Associations of endocrine disrupting chemical biomarkers and their mixture with vitamin D biomarker concentrations in childhood: The HOME Study.

Katherine M. Marquess,J. Kuiper,Taylor Etzel,B. Lanphear,Andrew N. Hoofnagle,A.M. Calafat,J. Botelho,M. Ospina,Andreas Sjodin,L. Quirós-Alcalá,Kim M. Cecil,Aimin Chen,Yingying Xu,K. Yolton,Heidi J. Kalkwarf,J. M. Braun,Jessie P. Buckley

Published 2025 in Environmental Research

ABSTRACT

BACKGROUND Children are universally exposed to endocrine disrupting chemicals (EDCs) which may disrupt the vitamin D system through several mechanisms, including competitive receptor binding. Current epidemiologic evidence is limited, especially in children. We cross-sectionally investigated the short-term associations of 24 EDC biomarkers with 3 vitamin D biomarkers measured at ages 8 and 12 years. METHODS Among 236 children from the Health Outcomes and Measures of the Environment Study, we quantified serum concentrations of 4 per-/poly-fluoroalkyl substances (PFAS), 5 polybrominated diphenyl ethers (PBDEs), and 3 vitamin D biomarkers and urinary metabolites of 4 organophosphate esters (OPE), 9 phthalates/replacements, and 2 environmental phenols at ages 8 (n=180) and 12 (n=187) years. Using linear regression models with generalized estimating equations, we estimated cross-sectional covariate-adjusted associations of interquartile range (IQR)-scaled log2 EDCs with vitamin D biomarkers. We used g-computation models to estimate effects of class-based and overall mixtures. RESULTS A simultaneous IQR increase in all 24 EDCs was associated with 6.6 ng/mL (95% CI: 2.7, 10.6) higher total 25-dihydroxyvitamin D [total 25(OH)D]. Class-based mixtures of PFAS (β: 3.1; 95% CI: 1.3, 5.0), PBDEs (β: 2.1; 95% CI: 0.3, 3.9), OPEs (β: 2.6; 95% CI: 0.3, 4.8) were associated with higher total 25(OH)D whereas environmental phenols (β: 0.8; 95% CI: -0.8, 2.4) and phthalates/replacements (β: -0.8; 95% CI: -3.3, 1.8) were not. Results for 24,25-dihydroxyvitamin D were similar. The PBDE mixture was associated with 4.0 pg/mL (95% CI: 0.4, 7.6) higher 1α,25-dihydroxyvitamin D. DISCUSSION Findings suggest that EDCs may alter the childhood vitamin D system. Associations with higher vitamin D biomarker levels may indicate competitive receptor binding and altered cellular transport with potential adverse downstream health impacts.

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