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Table 3 Adjusted mean blood glucose levels across quartiles of urinary phthalate metabolite concentrations measured during the 1st trimester and 2nd trimesters

From: Trimester-specific phthalate concentrations and glucose levels among women from a fertility clinic

1st trimester SG-adjusted phthalate metabolites (range)

Population means of blood glucose in mg/dL (95%CI) across quartiles of phthalate metabolites measured at the 1st trimester (n = 208)

2nd trimester SG-adjusted phthalate metabolites (range)

Population means of blood glucose in mg/dL (95%CI) across quartiles of phthalate metabolites measured at the 2nd trimester (n = 209)

 

Unadjusted

Adjusted 1

 

Unadjusted

Adjusted 1

MEP (μg/L)

 

MEP (μg/L)

 

 Q1 (3.6, 16.3)

114 (107, 121)

114 (108, 121)

Q1 (3.2, 23.1)

108 (102, 115)

109 (103, 116)

 Q2 (16.5, 34.2)

113 (106, 120)

115 (108, 122)

Q2 (23.6, 50)

112 (105, 119)

113 (107, 120)

 Q3 (34.3, 103)

110 (103, 117)

109 (103, 116)

Q3 (51.4, 155)

112 (105, 119)

111 (105, 117)

 Q4 (104, 13,500)

120 (113, 128)

118 (111, 125)

Q4 (156, 5133)

123 (116, 130)*

121 (114, 128)

P-trend2

0.19

0.55

P-trend2

0.003

0.02

MBP (μg/L)

 

MBP (μg/L)

 

 Q1 (<LOD, 7.1)

115 (108, 122)

116 (109, 123)

Q1 (<LOD, 7.2)

111 (105, 118)

112 (106, 119)

 Q2 (7.1, 11.2)

113 (106, 120)

112 (105, 118)

Q2 (7.3, 12.7)

111 (105, 119)

113 (106, 120)

 Q3 (11.2, 17.3)

117 (109, 124)

116 (109, 123)

Q3 (12.8, 22.4)

115 (108, 122)

114 (107, 121)

 Q4 (17.4, 2342)

113 (106, 120)

113 (107, 120)

Q4 (22.5, 1820)

116 (110, 124)

115 (109, 122)

P-trend2

0.80

0.72

P-trend2

0.26

0.50

MiBP (μg/L)

 

MiBP (μg/L)

 

 Q1 (<LOD, 3.7)

118 (111, 125)

118 (111, 125)

Q1 (<LOD, 3.4)

118 (111, 126)

119 (113, 126)

 Q2 (3.7, 6.2)

112 (106, 120)

114 (107, 121)

Q2 (3.5, 6.6)

115 (108, 122)

115 (109, 122)

 Q3 (6.2, 10.6)

114 (108, 122)

114 (107, 121)

Q3 (6.6, 10.8)

114 (107, 121)

115 (109, 122)

 Q4 (10.7, 56.6)

112 (105, 119)

111 (104, 117)

Q4 (10.9, 163)

107 (100, 113)*

105 (99, 111)

P-trend2

0.36

0.15

P-trend2

0.02

0.003

MBzP (μg/L)

 

MBzP (μg/L)

 

 Q1 (<LOD, 1.6)

113 (106, 121)

113 (107, 120)

Q1 (<LOD, 1.5)

110 (104, 117)

111 (105, 118)

 Q2 (1.6, 3.1)

115 (108, 123)

117 (110, 124)

Q2 (1.5, 3.0)

116 (109, 123)

117 (110, 124)

 Q3 (3.1, 5.4)

110 (103, 117)

110 (103, 116)

Q3 (3.0, 5.7)

110 (103, 117)

110 (104, 117)

 Q4 (5.4, 305)

118 (111, 125)

117 (110, 124)

Q4 (5.9, 396)

118 (111, 125)

116 (109, 123)

P-trend2

0.60

0.82

P-trend2

0.26

0.56

MCPP (μg/L)

 

MCPP (μg/L)

 

 Q1 (<LOD, 1.8)

114 (107, 121)

115 (108, 122)

Q1 (<LOD, 1.7)

110 (104, 117)

112 (106, 119)

 Q2 (1.8, 4)

117 (110, 125)

115 (109, 122)

Q2 (1.8, 3.1)

114 (107, 121)

113 (107, 120)

 Q3 (4.2, 13.2)

117 (110, 125)

118 (111, 125)

Q3 (3.1, 6.9)

115 (109, 123)

116 (109, 122)

 Q4 (13.7, 698)

109 (102, 116)

109 (102, 115)

Q4 (7.0, 521)

114 (107, 121)

113 (107, 120)

P-trend2

0.24

0.19

P-trend2

0.52

0.84

MCOP (μg/L)3

 

MCOP (μg/L)3

 

 Q1 (<LOD, 11.1)

116 (108, 124)

115 (108, 123)

Q1 (<LOD, 8)

112 (105, 120)

113 (106, 120)

 Q2 (11.3, 29.8)

115 (108, 123)

115 (108, 122)

Q2 (8.2, 21.8)

109 (103, 117)

111 (105, 118)

 Q3 (30.7, 79.8)

113 (106, 121)

113 (106, 121)

Q3 (21.9, 64.7)

114 (107, 122)

113 (106, 120)

 Q4 (83.9, 736)

109 (102, 116)

109 (102, 116)

Q4 (66.5, 706)

113 (106, 121)

113 (106, 120)

P-trend2

0.17

0.19

P-trend2

0.65

0.93

MCNP (μg/L)3

 

MCNP (μg/L)3

 

 Q1 (<LOD, 2)

110 (103, 117)

110 (103, 117)

Q1 (<LOD, 1.9)

112 (105, 119)

115 (108, 122)

 Q2 (2, 3.6)

120 (112, 128)

119 (112, 127)

Q2 (1.9, 3.2)

112 (105, 119)

109 (102, 116)

 Q3 (3.6, 8.2)

112 (105, 120)

113 (106, 120)

Q3 (3.2, 6.7)

114 (106, 121)

115 (108, 123)

 Q4 (8.2, 256)

111 (104, 118)

111 (104, 118)

Q4 (6.7, 224)

112 (105, 120)

110 (104, 117)

P-trend2

0.75

0.83

P-trend2

0.86

0.59

∑DEHP

 

∑DEHP

 

 Q1 (0, 0.1)

115 (108, 122)

116 (109, 123)

Q1 (0, 0.1)

110 (103, 117)

111 (105, 118)

 Q2 (0.1, 0.2)

114 (107, 121)

114 (107, 121)

Q2 (0.1, 0.1)

112 (106, 119)

111 (105, 118)

 Q3 (0.2, 0.4)

114 (107, 121)

114 (107, 121)

Q3 (0.1, 0.2)

115 (109, 123)

115 (109, 122)

 Q4 (0.4, 19.2)

114 (107, 121)

113 (107, 120)

Q4 (0.3, 8.8)

116 (109, 123)

116 (109, 123)

P-trend2

0.87

0.68

P-trend2

0.21

0.25

  1. Abbreviations: MEP, monoethyl phthalate; MBP, mono-n-butyl phthalate; MiBP, mono-isobutyl phthalate; MBzP, monobenzyl phthalate; MCPP, mono-3(carboxypropyl) phthalate; MCOP, monocarboxyisooctyl phthalate; MCNP, monocarboxyisononyl phthalate; DEHP, di-2(ethylhexyl) phthalate
  2. 1Adjusted models control for maternal age (years), overweight/obese (yes, no), total physical activity (hr/week), race (white, non-white), family history of diabetes (yes, no), infertility diagnosis (male factor, female factor, unexplained) and number of fetus (1, 2)
  3. 2Tests for linear trend were performed using the log SG-adjusted concentrations in each quartile as a continuous variable in the model.
  4. 3Sixteen missing urine values for MCOP and MCNP in the 1st trimester, 19 missing values for MCOP and MCNP in the 2nd trimester.