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Mahfouz Y, Harmouche-Karaki M, Matta J, Mahfouz M, Salameh P, Younes H, Helou K, Finan R, Abi-Tayeh G, Meslimani M, Moussa G, Chahrour N, Osseiran C, Skaiki F, Narbonne JF. Dioxins and furans maternal transfer: A study of breast milk and cord serum levels among Lebanese mothers and associations with newborn anthropometric measurements. MARINE POLLUTION BULLETIN 2024; 199:116032. [PMID: 38237247 DOI: 10.1016/j.marpolbul.2024.116032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 01/05/2024] [Accepted: 01/07/2024] [Indexed: 02/08/2024]
Abstract
Dioxins and furans (PCDD/Fs) are anthropogenic pollutants that persist in the environment for long years, bioaccumulating in food & contaminating humans. In pregnancy, they can transfer through the placenta and reach the fetus, which negatively affects fetal growth. They can also reach newborns through breastfeeding. In this study, we focused on this critical subpopulation and identified the presence of PCDD/Fs among pregnant women in breast milk (n = 41) and cord serum (n = 49); we assessed the correlation between different matrices, evaluated the predictors and associations with newborn anthropometric measurements. Over 70.7 % of PCDD/Fs were detected in breast milk and 46.9-55.1 % in cord serum. Cord/maternal serum and breast milk to maternal serum ratios were > 1 with a significant positive Spearman correlation (0.669-0.729). Breast milk & maternal serum PCDD/Fs were associated inversely with age and positively with red meat intake. Cord serum PCDD/Fs were inversely associated with pre-pregnancy weight loss and passive smoking. Parity and gestational weight gain showed positive associations with Z-scores at birth. Z-score differences showed negative and positive associations with passive smoking and pre-pregnancy BMI respectively.
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Affiliation(s)
- Yara Mahfouz
- Department of Nutrition, Faculty of Pharmacy, Saint Joseph University of Beirut, Medical Sciences Campus, Damascus Road, P.O.B. 11-5076, Riad Solh Beirut 1107 2180, Lebanon.
| | - Mireille Harmouche-Karaki
- Department of Nutrition, Faculty of Pharmacy, Saint Joseph University of Beirut, Medical Sciences Campus, Damascus Road, P.O.B. 11-5076, Riad Solh Beirut 1107 2180, Lebanon.
| | - Joseph Matta
- Department of Nutrition, Faculty of Pharmacy, Saint Joseph University of Beirut, Medical Sciences Campus, Damascus Road, P.O.B. 11-5076, Riad Solh Beirut 1107 2180, Lebanon; Industrial Research Institute, Lebanese University Campus, Hadath Baabda, Lebanon.
| | - Maya Mahfouz
- Department of Nutrition, Faculty of Pharmacy, Saint Joseph University of Beirut, Medical Sciences Campus, Damascus Road, P.O.B. 11-5076, Riad Solh Beirut 1107 2180, Lebanon.
| | - Pascale Salameh
- Clinical and Epidemiological Research Laboratory, Faculty of Pharmacy, Lebanese University, Hadath, Lebanon; School of Medicine, Lebanese American University, Byblos, Lebanon; Institut National de Santé Publique d'Épidémiologie Clinique et de Toxicologie-Liban (INSPECT-LB), Dekwaneh, Mar Roukoz, Main Street, Building 111, 5th Floor, Metn, Lebanon; Department of Primary Care and Population Health, University of Nicosia Medical School, 2417, Nicosia, Cyprus.
| | - Hassan Younes
- UniLaSalle University, 19 Pierre Waguet Street, 60026 Beauvais, France.
| | - Khalil Helou
- Department of Nutrition, Faculty of Pharmacy, Saint Joseph University of Beirut, Medical Sciences Campus, Damascus Road, P.O.B. 11-5076, Riad Solh Beirut 1107 2180, Lebanon.
| | - Ramzi Finan
- Lebanese Society of Obstetrics and Gynecology, Adliye, Beit El- Tabib - 3rd Floor, Beirut, Lebanon; Faculty of Medicine, Saint Joseph University of Beirut, Medical Sciences Campus, Damascus Road, Beirut, Lebanon; Hotel-Dieu de France, Saint Joseph University of Beirut Hospital, Blvd Alfred Naccache, P.O.B.: 166830, Beirut, Lebanon.
| | - Georges Abi-Tayeh
- Faculty of Medicine, Saint Joseph University of Beirut, Medical Sciences Campus, Damascus Road, Beirut, Lebanon; Hotel-Dieu de France, Saint Joseph University of Beirut Hospital, Blvd Alfred Naccache, P.O.B.: 166830, Beirut, Lebanon; Lebanese Fertility Society, Adliye, Beit El- Tabib, Beirut, Lebanon.
| | | | - Ghada Moussa
- Department of Obstetrics and Gynecology, Chtoura Hospital, Zahle, Beqaa, Lebanon.
| | - Nada Chahrour
- Department of Obstetrics and Gynecology, SRH University Hospital, Nabatieh, Lebanon.
| | - Camille Osseiran
- Department of Obstetrics and Gynecology, Kassab Hospital, Saida, Lebanon.
| | - Farouk Skaiki
- Department of Molecular Biology, General Management, Al Karim Medical Laboratories, Saida, Lebanon; Faculty of Public Health, Lebanese University, Saida, Lebanon.
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