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Human study (observational), landmark study

Decrease in anogenital distance among male infants with prenatal phthalate exposure

Swan SH, Main KM, Liu F, et al. (2005). Environmental Health Perspectives.

What they found

Boys whose mothers had higher levels of four phthalate metabolites in pregnancy had a shorter anogenital index (anogenital distance relative to weight), a marker of reduced male hormone action before birth seen in phthalate-exposed rodents. For the top versus bottom quarter of MBP, the odds of a shorter-than-expected index were 10.2 times higher (95% CI 2.5–42.2).

Read this too

An erratum was published (EHP, September 2005; content not checked). Employees of cosmetics trade associations (McEwen and Renner, EHP 2006) questioned the validity of the measure; Swan replied.

Sample
85 mother-son pairs with prenatal urine samples (134 boys examined)
What it can't tell you
Small sample with one prenatal urine sample per mother. Anogenital distance is a marker, not a disease. Wide confidence intervals.
Funding
US National Institutes of Health (NIEHS, NCRR), per Europe PMC
Topics
Health effects, Chemicals, Baby and kids
Checked against
Abstract (Europe PMC, PMID 16079079, PMC1280349)

Where we cite it