Association between exposure to persistent organic pollutants and pubertal timing in boys and girls: A systematic review and meta-analysis

In recent years, the phenomenon of abnormal pubertal timing in children has become increasingly common worldwide. Persistent organic pollutants (POPs) may be one of the risk factors contributing to this phenomenon, but the relationship between them is unclear based on current evidence. The purpose o...

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Main Authors: Huili Lan, Zhiqin Hu, Hongya Gan, Lixiang Wu, Shushu Xie, Yan Jiang, Ding Ye, Xiaoqing Ye
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Ecotoxicology and Environmental Safety
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0147651323010448
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author Huili Lan
Zhiqin Hu
Hongya Gan
Lixiang Wu
Shushu Xie
Yan Jiang
Ding Ye
Xiaoqing Ye
author_facet Huili Lan
Zhiqin Hu
Hongya Gan
Lixiang Wu
Shushu Xie
Yan Jiang
Ding Ye
Xiaoqing Ye
author_sort Huili Lan
collection DOAJ
description In recent years, the phenomenon of abnormal pubertal timing in children has become increasingly common worldwide. Persistent organic pollutants (POPs) may be one of the risk factors contributing to this phenomenon, but the relationship between them is unclear based on current evidence. The purpose of this study was to determine the association of POPs exposure with pubertal timing in girls and boys by conducting a systematic review and meta-analysis. We searched PubMed and Embase databases for studies before June 1, 2023. Meta-analysis was performed by pooling relative risk (RR) or odds ratio (OR) or prevalence ratio (PR) or hazard ratio (HR) estimates with 95 % confidence intervals (CIs). Subgroup analysis, publication bias assessment and sensitivity analysis were also carried out. A total of 21 studies were included, involving 2479 boys and 8718 girls. The results of meta-analysis showed that exposure to POPs was significantly associated with delayed pubertal timing in girls (RR: 0.85; 95 % CI: 0.79–0.91; p < 0.001). There was no statistically significant association between exposure to POPs and pubertal timing in boys (RR: 1.18; 95 % CI: 0.99–1.40; p = 0.070). Subgroup analysis showed that there may be gender differences in the effects of exposure to POPs on pubertal timing. Our results suggested that exposure to POPs could delay pubertal timing in girls. However, based on current evidence, no significant association was found between POPs exposure and pubertal timing in boys.
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spelling doaj.art-36aeca00832c4b1eb4aa24a8665c30132023-10-13T13:52:03ZengElsevierEcotoxicology and Environmental Safety0147-65132023-10-01265115540Association between exposure to persistent organic pollutants and pubertal timing in boys and girls: A systematic review and meta-analysisHuili Lan0Zhiqin Hu1Hongya Gan2Lixiang Wu3Shushu Xie4Yan Jiang5Ding Ye6Xiaoqing Ye7School of Medical Technology and Information Engineering, Zhejiang Chinese Medical University, Hangzhou 310053, ChinaSchool of Medical Technology and Information Engineering, Zhejiang Chinese Medical University, Hangzhou 310053, ChinaSchool of Medical Technology and Information Engineering, Zhejiang Chinese Medical University, Hangzhou 310053, ChinaSchool of Medical Technology and Information Engineering, Zhejiang Chinese Medical University, Hangzhou 310053, ChinaSchool of Medical Technology and Information Engineering, Zhejiang Chinese Medical University, Hangzhou 310053, ChinaSchool of Medical Technology and Information Engineering, Zhejiang Chinese Medical University, Hangzhou 310053, ChinaSchool of Public Health, Zhejiang Chinese Medical University, Hangzhou 310053, ChinaSchool of Medical Technology and Information Engineering, Zhejiang Chinese Medical University, Hangzhou 310053, China; Correspondence to: Zhejiang Chinese Medical University, Binjiang District, Hangzhou, Zhejiang Province, China.In recent years, the phenomenon of abnormal pubertal timing in children has become increasingly common worldwide. Persistent organic pollutants (POPs) may be one of the risk factors contributing to this phenomenon, but the relationship between them is unclear based on current evidence. The purpose of this study was to determine the association of POPs exposure with pubertal timing in girls and boys by conducting a systematic review and meta-analysis. We searched PubMed and Embase databases for studies before June 1, 2023. Meta-analysis was performed by pooling relative risk (RR) or odds ratio (OR) or prevalence ratio (PR) or hazard ratio (HR) estimates with 95 % confidence intervals (CIs). Subgroup analysis, publication bias assessment and sensitivity analysis were also carried out. A total of 21 studies were included, involving 2479 boys and 8718 girls. The results of meta-analysis showed that exposure to POPs was significantly associated with delayed pubertal timing in girls (RR: 0.85; 95 % CI: 0.79–0.91; p < 0.001). There was no statistically significant association between exposure to POPs and pubertal timing in boys (RR: 1.18; 95 % CI: 0.99–1.40; p = 0.070). Subgroup analysis showed that there may be gender differences in the effects of exposure to POPs on pubertal timing. Our results suggested that exposure to POPs could delay pubertal timing in girls. However, based on current evidence, no significant association was found between POPs exposure and pubertal timing in boys.http://www.sciencedirect.com/science/article/pii/S0147651323010448Persistent organic pollutantsGirlsBoysPubertal timingMeta-analysis
spellingShingle Huili Lan
Zhiqin Hu
Hongya Gan
Lixiang Wu
Shushu Xie
Yan Jiang
Ding Ye
Xiaoqing Ye
Association between exposure to persistent organic pollutants and pubertal timing in boys and girls: A systematic review and meta-analysis
Ecotoxicology and Environmental Safety
Persistent organic pollutants
Girls
Boys
Pubertal timing
Meta-analysis
title Association between exposure to persistent organic pollutants and pubertal timing in boys and girls: A systematic review and meta-analysis
title_full Association between exposure to persistent organic pollutants and pubertal timing in boys and girls: A systematic review and meta-analysis
title_fullStr Association between exposure to persistent organic pollutants and pubertal timing in boys and girls: A systematic review and meta-analysis
title_full_unstemmed Association between exposure to persistent organic pollutants and pubertal timing in boys and girls: A systematic review and meta-analysis
title_short Association between exposure to persistent organic pollutants and pubertal timing in boys and girls: A systematic review and meta-analysis
title_sort association between exposure to persistent organic pollutants and pubertal timing in boys and girls a systematic review and meta analysis
topic Persistent organic pollutants
Girls
Boys
Pubertal timing
Meta-analysis
url http://www.sciencedirect.com/science/article/pii/S0147651323010448
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