In some studies, these associations were found in male participants but not in female participants.8,12,38 Other studies supported our findings, demonstrating that some phthalate compounds, such as MBzP and MiBP, were associated with cardiometabolic risk, including diabetes, in female participants.3,39 These conflicting associations mostly occurred owing to differences in the age groups, statistical methods, and consideration of confounders in data analyses. This evidence concerns the gene NMRK2 and diabetes mellitus.