Sheela Sathyanarayana

Adjunct Professor, Epidemiology
Professor, Pediatrics - General Pediatrics
Adjunct Professor, Env. and Occ. Health Sciences



MPH Epidemiology, University of Washington,
MD Medicine, University of Southern California,
BA Environmental Science, Duke University,



Office 2001 8th Avenue
Box CW8-6, PO Box 5371
Seattle, WA 98145


Our research interests focus on exposures to endocrine disrupting chemicals such as phthalates and bisphenol A and their impact on childhood development. Public concern regarding these chemicals has risen in recent years and demands current research that addresses mechanisms of action and impact on health outcomes. We have ongoing pregnancy cohort and childhood epidemiologic studies. As a pediatric environmental health specialist and member of the University of Washington Pediatric Environmental Health Specialty Unit, I also conduct consults on environmental health exposures and childhood health impacts. I also practice general pediatrics at Harborview Medical Center and the University of Washington Newborn Nursery.

Research Interests

Environmental Endocrine Disruptors, Pediatric Environmental Health, Reproductive Toxicology, Birth defectsMy research interests focus on in utero and early life exposures to endocrine disrupting chemicals (EDC) and their impact on child reproductive development. 

Recent Publications (PubMed)

Sex-specific associations between placental corticotropin releasing hormone and problem behaviors in childhood.
(2024 Feb 16)
Psychoneuroendocrinology 163(): 106994
Barrett ES, Sullivan A, Workman T, Zhang Y, Loftus CT, Szpiro AA, Paquette A, MacDonald JW, Coccia M, Smith R, Bowman M, Smith A, Derefinko K, Nguyen RHN, Zhao Q, Sathyanarayana S, Karr C, LeWinn KZ, Bush NR

Subpopulations of children with multiple chronic health outcomes in relation to chemical exposures in the ECHO-PATHWAYS consortium.
(2024 Feb 8)
Environ Int 185(): 108486
Day DB, LeWinn KZ, Karr CJ, Loftus CT, Carroll KN, Bush NR, Zhao Q, Barrett ES, Swan SH, Nguyen RHN, Trasande L, Moore PE, Adams Ako A, Ji N, Liu C, Szpiro AA, Sathyanarayana S, program collaborators for Environmental influences on Child Health Outcomes

Associations of residential green space with internalizing and externalizing behavior in early childhood.
(2024 Feb 8)
Environ Health 23(1): 17
Hazlehurst MF, Hajat A, Tandon PS, Szpiro AA, Kaufman JD, Tylavsky FA, Hare ME, Sathyanarayana S, Loftus CT, LeWinn KZ, Bush NR, Karr CJ

Prenatal phthalate exposure and adverse birth outcomes in the USA: a prospective analysis of births and estimates of attributable burden and costs.
(2024 Feb)
Lancet Planet Health 8(2): e74-e85
Trasande L, Nelson ME, Alshawabkeh A, Barrett ES, Buckley JP, Dabelea D, Dunlop AL, Herbstman JB, Meeker JD, Naidu M, Newschaffer C, Padula AM, Romano ME, Ruden DM, Sathyanarayana S, Schantz SL, Starling AP, Hamra GB, programme collaborators for Environmental influences on Child Health Outcomes

Invited Perspective: Prenatal PM2.5 Exposure Associated with Adverse Birth Outcomes Requiring Medical Interventions.
(2024 Jan)
Environ Health Perspect 132(1): 11303
Hazlehurst MF, Sathyanarayana S

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