Context: Exposure to endocrine-disrupting chemicals (EDCs) can contribute to the risk of childhood and adolescent obesity. Objectives: The aim of this study was to systematically review the literature concerning the association of bisphenol A (BPA) and phthalates with obesity in children and adolescents.Data Sources: Scopus, ISI Web of Science, PubMed, Google Scholar, and Medline were searched to identify studies published up to January 2017. A secondary reference review of all extracted articles was also conducted.Study Selection: All studies that had assessed the relationship between BPA and phthalates with obesity in children and adolescents were included in the present systematic review. Finally, 35 studies were relevant.Data Extraction: The current review was conducted and reported in accordance with the Preferred Reporting Items for systematic reviews and meta-analyses (PRISMA) statement.Results: Thirty-five original studies met the inclusion criteria, consisting of 20 cross sectional, 3 case control, 11 cohort studies and one clinical trial study. Nineteen studies reported that childhood exposure to environmental chemicals including BPA and phthalic acid esters (PAEs) during childhood could increase the risk of excess weight. In addition, 10 studies found no correlation between these compounds and obesity.
Conclusions:The effects of BPA and phthalates have diverse mechanisms; these chemicals disrupt some functional, structural, and epigenetic mechanisms that control energy homeostasis, appetite regulation, lipid metabolism, and adipogenesis. However, additional longitudinal studies are needed to confirm and validate the current findings.Keywords: Endocrine Disrupters, Bisphenol A, Phthalates, Obesity, Children
ContextEndocrine disrupting chemicals (EDCs) are environmental chemicals that can interfere with different aspects of hormone action. Moreover, EDCs bind to hormone receptors and can repress, or activate and/or interfere with hormone metabolism and synthesis. EDCs act via nuclear receptors, nonnuclear steroid hormone receptors, orphan receptors, enzymatic pathways involved in steroid biosynthesis and/or metabolism, and several other mechanisms that converge upon endocrine controlled and reproductive systems (1). A growing body of evidence has focused attention on how the exposure to industrial compounds may interfere with the programming of complex endocrine pathways (2). EDCs are ubiquitous in environment; their main role on fetal life and childhood seems to be associated with the increasing rates of low birth weight, premature birth, disorders of sex development, and obesity. They might, also, affect the weight extent with other direct effects, particularly during childhood (3). Over the past decades, childhood obesity has emerged as a public health problem worldwide, even in developing countries (4).The number of infants and preschool children who were overweight and obese worldwide increased from 32 million in 1990 to 42 million in 2013, and this total is estimated to increase to 70 mill...