Concentrations of Urinary Phthalate Metabolites Are Associated with Increased Waist Circumference and Insulin Resistance in Adult U.S. Males
2007

Phthalates and Their Link to Obesity and Insulin Resistance in Men

Sample size: 1451 publication 10 minutes Evidence: moderate

Author Information

Author(s): Richard W. Stahlhut, Edwin van Wijngaarden, Timothy D. Dye, Stephen Cook, Shanna H. Swan

Primary Institution: University of Rochester School of Medicine and Dentistry

Hypothesis

Increased phthalate exposure would be associated with increased abdominal obesity and insulin resistance.

Conclusion

Several phthalate metabolites showed statistically significant correlations with abdominal obesity and insulin resistance in adult U.S. males.

Supporting Evidence

  • Four phthalate metabolites were associated with increased waist circumference.
  • Three phthalate metabolites were linked to increased insulin resistance.
  • Statistical significance was maintained even after adjusting for renal and hepatic function.

Takeaway

This study found that certain chemicals called phthalates, which we can find in many everyday products, might make men gain weight and have trouble with insulin, which is important for controlling blood sugar.

Methodology

The study analyzed data from adult U.S. males in the NHANES 1999–2002, using multiple linear regression to model associations between phthalate metabolites and measures of obesity and insulin resistance.

Potential Biases

Potential reverse causality may exist as individuals with obesity or insulin resistance might have higher phthalate exposure.

Limitations

The study's cross-sectional design limits the ability to establish causation, and it relied on one-time urine samples which may not reflect long-term exposure.

Participant Demographics

Adult U.S. males, with a focus on various ethnicities and age groups.

Statistical Information

P-Value

p ≤ 0.011

Statistical Significance

p ≤ 0.013

Digital Object Identifier (DOI)

10.1289/ehp.9882

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication