EXPERT REACTION: Exposure to commonly-used BPA replacements could be linked with early childhood behaviour

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Photo by Andy Hall on Unsplash
Photo by Andy Hall on Unsplash

Certain everyday chemicals - methylparaben and bisphenol S (BPS) which are found in products such as food packaging, cosmetics, and personal care products might be associated with increased emotional and behavioural differences in young children if exposure occurs during pregnancy, according to international researchers. The team analysed urine samples collected multiple times from over 1000 pregnant women in Spain and France to measure levels of exposure, and found that concentration levels were associated with different behavioural effects in boys and girls – in particular, BPS appeared to have a stronger link to behaviour issues in boys. BPS was introduced as a replacement to BPA – which has previously been at the centre of similar conversations. In comments collected by the UK SMC, independent experts say that while this is a well-conducted observational study, there is not yet cause for concern. They say results should be interpreted with caution and should not be considered definitive proof that BPS is causing developmental issues – particularly given there are various other factors involved in child development. They add that higher urine concentration implies the chemical is being excreted and therefore may not be causing an effect within the body.

Media release

From: The Lancet

The Lancet Planetary Health: New study suggests that prenatal exposure to commonly-used BPA replacements might also be associated with early childhood behaviourExposure to certain everyday chemicals - methylparaben and bisphenol S (BPS) - during pregnancy may be associated with increased emotional and behavioural differences in young children, according to a new study published in The Lancet Planetary Health journal. Methylparaben and bisphenol S (BPS) are phenols found in products such as food packaging, cosmetics, and personal care products. Previous studies have shown a link between bisphenol A (BPA) and neurodevelopmental toxicity, leading BPA to be banned from several applications in the EU. BPS was introduced as a replacement to BPA.

In the study, researchers analysed urine samples collected multiple times from over 1,000 pregnant women across two cohorts in Spain and France to measure levels of exposure, explore the link between prenatal exposure to BPS and behaviour, and attempt to understand the biological pathways underlying this link.

Researchers found the association with methylparaben was strongest, and that concentration levels of these chemicals were associated with different behavioural effects in boys and girls. In particular, BPS appeared to have a stronger link to behaviour issues in boys. They also examined whether changes in stress hormones in pregnant women could explain how these chemicals influence children’s behaviour. However, the study didn’t find evidence linking these hormones to behaviour differences, which means more research is needed to understand the mechanisms behind any potential link between exposure to these chemicals and childhood behaviour.

The authors note that these findings suggest the need for stricter regulation around the use of these chemicals to reduce exposure during pregnancy. The researchers also emphasise that, while these findings highlight important potential connections, this study identified an association between exposure to these chemicals and behaviour in young children. It does not prove that behavioural problems are a direct result of prenatal exposure.

Differences between the two groups studied and other factors – such as variations in maternal age, breastfeeding habits, timing of behaviour assessments, and possible influences from unmeasured environmental or genetic effects – mean further research is needed to confirm these results and understand the potential health impacts of these chemicals.

Expert Reaction

These comments have been collated by the Science Media Centre to provide a variety of expert perspectives on this issue. Feel free to use these quotes in your stories. Views expressed are the personal opinions of the experts named. They do not represent the views of the SMC or any other organisation unless specifically stated.

Oliver Jones is Professor of Chemistry at RMIT University in Melbourne, Australia

“I think there are several factors that severely limit the conclusions we can draw from this paper.

“Firstly, the authors have only found an association between two factors. This is not the same as saying one thing caused the other. We probably find associations between a whole host of other factors (e.g. lack of sleep, low-quality diet, etc) and child behaviour, but that would not mean one caused the other; it could just be random chance – something the authors themselves note.

“The authors discuss endocrine disruption very generally without defining what they mean by it. There are at least 50 different major hormones in humans, and the ones assessed in this study seem to have had no effect, so where was the disruption?

“Urine concentration is used as a proxy for exposure, but if the compound is in the urine, it has been excreted and can’t be causing an effect. Additionally, only 6-7 urine samples were tested per mother. This is not an adequate sample size to accurately represent potential exposure throughout an entire 9-month pregnancy. On top of that, the behaviour assessment was not done until the child was 18-24 months old. We have no idea what the children were exposed to during the 1.5 – 2 gap between when the urine testing was done and when the surveys were filled in. The reported differences in early childhood behaviour could easily be due to an untested factor or simply to changes in diagnostic criteria over time.

“Methyl paraben has a very good safety profile, and while I think more data on BPS wouldn’t be a bad thing, given that it is less well studied than some other chemicals, that does not automatically mean it is dangerous.

“In short, I don’t think people need to worry based on this paper.”

Last updated:  10 Dec 2025 1:54pm
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Declared conflicts of interest “I have no direct conflict of interest, but I do research environmental contaminants. I have received funding from the Environment Protection Authority Victoria (https://www.epa.vic.gov.au/) and various water utilities for research on environmental pollution.”

Dr Ria Devereux, Environmental Research Fellow, Sustainability Research Institute at the University of East London, said:

“The study is a well-conducted observational study, but it is important to emphasise that it does not demonstrate causation. Behaviour in early childhood is influenced by multiple factors, including the home environment, socioeconomic conditions, and genetics, many of which were not fully accounted for in this study. Therefore, these results should be interpreted with caution until further research is conducted.

“This study adds to existing concerns regarding BPA replacements, which are currently used in plastics and some paper receipts in the UK. While previous research has raised questions about the potential effects of BPS and methylparaben on child behaviour, the evidence remains mixed, with some studies reporting associations and others finding no clear links.

“Although this study controlled for factors such as maternal age, education, and socioeconomic status, other important variables were not fully addressed. These include maternal mental health and parenting style. Additionally, the study focused exclusively on maternal exposure, despite evidence suggesting that paternal exposures may also influence child development.

“While this study does not provide definitive proof of affecting child behaviour, it raises important questions regarding the safety of BPS and other BPA alternatives. It is too early to call for stricter regulations based solely on current evidence. However, these findings, together with existing research, suggest that further investigation is needed to fully understand the potential public health implications.”

Last updated:  10 Dec 2025 2:02pm
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Declared conflicts of interest None declared.
Journal/
conference:
The Lancet Planetary Health
Research:Paper
Organisation/s: Inserm, CNRS, Institute for Advanced Biosciences (IAB), France
Funder: This study was funded by the French National Research Program for Environmental and Occupational Health of the French Agency for Food, Environmental and Occupational Health & Safety (ANSES; 2019/1/039) and the EU’s Horizon 2020 research and innovation programme (874583 - ATHLETE project). MR’s salary was funded by the French Fund – Fondation de France (ELEMENTUM - 00124527). The SEPAGES cohort was supported by the European Research Council (ERC; 311765-E- DOHaD), the European Community’s Seventh Framework Programme (FP7/2007-206 - 308333-892 HELIX), the EU’s Horizon 2020 research and innovation programme (874583 - ATHLETE project and 825712 - OBERON project), the French Research Agency (ANR; PAPER project ANR- 12-PDOC-0029-01; SHALCOH project ANR-14-CE21-0007, ANR-15-IDEX- 002, and ANR-15-IDEX5; GUMME project ANR-17-CE34-0013; ETAPE project ANR-18-CE36-0005; EDeN project ANR-19-CE36-0003-01; MEMORI project ANR 21-CE34-0022; and ORANDANI project ANR- 22-CE36-0018), ANSES (CNAP project EST-2016-121, PENDORE project EST-2018-1-264, HyPAxE project EST-2019/1/039, and PENDALIRE project EST-2022-169), the Plan Cancer (Canc’Air project), the French Cancer Research Foundation Association de Recherche sur le Cancer, the French Endowment Fund AGIR for chronic diseases (APMC; projects PRENAPAR, LCI-FOT, and DysCard), the French Endowment Fund for Respiratory Health, and the French Fund – Fondation de France (CLIMATHES - 00081169, SEPAGES 5 - 00099903, and ELEMENTUM - 00124527). SEPAGES biospecimens are stored at Grenoble University Hospital biobank (bb-0033-00069); we thank the whole Biological Resources Centre team, in particular the technicians, for the huge work involved in the processing and pooling of biospecimens. We thank the SEPAGES study group—clinical research assistants, nurses, midwives, field workers, neuropsychologists, and data managers—along with the staff from the Grenoble Center for Clinical Investigation; the sonographers, medical doctors, and clinicians from Grenoble University Hospital for their support in the recruitment of the study volunteers; and all midwives from the four maternity wards of Grenoble urban areas. SEPAGES data are stored thanks to Inserm RE-CO-NAI platform funded by Commissariat Général à l’Investissement. Finally, and importantly, we express our sincere thanks to participants of the SEPAGES study. The BiSC cohort has received funding from the ERC under the EU’s Horizon 2020 research and innovation programme (785994 - AirNB project), the Health Effects Institute (4959-RFA17-1/18-1 - FRONTIER project), the EU’s Horizon 2020 research and innovation programme EU.3.1.2 (874583 - ATHLETE project) and EU.3.1.1./en" title="https://cordis.europa.eu/programme/id/ H2020-EU.3.1.1./en">EU.3.1.1 (GA964827 - AURORA project), the AXA Research Fund (MOOD-COVID project), ANSES (2019/01/039 - HyPAXE project), the Agència de Gestió d’Ajuts Universitaris de Recerca (2017 SGR 826 - Population Neuroscience group), the Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CB06/02/0041), the Instituto de Salud Carlos III (ISCIII) and the European Regional Development Fund - Maternal and Child Health and Development Network (RD16/0022/0014 and RD16/0022/0015), and the ISCIII and the EU Next Generation EU - Primary Care Interventions to Prevent Maternal and Child Chronic Diseases of Perinatal and Developmental Origin Network (RD21/0012/0001 and RD21/0012/0003). We thank all the participants and their families for their generous collaboration. A full list of BiSC researchers can be found at https://projectebisc.org/en/team/. During the preparation of this work the authors used ChatGPT in order to improve grammar and readability. After using this tool, the authors reviewed and edited the content as needed and take full responsibility for the content of the publication.
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