Decreased Serum Free Testosterone in Workers Exposed to High Levels of Di-n-butyl Phthalate (DBP) and Di-2-ethylhexyl Phthalate (DEHP): A Cross-Sectional Study in China
2006

Impact of Phthalate Exposure on Testosterone Levels in Workers

Sample size: 137 publication 10 minutes Evidence: moderate

Author Information

Author(s): Pan Guowei, Hanaoka Tomoyuki, Yoshimura Mariko, Zhang Shujuan, Wang Ping, Tsukino Hiromasa, Inoue Koichi, Nakazawa Hiroyuki, Tsugane Shoichiro, Takahashi Ken

Primary Institution: Department of Environmental Epidemiology, Liaoning Provincial Center for Disease Prevention and Control, Shenyang, People’s Republic of China

Hypothesis

Does occupational exposure to high levels of phthalate esters affect the balance of gonadal hormones in male workers?

Conclusion

The study found a significant reduction in serum free testosterone levels in workers exposed to high levels of phthalates compared to unexposed workers.

Supporting Evidence

  • Exposed workers had significantly higher levels of urinary MBP and MEHP compared to unexposed workers.
  • Free testosterone levels were significantly lower in exposed workers than in unexposed workers.
  • Regression analyses showed a significant decrease in free testosterone with increasing total phthalate ester score.

Takeaway

Workers who were around certain chemicals had lower testosterone levels, which could affect their health.

Methodology

The study analyzed urine and blood samples from 74 exposed male workers and 63 unexposed male workers, comparing hormone levels and phthalate concentrations.

Potential Biases

Potential bias due to the short duration of exposure and reliance on self-reported lifestyle factors.

Limitations

The study relied on single spot urine and blood samples, which may not accurately reflect average hormone levels.

Participant Demographics

Male workers from a PVC flooring factory and a construction company, matched for age and smoking status.

Statistical Information

P-Value

p = 0.019

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1289/ehp.9016

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