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Background: Prenatal fine particulate matter (PM 2.5 ) exposure has been linked to infant cognitive and motor functions, but the effects of PM 2.5 chemical composition remain unclear., Objectives: We aimed to explore the associations of prenatal PM 2.5 and its composition exposure with infant cognitive and motor functions., Methods: We studied 2,435 mother-infant pairs in the Shanghai Birth Cohort Study. PM 2.5 and its seven compositions [primary particles (black carbon, mineral dust and sea salts) and secondary particles (NH 4 + , NO 3 - , SO 4 2- and organic matter)] during thethreetrimesters ofpregnancy were retrieved from the V4.CH.03 product developed by using a combined geoscience-statistical method. At the 12-month-old follow-up, infant cognitive and motor functions in five domains were assessed using the Ages and Stages Questionnaire (ASQ). We used multivariable linear regressions to estimate the effects of PM 2.5 and its composition on the ASQ scores, for all infants and stratifying by sex and breastfeeding duration., Results: PM 2.5 exposure was negatively associated with gross motor, problem-solving and personal-social scores for all infants. PM 2.5 compositions were inversely associated with ASQ scores in all five domains, and the effects of different compositions varied across domains. Specifically, all compositions except organic matter were correlated with lower problem-solving scores [e.g., ( [Formula: see text]  =  - 10.79, 95 % CI: -17.40, -4.18) ∼ ( [Formula: see text]  =  - 4.68, 95 % CI: -7.84, -1.53); for each 10 μg/m 3 increase in PM 2.5 compositions during the third trimester]. Primary and some secondary particles (organic matter, NO 3 - ) were related to lower gross motor scores. Secondary particles were also inversely associated with communication (organic matter and NO 3 - ), fine motor (NH 4 + , NO 3 - , SO 4 2- ) and personal-social (NH 4 + ) scores. Additionally, boys and infants breastfed for < 6 months appeared to be more susceptible., Conclusions: We found negative associations of PM 2.5 and its compositions with infant cognitive and motor functions over a range of domains, especially the problem-solving domain., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022. Published by Elsevier Ltd.)

Background: Pregnant women are ubiquitously exposed to per- and polyfluoroalkyl substances (PFAS). Prenatal exposure to PFAS has been associated with lower birth weight but also with excess adiposity and higher weight in childhood. These mixed findings warrant investigation of the relationship between PFAS and dynamic offspring growth., Objectives: To investigate the association between prenatal PFAS exposure and early-life growth trajectories during the first 2 y., Methods: Pregnant women ( n = 3,426 ) were recruited from 2013 to 2016 from the Shanghai Birth Cohort (SBC) Study, and their children were followed up from birth to 2 y of age. Seven PFAS congeners were quantified in pregnant women's serum during the first trimester. Our study population was restricted to 1,350 children who had five repeated measurements for at least one anthropometric measure. Four anthropometric measures, including weight, length/height, weight-for-length, and head circumference, were evaluated at birth, 42 d, 6 months, 12 months, and 24 months, and standardized into z -scores using the World Health Organization reference. Trajectories of each measure were classified into five groups using group-based trajectory modeling. Multinomial logistic regression was used to estimate odds ratio (OR) and 95% confidence interval (CI) for trajectory groups according to log 2 -transformed PFAS concentrations, and the moderate-stable group was selected as the reference group for all measures., Results: Higher prenatal exposure to PFAS was associated with elevated odds for the low-rising weight-for-age z -score (WAZ) trajectory, and the high-rising length-for-age z -score (LAZ) trajectory. Meanwhile, PFAS levels were associated with decreased odds for the low-rising and high-rising weight-for-length z -score (WLZ) trajectories. In addition, the associations of PFAS with growth trajectory groups differed by sex, where males had greater odds for the low-rising and low-stable WAZ trajectories and for the high-stable and low-rising WLZ trajectories. In contrast, inverse associations were consistently observed with trajectories of the high-stable, low-stable, and low-rising head-circumference-for-age z -score (HCZ) in relation to most individual PFAS congeners. PFAS mixtures analysis further confirmed the above findings., Discussion: Trajectory analysis approach provided insight into the complex associations between PFAS exposure and offspring growth. Future studies are warranted to confirm the present findings with trajectory modeling strategies and understand the clinical significance of these trajectory groups. https://doi.org/10.1289/EHP9875.