CLINICAL AND EXPERIMENTAL PEDIATRICS, cilt.67, sa.7, ss.328-346, 2024 (ESCI)
Endocrine-disrupting chemicals (EDCs) are natural or synthetic
chemicals that mimic, block, or interfere with the hormones
in the body. The most common and well-studied EDCs are
bisphenol A, phthalates, and persistent organic pollutants
including polychlorinated biphenyls, polybrominated diphenyl
ethers, per- and polyfluoroalkyl substances, other brominated
flame retardants, organochlorine pesticides, dioxins, and furans.
Starting in embryonic life, humans are constantly exposed to
EDCs through air, diet, skin, and water. Fetuses and newborns
undergo crucial developmental processes that allow adaptation
to the environment throughout life. As developing organisms,
they are extremely sensitive to low doses of EDCs. Many
EDCs can cross the placental barrier and reach the developing
fetal organs. In addition, newborns can be exposed to EDCs
through breastfeeding or formula feeding. Pre- and postnatal
exposure to EDCs may increase the risk of childhood diseases by
disrupting the hormone-mediated processes critical for growth
and development during gestation and infancy. This review
discusses evidence of the relationship between pre- and postnatal
exposure to several EDCs, childbirth, and neurodevelopmental
outcomes. Available evidence suggests that pre- and postnatal
exposure to certain EDCs causes fetal growth restriction,
preterm birth, low birth weight, and neurodevelopmental problems through various mechanisms of action. Given the adverse
effects of EDCs on child development, further studies are
required to clarify the overall associations.