Infant total diet study in France: Exposure to substances migrating from food contact materials

Plastic additives in the diet: Occurrence and dietary exposure in different population groups

A total diet study focused on exposure to plastic additives has been performed on 109 food samples. Plasticizers were detected in 85 % of analyzed samples with total concentrations ranging between not detected (nd) and 22.0 µg/g wet weight (ww). Non-phthalate plasticizers (NPPs), such as acetyl tributyl citrate (ATBC) or di(2-ethylhexyl) adipate (DEHA), were detected predominantly in baby foods (nd-3.38 µg/g ww) and meat (nd-15.0 µg/g ww), respectively. Significant differences (p ≤ 0.001) were observed across foods with different packaging types regarding the presence of ATBC and DEHA. ATBC was primarily detected in foods packaged in glass containers, meanwhile DEHA is mainly related to fresh food wrapped in plastic materials. Additionally, transference assays in selected ready to cook meals and fresh vegetables were performed, with NPPs exhibiting a higher transference from packaging to food than other compounds. The data obtained have been used for an assessment of estimated daily intake (EDI) of plastic additives in infants (6-12 months), toddlers (1-3 years), and adults (>18 years), resulting in values ranging 0.29-516 µg/kg body weight (bw)/day. Human risk related to baby food consumption, expressed as hazard quotients (HQs), was found with di(2-ethylhexyl) phthalate (DEHP) in the infant population sub-group.

Non-targeted identification and risk assessment of unknown substances in disposable plastic tableware by GC-Orbitrap HRMS

Disposable plastic tableware was widely used and it was particularly important to identify potential hazardous substances in it and evaluate the risk to humans health. In this study, 85 substances were identified in 60 samples (22 bowls, 20 sporks, and 18 straws) by methanol extraction and non-targeted analysis using GC-Orbitrap HRMS. Subsequently, 14 high-risk substances were further screened and their migration in the samples was measured in three food simulants. Finally, based on the proposed safety limit assessment scheme for EU- authorized and unauthorized substances, the risk assessment of exposure to high-risk substances in disposable plastic tableware was performed for three age groups. The results showed that the dibutyl phthalate and bis(2-ethylhexyl) phthalate in some samples exceeded the safety limit value. Overall, the risk of bowls was lower than spock and straws, and the potential exposure risk for young children was higher than that of adults and older children.

Association between bisphenol A exposure and cardiometabolic outcomes: A longitudinal approach

Increased cardiometabolic risk is associated with abnormalities in blood biomarkers profile and adiposity measurements. Some substances found in the food matrix and the environment, called endocrine-disrupting chemicals, may impair cardiometabolic health in the early and later stages of life. Bisphenol A (BPA) is a food contaminant that migrates from food contact materials and may act as an endocrine disruptor, negatively affecting human health. The present work aims to longitudinally assess the association between BPA exposure and cardiometabolic outcomes, considering data from Portuguese population-based birth cohort Generation XXI. Blood insulin (0.06stdβ; 95 %CI:0.03,0.09) and insulin resistance (0.05stdβ; 95 %CI:0.02,0.08) presented a significant longitudinal association with BPA daily exposure after adjustment for important variables and energy. The same findings were observed for fat mass (0.03stdβ; 95 %CI 0.01,0.06) and waist circumference (0.06stdβ; 95 %CI:0.04,0.08). For z-BMI, a significant cross-sectional (0.03stdβ; 95 %CI:0.01,0.04) and longitudinal (0.02stdβ; 95 %CI:0.00,0.04) association was found. This was the first study assessing the association between BPA exposure and health outcomes from childhood to adolescence. We found an association between BPA exposure and increased blood insulin level, insulin resistance, fat mass percentage, waist circumference and z-BMI. Our results point to the need to reduce exposure to BPA in the early stages of life.

Bisphenol A and its analogues: from their occurrence in foodstuffs marketed in Europe to improved monitoring strategies-a review of published literature from 2018 to 2023

In this review article, the research works covering the analytical determination of bisphenol A (BPA) and its structural analogues published from 2018 to present (February 2024) were examined. The review offers an overview of the concentration levels of these xenoestrogens in food and beverages, and discusses concerns that these may possibly pose to the human health and scrutinises, from an analytical perspective, the main biomonitoring approaches that are applied. This comes as a natural evolution of a previous review that covered the same topic but in earlier years (up to 2017). As compared to the past, while the volume of published literature on this topic has not necessarily decreased, the research studies are now much more homogeneous in terms of their geographical origin, i.e., Southern Europe (mainly Italy and Spain). For this reason, an estimated daily intake of the European population could not be calculated at this time. In terms of the analytical approaches that were applied, 67% of the research groups exploited liquid chromatography (LC), with a detection that was prevalently (71%) afforded by mass spectrometry, with over one-fourth of the research teams using fluorescence (26%) and a minority (3%) detecting the analytes with diode array detection. One-third of the groups used gas chromatography (GC)-mass spectrometry achieving comparatively superior efficiency as compared to LC. Derivatisation was performed in 59% of the GC studies to afford more symmetrical signals and enhanced sensitivity. Although the contamination levels are well below the threshold set by governments, routinely biomonitoring is encouraged because of the possible accumulation of these contaminants in the human body and of their interplay with other xenoestrogens.

A multi-technique approach for the quantification of 60 plasticizers and selected additives using GC- and LC-MS/MS and its application for beverages in the BfR MEAL study

The development of multi-analyte methods is always challenging, especially when the target compounds derive from many different substance classes. We present an approach to analyze up to 60 additives - mainly plasticizer - including 28 phthalates and 32 further compounds such as sebacates, adipates, citrates, fatty acid amides, among others. Our multi-analyte multi-technique approach combines a single sample preparation step with one GC-MS/MS and two LC-MS/MS quantification methods. We demonstrate the applicability for beverages by a full validation in tomato juice matrix and determining the recoveries in apple juice, mulled wine, and spirits. The approach features good reproducibilities and high precisions with limits of quantification in the low µg·kg-1 food range, enabling the method to be applied for enforcement and especially for exposure investigations. In course of the BfR MEAL study, 16 pooled beverage samples were examined and - if at all - analytes were found only in very low concentrations.

Measurement of Bisphenol A Diglycidyl Ether (BADGE), BADGE derivatives, and Bisphenol F Diglycidyl Ether (BFDGE) in Japanese infants with NICU hospitalization history

BACKGROUND

Bisphenol A diglycidyl ether (BADGE) and Bisphenol F diglycidyl ether (BFDGE) are used in medical devices, such as intravenous sets, syringes, and catheters. Several studies have reported that these compounds are endocrine disruptors, cytotoxic, and genotoxic, raising concerns about their adverse effects on infants, in a stage of remarkable growth and development. The present study aimed to measure the serum concentrations of BADGE, derivatives of BADGE, and BFDGE in infants and examine the factors that influence them.

METHODS

Ten infants admitted to the neonatal intensive care unit (NICU) were enrolled in the present study. Blood samples from each infant and questionnaires from their mothers were collected twice, at 1-2 months and 7 months of age. BADGE, BADGE·H2O, BADGE·2H2O, and BFDGE were quantified using liquid chromatography-tandem mass spectrometry (LC-MS/MS).

RESULTS

Serum BADGE·2H2O was identified in all infants, at both 1-2 months (2.30-157.58 ng/ml) and 7 months of age (0.86-122.85 ng/ml). One of the two infants who received invasive ventilation showed a substantially increased BADGE·2H2O concentration. There was no significant difference in BADGE·2H2O concentrations at 7 months of age between the group that ate commercial baby food at least ≥ 1 time per week and the group that did not.

CONCLUSIONS

BADGE·2H2O was detected in the serum of all infants with a history of NICU hospitalization. Future studies are needed to determine the source of BADGE exposure and investigate its effects on infant development.

Cocktails of endocrine disruptors in the different diets of French consumers

With a view to identifying main endocrine disruptors (ED) mixtures to which French consumers are exposed through food, their main diets were modelled using an adapted dimension reduction method. Seven specific diets could be modelled for adults while only one overall diet was considered for children aged 3-17 years. The knowledge of the contamination levels of 78 known or suspected endocrine disrupting compounds in the foods constituting these diets, collected in the frame of the second French Total Diet Study, made it possible to explore the mixtures of EDs to which consumers are exposed. We have thus shown that the ED substances most present in mass concentration are comparable for the whole population, whatever the diet considered. However, a second approach made it possible to highlight, for a given diet, the substances whose exposure is statistically higher than in the diet of the general population. Thus, significantly different ED mixtures could be established for each diet. For example, diets with a high proportion of animal-based foods induce significantly higher exposures to some persistent organic pollutants (e.g., PCDD/F, brominated flame retardants), whereas these exposures are lower for Mediterranean-type diet. On the other hand, the latter, richer in fruits and vegetables, is the one for which pesticides represent a specific signature.These results now pave the way for studying the specific effects of these cocktails of endocrine disruptors, each of which is representative of a type of chronic exposure linked to specific diets.

Recent Advances in Non-Targeted Screening of Compounds in Plastic-Based/Paper-Based Food Contact Materials

Ensuring the safety of food contact materials has become a pressing concern in recent times. However, detecting hazardous compounds in such materials can be a complex task, and traditional screening methods may not be sufficient. Non-targeted screening technologies can provide comprehensive information on all detectable compounds, thereby supporting the identification, detection, and risk assessment of food contact materials. Nonetheless, the non-targeted screening of food contact materials remains a challenging issue. This paper presents a detailed review of non-targeted screening technologies relying on high-resolution mass spectrometry for plastic-based and paper-based food contact materials over the past five years. Methods of extracting, separating, concentrating, and enriching compounds, as well as migration experiments related to non-targeted screening, are examined in detail. Furthermore, instruments and devices of high-resolution mass spectrometry used in non-targeted screening technologies for food contact materials are discussed and summarized. The research findings aim to provide a theoretical basis and practical reference for the risk management of food contact materials and the development of relevant regulations and standards.

Worldwide risk assessment of phthalates and bisphenol A in humans: The need for updating guidelines

Phthalates and bisphenol A (BPA) are compounds widely used as raw materials in the production of plastics, making them ubiquitous in our daily lives. This results in widespread human exposure and human health hazards. Although efforts have been conducted to evaluate the risk of these compounds in diverse regions around the world, data scattering may mask important trends that could be useful for updating current guidelines and regulations. This study offers a comprehensive global assessment of human exposure levels to these chemicals, considering dietary and nondietary ingestion, and evaluates the associated risk. Overall, the exposure daily intake (EDI) values of phthalates and BPA reported worldwide ranged from 1.11 × 10-7 to 3 700 µg kg bw-1 d-1 and from 3.00 × 10-5 to 6.56 µg kg bw-1 d-1, respectively. Nevertheless, the dose-additive effect of phthalates has been shown to increase the EDI up to 5 100 µg kg bw-1 d-1, representing a high risk in terms of noncarcinogenic (HQ) and carcinogenic (CR) effects. The worldwide HQ values of phthalates and BPA ranged from 2.25 × 10-7 to 3.66 and from 2.74 × 10-7 to 9.72 × 10-2, respectively. Meanwhile, a significant number of studies exhibit high CR values for benzyl butyl phthalate (BBP) and di(2-ethylhexyl) phthalate (DEHP). Moreover, DEHP has shown the highest maximum mean CR values for humans in numerous studies, up to 179-fold higher than BBP. Despite mounting evidence of the harmful effects of these chemicals at low-dose exposure on animals and humans, most regulations have not been updated. Thus, this article emphasizes the need for updating guidelines and public policies considering compelling evidence for the adverse effects of low-dose exposure, and it cautions against the use of alternative plasticizers as substitutes for phthalates and BPA because of the significant gaps in their safety.

Endocrine disrupting chemicals and male fertility: from physiological to molecular effects

The deleterious effects of chemical or non-chemical endocrine disruptors (EDs) on male fertility potential is well documented but still not fully elucidated. For example, the detection of industrial chemicals' metabolites in seminal plasma and follicular fluid can affect efficiency of the gametogenesis, the maturation and competency of gametes and has guided scientists to hypothesize that endocrine disrupting chemicals (EDCs) may disrupt hormonal homoeostasis by leading to a wide range of hormonal control impairments. The effects of EDCs exposure on reproductive health are highly dependent on factors including the type of EDCs, the duration of exposure, individual susceptibility, and the presence of other co-factors. Research and scientists continue to study these complex interactions. The aim of this review is to summarize the literature to better understand the potential reproductive health risks of EDCs in France.

Endocrine-Disrupting Chemicals and Persistent Organic Pollutants in Infant Formulas and Baby Food: Legislation and Risk Assessments

Human milk is the healthiest option for newborns, although, under specific circumstances, infant formula is a precious alternative for feeding the baby. Except for the nutritional content, infant formulas and baby food must be pollutant-free. Thus, their composition is controlled by continuous monitoring and regulated by establishing upper limits and guideline values for safe exposure. Legislation differs worldwide, although there are standard policies and strategies for protecting vulnerable infants. This work presents current regulations and directives for restricting endocrine-disrupting chemicals and persistent organic pollutants in infant formulas. Risk assessment studies, which are limited, are necessary to depict exposure variations and assess the health risks for infants from dietary exposure to pollutants.

Safety of recycled plastics and textiles: Review on the detection, identification and safety assessment of contaminants

In 2019, 368 mln tonnes of plastics were produced worldwide. Likewise, the textiles and apparel industry, with an annual revenue of 1.3 trillion USD in 2016, is one of the largest fast-growing industries. Sustainable use of resources forces the development of new plastic and textile recycling methods and implementation of the circular economy (reduce, reuse and recycle) concept. However, circular use of plastics and textiles could lead to the accumulation of a variety of contaminants in the recycled product. This paper first reviewed the origin and nature of potential hazards that arise from recycling processes of plastics and textiles. Next, we reviewed current analytical methods and safety assessment frameworks that could be adapted to detect and identify these contaminants. Various contaminants can end up in recycled plastic. Phthalates are formed during waste collection while flame retardants and heavy metals are introduced during the recycling process. Contaminants linked to textile recycling include; detergents, resistant coatings, flame retardants, plastics coatings, antibacterial and anti-mould agents, pesticides, dyes, volatile organic compounds and nanomaterials. However, information is limited and further research is required. Various techniques are available that have detected various compounds, However, standards have to be developed in order to identify these compounds. Furthermore, the techniques mentioned in this review cover a wide range of organic chemicals, but studies covering potential inorganic contamination in recycled materials are still missing. Finally, approaches like TTC and CoMSAS for risk assessment should be used for recycled plastic and textile materials.

Human dietary exposure to bisphenol-diglycidyl ethers in China: Comprehensive assessment through a total diet study

Despite the widespread use of bisphenol A diglycidyl ether (BADGE) and bisphenol F diglycidyl ether (BFDGE) in various consumer products as protective plasticizer, studies on human dietary exposure to these compounds are scare. In this study, nine bisphenol diglycidyl ethers (BDGEs) including BADGE, BFDGE, and seven of their derivatives were determined in the Chinese adult population based on composite dietary samples collected from the sixth (2016-2019) China total diet study (TDS). Contamination level of nine BDGEs was determined in 288 composite dietary samples from 24 provinces in China. BADGE·2H₂O and BADGE are the most frequently detected and BADGE·2H₂O presented the highest mean concentration (2.402 μg/kg). The most contaminated food composite is meats, with a mean ∑₉BDGEs of 8.203 μg/kg, followed by aquatic products (4.255 μg/kg), eggs (4.045 μg/kg), and dairy products (3.256 μg/kg). The estimated daily intake (EDI) of ∑₉BDGEs based on the mean and 95th percentile concentrations are 121.27 ng/kg bw/day and 249.71 ng/kg bw/day. Meats, eggs, and aquatic products are the main source of dietary exposure. Notably, beverages and water, alcohols were the main contributors of dietary exposure to BADGE and BADGE·2H₂O, followed by animal-derived foods. Dietary exposure assessment demonstrated that human dietary BDGEs do not pose risks to general population based on the mean and 95th percentile hazard index with < 1. This is the first comprehensive national dietary exposure assessment of BDGEs in Chinese general population.

Effect of storage on the levels of phthalates in high-density polyethylene (HDPE) film-packaged drinking water

High-Density Polyethylene (HDPE)-packaged water is a popular choice for urban potable water across Africa. However, the sources and fate of priority chemical contaminants have not been adequately reported. The present study seeks to determine the effect of storage and labelling on the levels of phthalates - dimethyl phthalate (DMP), diethyl phthalate (DEP), dibutyl phthalate (DBP), benzyl butyl phthalate (BBP) and di(2-hexylethyl) phthalate (DEHP) - in HDPE packaged water. Printed and unprinted 500 mL packet samples, treated water and raw water samples were collected from two major companies in Accra and stored at three temperature levels for 28 days. Phthalates were extracted and pre-concentrated for analysis by GC-MS weekly. The results indicated that phthalates loading became detectable within the first 7 days of incubation, with printed samples showing higher concentrations than unprinted samples at every incubation temperature. The highest concentration was recorded for BBP (1.03 μg/L between a lower and upper confidence limits of 0.62 μg/L and 1.42 μg/L). Temperature significantly affected the concentration of DMP for printed packets (p-value = 0.05) and unprinted samples (p-value = 0.06), BBP across all samples, and DEHP in printed samples (p-value = 0.06). On the other hand, storage duration significantly affected the concentration of BBP across all samples. There was a very strong correlation between printing and the concentration of phthalates in the water samples (p-values <0.001) across the storage temperatures. Effect size analysis established significant differences between site-specific printed and unprinted samples. The present study revealed weak interactions between the selected phthalates and the HDPE matrix, and recommends alternative packaging that can restrict the presence of phthalates and other priority chemicals in plastic packaged drinking water.

A review of common non-ortho-phthalate plasticizers for use in food contact materials

Several non-ortho phthalate plasticizers, including ATBC, DEHA, DINCH, DOTP, and ESBO, are currently used in flexible PVC applications for food packaging and processing. The aim of this review is to summarize the available toxicity, migration, and human biomonitoring data. Available assessments from US CPSC, EFSA, other governmental and non-governmental organizations, and published toxicology studies were used to show that these plasticizers are generally well-studied and demonstrate low toxicity with a focus on potential carcinogenicity, reproductive, developmental, and endocrine related adverse effects as well as biodegradation, aquatic toxicity, and bioaccumulation. Seven other plasticizers, 2EHESBO, ASE, CMCHA, DBT, DEHCH, PETV, and TOTM, have at least some recent but limited food contact clearances; assessments from CPSC, EFSA, and robust summaries in the REACH dossiers were reviewed for these products. Data gaps were found for some of these products; however, there were no concerns raised by the existing data, and they for now have limited use in food contact applications. Migration of ASE, COMGHA, DINCH, DOTP, DEHCH, and TOTM in simulants for aqueous and low alcohol foods ranged from <0.02 to 0.165 mg/kg, which showed they are below established migration limits and well-suited for these applications. Human biomonitoring data are available for DINCH, DOTP, DEHA, DINA, and TOTM, and are essential for determining exposure from all uses.

Investigation and risk assessment of dibutyl phthalate in a typical region by a high-throughput dual-signal immunoassay

The systematic investigation and risk assessment of dibutyl phthalate (DBP) were performed using an ultrasensitive dual-signal immunoassay in Zhenjiang, Jiangsu Province. In this study, C-dots@H-MnO₂ nanohybrid were synthesized and labelled on the secondary antibody to generate fluorometric and colorimetric signals. Attributed to the efficient catalysis of carbon dots (C-dots) and the high C-dots loading of hollow manganese (IV) oxide (H-MnO₂), the excellent sensitivity and low detection limits (0.243 and 0.692 μg/L respectively) were produced. Based on the proposed method, 25 water and 119 beverage samples were investigated. DBP was found in all water samples and 65.5% of beverage samples, with the concentrations varying in 16.5-32.1 μg/L and 0-553 μg/L, respectively. In addition, the mean concentration (22.9 μg/L) in waters was decreased significantly compared with that detected in 2016 (43.5 μg/L) by our Lab. For beverages, a similar phenomenon was observed by the measured concentrations from coffee. Furthermore, the potential ecological risks of DBP were evaluated, the results indicated that human activities had caused serious pollution and high risks to the local aquatic ecosystem. On the other hand, the results of health risk assessment suggested that DBP in beverages might not cause obvious side effects to local residents.

Probabilistic risk and benefit assessment of nitrates and nitrites by integrating total diet study-based exogenous dietary exposure with endogenous nitrite formation using toxicokinetic modeling

The impacts of dietary nitrates and nitrites on human health have been a controversial topic for many years. However, the risk and benefit assessment of nitrates and nitrites is complicated by the large variation in nitrate and nitrite intake among people and the endogenous nitrite formation in the body. This study conducted a probabilistic risk-benefit assessment of dietary nitrates and nitrites based on internal dose by integrating exogenous and endogenous exposures with human trial data on cardiovascular benefits. A total diet study was carried out to quantify the age-specific dietary intakes of nitrates and nitrites. A previously well-validated human toxicokinetic model was used to predict internal doses for different age groups. In addition, the integrated approach was applied to different populations from different countries/regions based on reported exposure estimates to conduct a comprehensive risk-benefit assessment of dietary nitrates and nitrites. The results demonstrated that vegetable consumption was the main contributor to the internal nitrate and nitrite levels in all age groups. Exposure to nitrates and nitrites exceeding acceptable daily intakes in a variety of foods showed cardiovascular benefits. The probabilistic risk assessment showed that the exposure to nitrates and nitrites did not pose an appreciable health and safety risk. Therefore, the present results suggest that dietary nitrates and nitrites have clear cardiovascular benefits that may outweigh potential risks. Our analysis contributes significantly to addressing the controversy regarding risks and benefits from dietary nitrates and nitrites, and our approach could be applied to other dietary constituents with the potential for both risks and benefits.