Childhood growth and exposure to dichlorodiphenyl dichloroethene and polychlorinated biphenyls☆☆☆★

Abstract 

Objectives: Dichlorodiphenyl dichloroethene (DDE) and polychlorinated biphenyls (PCB), toxic contaminants known to be persistent in the environment, may affect growth. We investigated whether growth from birth to 10 years of age is associated with blood concentrations of DDE and PCB taken at 8 years of age. Study design: We ambispectively followed up a cohort of 343 German children. DDE and PCB blood concentrations were determined in 1995. Height measurements were conducted prospectively between 1994 and 1997 and obtained retrospectively from each Child's Health Card. Linear regression models for repeated measurements, controlling for confounding factors, were applied. Results: Growth was significantly reduced by an average of 1.8 cm (P < .0275) for girls in the highest DDE concentration quartile (> .44 μg/L in whole blood) compared with girls in the lowest quartile (0.08-0.2 μg/L). There was no observed growth effect of DDE in boys. PCB blood concentrations were not related to growth reduction in either girls or boys. Conclusions: Background level concentrations to DDE, but not PCB, during childhood are associated with a small reduction in growth for girls evident through the age of 8 years. The observed differences narrow at the year 9 examination and disappear at the year 10 examination. No effects on boys' heights were observed. (J Pediatr 2002;140:33-9)

Abbreviations:  BMI , Body mass index, DDE , Dichlorodiphenyl dichloroethene, ETS , Environmental tobacco smoke, PCB , Polychlorinated biphenyls