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. Author manuscript; available in PMC: 2020 Aug 19.
Published in final edited form as: Lancet Diabetes Endocrinol. 2020 Aug;8(8):703–718. doi: 10.1016/S2213-8587(20)30129-7

Table 1:

Exposure–outcome associations with a probability of evidence for causation identified up to 2015

Outcome Strength of human evidence Probability of causation, %
Prenatal PBDEs IQ loss and intellectual disability Moderate to high 70–100%
Prenatal organophosphate pesticides IQ loss and intellectual disability Moderate to high 70–100%
Multiple prenatal exposures Attention-deficit disorder Low to moderate 20–69%
Multiple prenatal exposures Autism spectrum disorder Low 20–39%
Prenatal DDE Childhood obesity Moderate 40–69%
Prenatal BPA Childhood obesity Very low to low 20–69%
Adult DEHP Adult obesity Low 40–69%
Adult DEHP Adult diabetes Low 40–69%
Prenatal DDE Adult diabetes Low 20–39%
Prenatal PBDEs Cryptorchidism Low 40–69%
Prenatal PBDEs Testicular cancer Very low to low 0–19%
Adult phthalates Low testosterone, resulting in increased early mortality Low 40–69%
Adult benzyl and butyl phthalates Male infertility, resulting in increased use of assisted reproductive technology Low 40–69%
Adult DEHP Endometriosis Low 20–39%
Lifetime DDE Fibroids Low 20–39%

Adapted from the data first reported in Trasande et al (2015)11 and updated in Trasande et al (2016).12 PBDE=polybrominated diphenyl ether. IQ=intelligence quotient. DDE=dichlorodiphenyldichloroethylene. BPA=bisphenol A. DEHP=di-2-ethylhexyl phthalate.