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Li BA, Li BM, Bao Z, Li Q, Xing M, Li B. Dichlorodiphenyltrichloroethane for Malaria and Agricultural Uses and Its Impacts on Human Health. BULLETIN OF ENVIRONMENTAL CONTAMINATION AND TOXICOLOGY 2023; 111:45. [PMID: 37730942 DOI: 10.1007/s00128-023-03789-3] [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: 10/24/2022] [Accepted: 08/12/2023] [Indexed: 09/22/2023]
Abstract
Pesticides are widely used in agriculture and disease control, and dichlorodiphenyltrichloroethane (DDT) is one of the most used pesticides in human history. Besides its significant contributions in pest control in agriculture, DDT was credited as having saved millions of human lives for controlling malaria and other deadly insect-transmitted diseases. Even today, the use of DDT in some countries for malaria control cannot be replaced without endangering people who live there. The recent COVID-19 pandemic has changed our lives and reminded us of the challenges in dealing with infectious diseases, especially deadly ones including malaria. However, DDT and its metabolites are stable, persist long, are found in almost every corner of the world, and their persistent effects on humans, animals, and the environment must be seriously considered. This review will focus on the history of DDT use for agriculture and malaria control, the pathways for the spread of DDT, benefits and risks of DDT use, DDT exposure to animals, humans, and the environment, and the associated human health risks. These knowledge and findings of DDT will benefit the selection and management of pesticides worldwide.
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Affiliation(s)
- Benjamin A Li
- Department of Orthopaedics, School of Medicine, West Virginia University, Morgantown, 26506-9196, WV, USA
- Morgantown High School, Morgantown, WV, USA
| | | | - Zhenghong Bao
- Department of Orthopaedics, School of Medicine, West Virginia University, Morgantown, 26506-9196, WV, USA
| | - Qingyang Li
- Department of Orthopaedics, School of Medicine, West Virginia University, Morgantown, 26506-9196, WV, USA
| | - Malcolm Xing
- Department of Mechanical Engineering, University of Manitoba, and The Children's Hospital Research Institute of Manitoba, MB, Winnipeg, Canada
| | - Bingyun Li
- Department of Orthopaedics, School of Medicine, West Virginia University, Morgantown, 26506-9196, WV, USA.
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Ait Lhaj F, Elhamri H, Ait Lhaj Z, Malisch R, Kypke K, Kabriti M, El Hajjaji S, Bellaouchou A. First WHO/UNEP survey of the current concentrations of persistent organic pollutants in human milk in Morocco. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2023; 40:282-293. [PMID: 36520182 DOI: 10.1080/19440049.2022.2154852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
The presence of persistent organic pollutants (POPs) in human milk is an indicator of the level of these substances in the environment and enables evaluation of the potential exposure of breastfed children. POPs concentrations in a Moroccan human milk pooled sample (59 donors) were determined for the first time by the WHO reference laboratory to provide a baseline and allow monitoring of the future trends for those persistent organohalogen compounds. Eighty-one different POPs, including organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs), and dioxins and furans (PCDD/Fs) were identified and quantified by using gas chromatography (GC) with an electron capture detector (ECD) and confirmed by gas chromatography-mass spectrometry (GC/LRMS). The obtained results showed that the sum of DDT (sum of o,p'-DDD, p,p'-DDD, o,p'-DDE, p,p'-DDE, o,p'-DDT, and p,p'-DDT) was 237.9 ng/g, representing 94.0% of all detected OCPs levels, with a dominance of p,p'-DDE, and p,p'-DDT. Cis-heptachlor epoxide, HCB, and HCH were found at much lower levels. PCB indicator level was 60.7 ng/g of lipid, with the dominance of PCB 138, PCB 153, and PCB 180, presenting 98.3% of the total. Among the 25 PBDE congeners quantified, BDE-47, BDE-153, BDE-197, and BDE-207 were the dominant congeners account for 15.4% of the total concentration of PBDE (1.3 pg/g lipid). The lipid-adjusted level of PCDD/Fs and dl-PCBs expressed in Toxic Equivalents (TEQs: 6.65 pg/g) were lower in comparison to those found in the other countries. In summary, detected POPs levels in Moroccan human milk were much lower compared to the other countries, reflecting the effectiveness of the compliance with Stockholm Convention requirements on eliminating or reducing emissions of selected POPs. Continued monitoring is needed for these compounds, for which this is the first data available, provided by the WHO/UNEP survey in Morocco.
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Affiliation(s)
- Farida Ait Lhaj
- Laboratory of Nanomaterials, Nanotechnologies and Environment, Faculty of Sciences, Center of Materials, Mohammed V University, Rabat, Morocco.,Department of Toxicology, Health Ministry, National Institute of Health, Rabat, Morocco
| | - Hecham Elhamri
- Department of Toxicology, Health Ministry, National Institute of Health, Rabat, Morocco
| | - Zakaria Ait Lhaj
- Physiology and Physiopathology Team, Faculty of Sciences, Genomic of Human Pathologies Research Centre, Mohammed V University, Rabat, Morocco
| | - Rainer Malisch
- State Institute for Chemical and Veterinary Analysis of Food (CVUA), Freiburg, Germany
| | - Karin Kypke
- State Institute for Chemical and Veterinary Analysis of Food (CVUA), Freiburg, Germany
| | - Mohamed Kabriti
- Laboratory of Ecology and Environment, Faculty of Sciences Ben M'Sik, University Hassan II Casablanca, Morocco
| | - Souad El Hajjaji
- Laboratory of Molecular Spectroscopy Modelling, Materials, Nanomaterials, Water and Environment, Faculty of Science, Mohammed V University, Rabat, Morocco
| | - Abdelkabir Bellaouchou
- Laboratory of Nanomaterials, Nanotechnologies and Environment, Faculty of Sciences, Center of Materials, Mohammed V University, Rabat, Morocco
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Ellsworth L, McCaffery H, Chernyak S, Lam S, Sargis RM, Padmanabhan V, Gregg B. Lactational exposure to polychlorinated biphenyls is higher in overweight /obese women and associated with altered infant growth trajectory: A pilot study. Curr Res Toxicol 2020; 1:133-140. [PMID: 34345842 PMCID: PMC8320629 DOI: 10.1016/j.crtox.2020.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 09/04/2020] [Accepted: 10/14/2020] [Indexed: 11/21/2022] Open
Abstract
Human milk levels of PCBs are higher in mothers with overweight and obesity. Lactational exposure to PCBs is associated with alterations in development. Lactational expsures to PCBs in human milk are associated with slower infant growth patterns.
Background Infant exposure to environmental chemicals, such as polychlorinated biphenyls (PCBs), may contribute to developmental programming of long-term metabolic disease risk. PCBs persist given their lipophilicity and long half-lives, allowing them to bio-accumulate in adipose tissue. These compounds can then be excreted into maternal milk resulting in infant exposure. Objective To determine the level of PCBs in milk from mothers with pre-pregnancy overweight and obese (OW/OB) versus normal weight status (NW) and evaluate the association of milk PCB levels with infant growth over the first 6 months of life. Methods A pilot study of a subset of milk samples from mothers with NW (pre-pregnancy body mass index (BMI) < 25 kg/m2, n = 11) and OW/OB (pre-pregnancy BMI ≥ 25 kg/m2, n = 8) were examined approximately 2-weeks postpartum. PCB congeners 138 + 163, 132 + 153, 180, and the sum were measured using gas chromatography/mass spectrometry and adjusted for milk fat content. Infant growth was monitored from birth to 6 months for weight-for-age (WFA), length-for-age (LFA), weight-for-length (WFL), head circumference-for-age (HCA), and associations with milk PCB content determined using linear mixed modeling. Results Total milk fat content did not differ by maternal weight status (p = 0.88). Milk from mothers with OW/OB had significantly higher PCB sum (p = 0.02) and PCB 138 + 163 (p = 0.03). PCB 132 + 153 (β −0.0008, p = 0.0218), PCB 180 (β −0.0010, p = 0.0279), and PCB sum (β −0.0006, p = 0.0138) were negatively associated with HCA Z-score growth to 6 months. PCB 180 was negatively associated with infant WFA (β −0.0015, p = 0.0058) and WFL Z-score (β −0.0016, p = 0.0263) to 6 months. There were no associations of PCB sum content with WFL, LFA, WFL Z-score over the first 6 months of life. Conclusions Maternal overweight and obesity are associated with higher levels of total PCB congeners (132, 138, 153, 163, 180) in human milk. PCB congeners have negative associations with infant head circumference and weight trajectory over the first 6 months of life.
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Key Words
- BMI, Body mass index
- EDCs, Endocrine disrupting chemicals
- GC/MS, Gas chromatography/mass spectrometry
- HCA, Head circumference-for-age
- HMA, Human Milk Analyzer
- Human milk
- IMAGE, Infant Metabolism and Gestational Endocrinopathies
- Infant growth
- LFA, Length-for-age
- LOD, Limit of detection
- PCBs, Polychlorinated biphenyls
- Polychlorinated biphenyls
- WFA, Weight-for-age
- WFL, Weight-for-length
- WHO, World Health Organization
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Affiliation(s)
- Lindsay Ellsworth
- Division of Neonatal-Perinatal Medicine, Department of Pediatrics and Communicable Diseases, 1540 E. Medical Center Drive, University of Michigan, Ann Arbor, MI, United States
- Corresponding author at: Division of Neonatal-Perinatal Medicine, 1540 E Medical Center Drive, 8-621 Mott/4254, Ann Arbor, MI 48109-4254, United States.
| | - Harlan McCaffery
- Center for Human Growth and Development, University of Michigan, 300 N Ingalls St, Ann Arbor, MI, United States
| | - Sergei Chernyak
- Environmental Health Sciences, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, United States
| | - Stephanie Lam
- Division of Pediatric Endocrinology, Diabetes, and Metabolism, Department of Pediatrics and Communicable Diseases, University of Michigan, 1540 E. Medical Center Drive, University of Michigan, Ann Arbor, MI, United States
| | - Robert M. Sargis
- Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, University of Illinois at Chicago, 835 S. Wolcott, Chicago, IL, United States
| | - Vasantha Padmanabhan
- Division of Pediatric Endocrinology, Diabetes, and Metabolism, Department of Pediatrics and Communicable Diseases, University of Michigan, 1540 E. Medical Center Drive, University of Michigan, Ann Arbor, MI, United States
- Department of Pediatrics and Communicable Diseases, University of Michigan, 1540 E. Medical Center Drive, University of Michigan, Ann Arbor, MI, United States
| | - Brigid Gregg
- Division of Pediatric Endocrinology, Diabetes, and Metabolism, Department of Pediatrics and Communicable Diseases, University of Michigan, 1540 E. Medical Center Drive, University of Michigan, Ann Arbor, MI, United States
- Division of Pediatric Endocrinology, Diabetes, and Metabolism, Department of Pediatrics and Communicable Diseases, University of Michigan, 1540 E. Medical Center Drive, University of Michigan, Ann Arbor, MI, United States
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Tahir E, Cordier S, Courtemanche Y, Forget-Dubois N, Desrochers-Couture M, Bélanger RE, Ayotte P, Jacobson JL, Jacobson SW, Muckle G. Effects of polychlorinated biphenyls exposure on physical growth from birth to childhood and adolescence: A prospective cohort study. ENVIRONMENTAL RESEARCH 2020; 189:109924. [PMID: 32798778 PMCID: PMC7529953 DOI: 10.1016/j.envres.2020.109924] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 06/24/2020] [Accepted: 07/07/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND/AIMS Given that their traditional lifestyle and diet still relies on fish and other marine species for sustenance, the Inuit are highly exposed to polychlorinated biphenyls (PCBs) and PCBs are increasingly linked to obesity. However, evidence is not consistent regarding which periods of exposure are most relevant. In this study, we examine whether in utero, childhood, and adolescent exposure to PCBs are related to physical growth at adolescence. METHOD Inuit adolescents from Canada (N=212) enrolled in a prospective longitudinal cohort study since birth were assessed for height, weight, body mass index (BMI), fat mass index (FMI) and fat free mass index (FFMI) at 18 years of age. PCB 153 concentrations were quantified in blood samples obtained at birth (umbilical cord), 11, and 18 years of age. Maternal anthropometrics were measured and those for the newborns collected from medical records. Data on biological mothers and participants' sociodemographic characteristics and food security were collected using interviews. Multiple linear regression analyses were used to test associations between PCB 153 concentrations and adolescent anthropometric measures. RESULTS Cord PCB 153 was not related to height or FFMI at adolescence. By contrast, analyses showed that cord PCB 153 was related to higher BMI, FMI and marginally to weight in girls but not boys. Child PCB 153 was not related to height, weight or FFMI in adolescence. Child PCB 153 was related to lower BMI and FMI at adolescence in both sexes, particularly among those considered overweight or obese during childhood. Adolescent PCB 153 was not associated with any outcome. CONCLUSION This study suggests that prenatal exposure to PCBs may have a long-term effect on growth in early adulthood among girls and identifies the peri-pubertal period as another window of sensitivity for the action of PCBs. Our findings also suggest that exposure to PCBs and body size be documented in multiple time periods from infancy to adulthood.
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Affiliation(s)
- Emad Tahir
- Centre de Recherche du Centre Hospitalier Universitaire de Québec, Québec, Canada
| | - Sylvaine Cordier
- Centre de Recherche du Centre Hospitalier Universitaire de Québec, Québec, Canada; Univ Rennes, Inserm, EHESP, Irset (Institut de Recherche en Santé, Environnement et Travail), UMR_S1085, F-35000, Rennes, France
| | - Yohann Courtemanche
- Centre de Recherche du Centre Hospitalier Universitaire de Québec, Québec, Canada
| | - Nadine Forget-Dubois
- Centre de Recherche du Centre Hospitalier Universitaire de Québec, Québec, Canada
| | | | - Richard E Bélanger
- Centre de Recherche du Centre Hospitalier Universitaire de Québec, Québec, Canada; Département de Pédiatrie, Université Laval, Québec, Québec, Canada
| | - Pierre Ayotte
- Centre de Recherche du Centre Hospitalier Universitaire de Québec, Québec, Canada; Centre de Toxicologie du Québec, Institut National de Santé Publique du Québec, Québec City, Québec, Canada
| | - Joseph L Jacobson
- Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA
| | - Sandra W Jacobson
- Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA
| | - Gina Muckle
- Centre de Recherche du Centre Hospitalier Universitaire de Québec, Québec, Canada; École de Psychologie, Université Laval, Québec, Québec, Canada.
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Plouffe L, Bosson-Rieutort D, Madaniyazi L, Iwai-Shimada M, Nakai K, Tatsuta N, Nakayama SF, Verner MA. Estimated postnatal p,p'-DDT and p,p'-DDE levels and body mass index at 42 months of age in a longitudinal study of Japanese children. Environ Health 2020; 19:49. [PMID: 32393266 PMCID: PMC7216372 DOI: 10.1186/s12940-020-00603-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2019] [Accepted: 04/24/2020] [Indexed: 05/06/2023]
Abstract
BACKGROUND Children are exposed to p,p'-dichlorodiphenyltrichloroethane (p,p'-DDT) and p,p'-dichlorodiphenyldichloroethylene (p,p'-DDE) through placental and lactational transfer. Some studies have suggested that early-life exposure to these compounds could lead to increased body mass index (BMI) during childhood. Our aim was to assess whether children's exposure during the first 2 years of life is associated with BMI z-score in Japanese children at 42 months of age. METHODS We used data from a birth cohort (n = 290) of the Tohoku Study of Child Development. p,p'-DDT and p,p'-DDE levels were measured in breast milk samples collected 1 month after birth, and levels in children were estimated using a toxicokinetic model for three exposure periods (0-6 months, 6-12 months, 12-24 months). Associations between exposure estimates and BMI z-score at 42 months of age were assessed using multivariate linear regression models. RESULTS We found no significant association between levels of p,p'-DDT measured in breast milk or estimated in children and BMI z-score. However, we observed associations between estimated p,p'-DDE levels in girls during all postnatal exposure periods and BMI z-score; for each log increase in the estimated p,p'-DDE levels, BMI z-score increased by 0.23 (C.I. 95%: 0.01, 0.45) for the 0-6 months exposure period, 0.26 (C.I. 95%: 0.06, 0.47) for the 6-12 months exposure period, and 0.24 (C.I. 95%: 0.05, 0.43) for the 12-24 months exposure period. CONCLUSION In this study of Japanese children, estimated postnatal p,p'-DDE levels were associated with increased BMI z-score at 42 months of age, mostly in girls. These results are in line with previous studies supporting that early-life exposure to p,p'-DDE may be associated with higher BMI during childhood.
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Affiliation(s)
- Laurence Plouffe
- Department of Occupational and Environmental Health, School of Public Health, Université de Montréal, Montreal, Canada
- Centre de recherche en santé publique, Université de Montréal, CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, Quebec, Canada
| | - Delphine Bosson-Rieutort
- Department of Management, Evaluation & Health Policy, School of Public Health, Université de Montréal, Montreal, Canada
- Institut national d'excellence en santé et en services sociaux (INESSS), Montreal, Québec, Canada
| | - Lina Madaniyazi
- Centre for Health and Environmental Risk Research, National Institute for Environmental Studies, Tsukuba, Ibaraki, 305-0053, Japan
- Department of Pediatric Infectious Disease, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
| | - Miyuki Iwai-Shimada
- Centre for Health and Environmental Risk Research, National Institute for Environmental Studies, Tsukuba, Ibaraki, 305-0053, Japan
| | - Kunihiko Nakai
- Department of Development and Environmental Medicine, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
| | - Nozomi Tatsuta
- Department of Development and Environmental Medicine, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan
| | - Shoji F Nakayama
- Centre for Health and Environmental Risk Research, National Institute for Environmental Studies, Tsukuba, Ibaraki, 305-0053, Japan
| | - Marc-André Verner
- Department of Occupational and Environmental Health, School of Public Health, Université de Montréal, Montreal, Canada.
- Centre de recherche en santé publique, Université de Montréal, CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, Quebec, Canada.
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Nelson W, Wang YX, Sakwari G, Ding YB. Review of the Effects of Perinatal Exposure to Endocrine-Disrupting Chemicals in Animals and Humans. REVIEWS OF ENVIRONMENTAL CONTAMINATION AND TOXICOLOGY 2020; 251:131-184. [PMID: 31129734 DOI: 10.1007/398_2019_30] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Maternal exposure to endocrine-disrupting chemicals (EDCs) is associated with long-term hormone-dependent effects that are sometimes not revealed until maturity, middle age, or adulthood. The aim of this study was to conduct descriptive reviews on animal experimental and human epidemiological evidence of the adverse health effects of in utero and lactational exposure to selected EDCs on the first generation and subsequent generation of the exposed offspring. PubMed, Web of Science, and Toxline databases were searched for relevant human and experimental animal studies on 29 October 29 2018. Search results were screened for relevance, and studies that met the inclusion criteria were evaluated and qualitative data extracted for analysis. The search yielded 73 relevant human and 113 animal studies. Results from studies show that in utero and lactational exposure to EDCs is associated with impairment of reproductive, immunologic, metabolic, neurobehavioral, and growth physiology of the exposed offspring up to the fourth generation without additional exposure. Little convergence is seen between animal experiments and human studies in terms of the reported adverse health effects which might be associated with methodologic challenges across the studies. Based on the available animal and human evidence, in utero and lactational exposure to EDCs is detrimental to the offspring. However, more human studies are necessary to clarify the toxicological and pathophysiological mechanisms underlying these effects.
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Affiliation(s)
- William Nelson
- Joint International Research Laboratory of Reproductive and Development, Department of Reproductive Biology, School of Public Health, Chongqing Medical University, Chongqing, People's Republic of China
| | - Ying-Xiong Wang
- Joint International Research Laboratory of Reproductive and Development, Department of Reproductive Biology, School of Public Health, Chongqing Medical University, Chongqing, People's Republic of China
| | - Gloria Sakwari
- Department of Environmental and Occupational Health, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es salaam, Tanzania
| | - Yu-Bin Ding
- Joint International Research Laboratory of Reproductive and Development, Department of Reproductive Biology, School of Public Health, Chongqing Medical University, Chongqing, People's Republic of China.
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7
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Burns JS, Williams PL, Sergeyev O, Korrick SA, Rudnev S, Plaku-Alakbarova B, Revich B, Hauser R, Lee MM. Associations of peri-pubertal serum dioxins and polychlorinated biphenyls with growth and body composition among Russian boys in a longitudinal cohort. Int J Hyg Environ Health 2019; 223:228-237. [PMID: 31466867 DOI: 10.1016/j.ijheh.2019.08.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Revised: 08/15/2019] [Accepted: 08/16/2019] [Indexed: 01/06/2023]
Abstract
BACKGROUND Childhood exposure to organochlorines has been associated with alterations in somatic growth. We evaluated the associations of peri-pubertal serum levels of dioxin-like compounds (DLCs) and nondioxin-like polychlorinated biphenyls (NDL-PCBs), with adolescent growth, body composition, and near adult height (NAH) in a longitudinal cohort study of Russian boys. METHODS 473 8-9 year-old boys had serum DLCs and associated toxic equivalents (TEQs) and NDL-PCBs concentrations measured. Physical examinations were performed at enrollment between 2003 and 2005, and annually over 11 years to 2016; annual bio-electric impedance analysis (BIA) of body composition began in 2006. We used mixed effects models to evaluate associations of quartiles of serum chemical concentrations with longitudinal measurements through age 19 of body mass index (BMI-Z) and height (HT-Z) z-scores, annual height velocity (HV), and BIA-derived height-adjusted fat (FMi) and fat-free mass (FFMi) indexes. Potential modification by age of the associations of chemical exposures with growth was evaluated. NAH (defined as HV < 1 cm/year) and age at NAH attainment were estimated using parametric survival models accounting for right censoring. RESULTS The medians of serum ∑TEQs, ∑DLCs, and ∑NDL-PCBs were 21.1 pg TEQ/g lipid, 362 pg/g lipid, and 250 ng/g lipid, respectively. In multivariable models, higher serum concentrations of peri-pubertal ∑TEQs, ∑DLCs, and ∑NDL-PCBs were associated with significantly lower BMI-Z, FMi, and FFMi over 11 years of follow-up. The differences in FFMi for boys with higher versus lower ΣTEQs and ΣNDL-PCBs increased with age. In multivariable models, higher ∑NDL-PCBs were associated with lower HT-Z, with attenuation of the association with age (interaction p < 0.001). The highest versus the lowest quartiles of ∑NDL-PCBs were not associated with differences in NAH, but were associated with an average of 6 months later attainment of NAH. CONCLUSIONS Our findings suggest that dioxin and NDL-PCB exposures during childhood are associated with alterations in body composition and subsequent somatic growth.
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Affiliation(s)
- Jane S Burns
- Environmental and Occupational Medicine and Epidemiology Program, Department of Environmental Health, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Boston, MA, 02115, USA.
| | - Paige L Williams
- Department of Biostatistics, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Boston, MA, 02115, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Boston, MA, 02115, USA
| | - Oleg Sergeyev
- Group of Epigenetic Epidemiology, A.N. Belozersky Research Institute of Physico-Chemical Biology, Moscow State University, Leninskye Gory, House 1, Building 40, Room 322, 119234, Moscow, Russia; Chapaevsk Medical Association, Meditsinskaya Str., 3a, Chapaevsk, Samara Region, 446100, Russia
| | - Susan A Korrick
- Environmental and Occupational Medicine and Epidemiology Program, Department of Environmental Health, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Boston, MA, 02115, USA; Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Sergey Rudnev
- Marchuk Institute of Numerical Mathematics, Russian Academy of Sciences, Gubkin Str., 8, 119333, Moscow, Russia
| | - Bora Plaku-Alakbarova
- Environmental and Occupational Medicine and Epidemiology Program, Department of Environmental Health, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Boston, MA, 02115, USA
| | - Boris Revich
- Institute for Forecasting, Russian Academy of Sciences, 47 Nakhimovsky Prosp., Moscow, 117418, Russia
| | - Russ Hauser
- Environmental and Occupational Medicine and Epidemiology Program, Department of Environmental Health, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Boston, MA, 02115, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Boston, MA, 02115, USA
| | - Mary M Lee
- Nemours AI DuPont Hospital for Children/Sidney Kimmel Medical School, Jefferson University, 1600 Rockland Road, Suite 2C, Wilmington, DE, 19803, USA
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8
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Lehmann GM, LaKind JS, Davis MH, Hines EP, Marchitti SA, Alcala C, Lorber M. Environmental Chemicals in Breast Milk and Formula: Exposure and Risk Assessment Implications. ENVIRONMENTAL HEALTH PERSPECTIVES 2018; 126:96001. [PMID: 30187772 PMCID: PMC6375394 DOI: 10.1289/ehp1953] [Citation(s) in RCA: 65] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2017] [Revised: 07/27/2018] [Accepted: 07/27/2018] [Indexed: 05/19/2023]
Abstract
BACKGROUND Human health risk assessment methods have advanced in recent years to more accurately estimate risks associated with exposure during childhood. However, predicting risks related to infant exposures to environmental chemicals in breast milk and formula remains challenging. OBJECTIVES Our goal was to compile available information on infant exposures to environmental chemicals in breast milk and formula, describe methods to characterize infant exposure and potential for health risk in the context of a risk assessment, and identify research needed to improve risk analyses based on this type of exposure and health risk information. METHODS We reviewed recent literature on levels of environmental chemicals in breast milk and formula, with a focus on data from the United States. We then selected three example publications that quantified infant exposure using breast milk or formula chemical concentrations and estimated breast milk or formula intake. The potential for health risk from these dietary exposures was then characterized by comparison with available health risk benchmarks. We identified areas of this approach in need of improvement to better characterize the potential for infant health risk from this critical exposure pathway. DISCUSSION Measurements of chemicals in breast milk and formula are integral to the evaluation of risk from early life dietary exposures to environmental chemicals. Risk assessments may also be informed by research investigating the impact of chemical exposure on developmental processes known to be active, and subject to disruption, during infancy, and by analysis of exposure-response data specific to the infant life stage. Critical data gaps exist in all of these areas. CONCLUSIONS Better-designed studies are needed to characterize infant exposures to environmental chemicals in breast milk and infant formula as well as to improve risk assessments of chemicals found in both foods. https://doi.org/10.1289/EHP1953.
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Affiliation(s)
- Geniece M Lehmann
- Office of Research and Development (ORD), U.S. Environmental Protection Agency (EPA), Research Triangle Park, North Carolina, USA
| | - Judy S LaKind
- LaKind Associates, LLC, Catonsville, Maryland, USA
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, USA
| | - Matthew H Davis
- Office of Children's Health Protection, U.S. EPA, Washington, District of Columbia, USA
| | - Erin P Hines
- Office of Research and Development (ORD), U.S. Environmental Protection Agency (EPA), Research Triangle Park, North Carolina, USA
| | - Satori A Marchitti
- Oak Ridge Institute for Science and Education (ORISE), ORD, U.S. EPA, Athens, Georgia, USA
| | - Cecilia Alcala
- Association of Schools and Programs of Public Health (ASPPH), ORD, U.S. EPA, Washington, District of Columbia, USA
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9
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LaKind JS, Lehmann GM, Davis MH, Hines EP, Marchitti SA, Alcala C, Lorber M. Infant Dietary Exposures to Environmental Chemicals and Infant/Child Health: A Critical Assessment of the Literature. ENVIRONMENTAL HEALTH PERSPECTIVES 2018; 126:96002. [PMID: 30256157 PMCID: PMC6375563 DOI: 10.1289/ehp1954] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2017] [Revised: 08/02/2018] [Accepted: 08/13/2018] [Indexed: 05/24/2023]
Abstract
BACKGROUND The benefits of breastfeeding to the infant and mother have been well documented. It is also well known that breast milk contains environmental chemicals, and numerous epidemiological studies have explored relationships between background levels of chemicals in breast milk and health outcomes in infants and children. OBJECTIVES In this paper, we examine epidemiological literature to address the following question: Are infant exposures to background levels of environmental chemicals in breast milk and formula associated with adverse health effects? We critically review this literature a) to explore whether exposure-outcome associations are observed across studies, and b) to assess the literature quality. METHODS We reviewed literature identified from electronic literature searches. We explored whether exposure-outcome associations are observed across studies by assessing the quality (using a modified version of a previously published quality assessment tool), consistency, and strengths and weaknesses in the literature. The epidemiological literature included cohorts from several countries and examined infants/children either once or multiple times over weeks to years. Health outcomes included four broad categories: growth and maturation, morbidity, biomarkers, and neurodevelopment. RESULTS The available literature does not provide conclusive evidence of consistent or clinically relevant health consequences to infants exposed to environmental chemicals in breast milk at background levels. CONCLUSIONS It is clear that more research would better inform our understanding of the potential for health impacts from infant dietary exposures to environmental chemicals. A critical data gap is a lack of research on environmental chemicals in formula and infant/child health outcomes. https://doi.org/10.1289/EHP1954.
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Affiliation(s)
- Judy S LaKind
- 1 LaKind Associates, LLC, Catonsville, Maryland, USA
- 2 Department of Epidemiology and Public Health, University of Maryland School of Medicine , Baltimore, Maryland, USA
| | - Geniece M Lehmann
- 3 Office of Research and Development (ORD), U.S. Environmental Protection Agency (EPA), Research Triangle Park , North Carolina, USA
| | - Matthew H Davis
- 4 Office of Children's Health Protection, U.S. EPA, Washington, District of Columbia, USA
| | - Erin P Hines
- 3 Office of Research and Development (ORD), U.S. Environmental Protection Agency (EPA), Research Triangle Park , North Carolina, USA
| | - Satori A Marchitti
- 5 Oak Ridge Institute for Science and Education (ORISE), ORD, U.S. EPA, Athens, Georgia, USA
| | - Cecilia Alcala
- 6 Association of Schools and Programs of Public Health (ASPPH), ORD, U.S. EPA, Washington, District of Columbia, USA
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10
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Ellsworth L, Harman E, Padmanabhan V, Gregg B. Lactational programming of glucose homeostasis: a window of opportunity. Reproduction 2018; 156:R23-R42. [PMID: 29752297 PMCID: PMC6668618 DOI: 10.1530/rep-17-0780] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2017] [Accepted: 05/11/2018] [Indexed: 12/21/2022]
Abstract
The window of lactation is a critical period during which nutritional and environmental exposures impact lifelong metabolic disease risk. Significant organ and tissue development, organ expansion and maturation of cellular functions occur during the lactation period, making this a vulnerable time during which transient insults can have lasting effects. This review will cover current literature on factors influencing lactational programming such as milk composition, maternal health status and environmental endocrine disruptors. The underlying mechanisms that have the potential to contribute to lactational programming of glucose homeostasis will also be addressed, as well as potential interventions to reduce offspring metabolic disease risk.
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Affiliation(s)
- Lindsay Ellsworth
- Department of PediatricsUniversity of Michigan, Ann Arbor, Michigan, USA
| | - Emma Harman
- Department of PediatricsUniversity of Michigan, Ann Arbor, Michigan, USA
| | | | - Brigid Gregg
- Department of PediatricsUniversity of Michigan, Ann Arbor, Michigan, USA
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11
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A Systematic Review of the Effects of Environmental Pollutants, Chemical Factors, and Climate Changes on Children’s Height. HEALTH SCOPE 2018. [DOI: 10.5812/jhealthscope.12864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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12
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van den Berg M, Kypke K, Kotz A, Tritscher A, Lee SY, Magulova K, Fiedler H, Malisch R. WHO/UNEP global surveys of PCDDs, PCDFs, PCBs and DDTs in human milk and benefit-risk evaluation of breastfeeding. Arch Toxicol 2017; 91:83-96. [PMID: 27438348 PMCID: PMC5225187 DOI: 10.1007/s00204-016-1802-z] [Citation(s) in RCA: 148] [Impact Index Per Article: 21.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2016] [Accepted: 07/07/2016] [Indexed: 11/29/2022]
Abstract
Since 1987, the World Health Organization (WHO) carried out global surveys on polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs) and polychlorinated biphenyls (PCBs) in human milk. This study presents a review of the three most recent surveys from 2000 to 2010, including DDT. The objective was to identify global quantitative differences and provide baseline information for 52 countries or provide time-trends for countries with previous data. Individual human milk samples were collected following a WHO-designed procedure and combined to form a national pooled sample. Here, we report global levels for PCDDs, PCDFs, PCBs and the sum of o,p'-DDT, p,p'-DDT, o,p'-DDE, p,p'-DDE, o,p'-DDD and p,p'-DDD (ΣDDTs). A concise risk-benefit evaluation related to human milk contamination with these persistent organic pollutants (POPs) was also done. Large global and regional differences were observed. Levels of PCDDs and PCDFs were highest in India and some European and African countries. PCB levels were highest in East and West Europe. The highest levels of ΣDDTs were found in less industrialized countries. A temporal downward trend for PCDDs, PCDFs and PCBs is indicated. A risk-benefit assessment indicates that human milk levels of PCDDs, PCDFs and PCBs are still significantly above those considered toxicologically safe, while ΣDDTs are below or around those considered safe. With respect to potential adverse health effects, a more dominant role of in utero exposure versus lactational exposure is indicated. If potential adverse effects are balanced against positive health aspects for (breastfed) infants, the advantages of breastfeeding far outweigh the possible disadvantages. Our observations provide a strong argument to plea for further global source-directed measures to reduce human exposure further to dioxin-like compounds.
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Affiliation(s)
- Martin van den Berg
- Institute for Risk Assessment Sciences (IRAS), Utrecht University, P.O. Box 80177, 3508 TD, Utrecht, The Netherlands.
| | - Karin Kypke
- WHO/UNEP Reference Laboratory, State Institute for Chemical and Veterinary Analysis of Food (CVUA), Bissierstrasse 5, 79114, Freiburg, Germany
| | - Alexander Kotz
- WHO/UNEP Reference Laboratory, State Institute for Chemical and Veterinary Analysis of Food (CVUA), Bissierstrasse 5, 79114, Freiburg, Germany
| | - Angelika Tritscher
- Department of Food Safety and Zoonoses, World Health Organization, Ave Appia 20, 1211, Geneva 27, Switzerland
| | - Seoung Yong Lee
- Department of Food Safety and Zoonoses, World Health Organization, Ave Appia 20, 1211, Geneva 27, Switzerland
| | - Katarina Magulova
- Stockholm Convention Secretariat, United Nations Environment Programme (UNEP), International Environment House, 1219, Châtelaine, Geneva, Switzerland
| | - Heidelore Fiedler
- Division of Technology, Industry and Economics/Chemical Branch, United Nations Environment Programme (UNEP), Chemin des Anémones 11-13, 1219, Châtelaine, Geneva, Switzerland
| | - Rainer Malisch
- WHO/UNEP Reference Laboratory, State Institute for Chemical and Veterinary Analysis of Food (CVUA), Bissierstrasse 5, 79114, Freiburg, Germany
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13
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Wang Y, Hollis-Hansen K, Ren X, Qiu Y, Qu W. Do environmental pollutants increase obesity risk in humans? Obes Rev 2016; 17:1179-1197. [PMID: 27706898 DOI: 10.1111/obr.12463] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2016] [Revised: 07/01/2016] [Accepted: 07/31/2016] [Indexed: 02/01/2023]
Abstract
OBJECTIVES Obesity has become a global epidemic and threat to public health. A good understanding of the causes can help attenuate the risk and spread. Environmental pollutants may have contributed to the rising global obesity rates. Some research reported associations between chemical pollutants and obesity, but findings are mixed. This study systematically examined associations between chemical pollutants and obesity in human subjects. METHODS Systematic review of relevant studies published between 1 January 1995 and 1 June 2016 by searching PubMed and MEDLINE®. RESULTS Thirty-five cross-sectional (n = 17) and cohort studies (n = 18) were identified that reported on associations between pollutants and obesity measures. Of them, 16 studies (45.71%) reported a positive association; none reported a sole inverse association; three (8.57%) reported a null association only; six (17.14%) reported both a positive and null association; seven (20.00%) reported a positive and inverse association; and three studies (8.57%) reported all associations (positive, inverse and null). Most studies examined the association between multiple different pollutants, different levels of concentration and in subsamples, which results in mixed results. Thirty-three studies reported at least one positive association between obesity and chemicals, such as polychlorinated biphenyls, biphenyl A, dichlorodiphenyltrichloroethane, dichlorodiphenyldichloroethylene and more. Certain chemicals, such as biphenyl A, were more likely to have high ORs ranging from 1.0 to 3.0, whereas highly chlorinated polychlorinated biphenyls were more likely to have negative ORs. Effects of chemicals on the endocrine system and obesity might vary by substance, exposure level, measure of adiposity and subject characteristics (e.g. sex and age). CONCLUSIONS Accumulated evidences show positive associations between pollutants and obesity in humans. Future large, long-term, follow-up studies are needed to assess impact of chemical pollutants on obesity risk and related mechanisms.
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Affiliation(s)
- Y Wang
- Systems-oriented Global Childhood Obesity Intervention Program, Department of Epidemiology and Environmental Health, State University of New York at Buffalo, Buffalo, NY, USA.,Department of Community Health and Health Behavior, State University of New York at Buffalo, Buffalo, NY, USA
| | - K Hollis-Hansen
- Systems-oriented Global Childhood Obesity Intervention Program, Department of Epidemiology and Environmental Health, State University of New York at Buffalo, Buffalo, NY, USA.,Department of Community Health and Health Behavior, State University of New York at Buffalo, Buffalo, NY, USA
| | - X Ren
- Systems-oriented Global Childhood Obesity Intervention Program, Department of Epidemiology and Environmental Health, State University of New York at Buffalo, Buffalo, NY, USA
| | - Y Qiu
- Systems-oriented Global Childhood Obesity Intervention Program, Department of Epidemiology and Environmental Health, State University of New York at Buffalo, Buffalo, NY, USA.,Department of Health Toxicology, School of Public Health, Shanxi Medical University, Taiyuan, China
| | - W Qu
- Key Laboratory of the Public Health Safety, Ministry of Education, Department of Environmental Health, Fudan University, Shanghai, China.,Institute of Water and Health Strategy Research, School of Public Health, Fudan University, Shanghai, China
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14
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Mallozzi M, Bordi G, Garo C, Caserta D. The effect of maternal exposure to endocrine disrupting chemicals on fetal and neonatal development: A review on the major concerns. ACTA ACUST UNITED AC 2016; 108:224-242. [PMID: 27653964 DOI: 10.1002/bdrc.21137] [Citation(s) in RCA: 60] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2016] [Accepted: 08/30/2016] [Indexed: 12/12/2022]
Abstract
There is a widespread exposure of general population, including pregnant women and developing fetuses, to the endocrine disrupting chemicals (EDCs). These chemicals have been reported to be present in urine, blood serum, breast milk, and amniotic fluid. Endocrine disruptions induced by environmental toxicants have placed a heavy burden on society, since environmental exposures during critical periods of development can permanently reprogram normal physiological responses, thereby increasing susceptibility to disease later in life-a process known as developmental reprogramming. During development, organogenesis and tissue differentiation occur through a continuous series of tightly-regulated and precisely-timed molecular, biochemical, and cellular events. Humans may encounter EDCs daily and during all stages of life, from conception and fetal development through adulthood and senescence. Nevertheless, prenatal and early postnatal windows are the most critical for proper development, due to rapid changes in system growth. Although there are still gaps in our knowledge, currently available data support the urgent need for health and environmental policies aimed at protecting the public and, in particular, the developing fetus and women of reproductive age. Birth Defects Research (Part C) 108:224-242, 2016. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Maddalena Mallozzi
- Department of Surgical and Medical Sciences and Translational Medicine, Sant'Andrea Hospital, University of Rome Sapienza
| | - Giulia Bordi
- Department of Surgical and Medical Sciences and Translational Medicine, Sant'Andrea Hospital, University of Rome Sapienza
| | - Chiara Garo
- Department of Surgical and Medical Sciences and Translational Medicine, Sant'Andrea Hospital, University of Rome Sapienza
| | - Donatella Caserta
- Department of Surgical and Medical Sciences and Translational Medicine, Sant'Andrea Hospital, University of Rome Sapienza.
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15
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Developmental Exposure to Environmental Chemicals and Metabolic Changes in Children. Curr Probl Pediatr Adolesc Health Care 2016; 46:255-85. [PMID: 27401018 DOI: 10.1016/j.cppeds.2016.06.001] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The incidence of childhood obesity, type 2 diabetes, and other forms of metabolic disease have been rising over the past several decades. Although diet and physical activity play important roles in these trends, other environmental factors also may contribute to this significant public health issue. In this article, we discuss the possibility that widespread exposure to endocrine-disrupting chemicals (EDCs) may contribute to the development of metabolic diseases in children. We summarize the epidemiological evidence on exposure to environmental chemicals during early development and metabolic outcomes in infants and children. Prenatal exposure to EDCs, particularly the persistent organic pollutant DDT and its metabolite DDE, may influence growth patterns during infancy and childhood. The altered growth patterns associated with EDCs vary according to exposure level, sex, exposure timing, pubertal status, and age at which growth is measured. Early exposure to air pollutants also is linked to impaired metabolism in infants and children. As a result of these and other studies, professional health provider societies have called for a reduction in environmental chemical exposures. We summarize the resources available to health care providers to counsel patients on how to reduce chemical exposures. We conclude with a discussion of environmental policies that address chemical exposures and ultimately aim to improve public health.
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16
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de Cock M, Quaak I, Sugeng EJ, Legler J, van de Bor M. LInking EDCs in maternal Nutrition to Child health (LINC study) - protocol for prospective cohort to study early life exposure to environmental chemicals and child health. BMC Public Health 2016; 16:147. [PMID: 26873073 PMCID: PMC4752804 DOI: 10.1186/s12889-016-2820-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Accepted: 02/03/2016] [Indexed: 11/16/2022] Open
Abstract
Background The presence of chemicals in the environment is ubiquitous. Human biomonitoring studies have shown that various chemicals can be detected in the majority of the population, including pregnant women. These compounds may pass the placenta, and reach the fetus. This early life exposure in particular may be detrimental as some chemicals may disrupt the endocrine system, which is involved in various processes during development. The LINC study is a prospective birth cohort designed to study associations between early life environmental exposures and child health, including growth and neurodevelopment. The purpose of this paper is to give an overview of this cohort. Methods and design Recruitment for this cohort has started in 2011 in three Dutch areas and is still ongoing. To date over 300 mother-child pairs have been included. Women are preferably included during the first trimester of pregnancy. Major congenital anomalies and twin births are reasons for exclusion. To assess exposure to environmental chemicals, cord blood, placenta, meconium and vernix are collected. Parents collect urine of the child shortly after birth and breast milk in the second month of life. Exposure to a broad range of environmental chemicals are determined in cord plasma and breast milk. Furthermore various hormones, including leptin and cortisone, are determined in cord plasma, and in heel prick blood spots (thyroxine). Data on anthropometry of the child is collected through midwives and youth health care centres on various time points until the child is 18 months of age. Furthermore cognitive development is monitored by means of the van Wiechen scheme, and information on behavioral development is collected by means of the infant behavior questionnaire and the child behavior checklist. When the child is 12 months of age, a house visit is scheduled to assess various housing characteristics, as well as hand-to-mouth behavior of the child. At this visit exposure of the child to flame retardants (with endocrine disrupting properties) in house dust is determined by means of body wipes. They are furthermore also measured in a saliva sample of the child. Next to these measurements, women receive questionnaires each trimester regarding amongst others lifestyle of the parents, general health of the parents and the child, and mental state of the mother. Discussion This study was approved by the medical ethics committee of the VU University Medical Centre. Consent for the infant is given by the mother, who is specifically required to give consent for both herself as well as her child. Results will be published regardless of the findings of this study, and will be widely disseminated among related medical stakeholders (e.g. midwives and pediatricians), policy makers, and the general public.
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Affiliation(s)
- Marijke de Cock
- VU University, Health and Life Sciences, Faculty of Earth and Life Sciences, De Boelelaan 1085, 1081, HV, Amsterdam, The Netherlands.
| | - Ilona Quaak
- VU University, Health and Life Sciences, Faculty of Earth and Life Sciences, De Boelelaan 1085, 1081, HV, Amsterdam, The Netherlands
| | - Eva J Sugeng
- VU University, Health and Life Sciences, Faculty of Earth and Life Sciences, De Boelelaan 1085, 1081, HV, Amsterdam, The Netherlands
| | - Juliette Legler
- Brunel University London, Institute of Environment, Health and Societies, room HALB 144, Uxbridge, UB8 3PH, UK.,VU University, Institute for Environmental Studies, De Boelelaan 1085, 1081, HV, Amsterdam, The Netherlands
| | - Margot van de Bor
- VU University, Health and Life Sciences, Faculty of Earth and Life Sciences, De Boelelaan 1085, 1081, HV, Amsterdam, The Netherlands
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17
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Costet N, Pelé F, Comets E, Rouget F, Monfort C, Bodeau-Livinec F, Linganiza EM, Bataille H, Kadhel P, Multigner L, Cordier S. Perinatal exposure to chlordecone and infant growth. ENVIRONMENTAL RESEARCH 2015; 142:123-34. [PMID: 26133809 DOI: 10.1016/j.envres.2015.06.023] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2015] [Revised: 06/15/2015] [Accepted: 06/18/2015] [Indexed: 05/04/2023]
Abstract
BACKGROUND The intensive use of chlordecone (an organochlorine insecticide) in the French West Indies until 1993 resulted in a long-term soil and water contamination. Chlordecone has known hormonal properties and exposure through contaminated food during critical periods of development (gestation and early infancy) may affect growth. OBJECTIVES We aimed to assess the impact of prenatal and postnatal exposure to chlordecone on the growth of children from the TIMOUN mother-child cohort. METHODS Chlordecone was determined in cord plasma at birth (N=222) and in breast milk samples (at 3 months). Dietary chlordecone intake was estimated at 7 and 18 months, with food-frequency questionnaires and food-specific contamination data. Anthropometric measurements were taken at the 3-, 7- and 18-month visits and measurements reported in the infants' health records were noted. Structured Jenss-Bayley growth models were fitted to individual height and weight growth trajectories. The impact of exposure on growth curve parameters was estimated directly with adjusted mixed non-linear models. Weight, height and body mass index (BMI), and instantaneous height and weight growth velocities at specific ages were also analyzed relative to exposure. RESULTS Chlordecone in cord blood was associated with a higher BMI in boys at 3 months, due to greater weight and lower height, and in girls at 8 and 18 months, mostly due to lower height. Postnatal exposure was associated with lower height, weight and BMI at 3, 8 and 18 months, particularly in girls. CONCLUSION Chlordecone exposure may affect growth trajectories in children aged 0 to 18 months.
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Affiliation(s)
- Nathalie Costet
- INSERM, IRSET, UMR 1085, Rennes, France; Univ Rennes 1, Rennes, France.
| | - Fabienne Pelé
- INSERM, IRSET, UMR 1085, Rennes, France; Univ Rennes 1, Faculté de Médecine, Département de Médecine Générale, Rennes, France.
| | - Emmanuelle Comets
- Univ Rennes 1, Rennes, France; INSERM, CIC 1414, 35700 Rennes, France; INSERM, IAME, UMR 1137, F-75018 Paris, France; Univ Paris Diderot, IAME, UMR 1137, Sorbonne Paris Cité, F-75018 Paris, France.
| | - Florence Rouget
- INSERM, IRSET, UMR 1085, Rennes, France; Department of Pediatrics, University Hospital, Rennes, France.
| | - Christine Monfort
- INSERM, IRSET, UMR 1085, Rennes, France; Univ Rennes 1, Rennes, France.
| | - Florence Bodeau-Livinec
- EHESP, Département Épidémiologie et Biostatistiques, Rennes, France; INSERM, EPOPé, UMR1153, Center for Epidemiology and Statistics, DHU Risks in Pregnancy, Paris, France; Univ Paris Descartes, Sorbonne Paris Cité, Paris, France.
| | - Elsie M Linganiza
- EHESP, Département Épidémiologie et Biostatistiques, Rennes, France.
| | | | - Philippe Kadhel
- INSERM, IRSET, UMR 1085, Rennes, France; Pôle Parent-Enfant, Service de Gynécologie et Obstétrique, CHU Pointe-à-Pitre, Pointe-à-Pitre, Guadeloupe, France.
| | - Luc Multigner
- INSERM, IRSET, UMR 1085, Rennes, France; Univ Rennes 1, Rennes, France.
| | - Sylvaine Cordier
- INSERM, IRSET, UMR 1085, Rennes, France; Univ Rennes 1, Rennes, France.
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18
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Iszatt N, Stigum H, Verner MA, White RA, Govarts E, Murinova LP, Schoeters G, Trnovec T, Legler J, Pelé F, Botton J, Chevrier C, Wittsiepe J, Ranft U, Vandentorren S, Kasper-Sonnenberg M, Klümper C, Weisglas-Kuperus N, Polder A, Eggesbø M. Prenatal and Postnatal Exposure to Persistent Organic Pollutants and Infant Growth: A Pooled Analysis of Seven European Birth Cohorts. ENVIRONMENTAL HEALTH PERSPECTIVES 2015; 123:730-6. [PMID: 25742056 PMCID: PMC4492262 DOI: 10.1289/ehp.1308005] [Citation(s) in RCA: 95] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2013] [Accepted: 03/03/2015] [Indexed: 05/17/2023]
Abstract
BACKGROUND Infant exposure to persistent organic pollutants (POPs) may contribute to obesity. However, many studies so far have been small, focused on transplacental exposure, used an inappropriate measure to assess postnatal exposure through breastfeeding if any, or did not discern between prenatal and postnatal effects. OBJECTIVES We investigated prenatal and postnatal exposure to POPs and infant growth (a predictor of obesity). METHODS We pooled data from seven European birth cohorts with biomarker concentrations of polychlorinated biphenyl 153 (PCB-153) (n = 2,487), and p,p'-dichlorodiphenyldichloroethylene (p,p'-DDE) (n = 1,864), estimating prenatal and postnatal POPs exposure using a validated pharmacokinetic model. Growth was change in weight-for-age z-score between birth and 24 months. Per compound, multilevel models were fitted with either POPs total exposure from conception to 24 months or prenatal or postnatal exposure. RESULTS We found a significant increase in growth associated with p,p'-DDE, seemingly due to prenatal exposure (per interquartile increase in exposure, adjusted β = 0.12; 95% CI: 0.03, 0.22). Due to heterogeneity across cohorts, this estimate cannot be considered precise, but does indicate that an association with infant growth is present on average. In contrast, a significant decrease in growth was associated with postnatal PCB-153 exposure (β = -0.10; 95% CI: -0.19, -0.01). CONCLUSION To our knowledge, this is the largest study to date of POPs exposure and infant growth, and it contains state-of-the-art exposure modeling. Prenatal p,p'-DDE was associated with increased infant growth, and postnatal PCB-153 with decreased growth at European exposure levels.
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Affiliation(s)
- Nina Iszatt
- Division of Epidemiology, Norwegian Institute of Public Health, Oslo, Norway
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19
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Heggeseth B, Harley K, Warner M, Jewell N, Eskenazi B. Detecting Associations between Early-Life DDT Exposures and Childhood Growth Patterns: A Novel Statistical Approach. PLoS One 2015; 10:e0131443. [PMID: 26125556 PMCID: PMC4488365 DOI: 10.1371/journal.pone.0131443] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2015] [Accepted: 06/02/2015] [Indexed: 01/29/2023] Open
Abstract
It has been hypothesized that environmental exposures at key development periods such as in utero play a role in childhood growth and obesity. To investigate whether in utero exposure to endocrine-disrupting chemicals, dichlorodiphenyltrichloroethane (DDT) and its metabolite, dichlorodiphenyldichloroethane (DDE), is associated with childhood physical growth, we took a novel statistical approach to analyze data from the CHAMACOS cohort study. To model heterogeneity in the growth patterns, we used a finite mixture model in combination with a data transformation to characterize body mass index (BMI) with four groups and estimated the association between exposure and group membership. In boys, higher maternal concentrations of DDT and DDE during pregnancy are associated with a BMI growth pattern that is stable until about age five followed by increased growth through age nine. In contrast, higher maternal DDT exposure during pregnancy is associated with a flat, relatively stable growth pattern in girls. This study suggests that in utero exposure to DDT and DDE may be associated with childhood BMI growth patterns, not just BMI level, and both the magnitude of exposure and sex may impact the relationship.
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Affiliation(s)
- Brianna Heggeseth
- Department of Mathematics and Statistics, Williams College, Williamstown, MA, United States of America
- * E-mail:
| | - Kim Harley
- Center for Environmental Research and Children’s Health, School of Public Health, University of California, Berkeley, California, United States of America
| | - Marcella Warner
- Center for Environmental Research and Children’s Health, School of Public Health, University of California, Berkeley, California, United States of America
| | - Nicholas Jewell
- Division of Biostatistics, School of Public Health, University of California, Berkeley, California, United States of America
| | - Brenda Eskenazi
- Center for Environmental Research and Children’s Health, School of Public Health, University of California, Berkeley, California, United States of America
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20
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Rodríguez-Gómez R, Dorival-García N, Zafra-Gómez A, Camino-Sánchez FJ, Ballesteros O, Navalón A. New method for the determination of parabens and bisphenol A in human milk samples using ultrasound-assisted extraction and clean-up with dispersive sorbents prior to UHPLC-MS/MS analysis. J Chromatogr B Analyt Technol Biomed Life Sci 2015; 992:47-55. [PMID: 25942557 DOI: 10.1016/j.jchromb.2015.04.022] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2014] [Revised: 04/08/2015] [Accepted: 04/10/2015] [Indexed: 01/29/2023]
Abstract
A sensitive and accurate analytical method for the determination of methyl-, ethyl-, propyl- and butylparaben and bisphenol A in human milk samples has been developed and validated. The combination of ultrasound-assisted extraction (UAE) and a simplified and rapid clean-up technique that uses sorbent materials has been successfully applied for the preparation of samples prior to ultra-high performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS) analysis. The analytes were extracted from freeze-dried human milk samples using acetonitrile and ultrasonic radiation (three 15-min cycles at 70% amplitude), and further cleaned-up with C18 sorbents. The most influential parameters affecting the UAE method and the clean-up steps were optimized using design of experiments. Negative electrospray ionization (ESI) in the selected reaction monitoring (SRM) mode was used for MS detection. The use of two reactions for each compound allowed simultaneous quantification and identification in one run. The analytes were separated in less than 10min. Deuterium-labeled ethylparaben-d5 (EPB-d5) and deuterium-labeled bisphenol A-d16 (BPA-d16) were used as surrogates. The limits of quantification ranged from 0.4 to 0.7ngmL(-1), while inter- and intra-day variability was under 11.1% in all cases. In the absence of certified reference materials, recovery assays with spiked samples using matrix-matched calibration were used to validate the method. Recovery rates ranged from 93.8% to 112.2%. The proposed method was satisfactorily applied for the determination of four selected parabens and bisphenol A in human milk samples obtained from nursing mothers living in the province of Granada (Spain).
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Affiliation(s)
- R Rodríguez-Gómez
- Research Group of Analytical Chemistry and Life Sciences, Department of Analytical Chemistry, Campus of Fuentenueva, University of Granada, E-18071 Granada, Spain
| | - N Dorival-García
- Research Group of Analytical Chemistry and Life Sciences, Department of Analytical Chemistry, Campus of Fuentenueva, University of Granada, E-18071 Granada, Spain
| | - A Zafra-Gómez
- Research Group of Analytical Chemistry and Life Sciences, Department of Analytical Chemistry, Campus of Fuentenueva, University of Granada, E-18071 Granada, Spain.
| | - F J Camino-Sánchez
- Research Group of Analytical Chemistry and Life Sciences, Department of Analytical Chemistry, Campus of Fuentenueva, University of Granada, E-18071 Granada, Spain
| | - O Ballesteros
- Research Group of Analytical Chemistry and Life Sciences, Department of Analytical Chemistry, Campus of Fuentenueva, University of Granada, E-18071 Granada, Spain
| | - A Navalón
- Research Group of Analytical Chemistry and Life Sciences, Department of Analytical Chemistry, Campus of Fuentenueva, University of Granada, E-18071 Granada, Spain
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Fång J, Nyberg E, Winnberg U, Bignert A, Bergman Å. Spatial and temporal trends of the Stockholm Convention POPs in mothers' milk -- a global review. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2015; 22:8989-9041. [PMID: 25913228 PMCID: PMC4473027 DOI: 10.1007/s11356-015-4080-z] [Citation(s) in RCA: 77] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/07/2014] [Accepted: 01/04/2015] [Indexed: 05/20/2023]
Abstract
Persistent organic pollutants (POPs) have been of environmental and health concern for more than half a century and have their own intergovernmental regulation through the Stockholm Convention, from 2001. One major concern is the nursing child's exposure to POPs, a concern that has led to a very large number of scientific studies on POPs in mothers' milk. The present review is a report on the assessment on worldwide spatial distributions of POPs and of their temporal trends. The data presented herein is a compilation based on scientific publications between 1995 and 2011. It is evident that the concentrations in mothers' milk depend on the use of pesticides and industrial chemicals defined as POPs. Polychlorinated biphenyls (PCBs) and "dioxins" are higher in the more industrialized areas, Europe and Northern America, whereas pesticides are higher in Africa and Asia and polybrominated diphenyl ethers (PBDEs) are reported in higher concentrations in the USA. POPs are consequently distributed to women in all parts of the world and are thus delivered to the nursing child. The review points out several major problems in the reporting of data, which are crucial to enable high quality comparisons. Even though the data set is large, the comparability is hampered by differences in reporting. In conclusion, much more detailed instructions are needed for reporting POPs in mothers' milk. Temporal trend data for POPs in mothers' milk is scarce and is of interest when studying longer time series. The only two countries with long temporal trend studies are Japan and Sweden. In most cases, the trends show decreasing concentrations of POPs in mothers' milk. However, hexabromocyclododecane is showing increasing temporal concentration trends in both Japan and Sweden.
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Affiliation(s)
- Johan Fång
- Department of Environmental Science and Analytical Chemistry, Stockholm University, 106 91 Stockholm, Sweden,
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Lancz K, Hertz-Picciotto I, Jusko TA, Murínová L, Wimmerová S, Sovčíková E, Dedík L, Strémy M, Drobná B, Farkašová D, Trnovec T. Duration of breastfeeding and serum PCB 153 concentrations in children. ENVIRONMENTAL RESEARCH 2015; 136:35-9. [PMID: 25460618 PMCID: PMC4263313 DOI: 10.1016/j.envres.2014.09.036] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2014] [Revised: 08/05/2014] [Accepted: 09/19/2014] [Indexed: 05/24/2023]
Abstract
Polychlorinated biphenyls (PCBs) are toxic, persistent, and bioaccumulative chemicals which, because of their lipophilic properties, are abundant in human breast milk. Breastfed infants are therefore at risk of being exposed to considerable amounts of PCBs. The commonly used exposure estimations, based solely on breast milk PCB levels and duration of breastfeeding, may lead to exposure misclassification. To improve assessments of exposure to PCBs, we determined PCB 153 serum concentration, as a model substance for PCBs, at the critical time of weaning for each child in 305 breastfed infants from 5 single time point concentration measurements spread over 7 years and data on duration of breastfeeding, using an earlier developed model of the system type. We approximated the dependence of PCB 153 serum concentration, Ctbf, adjusted to cord serum concentration, C0, on nursing period, by a polynomial function Ctbf/C0=0.596+0.278t-0.0047t(2) which reliably predicts exposure to PCB 153 of breastfed infants, important for assessment of dose-outcome relationships. Adjustment of current serum concentrations to cord serum concentration improved validity of exposure assessment.
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Affiliation(s)
- Kinga Lancz
- Slovak Medical University, Limbová 14, 83303 Bratislava, Slovakia.
| | - Irva Hertz-Picciotto
- Division of Environmental and Occupational Health, Department of Public Health Sciences, University of California, Davis, CA 95616, USA.
| | - Todd A Jusko
- Division of Epidemiology, Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA.
| | - Lubica Murínová
- Slovak Medical University, Limbová 14, 83303 Bratislava, Slovakia.
| | - Soňa Wimmerová
- Slovak Medical University, Limbová 14, 83303 Bratislava, Slovakia.
| | - Eva Sovčíková
- Slovak Medical University, Limbová 14, 83303 Bratislava, Slovakia.
| | - Ladislav Dedík
- Slovak University of Technology in Bratislava, Faculty of Mechanical Engineering, Vazovova 5, 812 43 Bratislava I, Slovakia.
| | - Maximilián Strémy
- Research Centre of Progressive Technologies, Faculty of Materials Science and Technology in Trnava, Slovak University of Technology in Bratislava, Hajdóczyho 1, 917 24 Trnava, Slovakia.
| | - Beata Drobná
- Slovak Medical University, Limbová 14, 83303 Bratislava, Slovakia.
| | - Dana Farkašová
- Slovak Medical University, Limbová 14, 83303 Bratislava, Slovakia.
| | - Tomáš Trnovec
- Slovak Medical University, Limbová 14, 83303 Bratislava, Slovakia.
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Yalçın SS, Örün E, Yalçın S, Aykut O. Organochlorine pesticide residues in breast milk and maternal psychopathologies and infant growth from suburban area of Ankara, Turkey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2015; 25:364-72. [PMID: 25155352 DOI: 10.1080/09603123.2014.945515] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
We aimed to determine the levels of organochlorine pesticides (OCPs) in the breast milk; to assess the effect of detectable OCPs on maternal-infant characteristics and; to evaluate the relation between OCPs and the maternal psychopathologies [Brief Symptom Inventory (BSI), Postpartum Bonding Questionnaire (PBQ), Mother-to-Infant Bonding Scale (MIBS) and Edinburgh Postnatal Depression Scale (EPDS)] and infant growth. DDT, beta-hexachlorocyclohexane (HCH), aldrin and heptachlor were detected in 89.3, 70.7, 58.7 and 34.7 % of the samples, respectively. Mothers with low monthly family income had detectable DDTs less frequently. The frequencies of detectable heptachlor epoxide were significantly higher in mothers with gestational nausea. Anaemic mothers had more frequently detectable alpha-HCH. Z scores of head circumference were inversely correlated with beta-HCH and DDT levels. The heptachlor epoxide levels were positively correlated with PBQ, MIBS and indexes of BSI. No relation was detected between EPDS and OCPs. Further studies are needed for changes in maternal psychopathologies.
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Affiliation(s)
- Songul Siddika Yalçın
- a Faculty of Medicine, Department of Pediatrics, Social Pediatric Unit , Hacettepe University , Ankara , Turkey
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de Cock M, van de Bor M. Obesogenic effects of endocrine disruptors, what do we know from animal and human studies? ENVIRONMENT INTERNATIONAL 2014; 70:15-24. [PMID: 24879368 DOI: 10.1016/j.envint.2014.04.022] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2014] [Revised: 04/29/2014] [Accepted: 04/30/2014] [Indexed: 05/21/2023]
Abstract
BACKGROUND Hormonal actions and activation of receptors involved in adipogenesis and brain development during the prenatal period may be affected by exposure to certain chemicals. Experimental studies have shown that amongst others polychlorinated biphenyl (PCB)-153 and dichlorodiphenyltrichloroethane (DDT) may have obesogenic effects in prenatally exposed mice. OBJECTIVE To provide an overview of five classes of chemicals which have frequently been indicated as potential obesogens, and to discuss the evidence available regarding early life exposure to these compounds and overweight later in life. METHODS Pubmed was systematically searched for publications which related early life exposure to endocrine disrupting chemicals (EDCs) to growth parameters later in life. We included 19 studies, which were published from 1995 and onwards. RESULTS Both positive and negative associations are observed between early life exposure and weight or height at various ages, including as early as 14 months, as well as until 20 years of age. In none of the included studies negative associations between perinatal exposure to EDCs and body mass index (BMI) were found and in several studies a positive association was observed. Dose-response relations appear to be non-monotonic. CONCLUSION For certain EDCs, early life exposure may be associated with weight homeostasis later in life, however not necessarily in an obesogenic direction. More sensitive measures of adiposity as well as long-term follow-up are warranted for future studies.
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Affiliation(s)
- Marijke de Cock
- VU University, Department of Health and Life Sciences, Faculty of Earth and Life Sciences, De Boelelaan 1085, 1081HV Amsterdam, The Netherlands.
| | - Margot van de Bor
- VU University, Department of Health and Life Sciences, Faculty of Earth and Life Sciences, De Boelelaan 1085, 1081HV Amsterdam, The Netherlands
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Marchitti SA, LaKind JS, Naiman DQ, Berlin CM, Kenneke JF. Improving infant exposure and health risk estimates: using serum data to predict polybrominated diphenyl ether concentrations in breast milk. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2013; 47:4787-95. [PMID: 23582134 DOI: 10.1021/es305229d] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Women in the United States have breast milk concentrations of polybrominated diphenyl ethers (PBDEs) that are among the highest in the world, leading to concerns over the potential health implications to breastfeeding infants during critical stages of growth and development. Developing cost-effective and sustainable methods for assessing chemical exposures in infants is a high priority to federal agencies and local communities. PBDE data are available in nationally representative serum samples but not in breast milk. As a method to predict PBDE concentrations in U.S. breast milk, we present the development of congener-specific linear regression partitioning models and their application to U.S. serum data. Models were developed from existing paired milk and serum data and applied to 2003-2004 NHANES serum data for U.S. women. Highest estimated median U.S. breast milk concentrations were for BDE-47 (30.6 ng/g lipid) and BDE-99 (6.1 ng/g lipid) with the median concentration of Σ7PBDEs estimated at 54.2 ng/g lipid. Predictions of breast milk PBDE concentration were consistent with reported concentrations from 11 similarly timed U.S. studies. When applied to NHANES data, these models provide a sustainable method for estimating population-level concentrations of PBDEs in U.S. breast milk and should improve exposure estimates in breastfeeding infants.
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Affiliation(s)
- Satori A Marchitti
- National Exposure Research Laboratory, U.S. Environmental Protection Agency, Athens, Georgia 30605, USA
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26
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Warner M, Aguilar Schall R, Harley KG, Bradman A, Barr D, Eskenazi B. In utero DDT and DDE exposure and obesity status of 7-year-old Mexican-American children in the CHAMACOS cohort. ENVIRONMENTAL HEALTH PERSPECTIVES 2013; 121:631-6. [PMID: 23512307 PMCID: PMC3673191 DOI: 10.1289/ehp.1205656] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/21/2012] [Accepted: 03/18/2013] [Indexed: 05/18/2023]
Abstract
BACKGROUND In utero exposure to endocrine disrupting compounds including dichlorodiphenyltrichloroethane (DDT) and dichlorodiphenyldichloroethylene (DDE) has been hypothesized to increase risk of obesity later in life. OBJECTIVES The Center for the Health Assessment of Mothers and Children of Salinas (CHAMACOS) study is a longitudinal birth cohort of low-income Latinas living in a California agricultural community. We examined the relation of in utero DDT and DDE exposure to child obesity at 7 years of age. We also examined the trend with age (2, 3.5, 5, and 7 years) in the exposure-obesity relation. METHODS We included 270 children with o,p´-DDT, p,p´-DDT, and p,p´-DDE concentrations measured in maternal serum during pregnancy (nanograms per gram lipid) and complete 7-year follow-up data including weight (kilograms) and height (centimeters). Body mass index (BMI; kilograms per meter squared) was calculated and obesity was defined as ≥ 95th percentile on the sex-specific BMI-for-age Centers for Disease Control and Prevention 2000 growth charts. RESULTS At 7 years, 96 (35.6%) children were obese. A 10-fold increase in o,p´-DDT, p,p´-DDT, or p,p´-DDE, was nonsignificantly associated with increased odds (OR) of obesity [o,p´-DDT adjusted (adj-) OR = 1.17, 95% CI: 0.75, 1.82; p,p´-DDT adj-OR = 1.19, 95% CI: 0.81, 1.74; p,p´-DDE adj-OR = 1.22, 95% CI: 0.72, 2.06]. With increasing age at follow-up, we observed a significant trend toward a positive association between DDT and DDE exposure and odds of obesity. CONCLUSION We did not find a significant positive relation between in utero DDT and DDE exposure and obesity status of 7-year-old children. However, given the observed trend with age, continued follow-up will be informative.
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Affiliation(s)
- Marcella Warner
- Center for Environmental Research and Children's Health, School of Public Health, University of California, Berkeley, Berkeley, California 94720-7392, USA.
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Mikeš O, Cupr P, Kohút L, Krsková A, Cerná M. Fifteen years of monitoring of POPs in the breast milk, Czech Republic, 1994-2009: trends and factors. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2012; 19:1936-1943. [PMID: 22767291 DOI: 10.1007/s11356-012-0798-z] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2011] [Accepted: 01/27/2012] [Indexed: 06/01/2023]
Abstract
BACKGROUND, AIM AND SCOPE The breast milk has been recommended to carry out as a monitoring tool for effectiveness evaluation of the Stockholm Convention on Persistent Organic Pollutants (POPs). Polychlorinated biphenyls (PCBs), dichlorodiphenyltrichloro-ethane (DDT) and its metabolites (DDX), hexachlorbenzene (HCB) and isomers of hexachlocyklohexane (HCHs) have been monitored in the breast milk of nursing mothers in the Czech Republic since 1994 as a part of The Environmental Health Monitoring System. Knowledge about long-term POPs distribution and accumulation in the human body is crucial to understanding uptake, degradation and subsequent effects as well as to conduct risk assessments. The main aim of this study is to evaluate 15-years long-term trends of selected POPs in human milk in the Czech Republic and to elucidate the questionnaire information about the age, parity and social habits, to the final concentrations. This effectiveness evaluation of POPs restriction is quite precisely after 15-years monitoring campaigns. MATERIALS, METHODS AND RESULTS The human milk samples (4,753 samples) were analysed for a number of chlorinated organic chemicals including PCBs and selected chlorinated pesticides (OCPs, HCB, HCHs, DDX). The relative change of concentration per year for all chemicals was analysed. The remaining percentages of POPs in breast milk in comparison to 1994 are also expressed. Czech population half-lives of POPs in breast milk, derived from either linear or exponential models were computed. CONCLUSIONS AND PERSPECTIVES The long-term data indicates a continuation of a decreasing trend of POPs concentrations on breast milk. Our study did not confirm lactation and parity as an important outflux resulting in the decrease in concentrations in mothers, which is in the antagonism with most of the studies. The higher BMI was associated with higher amounts of HCB and lower amounts of higher chlorinated PCBs. The results confirm the effectiveness of restrictions of POPs usage in the Czech Republic. This ongoing long-term study is very useful tool for parametric effectiveness evaluation of Stockholm Convention.
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Affiliation(s)
- Ondřej Mikeš
- Research Centre for Toxic compounds in the Environment, Faculty of Science, Masaryk University, Brno, Czech Republic.
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Burns JS, Williams PL, Sergeyev O, Korrick SA, Lee MM, Revich B, Altshul L, Del Prato JT, Humblet O, Patterson DG, Turner WE, Starovoytov M, Hauser R. Serum concentrations of organochlorine pesticides and growth among Russian boys. ENVIRONMENTAL HEALTH PERSPECTIVES 2012; 120:303-8. [PMID: 21984531 PMCID: PMC3279441 DOI: 10.1289/ehp.1103743] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/28/2011] [Accepted: 10/07/2011] [Indexed: 05/21/2023]
Abstract
BACKGROUND Limited human data suggest an association of organochlorine pesticides (OCPs) with adverse effects on children's growth. OBJECTIVE We evaluated the associations of OCPs with longitudinally assessed growth among peripubertal boys from a Russian cohort with high environmental OCP levels. METHODS A cohort of 499 boys enrolled in the Russian Children's Study between 2003 and 2005 at 8-9 years of age were followed prospectively for 4 years. At study entry, 350 boys had serum OCPs measured. Physical examinations were conducted at entry and annually. The longitudinal associations of serum OCPs with annual measurements of body mass index (BMI), height, and height velocity were examined by multivariate mixed-effects regression models for repeated measures, controlling for potential confounders. RESULTS Among the 350 boys with OCP measurements, median serum hexachlorobenzene (HCB), β-hexachlorocyclohexane (βHCH), and p,p´-dichlorodiphenyldichloroethylene (p,p´-DDE) concentrations were 159 ng/g lipid, 168 ng/g lipid, and 287 ng/g lipid, respectively. Age-adjusted BMI and height z-scores generally fell within the normal range per World Health Organization standards at entry and during follow-up. However, in adjusted models, boys with higher serum HCB, βHCH, and p,p´-DDE had significantly lower mean [95% confidence interval (CI)] BMI z-scores, by -0.84 (-1.23, -0.46), -1.32 (-1.70, -0.95), and -1.37 (-1.75, -0.98), respectively, for the highest versus lowest quintile. In addition, the highest quintile of p,p´-DDE was associated with a significantly lower mean (95% CI) height z-score, by -0.69 (-1.00, -0.39) than that of the lowest quintile. CONCLUSIONS Serum OCP concentrations measured at 8-9 years of age were associated with reduced growth, particularly reduced BMI, during the peripubertal period, which may affect attainment of optimal adult body mass and height.
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Affiliation(s)
- Jane S Burns
- Environmental and Occupational Medicine and Epidemiology Program, 665 Huntington Ave., Building I, Room 1404E, Boston, MA 02115 USA.
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Wu K, Xu X, Liu J, Guo Y, Huo X. In utero exposure to polychlorinated biphenyls and reduced neonatal physiological development from Guiyu, China. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2011; 74:2141-7. [PMID: 21851983 DOI: 10.1016/j.ecoenv.2011.07.038] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2011] [Revised: 07/26/2011] [Accepted: 07/30/2011] [Indexed: 02/05/2023]
Abstract
Primitive electronic-waste recycling resulted in serious pollution of polychlorinated biphenyls (PCBs) in the environment of Guiyu, China. We aimed to assess body burdens of PCBs and potential health risks for neonates. Umbilical cord blood (UCB) samples were collected from Guiyu, and the control area of Chaonan, China. PCBs in UCB were determined by gas chromatography coupled with mass spectrometry. The median ∑PCBs concentration was 338.56 ng g⁻¹ lipid in UCB samples from Guiyu, vs. 140.16 ng g⁻¹ lipid in samples from Chaonan. Mothers' involvement in electronic-waste recycling activities and house used as family workshop were the significant factors that contributed to ∑PCBs level. Some individual PCB congeners were found to correlate with reduced neonatal height, weight, Apgar scores, gestational age, and body mass index (BMI). Difference of ∑PCBs level was found between normal birth and adverse birth outcomes. Neonates from Guiyu are exposed to high levels of PCBs; prenatal exposure to PCBs appears to influence neonatal health, but still needs further confirmation.
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Affiliation(s)
- Kusheng Wu
- Analytic Cytology Laboratory, Shantou University Medical College, No. 22 Xinling Road, Shantou 515041, Guangdong, PR China
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de Kort CAR, Nieuwenhuijsen MJ, Mendez MA. Relationship between maternal dietary patterns and hypospadias. Paediatr Perinat Epidemiol 2011; 25:255-64. [PMID: 21470265 DOI: 10.1111/j.1365-3016.2011.01194.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Little is known about the role of maternal nutrition in the development of hypospadias, which is the most common urogenital congenital anomaly. This study investigated the relationship between maternal nutrition and the risk of hypospadias, particularly focusing on maternal food patterns. We compared 471 hypospadias cases with 490 controls in the United Kingdom. A questionnaire including information on life style, occupation, usual maternal diet and dietary supplements was administered using telephone interviews. Cases and controls were compared for individual food item intake and food patterns derived by cluster analysis. Multivariable logistic regression analysis adjusted for income, maternal age, low birthweight, smoking and folic acid supplement use was used to assess the relationship between maternal nutrition and hypospadias. Three food patterns were created with the labels 'health conscious', 'mixed' and 'non-health conscious'. 'Non-health conscious' subjects (low frequency of consumption of yoghurt, cheese, eggs, fruit and vegetables, fish, beans and pulses, olive oil and organic food) had a higher risk of hypospadias (odds ratio 1.54; 95% confidence interval 1.06, 2.26) compared with 'health conscious' subjects (high frequency of consumption of fresh fruit and vegetables, dried fruit, fresh or frozen fish, beans, pulses, soya products, olive oil and organic food), after adjustment for potential confounders. Intakes of individual foods were not strongly associated with hypospadias. We could not exclude the possibility of residual confounding, and this needs to be further investigated. We found an association between food pattern and hypospadias, with those with less health conscious food patterns having a higher risk. Further study is needed to confirm this association.
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