39)

0.32 (0.05, 0.60)

−0.07 (−0.41, 0.27)

0.129

PCB 153

0.30 (−0.03, 0.63)

0.45 (0.03, 0.87)

0.11 (−0.43, 0.65)

0.509

p,p’-DDE

0.03 (−0.12, 0.18)

0.04 (−0.15, 0.23)

0.02 (−0.24, 0.29)

0.932

HCB

0.16 (−0.13, 0.45)

0.36 (−0.03, 0.75)

−0.11 (−0.56, 0.34)

0.154

b-HCH

0.17 (−0.08, 0.43)

0.17 (−0.16, 0.51)

0.14 (−0.26, 0.55)

0.823

t-NC

0.11 (−0.13, 0.35)

0.23 (−0.07, 0.54)

−0.12 (−0.53, 0.29)

0.380

 

Triceps skinfold z-score

 
 

β (95% CI)

 

PFOS

0.15 (0.02, 0.27)

0.20 (0.06, 0.35)

−0.02 (−0.27, 0.22)

0.255

PFOA

0.14 (−0.02, 0.29)

0.24 (0.05, 0.42)

−0.05 (−0.33, 0.23)

0.223

PCB 153

−0.08 (−0.31, 0.16)

0.02 (−0.27, 0.31)

−0.33 (−0.77, 0.11)

0.638

p,p’-DDE

−0.04 (−0.15, 0.07)

0.004 (−0.13, 0.14)

−0.12 (−0.33, 0.10)

0.905

HCB

0.02 (−0.20, 0.24)

0.07 (−0.20, 0.35)

−0.11 (−0.48, 0.26)

0.914

b-HCH

0.10 (−0.08, 0.29)

0.10 (−0.13, 0.32)

0.07 (−0.27, 0.41)

0.271

t-NC

−0.03 (−0.20, 0.15)

0.05 (−0.16, 0.25)

−0.32 (−0.64, 0.02)

0.497

 

Subscapular skinfold z-score

 
 

β (95% CI)

 

PFOS

0.07 (−0.07, 0.20)

0.12 (−0.04, 0.29)

−0.07 (−0.35, 0.22)

0.304

PFOA

−0.03 (−0.20, 0.15)

0.04 (−0.18, 0.25)

−0.11 (−0.42, 0.21)

0.470

PCB 153

−0.05 (−0.32, 0.23)

0.07 (−0.26, 0.41)

−0.30 (−0.80, 0.20)

0.432

p,p’-DDE

−0.07 (−0.19, 0.06)

−0.04 (−0.18, 0.11)

−0.10 (−0.34, 0.14)

0.917

HCB

−0.08 (−0.33, 0.17)

−0.05 (−0.36, 0.27)

−0.21 (−0.62, 0.20)

0.977

b-HCH

0.14 (−0.07, 0.35)

0.10 (−0.16, 0.36)

0.17 (−0.21, 0.55)

0.528

t-NC

−0.13 (−0.34, 0.07)

−0.08 (−0.32, 0.16)

−0.34 (−0.71, 0.04)

0.698

 

Overweight (≥ 85th percentile)

 
 

OR (95% CI)

 

N overweight/total

52/412 (13%)

36/254 (14%)

16/158 (10%)

 

PFOS

2.04 (1.11–3.74)

2.96 (1.42–6.15)

0.71 (0.21–2.45)

0.098

PFOA

1.61 (0.75–3.46)

2.90 (1.10–7.63)

0.50 (0.12–2.06)

0.119

PCB 153

1.37 (0.42–4.49)

2.13 (0.49–9.26)

0.60 (0.06–6.03)

0.944

p,p’-DDE

0.88 (0.52–1.49)

1.11 (0.58–2.14)

0.61 (0.20–1.83)

0.792

HCB

1.51 (0.55–4.13)

2.30 (0.62–8.50)

0.60 (0.10–3.62)

0.806

b-HCH

2.14 (0.86–5.32)

2.17 (0.67–6.99)

1.56 (0.29–8.39)

0.529

t-NC

1.44 (0.63–3.31)

1.69 (0.62–4.62)

0.78 (0.15–1.19)

0.745

  1. aAdjusted for maternal age, education, smoking at conception, pre-pregnancy BMI, weight gain at 17 weeks, interpregnancy interval, previous breastfeeding duration and country of residence
  2. bAdjusted for maternal age, education, smoking at conception, pre-pregnancy BMI, weight gain at 17 weeks, interpregnancy interval and previous breastfeeding duration
  3. cp-value for interaction between exposure and country