Web-based behavioral intervention to reduce exposure to phthalate metabolites, bisphenol A, triclosan, and parabens in mothers with young children: A randomized controlled trial

Kim, Ju Hee; Kwak, Jung-Min; Kang, Hyunjin

doi:10.1016/j.ijheh.2021.113798

Cited by 15 publications

(45 citation statements)

References 62 publications

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“… 32–36 Considering the country where more than half of the authors were from as the country in which the study was conducted, five (38.46%) articles were conducted in the United States, 24 , 26–28 , 33 four (30.77%) from Europe (UK, 29 Poland, 31 the Netherlands, 32 Italy, 36 three (23.08%) from Korea, 25 , 34 and one (7.69%) from China. 30 When the academic domain of the study was identified through the journal title and the author’s major or affiliated institution, public health, 27 , 30 , 33 medicine, 26 , 32 , 36 nursing, 31 , 34 , 35 published three (23.08%) articles for each, and environmental science had two (15.38%) articles. 24 , 29 The rest were pharmacy 25 and kinesiology, 28 one (7.69%) for each.…”

Section: Resultsmentioning

confidence: 99%

“… 24 , 29 The rest were pharmacy 25 and kinesiology, 28 one (7.69%) for each. For study designs, seven (53.85%) articles 24 , 26 , 27 , 29 , 31 , 33 , 35 used one-group pretest-posttest design, three (23.08%) used randomized controlled trial design, 25 , 28 , 34 and there were one (7.69%) for each of randomized crossover design, 30 randomized factorial design, 32 non-equivalent control group pretest-posttest design. 36 …”

Section: Resultsmentioning

confidence: 99%

“…There were six (46.15%) studies in which dietary modification interventions were conducted, 24 , 26 , 29 , 30 , 32 , 35 five (38.46%) with replacement of household or personal products, 27 , 28 , 31 , 33 , 36 and one (7.69%) for each of supplementary food (red ginseng) intake 25 and intervention that contained both dietary modification and household or personal product replacement. 34 Among the intervention studies on diet modification, five (38.46%) provided food products that contained low levels of EDCs or restricted fast/processed food intake, 24 , 26 , 29 , 30 , 35 and one (7.69%) provided a calorie control intervention. 32 In all of the interventions on the use of household or personal products, interventions were conducted to replace existing goods by providing alternative goods with low levels of EDCs.…”

Section: Resultsmentioning

confidence: 99%

“… 32 In all of the interventions on the use of household or personal products, interventions were conducted to replace existing goods by providing alternative goods with low levels of EDCs. 27 , 28 , 31 , 33 , 36 In the intervention of the study of Kim et al 34 educational content including diary modification, replacement of plastic products, and physical activity were delivered through educational videos, games, etc. The duration of interventions ranged from at least three days to a maximum of six months.…”

Section: Resultsmentioning

confidence: 99%

“…The duration of interventions ranged from at least three days to a maximum of six months. There were six (46.15%) studies with a period of less than ten days, 24 , 26 , 27 , 29 , 30 , 33 four (30.77%) studies from ten days to less than ten months, 25 , 28 , 34 , 35 and three (23.08%) studies from one month to less than one year. 31 , 32 , 36 …”

Section: Resultsmentioning

confidence: 99%

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Interventions on Reducing Exposure to Endocrine Disrupting Chemicals in Human Health Care Context: A Scoping Review

Park¹,

Lee²,

Lee³

et al. 2022

RMHP

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Purpose Inevitability of exposure to endocrine disrupting chemicals (EDCs) in daily lives of modern society is increasing interests in developing and implementing interventions to prevent or reduce harmful health effects of EDCs in various academic areas. This is a scoping review of intervention studies aimed at reducing exposure to EDCs in the text of human health care. Methods Scoping review methodology was used to explore the extent, range, and nature of current literature. A comprehensive systematic search of PubMed, CINAHL, Cochrane, PcycINFO, EMBASE, and RISS was performed for studies published to date. The authors followed Arksey and O’Malley’s stages; 1) identification of research questions; 2) identification of relevant studies using a total of six electronic databases; 3) study selection; 4) charting the data; and 5) collation, summarization and reporting of the data. Results A total of 2114 articles were retrieved, from which 13 articles were included in the final review. Among the 13 studies, 12 conducted interventions regarding dietary modification or replacement of household or personal goods. The duration of interventions ranged from at least three days to a maximum of six months, including six studies with a period of less than ten days. The participants were all healthy populations, eight of which were for adults, three for children or adolescents, and two for families. Outcome of the interventions were measured through concentration of EDCs in urine or/and house air. The effects of the interventions were inconsistent, with 11 studies showing significant changes of EDC concentration while no significant change was found in two studies. Conclusion The results indicate a need for randomized controlled trials, participant-centered studies promoting active participation and practices of subjects, studies specifying subgroups of participants, and studies including families as units in interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Interventions on Reducing Exposure to Endocrine Disrupting Chemicals in Human Health Care Context: A Scoping Review

Park¹,

Lee²,

Lee³

et al. 2022

RMHP

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Prenatal Exposure to Nonpersistent Environmental Chemicals and Postpartum Depression

Jacobson,

Hamra,

Monk

et al. 2024

JAMA Psychiatry

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ImportancePostpartum depression (PPD) affects up to 20% of childbearing individuals, and a significant limitation in reducing its morbidity is the difficulty in modifying established risk factors. Exposure to synthetic environmental chemicals found in plastics and personal care products, such as phenols, phthalates, and parabens, are potentially modifiable and plausibly linked to PPD and have yet to be explored.ObjectiveTo evaluate associations of prenatal exposure to phenols, phthalates, parabens, and triclocarban with PPD symptoms.Design, Setting, and ParticipantsThis was a prospective cohort study from 5 US sites, conducted from 2006 to 2020, and included pooled data from 5 US birth cohorts from the National Institutes of Health Environmental Influences on Child Health Outcomes (ECHO) consortium. Participants were pregnant individuals with data on urinary chemical concentrations (phenols, phthalate metabolites, parabens, or triclocarban) from at least 1 time point in pregnancy and self-reported postnatal depression screening assessment collected between 2 weeks and 12 months after delivery. Data were analyzed from February to May 2022.ExposuresPhenols (bisphenols and triclosan), phthalate metabolites, parabens, and triclocarban measured in prenatal urine samples.Main Outcomes and MeasuresDepression symptom scores were assessed using the Edinburgh Postnatal Depression Scale (EPDS) or the Center for Epidemiologic Studies Depression Scale (CES-D), harmonized to the Patient-Reported Measurement Information System (PROMIS) Depression scale. Measures of dichotomous PPD were created using both sensitive (EPDS scores ≥10 and CES-D scores ≥16) and specific (EPDS scores ≥13 and CES-D scores ≥20) definitions.ResultsAmong the 2174 pregnant individuals eligible for analysis, nearly all (&gt;99%) had detectable levels of several phthalate metabolites and parabens. PPD was assessed a mean (SD) of 3 (2.5) months after delivery, with 349 individuals (16.1%) and 170 individuals (7.8%) screening positive for PPD using the sensitive and specific definitions, respectively. Linear regression results of continuous PROMIS depression T scores showed no statistically significant associations with any chemical exposures. Models examining LMW and HMW phthalates and di (2-ethylhexyl) phthalate had estimates in the positive direction whereas all others were negative. A 1-unit increase in log-transformed LMW phthalates was associated with a 0.26-unit increase in the PROMIS depression T score (95% CI, −0.01 to 0.53; P = .06). This corresponded to an odds ratio (OR) of 1.08 (95% CI, 0.98-1.19) when modeling PPD as a dichotomous outcome and using the sensitive PPD definition. HMW phthalates were associated with increased odds of PPD (OR, 1.11; 95% CI, 1.00-1.23 and OR, 1.10; 95% CI, 0.96-1.27) for the sensitive and specific PPD definitions, respectively. Sensitivity analyses produced stronger results.Conclusions and RelevancePhthalates, ubiquitous chemicals in the environment, may be associated with PPD and could serve as important modifiable targets for preventive interventions. Future studies are needed to confirm these observations.

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Remediation and toxicity of endocrine disruptors: a review

et al. 2022

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Web-based behavioral intervention to reduce exposure to phthalate metabolites, bisphenol A, triclosan, and parabens in mothers with young children: A randomized controlled trial

Cited by 15 publications

References 62 publications

Interventions on Reducing Exposure to Endocrine Disrupting Chemicals in Human Health Care Context: A Scoping Review

Interventions on Reducing Exposure to Endocrine Disrupting Chemicals in Human Health Care Context: A Scoping Review

Prenatal Exposure to Nonpersistent Environmental Chemicals and Postpartum Depression

Remediation and toxicity of endocrine disruptors: a review

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