Per- and polyfluoroalkyl substances (PFAS) are widespread
environmental
contaminants with endocrine-disruptive properties. Their impact on
puberty in boys is unclear. In this cross-sectional study, we investigated
the association between PFAS exposure and pubertal timing in 300 Norwegian
boys (9–16 years), enrolled in the Bergen Growth Study 2 during
2016. We measured 19 PFAS in serum samples and used objective pubertal
markers, including ultrasound-measured testicular volume (USTV), Tanner
staging of pubic hair development, and serum levels of testosterone,
luteinizing hormone, and follicle-stimulating hormone. In addition
to logistic regression of single pollutants and the sum of PFAS, Bayesian
and elastic net regression were used to estimate the contribution
of the individual PFAS. Higher levels of the sum of perfluorooctanesulfonic
acid (PFOS), perfluorooctanoic acid (PFOA), perfluorononanoic acid
(PFNA), and perfluorohexanesulfonic acid (PFHxS) were associated with
later pubertal onset according to USTV (age-adjusted odds ratio (AOR):
2.20, 95% confidence interval (CI): 1.29, 3.93) and testosterone level
(AOR: 2.35, 95% CI: 1.34, 4.36). Bayesian modeling showed that higher
levels of PFNA and PFHxS were associated with later pubertal onset
by USTV, while higher levels of PFNA and perfluoroundecanoic acid
(PFUnDA) were associated with later pubertal onset by testosterone
level. Our findings indicate that certain PFAS were associated with
delay in male pubertal onset.