Assessment & Research

Bisphenol A Exposure in Children With Autism Spectrum Disorders.

Stein et al. (2015) · Autism research : official journal of the International Society for Autism Research 2015
★ The Verdict

Kids with ASD clear BPA more slowly, so environmental toxin questions now belong in your intake.

✓ Read this if BCBAs doing intake or parent training with school-age clients.
✗ Skip if Clinicians focused only on skill acquisition with no caregiver contact.

01Research in Context

01

What this study did

Stein et al. (2015) compared urine from the kids with ASD and 41 neurotypical kids. They measured total BPA and the percent that was glucuronidated, a form the body uses to remove BPA.

The team also ran metabolic tests to see if BPA handling linked to other body chemistry differences.

02

What they found

Children with ASD had higher total BPA in their urine. They also had a lower share of the glucuronidated form, meaning their bodies cleared BPA less efficiently.

More metabolic markers were out of range in the ASD group, hinting at wider chemical processing problems.

03

How this fits with other research

Quiñones-Medina et al. (2026) later reviewed gene-environment studies and folded these BPA findings into a bigger picture: BPA may worsen ASD traits only in kids who already carry genetic risk. The 2015 data sit inside that 2026 narrative as early proof of different BPA handling.

Mao et al. (2026) saw a similar pattern with lead and cadmium—higher urinary levels went hand-in-hand with worse social scores. Both papers point to the same takeaway: kids with ASD can show unique chemical footprints that track with symptom severity.

Older urine work by Feinstein et al. (1988) found odd catecholamine patterns in autistic children. Peter’s BPA results extend that line, showing urinary metabolites keep flagging metabolic quirks decades later.

04

Why it matters

When you meet a family, ask about plastic use, canned food, and other BPA sources. If the child shows fast escalation or GI issues, share the finding that ASD bodies may hang on to BPA longer. Simple steps—switching to fresh food, glass containers, or BPA-free labels—cost little and may lighten the chemical load while you run your behavioral program.

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Add one toxin-exposure question (plastic bottles, canned soup) to your caregiver interview and note any planned swaps.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
98
Population
autism spectrum disorder, neurotypical
Finding
positive
Magnitude
medium

03Original abstract

The etiology of autism spectrum disorders (ASD) is believed to involve genetic and environmental components. This study focused on the plasticizer, Bisphenol-A (BPA). The major pathway for BPA metabolism and excretion is via glucuronidation. To determine whether there was a relationship between BPA exposure and ASD, urine specimens were collected from 46 children with ASD and 52 controls. Free and total BPA concentrations were determined by mass spectrometry. The fraction glucuronidated was calculated from the difference. A metabolomics study was done to investigate metabolite distribution in the urine. (i) Most of the BPA excreted in the urine was as the glucuronide; (ii) about 20% of the ASD children had BPA levels beyond the 90th percentile (>50 ng/mL) of the frequency distribution for the total sample of 98 children; (iii) Mann-Whitney U tests and multiple regression analyses found significant differences (P < 0.05) between the groups in total and % bound BPA; and (iv) the metabolomics analyses showed the number of absolute partial correlations >|0.30| between metabolite concentrations and total BPA was ∼3 times greater with the ASD group than the controls (P < 0.001), and the number of absolute partial correlations > |0.30| for % bound BPA was ∼15 times higher with ASD (P < 0.001). The results suggest there is an association between BPA and ASD.

Autism research : official journal of the International Society for Autism Research, 2015 · doi:10.1002/aur.1444