Table 3 Narrative synthesis of the association between PFAS mixtures and birth weight with different mixture methods.

From: Applications of mixture methods in epidemiological studies investigating the health impact of persistent organic pollutants exposures: a scoping review

Reference

Modeling strategy

Mixture methods

Other componentsa

Association direction

Single methods

Govarts 2016 [58]

Dimension reduction

PCA

OCP, PCB, heavy metals, phthalates, particulate matter

Negative

Gao 2022 [83]

Index modeling

WQS

No

Negative

Padula 2023 [84]

Bayesian weighted sum

No

Negative

Svensson 2021 [61]

WQS

OCP, phthalates, plasticizer, antibacterial, phenols, PAH, pesticides

Negative

Wang 2023 [85]

WQS

No

Null

Shen 2022 [86]

Quantile g-computation

No

Null

Song 2023 [87]

Quantile g-computation

No

Negative

Hu 2021 [88]

Response-surface modeling

BKMR

OCP, PCB, heavy metals, phthalates, phenols

Negative

Wang 2023 [89]

BKMR

No

Positive

Lazarevic 2022 [39]

Bayesian structured GAM w/ spike–slab

No

Null

Luo 2021 [90]

BKMR

No

Negative

Pearce 2021 [40]

Exposure continuum mapping (ECM)

PBDE, OCP, PCB

Positive

Multiple methods

Eick 2022 [69]

Response-surface modeling + index modeling

BKMR + Quantile g-computation

perceived stress and depression

Negative

Eick 2023 [68]

BKMR + Quantile g-computation

perceived stress, depression, gendered racial stress and anxiety

Negative

Marks 2021 [91]

BKMR + WQS

OCP, PCB

Negative

Kalloo 2020 [92]

Dimension reduction

PCA + K-means clustering

PBDE, OCP, PCB, phenols, parabens, phthalates, diammonium phosphate, pyrethroid insecticides, cotinine

Null with one PC negative

Zhuang 2021 [93]

Response-surface modeling + dimension reduction

BKMR + Bayesian factor analysis

PCB

Negative

Eick 2023 [94]

Response-surface modeling + index modeling + dimension reduction

BKMR + Quantile g-computation + PCA

PBDE, OCP, bisphenols, pyrethroid insecticides, phthalates and marijuana and tobacco

Negative

  1. PFAS Per- and polyfluoroalkyl substances, PBDE Polybrominated diphenyl ethers, OCP Organochlorine pesticides, PCB Polychlorinated biphenyls, WQS Weighted quantile sum, BKMR Bayesian kernel machine regression, PCA Principal component analysis.
  2. aOther components included in mixture analysis models.