{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T16:16:06Z","timestamp":1789488966732,"version":"build-2803163510"},"reference-count":156,"publisher":"American Chemical Society (ACS)","issue":"36","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Endocrine-disrupting chemicals (EDCs) have been implicated in adverse birth outcomes, yet epidemiological findings remain inconsistent. We conducted a systematic review and meta-analysis to evaluate associations between gestational EDC exposure and small vulnerable newborns (SVNs), including preterm birth (PTB), low birth weight (LBW), and small for gestational age (SGA). PubMed, Web of Science, and Embase were searched from inception to January 5, 2026. A total of 106 observational studies involving 98,133 births from 31 countries were included. Higher prenatal exposure to several per- and polyfluoroalkyl substances (PFAS), including perfluorooctanesulfonic acid (PFOS), perfluorononanoic acid (PFNA), and perfluorodecanoic acid (PFDA), was associated with an increased risk of PTB, while PFOS was also associated with LBW. Perfluorooctanoic acid (PFOA), PFNA, PFDA, and perfluorohexanesulfonic acid (PFHxS) were positively associated with SGA. Among other EDCs, higher exposure to \u2211DEHP, mono-2-cyclohexyl phthalate (MCPP), mono(2-ethylhexyl) phthalate (MECPP), monoisobutyl phthalate (MiBP), and bisphenol A (BPA) was associated with increased PTB risk. Stratified analyses suggested stronger associations in Asian populations, pregnancies with female fetuses, and countries without or with partial folic acid fortification. These findings indicate that prenatal exposure to PFAS and phthalates may increase the risk of SVNs, particularly PTB, and that population characteristics may modify these associations.<\/jats:p>","DOI":"10.1021\/acs.est.6c06784","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T16:08:42Z","timestamp":1788451722000},"page":"25068-25087","source":"Crossref","is-referenced-by-count":0,"title":["Gestational Exposure\nto Endocrine-Disrupting Chemicals\nand Small Vulnerable Newborns: A Systematic Review and Meta-Analysis"],"prefix":"10.1021","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9360-9285","authenticated-orcid":true,"given":"Guoqi","family":"Yu","sequence":"first","affiliation":[{"name":"National University of Singapore , , ,","place":["Singapore, 117549"]},{"name":"National University of Singapore , , ,","place":["Singapore, 119228"]},{"name":"National University of Singapore , , ,","place":["Singapore, 117456"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi","family":"Meng","sequence":"additional","affiliation":[{"name":"Shanghai Jiao Tong University School of Medicine , , ,","place":["Shanghai, China, 200025"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4559-5645","authenticated-orcid":true,"given":"Yue Qian","family":"Tan","sequence":"additional","affiliation":[{"name":"National University of Singapore , , ,","place":["Singapore, 117549"]},{"name":"National University of Singapore , , ,","place":["Singapore, 119228"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Guivarch","sequence":"additional","affiliation":[{"name":"National University of Singapore , , ,","place":["Singapore, 117549"]},{"name":"National University of Singapore , , ,","place":["Singapore, 119228"]},{"name":"National University of Singapore , , ,","place":["Singapore, 117456"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuman","family":"Li","sequence":"additional","affiliation":[{"name":"Shanghai Municipal Center for Disease Control and Prevention , , ,","place":["Shanghai, China, 200336"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Yin","sequence":"additional","affiliation":[{"name":"National University of Singapore , , ,","place":["Singapore, 117549"]},{"name":"National University of Singapore , , ,","place":["Singapore, 119228"]},{"name":"National University of Singapore , , ,","place":["Singapore, 117456"]},{"name":"The Chinese University of Hong Kong , , , ,","place":["Shenzhen, Guangdong, China, 518172"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei Wei","family":"Pang","sequence":"additional","affiliation":[{"name":"National University of Singapore , , ,","place":["Singapore, 117549"]},{"name":"National University of Singapore , , ,","place":["Singapore, 119228"]},{"name":"National University of Singapore , , ,","place":["Singapore, 117456"]},{"name":"Agency for Science, Technology and Research (A*STAR) , , ,","place":["Singapore, Singapore, 117609"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxi","family":"Yang","sequence":"additional","affiliation":[{"name":"National University of Singapore , , ,","place":["Singapore, 117549"]},{"name":"National University of Singapore , , ,","place":["Singapore, 119228"]},{"name":"National University of Singapore , , ,","place":["Singapore, 117456"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaobin","family":"Wang","sequence":"additional","affiliation":[{"name":"Johns Hopkins University Bloomberg School of Public Health , , , ,","place":["Baltimore, Maryland, United States, 21205"]},{"name":"Johns Hopkins University School of Medicine , , , ,","place":["Baltimore, Maryland, United States, 21205"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard","family":"Bauchner","sequence":"additional","affiliation":[{"name":"Boston University Chobanian & Avedisian School of Medicine , , ,","place":["Boston, Massachusetts, United States, 02118"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cuilin","family":"Zhang","sequence":"additional","affiliation":[{"name":"National University of Singapore , , ,","place":["Singapore, 117549"]},{"name":"National University of Singapore , , ,","place":["Singapore, 119228"]},{"name":"National University of Singapore , , ,","place":["Singapore, 117456"]},{"name":"Harvard T. 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X.; Johnson, M.; Eno, A. F.; Pham, K.; Zhang, P.; Geng, Y.\n          Proteome-wide reverse molecular docking reveals folic\nacid receptor as a mediator of PFAS-induced neurodevelopmental toxicity\n          bioRxiv\n          2024\n          10.1101\/2024.11.11.623082.","DOI":"10.1101\/2024.11.11.623082"},{"issue":"5","key":"2026091511105248600_cit24","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.14934","article-title":"Association of Early Pregnancy Perfluoroalkyl and Polyfluoroalkyl\nSubstance Exposure With Birth Outcomes","volume":"6","author":"Zhang","year":"2023","journal-title":"JAMA\nNetwork Open"},{"issue":"5","key":"2026091511105248600_cit25","doi-asserted-by":"publisher","first-page":"448","DOI":"10.1038\/s41370-018-0050-0","article-title":"A possible approach\nto improving the reproducibility of urinary concentrations of phthalate\nmetabolites and phenols during pregnancy","volume":"28","author":"Yazdy","year":"2018","journal-title":"J.\nExposure Sci. 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