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Zhen-Hua Li

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Aug 2026

μ Associations between early pregnancy essential metals and birth outcomes: Exploration of effect modification by maternal thyroid hormones.

A monotonic increasing association of the metal mixture with both BWZ and LGA, with the trend significant at lower-to-moderate concentrations is shown, whereas no significant associations were observed for SGA.

Xiao-yu Zhao, Zhen-Hua Li, Kai Huang et al. · 0 citations
Open access Aug 2026

Prenatal exposure to metal mixtures and newborn birth size in an industrial city: Evidence from cord blood metabolomics.

BACKGROUND Prenatal exposure to metal mixtures may influence newborn birth size, but the underlying metabolic mechanisms remain unclear. This study aimed to evaluate the associations of 19 individual maternal metals and metal mixtures during pregnancy with birth size indicators, specifically birth weight z score (BWZ)...

Hai-Yang Weng, Zhen-Hua Li, Chun-Yong Wang et al. · 0 citations
Open access Aug 2026

Metabolomic signatures and sex-specific associations of prenatal per- and polyfluoroalkyl substances exposure with fetal growth: A meet-in-the-middle and high-dimensional mediation analysis.

Early-pregnancy PFAS exposure was associated with impaired fetal growth and altered amino acid and lipid metabolism may underlie these associations, and metabolomics data suggested several exploratory candidate intermediate metabolite features that may be involved in the associations.

Zhen-Hua Li, Cheng-Yang Hu, Xia-Juan Lu et al. · 0 citations
Aug 2026

Associations of Prenatal Per- and Polyfluoroalkyl Substance Exposure with Neonatal Birth Weight z-Scores: The Potential Mediating Role of Maternal Glucose Homeostasis.

It is suggested that prenatal PFAS exposure is associated with reduced BW-z, particularly among female infants, and that altered fasting glucose may represent one possible, but not primary, pathway linking selected PFAS to fetal growth.

Chun-Yong Wang, Zhen-Hua Li, Hai-Yang Weng et al. · 0 citations

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