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. 2019 Apr 11;3(6):1127–1149. doi: 10.1210/js.2019-00010

Table 3.

Results From Linear Mixed Models Showing the Percent Change in Serum Hormone Levels Corresponding to an IQR Increase in Urinary Phthalate Metabolite Concentrations Specific to Each Study Visit

CRHa E3a SHBG
N %Δ (95% CI) P N %Δ (95% CI) P N %Δ (95% CI) P
MBP Visit 1 652 −9.14 (−23.5, 7.89) 0.276 652 −1.67 (−16.9, 16.3) 0.845 652 −0.711 (−10.1, 8.7) 0.882
Visit 3 652 −7.76 (−24.1, 12) 0.417 652 −2.82 (−19.8, 17.7) 0.770 652 −5.57 (−15.7, 4.61) 0.285
MBzP Visit 1 648 −5.97 (−13, 1.67) 0.125 648 −2.29 (−9.47, 5.46) 0.553 648 −2.05 (−6.44, 2.33) 0.360
Visit 3 648 −4.63 (−13.1, 4.63) 0.318 648 −8.54 (−16.5, 0.208) 0.057 648 −1.07 (−5.94, 3.8) 0.667
MCNP Visit 1 643 −3.95 (−7.93, 0.198) 0.064 643 1.39 (−2.78, 5.73) 0.521 643 −1.06 (−3.34, 1.23) 0.366
Visit 3 643 −4.23 (−8.65, 0.398) 0.075 643 1.39 (−3.29, 6.29) 0.569 643 −0.876 (−3.29, 1.54) 0.478
MCOP Visit 1 644 −3.84 (−15.1, 8.95) 0.540 644 −4.8 (−15.8, 7.58) 0.431 644 −6.22 (−13, 0.587) 0.075
Visit 3 644 −9.66 (−22.4, 5.11) 0.191 644 5.98 (−8.75, 23.1) 0.448 644 −4.9 (−12.6, 2.83) 0.216
MCPP Visit 1 646 −5.46 (−9.22, −1.55) 0.007 646 0.583 (−3.35, 4.68) 0.776 646 −0.93 (−3.12, 1.26) 0.405
Visit 3 646 −4.98 (−9.22, −0.544) 0.030 646 0.843 (−3.61, 5.5) 0.716 646 −1.6 (−3.93, 0.724) 0.179
MECPP Visit 1 649 −14.2 (−29, 3.55) 0.112 649 3.33 (−14.1, 24.3) 0.729 649 −0.15 (−10.6, 10.3) 0.978
Visit 3 649 −24 (−38.7, −5.87) 0.013 649 −5.29 (−23.4, 17) 0.615 649 −5.47 (−16.9, 5.94) 0.349
MEHHP Visit 1 648 −9.92 (−21.5, 3.3) 0.137 648 −3.72 (−15.8, 10.1) 0.582 648 −3.55 (−11, 3.94) 0.355
Visit 3 648 −18 (−29.8, −4.17) 0.014 648 −6.42 (−19.7, 9.11) 0.398 648 −5.44 (−13.6, 2.74) 0.194
MEHP Visit 1 647 −3.63 (−10.1, 3.33) 0.300 647 0.475 (−6.22, 7.65) 0.893 647 0.76 (−3.1, 4.62) 0.700
Visit 3 647 −7.44 (−14.8, 0.536) 0.069 647 −4.63 (−12.2, 3.53) 0.260 647 −1.32 (−5.67, 3.02) 0.551
MEOHP Visit 1 646 −10.6 (−21.9, 2.31) 0.106 646 0.269 (−12.2, 14.5) 0.968 646 −2.02 (−9.4, 5.35) 0.591
Visit 3 646 −15.8 (−28, −1.63) 0.032 646 −4.67 (−18.3, 11.2) 0.544 646 −4.53 (−12.7, 3.64) 0.279
MEP Visit 1 644 −4.07 (−18.5, 12.9) 0.618 644 1.63 (−13.4, 19.2) 0.843 644 −2.05 (−10.9, 6.84) 0.652
Visit 3 644 2.2 (−14.6, 22.3) 0.813 644 12 (−6.15, 33.6) 0.211 644 −0.926 (−10.5, 8.6) 0.849
MiBP Visit 1 648 1.57 (−13.1, 18.8) 0.845 648 −8.18 (−21.1, 6.9) 0.273 648 −3.19 (−11.8, 5.39) 0.468
Visit 3 648 −0.0167 (−16.2, 19.3) 0.999 648 −5.49 (−20.5, 12.3) 0.522 648 −2.37 (−11.9, 7.11) 0.625
MHBP Visit 1 435 −0.502 (−5.7, 4.98) 0.854 435 1.01 (−4.01, 6.29) 0.700 435 −1.71 (−4.62, 1.2) 0.253
Visit 3 435 1.1 (−5.33, 7.96) 0.746 435 0.805 (−5.24, 7.23) 0.800 435 −0.113 (−3.17, 2.94) 0.943
MHiBP Visit 1 437 −2.59 (−14.3, 10.8) 0.690 437 2.11 (−9.66, 15.4) 0.740 437 −3.62 (−10.7, 3.47) 0.319
Visit 3 437 0.23 (−13.4, 16) 0.975 437 −4.13 (−16.5, 10.1) 0.551 437 −2.04 (−9.54, 5.46) 0.595
MECPTP Visit 1 153 14.2 (−4.82, 37.1) 0.163 153 14.1 (−7.42, 40.7) 0.225 153 3.65 (−5.96, 13.3) 0.462
Visit 3 153 0.471 (−20.3, 26.7) 0.969 153 −16.5 (−35.9, 8.88) 0.193 153 −9.19 (−19, 0.598) 0.075
MEHHTP Visit 1 153 6.82 (−3.99, 18.8) 0.235 153 5.49 (−6.68, 19.3) 0.399 153 1.49 (−4.59, 7.56) 0.635
Visit 3 153 5.81 (−7.72, 21.3) 0.425 153 −10.1 (−23.2, 5.16) 0.193 153 −4.39 (−10.6, 1.83) 0.177
MONP Visit 1 153 3.46 (−4.59, 12.2) 0.417 153 −1.56 (−10.3, 8.08) 0.744 153 0.23 (−4.32, 4.78) 0.922
Visit 3 153 0.52 (−8.24, 10.1) 0.912 153 1.07 (−8.97, 12.2) 0.844 153 0.25 (−4.18, 4.68) 0.913
Progesterone a TSH a fT4
N %Δ (95% CI) P N %Δ (95% CI) P N %Δ (95% CI) P
MBP Visit 1 652 −3.36 (−16, 11.2) 0.634 644 −0.142 (−18.4, 22.2) 0.989 652 3.81 (−0.0488, 7.68) 0.055
Visit 3 652 12.1 (−4.46, 31.6) 0.163 644 8.75 (−12, 34.4) 0.438 652 2.82 (−1.44, 7.09) 0.196
MBzP Visit 1 648 −2.41 (−8.49, 4.07) 0.458 639 −0.617 (−9.56, 9.21) 0.898 647 1.71 (−0.0698, 3.49) 0.062
Visit 3 648 −2.06 (−9.29, 5.74) 0.596 639 1.4 (−8.42, 12.3) 0.790 647 0.666 (−1.37, 2.7) 0.522
MCNP Visit 1 643 −3.11 (−6.44, 0.332) 0.078 635 0.51 (−4.17, 5.42) 0.835 643 0.697 (−0.25, 1.64) 0.151
Visit 3 643 −1.69 (−5.48, 2.25) 0.396 635 −0.697 (−5.46, 4.3) 0.780 643 0.275 (−0.748, 1.3) 0.599
MCOP Visit 1 644 −10.8 (−19.4, −1.19) 0.030 636 3.27 (−10.6, 19.2) 0.662 644 4.51 (1.73, 7.29) 0.002
Visit 3 644 −8.43 (−19.1, 3.71) 0.168 636 0.905 (−13.9, 18.2) 0.911 644 0.903 (−2.33, 4.14) 0.585
MCPP Visit 1 646 −2.19 (−5.39, 1.12) 0.194 638 0.88 (−3.63, 5.6) 0.708 646 1.7 (0.808, 2.59) 0.000
Visit 3 646 −1.13 (−4.77, 2.66) 0.556 638 1.86 (−2.92, 6.87) 0.454 646 0.834 (−0.135, 1.8) 0.094
MECPP Visit 1 649 −9.21 (−22.2, 5.92) 0.221 641 16.3 (−6.85, 45.1) 0.185 649 1.96 (−2.33, 6.24) 0.372
Visit 3 649 −7.42 (−22.4, 10.4) 0.392 641 16.6 (−8.11, 47.9) 0.208 649 1 (−3.76, 5.76) 0.680
MEHHP Visit 1 648 −6.39 (−16.3, 4.72) 0.250 640 11.1 (−5.18, 30.3) 0.195 648 0.89 (−2.21, 3.99) 0.575
Visit 3 648 −3.2 (−14.8, 9.99) 0.619 640 10.3 (−6.99, 30.8) 0.262 648 0.643 (−2.79, 4.08) 0.715
MEHP Visit 1 647 −1.48 (−6.98, 4.35) 0.612 639 0.949 (−6.99, 9.57) 0.821 647 0.679 (−0.911, 2.27) 0.404
Visit 3 647 −0.695 (−7.26, 6.33) 0.842 639 2.83 (−6.06, 12.5) 0.546 647 0.592 (−1.23, 2.42) 0.525
MEOHP Visit 1 646 −4.23 (−14.2, 6.96) 0.445 638 11.3 (−4.68, 30.1) 0.178 646 1.3 (−1.75, 4.34) 0.404
Visit 3 646 −1.23 (−13.1, 12.3) 0.851 638 11.5 (−5.81, 32.1) 0.208 646 1.05 (−2.39, 4.48) 0.552
MEP Visit 1 644 −9.55 (−20.8, 3.28) 0.140 636 −14.6 (−29.3, 3.12) 0.103 644 2.29 (−1.36, 5.93) 0.221
Visit 3 644 1.17 (−12.6, 17.1) 0.877 636 −8.85 (−25.2, 11.1) 0.360 644 −1.35 (−5.3, 2.59) 0.503
MiBP Visit 1 648 −2.48 (−14.1, 10.7) 0.699 640 2.34 (−14.8, 22.9) 0.805 648 0.359 (−3.17, 3.89) 0.843
Visit 3 648 0.931 (−12.6, 16.6) 0.900 640 9.12 (−10.5, 33) 0.389 648 0.953 (−2.98, 4.88) 0.635
MHBP Visit 1 435 −2.13 (−6.26, 2.18) 0.329 433 1.84 (−4.78, 8.93) 0.596 435 0.685 (−0.606, 1.98) 0.301
Visit 3 435 1.37 (−3.85, 6.86) 0.615 433 2.05 (−5.29, 9.96) 0.595 435 1.75 (0.235, 3.27) 0.026
MHiBP Visit 1 437 −4.74 (−14.1, 5.61) 0.359 435 9.08 (−7.27, 28.3) 0.297 437 −0.356 (−3.47, 2.76) 0.823
Visit 3 437 −10.6 (−20.4, 0.485) 0.063 435 2.42 (−14.1, 22.1) 0.790 437 1.85 (−1.62, 5.32) 0.300
MECPTP Visit 1 153 −0.868 (−15.6, 16.4) 0.916 153 −7.85 (−27.9, 17.8) 0.518 153 2.04 (−3.15, 7.24) 0.447
Visit 3 153 −15.7 (−30.2, 1.97) 0.089 153 7.36 (−16.6, 38.2) 0.585 153 1.9 (−4.64, 8.43) 0.573
MEHHTP Visit 1 153 −3.01 (−11.7, 6.57) 0.530 153 −2.6 (−16.4, 13.4) 0.737 153 0.541 (−2.51, 3.59) 0.730
Visit 3 153 −13.1 (−22.3, −2.75) 0.020 153 4.19 (−11, 21.9) 0.612 153 1.1 (−2.78, 4.98) 0.583
MONP Visit 1 153 0.687 (−6.36, 8.26) 0.854 153 −0.835 (−11.2, 10.8) 0.883 153 0.655 (−1.65, 2.96) 0.581
Visit 3 153 0.989 (−6.59, 9.18) 0.806 153 −5 (−14.7, 5.8) 0.358 153 −0.263 (−2.84, 2.31) 0.842
T3 T4 Testosterone a
N %Δ (95% CI) P N %Δ (95% CI) P N %Δ (95% CI) P
MBP Visit 1 650 5.42 (0.108, 10.7) 0.047 651 4.94 (−0.208, 10.1) 0.062 648 11.5 (−5.12, 31.1) 0.188
Visit 3 650 7.17 (1.47, 12.9) 0.015 651 4.2 (−1.36, 9.76) 0.141 648 7.03 (−10.1, 27.4) 0.446
MBzP Visit 1 645 1.93 (−0.552, 4.42) 0.129 646 2.58 (0.181, 4.98) 0.037 643 4.39 (−3.17, 12.5) 0.265
Visit 3 645 2.51 (−0.207, 5.23) 0.072 646 1.13 (−1.51, 3.78) 0.403 643 −2.33 (−10.2, 6.24) 0.584
MCNP Visit 1 641 0.929 (−0.342, 2.2) 0.154 642 0.482 (−0.762, 1.73) 0.449 639 2.62 (−1.33, 6.73) 0.199
Visit 3 641 0.829 (−0.494, 2.15) 0.221 642 0.443 (−0.866, 1.75) 0.508 639 −3.34 (−7.25, 0.734) 0.109
MCOP Visit 1 642 5.78 (1.97, 9.59) 0.003 643 4.66 (0.978, 8.34) 0.014 640 16.5 (3.83, 30.7) 0.010
Visit 3 642 4.53 (0.284, 8.79) 0.038 643 3.16 (−0.99, 7.3) 0.138 640 −7.77 (−19, 5) 0.223
MCPP Visit 1 644 1.91 (0.69, 3.12) 0.003 645 2.07 (0.896, 3.24) 0.001 642 0.156 (−3.52, 3.98) 0.935
Visit 3 644 1.86 (0.572, 3.15) 0.005 645 1.59 (0.351, 2.84) 0.013 642 −3.25 (−6.99, 0.637) 0.102
MECPP Visit 1 647 9.26 (3.4, 15.1) 0.002 648 2.4 (−3.32, 8.12) 0.412 645 −3.08 (−19, 15.9) 0.732
Visit 3 647 12.4 (6.04, 18.8) 0.000 648 2.33 (−3.9, 8.57) 0.464 645 −15.6 (−30.7, 2.71) 0.092
MEHHP Visit 1 646 4.18 (−0.056, 8.41) 0.055 647 −0.128 (−4.24, 3.98) 0.951 644 2.06 (−10.3, 16.1) 0.757
Visit 3 646 6.15 (1.57, 10.7) 0.009 647 0.538 (−3.93, 5.01) 0.814 644 −8.32 (−20.4, 5.55) 0.229
MEHP Visit 1 645 0.557 (−1.61, 2.73) 0.616 646 0.773 (−1.34, 2.89) 0.475 643 3.57 (−3.09, 10.7) 0.303
Visit 3 645 2.66 (0.247, 5.07) 0.032 646 1.01 (−1.36, 3.38) 0.406 643 −1.72 (−8.82, 5.92) 0.650
MEOHP Visit 1 644 5.16 (1.01, 9.32) 0.016 645 0.83 (−3.21, 4.87) 0.687 642 3.45 (−8.84, 17.4) 0.600
Visit 3 644 6.97 (2.41, 11.5) 0.003 645 1.71 (−2.76, 6.18) 0.454 642 −7.41 (−19.6, 6.58) 0.286
MEP Visit 1 642 3.21 (−1.79, 8.21) 0.211 643 1.33 (−3.5, 6.15) 0.591 640 −11.4 (−23.9, 3.2) 0.122
Visit 3 642 3.22 (−2.07, 8.51) 0.235 643 −1.38 (−6.53, 3.77) 0.601 640 −18 (−30.3, −3.57) 0.018
MiBP Visit 1 646 3.63 (−1.22, 8.48) 0.144 647 −1.22 (−5.91, 3.46) 0.609 644 2.91 (−11.2, 19.2) 0.703
Visit 3 646 5.51 (0.207, 10.8) 0.043 647 0.087 (−5.07, 5.25) 0.974 644 −5.81 (−20, 10.8) 0.472
MHBP Visit 1 435 1.79 (0.036, 3.55) 0.048 435 0.127 (−1.59, 1.85) 0.886 436 4.88 (−0.275, 10.3) 0.067
Visit 3 435 1.18 (−0.741, 3.11) 0.231 435 0.92 (−1.06, 2.9) 0.364 436 4.45 (−1.54, 10.8) 0.152
MHiBP Visit 1 437 4.78 (0.552, 9) 0.029 437 −1.56 (−5.7, 2.58) 0.461 438 6.36 (−5.88, 20.2) 0.325
Visit 3 437 5.03 (0.482, 9.57) 0.033 437 −0.286 (−4.85, 4.28) 0.902 438 −5.04 (−17.1, 8.77) 0.457
MECPTP Visit 1 153 3.99 (−3.01, 11) 0.272 153 4.45 (−1.83, 10.7) 0.174 153 5.24 (−14.2, 29.1) 0.627
Visit 3 153 0.63 (−7.54, 8.8) 0.881 153 −3.14 (−10.6, 4.28) 0.413 153 −2.31 (−23.6, 25) 0.853
MEHHTP Visit 1 153 2.96 (−1.2, 7.12) 0.173 153 2.04 (−1.71, 5.79) 0.295 153 2.61 (−9.05, 15.8) 0.678
Visit 3 153 1.56 (−3.34, 6.46) 0.537 153 −1.27 (−5.75, 3.22) 0.584 153 −3.02 (−16.3, 12.4) 0.686
MONP Visit 1 153 3.98 (0.889, 7.08) 0.017 153 1.07 (−1.75, 3.89) 0.461 153 1.49 (−7.24, 11) 0.750
Visit 3 153 1.58 (−1.73, 4.89) 0.357 153 1.08 (−1.94, 4.1) 0.490 153 −7.72 (−16.3, 1.73) 0.116
Progesterone/E3 a T3/T4
N %Δ (95% CI) P N %Δ (95% CI) P
MBP Visit 1 652 −1.68 (−16.2, 15.4) 0.836 649 0.038 (−6.09, 6.16) 0.990
Visit 3 652 16.0 (−3.14, 39) 0.109 649 2.56 (−4.09, 9.21) 0.452
MBzP Visit 1 648 −0.193 (−7.25, 7.4) 0.959 644 −0.77 (−3.62, 2.08) 0.597
Visit 3 648 7.18 (−1.69, 16.9) 0.118 644 1.51 (−1.68, 4.69) 0.355
MCNP Visit 1 643 −4.37 (−8.09, −0.491) 0.029 640 0.345 (−1.14, 1.83) 0.649
Visit 3 643 −3.08 (−7.25, 1.29) 0.167 640 0.483 (−1.09, 2.06) 0.549
MCOP Visit 1 644 −5.61 (−16, 6.1) 0.335 641 1.48 (−2.95, 5.91) 0.513
Visit 3 644 −14.0 (−25.3, −1.02) 0.037 641 1.33 (−3.73, 6.39) 0.607
MCPP Visit 1 646 −2.66 (−6.29, 1.11) 0.166 643 0.001 (−1.42, 1.42) 0.999
Visit 3 646 −1.80 (−5.87, 2.46) 0.403 643 0.127 (−1.4, 1.65) 0.871
MECPP Visit 1 649 −12.1 (−26.4, 4.94) 0.156 646 6.96 (0.22, 13.7) 0.045
Visit 3 649 −2.13 (−19.9, 19.6) 0.834 646 8.9 (1.49, 16.3) 0.020
MEHHP Visit 1 648 −2.59 (−14.4, 10.8) 0.690 645 4.75 (−0.121, 9.62) 0.058
Visit 3 648 3.26 (−10.7, 19.4) 0.666 645 4.60 (−0.744, 9.94) 0.094
MEHP Visit 1 647 −1.87 (−8.13, 4.81) 0.575 644 −0.147 (−2.65, 2.36) 0.909
Visit 3 647 4.32 (−3.47, 12.7) 0.287 644 0.953 (−1.89, 3.79) 0.512
MEOHP Visit 1 646 −4.30 (−15.7, 8.61) 0.497 643 4.66 (−0.123, 9.44) 0.058
Visit 3 646 3.90 (−10.2, 20.2) 0.607 643 4.49 (−0.843, 9.82) 0.101
MEP Visit 1 644 −10.3 (−23, 4.37) 0.161 641 2.03 (−3.74, 7.79) 0.492
Visit 3 644 −8.77 (−22.8, 7.83) 0.284 641 4.47 (−1.68, 10.6) 0.157
MiBP Visit 1 648 6.64 (−7.85, 23.4) 0.390 645 4.26 (−1.31, 9.82) 0.136
Visit 3 648 6.36 (−9.81, 25.4) 0.465 645 5.41 (−0.73, 11.6) 0.086
MHBP Visit 1 435 −2.88 (−7.56, 2.04) 0.250 435 1.53 (−0.581, 3.65) 0.159
Visit 3 435 0.298 (−5.39, 6.32) 0.921 435 0.12 (−2.28, 2.52) 0.922
MHiBP Visit 1 437 −5.93 (−16.5, 5.94) 0.316 437 5.43 (0.365, 10.5) 0.038
Visit 3 437 −7.64 (−19.1, 5.43) 0.242 437 4.33 (−1.22, 9.88) 0.130
MECPTP Visit 1 153 −9.01 (−25.7, 11.5) 0.369 153 −1.19 (−8.72, 6.34) 0.759
Visit 3 153 0.896 (−21.9, 30.4) 0.946 153 4.73 (−3.92, 13.4) 0.292
MEHHTP Visit 1 153 −5.55 (−16.1, 6.37) 0.354 153 0.221 (−4.28, 4.72) 0.924
Visit 3 153 −3.52 (−17.1, 12.3) 0.647 153 3.3 (−1.92, 8.52) 0.225
MONP Visit 1 153 1.1 (−7.61, 10.6) 0.814 153 2.89 (−0.509, 6.28) 0.106
Visit 3 153 0.68 (−8.98, 11.4) 0.896 153 0.328 (−3.27, 3.93) 0.859

All models were adjusted for categorical maternal age, ordinal maternal education, study visit, and specific gravity. P values were derived from an interaction term between study visit and log(phthalate). Boldface type indicates a 95% CI.

Note that 405 and 272 women provided samples at visit 1 (median, 18 wk) and visit 3 (median, 26 wk), respectively.

a

Hormone levels were natural log transformed for all analyses.