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Cheng D, Chen Z, Zhou J, Cao Y, Xie X, Wu Y, Li X, Wang X, Yu J, Yang B. Association between brominated flame retardants (PBDEs and PBB153) exposure and hypertension in U.S. adults: results from NHANES 2005-2016. Environ Health 2024; 23:64. [PMID: 39003460 PMCID: PMC11245865 DOI: 10.1186/s12940-024-01103-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2024] [Accepted: 07/03/2024] [Indexed: 07/15/2024]
Abstract
BACKGROUND Brominated Flame Retardants (BFRs) have attracted widespread concern due to their environmental persistence and potential toxicity. This study aims to examine the association between BFRs exposure and hypertension. METHODS We used data from the National Health and Nutrition Examination Survey (NHANES) spanning 2005 to 2016 for the cross-sectional analysis. To evaluate the individual and combined impacts of BFRs exposure on hypertension, we utilized multivariate models, including generalized additive models, weighted quantile sum (WQS) regression, and Bayesian kernel machine regression (BKMR) models. RESULTS 9882 individuals (48% male) aged ≥ 20 were included in the final analysis, of whom 4114 had hypertension. After controlling for potential covariates, higher serum concentrations of PBDE100 (OR: 1.26; 95% CI: 1.01, 1.57) and PBDE153 (OR: 1.50; 95% CI: 1.18, 1.88) were significantly associated with hypertension. A nonlinear relationship between PBDE28 and hypertension was observed (P = 0.03). Moreover, BFRs mixture were positively associated with the prevalence of hypertension in both the WQS (β:1.09; 95% CI: 1.02, 1.17; P = 0.02) and BKMR models. CONCLUSION Our study suggested that BFRs exposure is positively associated with hypertension in the general population. To confirm this association and elucidate the mechanisms, further research is required.
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Affiliation(s)
- Dian Cheng
- Department of Cardiovascular Medicine, Shanghai East Hospital, School of Medicine, Tongji University, 150 Jimo Road, Shanghai, 200120, P.R. China
| | - Zijun Chen
- Department of Cardiovascular Medicine, Shanghai East Hospital, School of Medicine, Tongji University, 150 Jimo Road, Shanghai, 200120, P.R. China
| | - Jian Zhou
- Department of Cardiovascular Medicine, Shanghai East Hospital, School of Medicine, Tongji University, 150 Jimo Road, Shanghai, 200120, P.R. China
| | - Yue Cao
- School of Resources and Environmental Engineering, East China University of Science and Technology, 130 Meilong Road, Shanghai, 200237, P.R. China
| | - Xin Xie
- Department of Cardiovascular Medicine, Shanghai East Hospital, School of Medicine, Tongji University, 150 Jimo Road, Shanghai, 200120, P.R. China
| | - Yizhang Wu
- Department of Cardiovascular Medicine, Shanghai East Hospital, School of Medicine, Tongji University, 150 Jimo Road, Shanghai, 200120, P.R. China
| | - Xiaorong Li
- Department of Cardiovascular Medicine, Shanghai East Hospital, School of Medicine, Tongji University, 150 Jimo Road, Shanghai, 200120, P.R. China
| | - Xuecheng Wang
- Department of Cardiovascular Medicine, Shanghai East Hospital, School of Medicine, Tongji University, 150 Jimo Road, Shanghai, 200120, P.R. China.
| | - Jinbo Yu
- Department of Cardiovascular Medicine, Shanghai East Hospital, School of Medicine, Tongji University, 150 Jimo Road, Shanghai, 200120, P.R. China.
| | - Bing Yang
- Department of Cardiovascular Medicine, Shanghai East Hospital, School of Medicine, Tongji University, 150 Jimo Road, Shanghai, 200120, P.R. China
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Schrenk D, Bignami M, Bodin L, Chipman JK, del Mazo J, Grasl‐Kraupp B, Hogstrand C, (Ron) Hoogenboom L, Leblanc J, Nebbia CS, Nielsen E, Ntzani E, Petersen A, Sand S, Schwerdtle T, Wallace H, Benford D, Fürst P, Hart A, Rose M, Schroeder H, Vrijheid M, Ioannidou S, Nikolič M, Bordajandi LR, Vleminckx C. Update of the risk assessment of polybrominated diphenyl ethers (PBDEs) in food. EFSA J 2024; 22:e8497. [PMID: 38269035 PMCID: PMC10807361 DOI: 10.2903/j.efsa.2024.8497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2024] Open
Abstract
The European Commission asked EFSA to update its 2011 risk assessment on polybrominated diphenyl ethers (PBDEs) in food, focusing on 10 congeners: BDE-28, -47, -49, -99, -100, -138, -153, -154, -183 and ‑209. The CONTAM Panel concluded that the neurodevelopmental effects on behaviour and reproductive/developmental effects are the critical effects in rodent studies. For four congeners (BDE-47, -99, -153, -209) the Panel derived Reference Points, i.e. benchmark doses and corresponding lower 95% confidence limits (BMDLs), for endpoint-specific benchmark responses. Since repeated exposure to PBDEs results in accumulation of these chemicals in the body, the Panel estimated the body burden at the BMDL in rodents, and the chronic intake that would lead to the same body burden in humans. For the remaining six congeners no studies were available to identify Reference Points. The Panel concluded that there is scientific basis for inclusion of all 10 congeners in a common assessment group and performed a combined risk assessment. The Panel concluded that the combined margin of exposure (MOET) approach was the most appropriate risk metric and applied a tiered approach to the risk characterisation. Over 84,000 analytical results for the 10 congeners in food were used to estimate the exposure across dietary surveys and age groups of the European population. The most important contributors to the chronic dietary Lower Bound exposure to PBDEs were meat and meat products and fish and seafood. Taking into account the uncertainties affecting the assessment, the Panel concluded that it is likely that current dietary exposure to PBDEs in the European population raises a health concern.
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Vogel N, Lange R, Schmidt P, Rodriguez Martin L, Remy S, Springer A, Puklová V, Černá M, Rudnai P, Középesy S, Janasik B, Ligocka D, Fábelová L, Kolena B, Petrovicova I, Jajcaj M, Eštóková M, Esteban-Lopez M, Castaño A, Tratnik JS, Stajnko A, Knudsen LE, Toppari J, Main KM, Juul A, Andersson AM, Jørgensen N, Frederiksen H, Thomsen C, Sakhi AK, Åkesson A, Hartmann C, Dewolf MC, Koppen G, Biot P, Den Hond E, Voorspoels S, Gilles L, Govarts E, Murawski A, Gerofke A, Weber T, Rüther M, Gutleb AC, Guignard C, Berman T, Koch HM, Kolossa-Gehring M. Exposure to Phthalates in European Children, Adolescents and Adults since 2005: A Harmonized Approach Based on Existing HBM Data in the HBM4EU Initiative. TOXICS 2023; 11:241. [PMID: 36977006 PMCID: PMC10057641 DOI: 10.3390/toxics11030241] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 02/10/2023] [Accepted: 02/14/2023] [Indexed: 06/18/2023]
Abstract
Phthalates are mainly used as plasticizers and are associated inter alia with adverse effects on reproductive functions. While more and more national programs in Europe have started monitoring internal exposure to phthalates and its substitute 1,2-Cyclohexanedicarboxylic acid (DINCH), the comparability of results from such existing human biomonitoring (HBM) studies across Europe is challenging. They differ widely in time periods, study samples, degree of geographical coverage, design, analytical methodology, biomarker selection, and analytical quality assurance level. The HBM4EU initiative has gathered existing HBM data of 29 studies from participating countries, covering all European regions and Israel. The data were prepared and aggregated by a harmonized procedure with the aim to describe-as comparably as possible-the EU-wide general population's internal exposure to phthalates from the years 2005 to 2019. Most data were available from Northern (up to 6 studies and up to 13 time points), Western (11; 19), and Eastern Europe (9; 12), e.g., allowing for the investigation of time patterns. While the bandwidth of exposure was generally similar, we still observed regional differences for Butyl benzyl phthalate (BBzP), Di(2-ethylhexyl) phthalate (DEHP), Di-isononyl phthalate (DiNP), and Di-isobutyl phthalate (DiBP) with pronounced decreases over time in Northern and Western Europe, and to a lesser degree in Eastern Europe. Differences between age groups were visible for Di-n-butyl phthalate (DnBP), where children (3 to 5-year olds and 6 to 11-year olds) had lower urinary concentrations than adolescents (12 to 19-year-olds), who in turn had lower urinary concentrations than adults (20 to 39-year-olds). This study is a step towards making internal exposures to phthalates comparable across countries, although standardized data were not available, targeting European data sets harmonized with respect to data formatting and calculation of aggregated data (such as developed within HBM4EU), and highlights further suggestions for improved harmonization in future studies.
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Affiliation(s)
- Nina Vogel
- German Environment Agency (UBA), Department of Toxicology, Health-Related Environmental Monitoring, 14195 Berlin, Germany
| | - Rosa Lange
- German Environment Agency (UBA), Department of Toxicology, Health-Related Environmental Monitoring, 14195 Berlin, Germany
| | - Phillipp Schmidt
- German Environment Agency (UBA), Department of Toxicology, Health-Related Environmental Monitoring, 14195 Berlin, Germany
| | | | - Sylvie Remy
- Flemish Institute for Technological Research (VITO), 2400 Mol, Belgium
| | - Andrea Springer
- German Environment Agency (UBA), Department of Toxicology, Health-Related Environmental Monitoring, 14195 Berlin, Germany
| | - Vladimíra Puklová
- National Institute of Public Health, Centre for Health and Environment, 10000 Prague, Czech Republic
| | - Milena Černá
- National Institute of Public Health, Centre for Health and Environment, 10000 Prague, Czech Republic
| | - Péter Rudnai
- National Public Health Center, Environmental Health Unit of the Department of Public Health Laboratory, 1097 Budapest, Hungary
| | - Szilvia Középesy
- National Public Health Center, Environmental Health Unit of the Department of Public Health Laboratory, 1097 Budapest, Hungary
| | - Beata Janasik
- Nofer Institute of Occupational Medicine, 91-348 Lodz, Poland
| | - Danuta Ligocka
- Nofer Institute of Occupational Medicine, 91-348 Lodz, Poland
| | - Lucia Fábelová
- Department of Environmental Medicine, Faculty of Public Health, Slovak Medical University, 83303 Bratislava, Slovakia
| | - Branislav Kolena
- Department of Zoology and Anthropology, Faculty of Natural Sciences and Informatics, Constantine the Philosopher University in Nitra, 94901 Nitra, Slovakia
| | - Ida Petrovicova
- Department of Zoology and Anthropology, Faculty of Natural Sciences and Informatics, Constantine the Philosopher University in Nitra, 94901 Nitra, Slovakia
| | - Michal Jajcaj
- Public Health Authority, Department of Environment and Health, 83105 Bratislava, Slovakia
| | - Milada Eštóková
- Public Health Authority, Department of Environment and Health, 83105 Bratislava, Slovakia
| | | | | | - Janja Snoj Tratnik
- Department of Environmental Sciences, Jožef Stefan Institute, Jamova Cesta 39, 1000 Ljubljana, Slovenia
| | - Anja Stajnko
- Department of Environmental Sciences, Jožef Stefan Institute, Jamova Cesta 39, 1000 Ljubljana, Slovenia
| | - Lisbeth E. Knudsen
- Department of Public Health, University of Copenhagen, 1165 Copenhagen, Denmark
| | - Jorma Toppari
- Research Centre for Integrative Physiology and Pharmacology, Institute of Biomedicine, University of Turku, 20520 Turku, Finland
- Department of Pediatrics, Turku University Hospital, 20521 Turku, Finland
| | - Katharina M. Main
- Department of Growth and Reproduction, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark
- International Centre for Research and Research Training in Endocrine Disruption of Male Reproduction and Child Health (EDMaRC), Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark
- Department of Clinical Medicine, University of Copenhagen, 2200 Copenhagen, Denmark
| | - Anders Juul
- Department of Growth and Reproduction, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark
- International Centre for Research and Research Training in Endocrine Disruption of Male Reproduction and Child Health (EDMaRC), Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark
- Department of Clinical Medicine, University of Copenhagen, 2200 Copenhagen, Denmark
| | - Anna-Maria Andersson
- Department of Growth and Reproduction, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark
- International Centre for Research and Research Training in Endocrine Disruption of Male Reproduction and Child Health (EDMaRC), Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark
| | - Niels Jørgensen
- Department of Growth and Reproduction, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark
- International Centre for Research and Research Training in Endocrine Disruption of Male Reproduction and Child Health (EDMaRC), Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark
| | - Hanne Frederiksen
- Department of Growth and Reproduction, Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark
- International Centre for Research and Research Training in Endocrine Disruption of Male Reproduction and Child Health (EDMaRC), Copenhagen University Hospital—Rigshospitalet, 2100 Copenhagen, Denmark
| | - Cathrine Thomsen
- Department of Food Safety, Norwegian Institute of Public Health, 0456 Oslo, Norway
| | - Amrit Kaur Sakhi
- Department of Food Safety, Norwegian Institute of Public Health, 0456 Oslo, Norway
| | - Agneta Åkesson
- Institute of Environmental Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden
| | | | | | - Gudrun Koppen
- Flemish Institute for Technological Research (VITO), 2400 Mol, Belgium
| | - Pierre Biot
- Federal Public Service Health, Food Chain Safety and Environment, 1060 Brussels, Belgium
| | - Elly Den Hond
- Department of Environment and Health, Provincial Institute of Hygiene (PIH), 2000 Antwerp, Belgium
| | - Stefan Voorspoels
- Flemish Institute for Technological Research (VITO), 2400 Mol, Belgium
| | - Liese Gilles
- Flemish Institute for Technological Research (VITO), 2400 Mol, Belgium
| | - Eva Govarts
- Flemish Institute for Technological Research (VITO), 2400 Mol, Belgium
| | - Aline Murawski
- German Environment Agency (UBA), Department of Toxicology, Health-Related Environmental Monitoring, 14195 Berlin, Germany
| | - Antje Gerofke
- German Environment Agency (UBA), Department of Toxicology, Health-Related Environmental Monitoring, 14195 Berlin, Germany
| | - Till Weber
- German Environment Agency (UBA), Department of Toxicology, Health-Related Environmental Monitoring, 14195 Berlin, Germany
| | - Maria Rüther
- German Environment Agency (UBA), Department of Toxicology, Health-Related Environmental Monitoring, 14195 Berlin, Germany
| | - Arno C. Gutleb
- Environmental Research and Innovation (ERIN) Department, Luxembourg Institute of Science and Technology, L-4422 Belvaux, Luxembourg
| | - Cedric Guignard
- Environmental Research and Innovation (ERIN) Department, Luxembourg Institute of Science and Technology, L-4422 Belvaux, Luxembourg
| | - Tamar Berman
- Department of Environmental Health, Ministry of Health, Jerusalem 9446724, Israel
| | - Holger M. Koch
- Institute for Prevention and Occupational Medicine of the German Social Accident Insurance—Institute of the Ruhr University Bochum (IPA), 44789 Bochum, Germany
| | - Marike Kolossa-Gehring
- German Environment Agency (UBA), Department of Toxicology, Health-Related Environmental Monitoring, 14195 Berlin, Germany
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4
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Gundacker C, Graf-Rohrmeister K, Gencik M, Hengstschläger M, Holoman K, Rosa P, Kroismayr R, Offenthaler I, Plichta V, Reischer T, Teufl I, Raffesberg W, Scharf S, Köhler-Vallant B, Delissen Z, Weiß S, Uhl M. Gene Variants Determine Placental Transfer of Perfluoroalkyl Substances (PFAS), Mercury (Hg) and Lead (Pb), and Birth Outcome: Findings From the UmMuKi Bratislava-Vienna Study. Front Genet 2021; 12:664946. [PMID: 34220941 PMCID: PMC8242356 DOI: 10.3389/fgene.2021.664946] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2021] [Accepted: 05/17/2021] [Indexed: 12/14/2022] Open
Abstract
Prenatal exposure to perfluoroalkyl substances (PFAS), bisphenol A (BPA), lead (Pb), total mercury (THg), and methylmercury (MeHg) can affect fetal development. Factors influencing placental transfer rate of these toxins are poorly investigated. Whether prenatal exposure to pollutants has an effect on birth weight is incompletely understood. We therefore aimed (1) to determine placental transfer rates of PFAS, BPA, Pb, THg, and MeHg, (2) to analyze relationships between fetal exposure and birth outcome and (3) to analyze gene variants as mediators of placental transfer rates and birth outcome. Two hundred healthy pregnant women and their newborns participated in the study. BPA, 16 PFAS, THg, MeHg, and Pb were determined using HPLCMS/MS (BPA, PFAS), HPLC-CV-ICPMS (MeHg), CV-AFS (THg), and GF-AAS (Pb). Questionnaires and medical records were used to survey exposure sources and birth outcome. 20 single nucleotide polymorphisms and two deletion polymorphisms were determined by real-time PCR from both maternal and newborn blood. Genotype-phenotype associations were analyzed by categorical regression and logistic regression analysis. Specific gene variants were associated with altered placental transfer of PFAS (ALAD Lys59Asn, ABCG2 Gln141Lys), THg (UGT Tyr85Asp, GSTT1del, ABCC1 rs246221) and Pb (GSTP1 Ala114Val). A certain combination of three gene polymorphisms (ABCC1 rs246221, GCLM rs41303970, HFE His63Asp) was over-represented in newborns small for gestational age. 36% of Austrian and 75% of Slovakian mothers had levels exceeding the HBM guidance value I (2 μg/L) of the German HBM Commission for PFOA. 13% of newborns and 39% of women had Ery-Pb levels above 24 μg/kg, an approximation for the BMDL01 of 12 μg/L set by the European Food Safety Authority (EFSA). Our findings point to the need to minimize perinatal exposures to protect fetal health, especially those genetically predisposed to increased transplacental exposure.
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Affiliation(s)
- Claudia Gundacker
- Institute of Medical Genetics, Medical University of Vienna, Vienna, Austria
| | | | | | | | - Karol Holoman
- University Hospital Bratislava-Ružinov, Bratislava, Slovakia
| | - Petra Rosa
- University Hospital Bratislava-Ružinov, Bratislava, Slovakia
| | - Renate Kroismayr
- Department of Biochemical Engineering, University of Applied Sciences Technikum Wien, Vienna, Austria.,Environment Agency Austria, Vienna, Austria
| | | | - Veronika Plichta
- Institute of Medical Genetics, Medical University of Vienna, Vienna, Austria.,Austrian Agency for Food and Health Safety, Vienna, Austria
| | - Theresa Reischer
- Institute of Medical Genetics, Medical University of Vienna, Vienna, Austria
| | - Isabella Teufl
- Institute of Medical Genetics, Medical University of Vienna, Vienna, Austria
| | | | | | | | - Zoja Delissen
- Institute of Medical Genetics, Medical University of Vienna, Vienna, Austria.,Medgene, Bratislava, Slovakia
| | | | - Maria Uhl
- Environment Agency Austria, Vienna, Austria
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Ruggieri F, Majorani C, Domanico F, Alimonti A. Mercury in Children: Current State on Exposure through Human Biomonitoring Studies. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14050519. [PMID: 28498344 PMCID: PMC5451970 DOI: 10.3390/ijerph14050519] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Revised: 04/28/2017] [Accepted: 05/08/2017] [Indexed: 12/30/2022]
Abstract
Mercury (Hg) in children has multiple exposure sources and the toxicity of Hg compounds depends on exposure routes, dose, timing of exposure, and developmental stage (be it prenatal or postnatal). Over the last decades, Hg was widely recognized as a threat to the children’s health and there have been acknowledgements at the international level of the need of a global policy intervention—like the Minamata treaty—aimed at reducing or preventing Hg exposure and protecting the child health. National human biomonitoring (HBM) data has demonstrated that low levels of exposure of Hg are still an important health concern for children, which no one country can solve alone. Although independent HBM surveys have provided the basis for the achievements of exposure mitigation in specific contexts, a new paradigm for a coordinated global monitoring of children’s exposure, aimed at a reliable decision-making tool at global level is yet a great challenge for the next future. The objective of the present review is to describe current HBM studies on Hg exposure in children, taking into account the potential pathways of Hg exposure and the actual Hg exposure levels assessed by different biomarkers.
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Affiliation(s)
- Flavia Ruggieri
- Department of Environment and Health, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy.
| | - Costanza Majorani
- Department of Environment and Health, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy.
| | - Francesco Domanico
- Department of Environment and Health, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy.
| | - Alessandro Alimonti
- Department of Environment and Health, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy.
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Human biomonitoring pilot study DEMOCOPHES in Germany: Contribution to a harmonized European approach. Int J Hyg Environ Health 2017; 220:686-696. [PMID: 28254163 DOI: 10.1016/j.ijheh.2017.01.012] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2016] [Revised: 01/24/2017] [Accepted: 01/30/2017] [Indexed: 11/23/2022]
Abstract
Human biomonitoring (HBM) is an effective tool to assess human exposure to environmental pollutants, but comparable HBM data in Europe are lacking. In order to expedite harmonization of HBM studies on a European scale, the twin projects COPHES (Consortium to Perform Human Biomonitoring on a European Scale) and DEMOCOPHES (Demonstration of a study to Coordinate and Perform Human Biomonitoring on a European Scale) were formed, comprising 35 partners from 27 European countries. In COPHES a research scheme and guidelines were developed to exemplarily measure in a pilot study mercury in hair, cadmium, cotinine and several phthalate metabolites in urine of 6-11year old children and their mothers in an urban and a rural region. Seventeen European countries simultaneously conducted this cross-sectional DEMOCOPHES feasibility study. The German study population was taken in the city of Bochum and in the Higher Sauerland District, comprising 120 mother-child pairs. In the present paper features of the study implementation are presented. German exposure concentrations of the pollutants are reported and compared with European average concentrations from DEMOCOPHES and with those measured in the representative German Environmental Survey (GerES IV). German DEMOCOPHES concentrations for mercury and cotinine were lower than the European average. However, 47% of the children were still exposed to environmental tobacco smoke (ETS) outside their home, which gives further potential for enhancing protection of children from ETS. Compared with samples from the other European countries German participating children had lower concentrations of the phthalate metabolites MEP and of the sum of 3 DEHP-metabolites (MEHP, 5OH-MEHP and 5oxo-MEHP), about the same concentrations of the phthalate metabolites MBzP and MiBP and higher concentrations of the phthalate metabolite MnBP. 2.5% of the German children had concentrations of the sum of 4 DEHP-metabolites and 4.2% had concentrations of MnBP that exceeded health based guidance values, indicating reasons for concern. Continuous HBM is necessary to track changes of pollutant exposure over time. Therefore Germany will continue to cooperate on the harmonisation of European human biomonitoring to support the chemicals regulation with the best possible exposure data to protect Europe's people against environmental health risks.
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Phthalate Metabolites, Consumer Habits and Health Effects. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:ijerph13070717. [PMID: 27428989 PMCID: PMC4962258 DOI: 10.3390/ijerph13070717] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/14/2016] [Revised: 07/08/2016] [Accepted: 07/13/2016] [Indexed: 01/05/2023]
Abstract
Phthalates are multifunctional chemicals used in a wide variety of consumer products. The aim of this study was to investigate whether levels of urinary phthalate metabolites in urine samples of Austrian mothers and their children were associated with consumer habits and health indicators. Within an Austrian biomonitoring survey, urine samples from 50 mother-child pairs of five communities (two-stage random stratified sampling) were analysed. The concentrations of 14 phthalate metabolites were determined, and a questionnaire was administered. Monoethyl phthalate (MEP), mono-n-butyl phthalate (MnBP), mono-isobutyl phthalate (MiBP), monobenzyl phthalate (MBzP), mono-(2-ethylhexyl) phthalate (MEHP), mono-(2-ethyl-5-hydroxyhexyl) phthalate (5OH-MEHP), mono-(2-ethyl-5-oxohexyl) phthalate (5oxo-MEHP), mono-(5-carboxy-2-ethylpentyl) phthalate (5cx-MEPP), and 3-carboxy-mono-propyl phthalate (3cx-MPP) could be quantified in the majority of samples. Significant correlations were found between the use of hair mousse, hair dye, makeup, chewing gum, polyethylene terephthalate (PET) bottles and the diethyl phthalate (DEP) metabolite MEP. With regard to health effects, significant associations of MEP in urine with headache, repeated coughing, diarrhoea, and hormonal problems were observed. MBzP was associated with repeated coughing and MEHP was associated with itching.
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8
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Fiddicke U, Becker K, Schwedler G, Seiwert M, Joas R, Joas A, Biot P, Aerts D, Casteleyn L, Dumez B, Castaño A, Esteban M, Angerer J, Koch HM, Schoeters G, Den Hond E, Sepai O, Exley K, Knudsen LE, Horvat M, Bloemen L, Katsonouri A, Hadjipanayis A, Cerna M, Krsková A, Jensen JF, Nielsen JKS, Rudnai P, Közepésy S, Gutleb AC, Fischer ME, Ligocka D, Kamińska J, Reis MF, Namorado S, Lupsa IR, Gurzau AE, Halzlová K, Mazej D, Tratnik JS, Rivas TC, Gómez S, Berglund M, Larsson K, Lehmann A, Crettaz P, Dewolf MC, Burns D, Kellegher A, Kolossa-Gehring M. Lessons learnt on recruitment and fieldwork from a pilot European human biomonitoring survey. ENVIRONMENTAL RESEARCH 2015; 141:15-23. [PMID: 25454101 DOI: 10.1016/j.envres.2014.08.039] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/29/2014] [Revised: 08/12/2014] [Accepted: 08/15/2014] [Indexed: 06/04/2023]
Abstract
Within the European Environment and Health Action Plan an initiative to establish a coherent human biomonitoring approach in Europe was started. The project COPHES (COnsortium to Perform Human biomonitoring on a European Scale ) developed recommendations for a harmonized conduct of a human biomonitoring (HBM) survey which came into action as the pilot study DEMOCOPHES (DEMOnstration of a study to COordinate and Perform Human biomonitoring on a European Scale). Seventeen European countries conducted a survey with harmonized instruments for, inter alia, recruitment, fieldwork and sampling, in autumn/winter 2011/2012. Based on the countries' experiences of conducting the pilot study, following lessons learnt were compiled: the harmonized fieldwork instruments (basic questionnaire, urine and hair sampling) turned out to be very valuable for future HBM surveys on the European scale. A school approach was favoured by most of the countries to recruit school-aged children according to the established guidelines and country specific experiences. To avoid a low participation rate, intensive communication with the involved institutions and possible participants proved to be necessary. The communication material should also include information on exclusion criteria and offered incentives. Telephone contact to the participants the day before fieldwork during the survey can prevent the forgetting of appointments and first morning urine samples. To achieve comparable results on the European scale, training of interviewers in all issues of recruitment, fieldwork and sampling through information material and training sessions is crucial. A survey involving many European countries needs time for preparation and conduct. Materials for quality control prepared for all steps of recruitment, fieldwork and sampling proved to be important to warrant reliable results.
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Affiliation(s)
| | | | | | | | | | | | - Pierre Biot
- Federal Public Service Health, Food Chain Safety and Environment, Brussels, Belgium
| | - Dominique Aerts
- Federal Public Service Health, Food Chain Safety and Environment, Brussels, Belgium
| | | | | | - Argelia Castaño
- Environmental Toxicology, Centro Nacional de Sanidad Ambiental (CNSA), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Marta Esteban
- Environmental Toxicology, Centro Nacional de Sanidad Ambiental (CNSA), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Jürgen Angerer
- Institute for Prevention and Occupational Medicine of the German Social Accident Insurance-Institute of the Ruhr University Bochum (IPA), Bochum, Germany
| | - Holger M Koch
- Institute for Prevention and Occupational Medicine of the German Social Accident Insurance-Institute of the Ruhr University Bochum (IPA), Bochum, Germany
| | - Greet Schoeters
- University of Antwerp, Belgium and Southern Denmark University, Denmark and Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Elly Den Hond
- Flemish Institute for Technological Research (VITO), Mol, Belgium
| | - Ovnair Sepai
- Public Health England, Centre for Radiation, Chemical and Environmental Hazards, Oxfordshire, United Kingdom
| | - Karen Exley
- Public Health England, Centre for Radiation, Chemical and Environmental Hazards, Oxfordshire, United Kingdom
| | | | | | - Louis Bloemen
- Environmental Health Science International, Hulst, The Netherlands
| | | | | | - Milena Cerna
- National Institute of Public Health (NIPH), Prague, Czech Republic and Charles University, Third Faculty of Medicine, Prague, Czech Republic
| | - Andrea Krsková
- National Institute of Public Health (NIPH), Prague, Czech Republic
| | | | | | - Peter Rudnai
- National Institute of Environmental Health (NIEH), Budapest, Hungary
| | - Szilvia Közepésy
- National Institute of Environmental Health (NIEH), Budapest, Hungary
| | - Arno C Gutleb
- Centre de Recherche Public-Gabriel Lippmann (CRP-GL), Belvaux, Luxembourg
| | | | - Danuta Ligocka
- Nofer Institute of Occupational Medicine (NIOM), Lodz, Poland
| | - Joanna Kamińska
- Nofer Institute of Occupational Medicine (NIOM), Lodz, Poland
| | - M Fátima Reis
- Institute of Preventive Medicine, Lisbon Faculty of Medicine (IMP/FML), Lisbon, Portugal
| | - Sónia Namorado
- Institute of Preventive Medicine, Lisbon Faculty of Medicine (IMP/FML), Lisbon, Portugal
| | | | - Anca E Gurzau
- Environmental Health Centre (EHC), Cluj-Napoca, Romania
| | - Katarína Halzlová
- Public Health Authority of the Slovak Republic (UVZ SR), Bratislava, Slovakia
| | | | | | - Teresa C Rivas
- Environmental Toxicology, Centro Nacional de Sanidad Ambiental (CNSA), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Silvia Gómez
- Environmental Toxicology, Centro Nacional de Sanidad Ambiental (CNSA), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
| | - Marika Berglund
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Kristin Larsson
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Andrea Lehmann
- Federal Office of Public Health (FOPH), Berne, Switzerland
| | - Pierre Crettaz
- Federal Office of Public Health (FOPH), Berne, Switzerland
| | | | - Damien Burns
- National Environmental Health Office, Health Service Executive, Dublin, Ireland
| | - Anne Kellegher
- Health Service Executive, Environmental Health Department, Leitrim, Ireland
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Mørck TA, Nielsen F, Nielsen JKS, Jensen JF, Hansen PW, Hansen AK, Christoffersen LN, Siersma VD, Larsen IH, Hohlmann LK, Skaanild MT, Frederiksen H, Biot P, Casteleyn L, Kolossa-Gehring M, Schwedler G, Castaño A, Angerer J, Koch HM, Esteban M, Schoeters G, Den Hond E, Exley K, Sepai O, Bloemen L, Joas R, Joas A, Fiddicke U, Lopez A, Cañas A, Aerts D, Knudsen LE. The Danish contribution to the European DEMOCOPHES project: A description of cadmium, cotinine and mercury levels in Danish mother-child pairs and the perspectives of supplementary sampling and measurements. ENVIRONMENTAL RESEARCH 2015; 141:96-105. [PMID: 25440293 DOI: 10.1016/j.envres.2014.07.028] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2014] [Revised: 07/21/2014] [Accepted: 07/23/2014] [Indexed: 06/04/2023]
Abstract
Human biomonitoring (HBM) is an important tool, increasingly used for measuring true levels of the body burdens of environmental chemicals in the general population. In Europe, a harmonized HBM program was needed to open the possibility to compare levels across borders. To explore the prospect of a harmonized European HBM project, DEMOCOPHES (DEMOnstration of a study to COordinate and Perform Human biomonitoring on a European Scale) was completed in 17 European countries. The basic measurements performed in all implemented countries of DEMOCOPHES included cadmium, cotinine and phthalate metabolites in urine and mercury in hair. In the Danish participants, significant correlations between mothers and children for mercury in hair and cotinine in urine were found. Mercury in hair was further significantly associated with intake of fish and area of residence. Cadmium was positively associated with BMI in mothers and an association between cadmium and cotinine was also found. As expected high cotinine levels were found in smoking mothers. For both mercury and cadmium significantly higher concentrations were found in the mothers compared to their children. In Denmark, the DEMOCOPHES project was co-financed by the Danish ministries of health, environment and food safety. The co-financing ministries agreed to finance a number of supplementary measurements of substances of current toxicological, public and regulatory interest. This also included blood sampling from the participants. The collected urine and blood samples were analyzed for a range of other persistent and non-persistent environmental chemicals as well as two biomarkers of effect. The variety of supplementary measurements gives the researchers further information on the exposure status of the participants and creates a basis for valuable knowledge on the pattern of exposure to various chemicals.
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Affiliation(s)
- Thit A Mørck
- Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Flemming Nielsen
- Department of Public Health, University of Southern Denmark, Odense, Denmark
| | | | - Janne F Jensen
- Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Pernille W Hansen
- Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Anne K Hansen
- Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | | | - Volkert D Siersma
- The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Ida H Larsen
- Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | - Linette K Hohlmann
- Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | | | - Hanne Frederiksen
- Department of Growth and Reproduction, University Hospital, Copenhagen, Denmark
| | - Pierre Biot
- Federal Public Service Health, Food Chain Safety and Environment, Brussels, Belgium
| | | | | | | | - Argelia Castaño
- Instituto de Salud Carlos III (ISCIII), Majadahonda, Madrid, Spain
| | - Jürgen Angerer
- Institute for Prevention and Occupational Medicine of the German social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA), Bochum, Germany
| | - Holger M Koch
- Institute for Prevention and Occupational Medicine of the German social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA), Bochum, Germany
| | - Marta Esteban
- Instituto de Salud Carlos III (ISCIII), Majadahonda, Madrid, Spain
| | - Greet Schoeters
- Flemish Institute for Technological Research (VITO), Environmental Risk and Health unit, Mol, Belgium
| | - Elly Den Hond
- Flemish Institute for Technological Research (VITO), Environmental Risk and Health unit, Mol, Belgium
| | - Karen Exley
- Public Health England, Centre for Radiation, Chemical and Environmental Hazards, Chilton, Oxfordshire, United Kingdom
| | - Ovnair Sepai
- Public Health England, Centre for Radiation, Chemical and Environmental Hazards, Chilton, Oxfordshire, United Kingdom
| | - Louis Bloemen
- Environmental Health Science International, Hulst, The Netherlands
| | | | | | | | - Ana Lopez
- Instituto de Salud Carlos III (ISCIII), Majadahonda, Madrid, Spain
| | - Ana Cañas
- Instituto de Salud Carlos III (ISCIII), Majadahonda, Madrid, Spain
| | - Dominique Aerts
- Federal Public Service Health, Food Chain Safety and Environment, Brussels, Belgium
| | - Lisbeth E Knudsen
- Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
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10
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Joas A, Knudsen LE, Kolossa-Gehring M, Sepai O, Casteleyn L, Schoeters G, Angerer J, Castaño A, Aerts D, Biot P, Horvat M, Bloemen L, Reis MF, Lupsa IR, Katsonouri A, Cerna M, Berglund M, Crettaz P, Rudnai P, Halzlova K, Mulcahy M, Gutleb AC, Fischer ME, Becher G, Fréry N, Jensen G, Van Vliet L, Koch HM, Den Hond E, Fiddicke U, Esteban M, Exley K, Schwedler G, Seiwert M, Ligocka D, Hohenblum P, Kyrtopoulos S, Botsivali M, DeFelip E, Guillou C, Reniero F, Grazuleviciene R, Veidebaum T, Mørck TA, Nielsen JKS, Jensen JF, Rivas TC, Sanchez J, Koppen G, Smolders R, Kozepesy S, Hadjipanayis A, Krskova A, Mannion R, Jakubowski M, Fucic JA, Pereira-Miguel J, Gurzau AE, Jajcaj M, Mazej D, Tratnik JS, Lehmann A, Larsson K, Dumez B, Joas R. Policy recommendations and cost implications for a more sustainable framework for European human biomonitoring surveys. ENVIRONMENTAL RESEARCH 2015; 141:42-57. [PMID: 25526891 DOI: 10.1016/j.envres.2014.10.012] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2014] [Revised: 10/08/2014] [Accepted: 10/09/2014] [Indexed: 06/04/2023]
Abstract
The potential of Human Biomonitoring (HBM) in exposure characterisation and risk assessment is well established in the scientific HBM community and regulatory arena by many publications. The European Environment and Health Strategy as well as the Environment and Health Action Plan 2004-2010 of the European Commission recognised the value of HBM and the relevance and importance of coordination of HBM programmes in Europe. Based on existing and planned HBM projects and programmes of work and capabilities in Europe the Seventh Framework Programme (FP 7) funded COPHES (COnsortium to Perform Human Biomonitoring on a European Scale) to advance and improve comparability of HBM data across Europe. The pilot study protocol was tested in 17 European countries in the DEMOCOPHES feasibility study (DEMOnstration of a study to COordinate and Perform Human biomonitoring on a European Scale) cofunded (50%) under the LIFE+ programme of the European Commission. The potential of HBM in supporting and evaluating policy making (including e.g. REACH) and in awareness raising on environmental health, should significantly advance the process towards a fully operational, continuous, sustainable and scientifically based EU HBM programme. From a number of stakeholder activities during the past 10 years and the national engagement, a framework for sustainable HBM structure in Europe is recommended involving national institutions within environment, health and food as well as European institutions such as ECHA, EEA, and EFSA. An economic frame with shared cost implications for national and European institutions is suggested benefitting from the capacity building set up by COPHES/DEMOCOPHES.
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Affiliation(s)
| | | | | | | | | | - Greet Schoeters
- VITO, Environmental Risks and Health Unit, Belgium; University of Antwerp, Belgium, Southern Denmark University, Denmark
| | - Jürgen Angerer
- Institute for Prevention and Occupational Medicine of the German Social Accident Insurance-Institute of the Ruhr-Universität Bochum (IPA), Germany
| | - Argelia Castaño
- Environmental Toxicology, CNSA-Instituto de Salud Carlos III, Spain
| | - Dominique Aerts
- Federal Public Service Health, Food Chain Safety and Environment, Belgium
| | - Pierre Biot
- Federal Public Service Health, Food Chain Safety and Environment, Belgium
| | | | - Louis Bloemen
- Environmental Health Sciences International, The Netherlands
| | - M Fátima Reis
- Medical Faculty of the University of Lisbon, Portugal
| | | | | | - Milena Cerna
- National Institute of Public Health, Czech Republic
| | | | | | - Peter Rudnai
- National Institute of Environmental Health, Hungary
| | | | | | - Arno C Gutleb
- Centre de Recherche Public - Gabriel Lippmann, Luxembourg
| | | | | | - Nadine Fréry
- French Institute for Public Health Surveillance, France
| | | | | | - Holger M Koch
- Institute for Prevention and Occupational Medicine of the German Social Accident Insurance-Institute of the Ruhr-Universität Bochum (IPA), Germany
| | | | | | - Marta Esteban
- Environmental Toxicology, CNSA-Instituto de Salud Carlos III, Spain
| | | | | | | | | | | | | | | | | | - Claude Guillou
- European Commission, Joint Research Centre (JRC), Institute for Health and Consumer Protection (IHCP), Italy
| | - Fabiano Reniero
- European Commission, Joint Research Centre (JRC), Institute for Health and Consumer Protection (IHCP), Italy
| | | | | | | | | | | | - Teresa C Rivas
- Environmental Toxicology, CNSA-Instituto de Salud Carlos III, Spain
| | - Jinny Sanchez
- Environmental Toxicology, CNSA-Instituto de Salud Carlos III, Spain
| | | | | | | | - Adamos Hadjipanayis
- Larnaca General Hospital, Ministry of Health, School of Medicine, European University of Cyprus, Cyprus
| | | | | | | | | | | | | | - Michal Jajcaj
- Urad Verejneho Zdravotnictva Slovenskej Republiky, Slovakia
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11
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Corrales J, Kristofco LA, Steele WB, Yates BS, Breed CS, Williams ES, Brooks BW. Global Assessment of Bisphenol A in the Environment: Review and Analysis of Its Occurrence and Bioaccumulation. Dose Response 2015; 13:1559325815598308. [PMID: 26674671 PMCID: PMC4674187 DOI: 10.1177/1559325815598308] [Citation(s) in RCA: 404] [Impact Index Per Article: 44.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Because bisphenol A (BPA) is a high production volume chemical, we examined over 500 peer-reviewed studies to understand its global distribution in effluent discharges, surface waters, sewage sludge, biosolids, sediments, soils, air, wildlife, and humans. Bisphenol A was largely reported from urban ecosystems in Asia, Europe, and North America; unfortunately, information was lacking from large geographic areas, megacities, and developing countries. When sufficient data were available, probabilistic hazard assessments were performed to understand global environmental quality concerns. Exceedances of Canadian Predicted No Effect Concentrations for aquatic life were >50% for effluents in Asia, Europe, and North America but as high as 80% for surface water reports from Asia. Similarly, maximum concentrations of BPA in sediments from Asia were higher than Europe. Concentrations of BPA in wildlife, mostly for fish, ranged from 0.2 to 13 000 ng/g. We observed 60% and 40% exceedences of median levels by the US Centers for Disease Control and Prevention's National Health and Nutrition Examination Survey in Europe and Asia, respectively. These findings highlight the utility of coordinating global sensing of environmental contaminants efforts through integration of environmental monitoring and specimen banking to identify regions for implementation of more robust environmental assessment and management programs.
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Affiliation(s)
- Jone Corrales
- Department of Environmental Science, Center for Reservoir and Aquatic Systems Research, Baylor University, Waco, TX, USA
| | - Lauren A. Kristofco
- Department of Environmental Science, Center for Reservoir and Aquatic Systems Research, Baylor University, Waco, TX, USA
| | - W. Baylor Steele
- Department of Environmental Science, Center for Reservoir and Aquatic Systems Research, Baylor University, Waco, TX, USA
- Institute of Biomedical Studies, Baylor University, Waco, TX, USA
| | - Brian S. Yates
- Department of Environmental Science, Center for Reservoir and Aquatic Systems Research, Baylor University, Waco, TX, USA
| | - Christopher S. Breed
- Department of Environmental Science, Center for Reservoir and Aquatic Systems Research, Baylor University, Waco, TX, USA
| | - E. Spencer Williams
- Department of Environmental Science, Center for Reservoir and Aquatic Systems Research, Baylor University, Waco, TX, USA
| | - Bryan W. Brooks
- Department of Environmental Science, Center for Reservoir and Aquatic Systems Research, Baylor University, Waco, TX, USA
- Institute of Biomedical Studies, Baylor University, Waco, TX, USA
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12
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Choi J, Aarøe Mørck T, Polcher A, Knudsen LE, Joas A. Review of the state of the art of human biomonitoring for chemical substances and its application to human exposure assessment for food safety. ACTA ACUST UNITED AC 2015. [DOI: 10.2903/sp.efsa.2015.en-724] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Judy Choi
- Judy Choi Alexandra Polcher Anke Joas
| | | | | | | | - Anke Joas
- Judy Choi Alexandra Polcher Anke Joas
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13
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Scientific Opinion on the risks to public health related to the presence of bisphenol A (BPA) in foodstuffs. EFSA J 2015. [DOI: 10.2903/j.efsa.2015.3978] [Citation(s) in RCA: 528] [Impact Index Per Article: 58.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
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Gump BB, Yun S, Kannan K. Polybrominated diphenyl ether (PBDE) exposure in children: possible associations with cardiovascular and psychological functions. ENVIRONMENTAL RESEARCH 2014; 132:244-50. [PMID: 24834818 PMCID: PMC4104497 DOI: 10.1016/j.envres.2014.04.009] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2013] [Revised: 03/31/2014] [Accepted: 04/02/2014] [Indexed: 05/20/2023]
Abstract
BACKGROUND Polybrominated diphenyl ethers (PBDE) have been used widely in consumer products and are currently found at detectable levels in the blood of humans and animals across the globe. In stark contrast to this widespread exposure to PBDEs, there is relatively little research on potential adverse health effects of exposure of children to these chemicals. OBJECTIVES We performed this cross-sectional study to determine if blood PBDE levels (for 4 congeners) are associated with cardiovascular stress responses and psychological states in children. METHODS Levels of 4 PBDE congeners (BDE-28, -47, -99, and -100) in whole blood were measured in children (N=43). These levels were analyzed in relation to cardiovascular disease risk factors, including cardiovascular responses to acute stress and relevant psychological variables, namely, hostility and depression. RESULTS Higher levels of blood PBDEs were associated with significantly greater sympathetic activation during acute psychological stress and greater anger, as evidenced by significant associations with 3 different measures of this psychological variable. CONCLUSIONS This study suggests an association between PBDE exposure and children's cardiovascular responses to stress as well as parental and self-reported anger in the child. These variables are particularly important as they may be of potential relevance to the future development of cardiovascular disease (CVD). Although intriguing, there is a need for further investigation and replication with a larger sample of children.
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Affiliation(s)
- Brooks B Gump
- Department of Public Health, Food Studies, and Nutrition, Syracuse University, Syracuse NY 13244, USA.
| | - Sehun Yun
- Wadsworth Center, New York State Department of Health and Department of Environmental Health Sciences, School of Public Health, State University of New York, Albany, N Y 12201-0509, USA
| | - Kurunthachalam Kannan
- Wadsworth Center, New York State Department of Health and Department of Environmental Health Sciences, School of Public Health, State University of New York, Albany, N Y 12201-0509, USA; Experimental Biochemistry Unit, King Fahd Medical Research Center, King Abdulaziz University, Jeddah 21589, Saudi Arabia
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15
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Schindler BK, Esteban M, Koch HM, Castano A, Koslitz S, Cañas A, Casteleyn L, Kolossa-Gehring M, Schwedler G, Schoeters G, Hond ED, Sepai O, Exley K, Bloemen L, Horvat M, Knudsen LE, Joas A, Joas R, Biot P, Aerts D, Lopez A, Huetos O, Katsonouri A, Maurer-Chronakis K, Kasparova L, Vrbík K, Rudnai P, Naray M, Guignard C, Fischer ME, Ligocka D, Janasik B, Reis MF, Namorado S, Pop C, Dumitrascu I, Halzlova K, Fabianova E, Mazej D, Tratnik JS, Berglund M, Jönsson B, Lehmann A, Crettaz P, Frederiksen H, Nielsen F, McGrath H, Nesbitt I, De Cremer K, Vanermen G, Koppen G, Wilhelm M, Becker K, Angerer J. The European COPHES/DEMOCOPHES project: Towards transnational comparability and reliability of human biomonitoring results. Int J Hyg Environ Health 2014; 217:653-61. [DOI: 10.1016/j.ijheh.2013.12.002] [Citation(s) in RCA: 72] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2013] [Revised: 12/09/2013] [Accepted: 12/09/2013] [Indexed: 12/13/2022]
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16
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Bartlett ES, Trasande L. Economic impacts of environmentally attributable childhood health outcomes in the European Union. Eur J Public Health 2013; 24:21-6. [PMID: 23748596 DOI: 10.1093/eurpub/ckt063] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND There is increasing evidence of the role that exposure to industrial chemicals plays in the development of childhood disease. The USA and the European Union (EU) have taken divergent policy approaches to managing this issue, and economic estimates of disease costs attributable to environmental exposures in children are available in the USA but not the EU. We undertook the first economic evaluation of the impacts of childhood environmental chemical exposures in the EU. METHODS We used a cost-of-illness approach to estimate health care system costs, and used environmentally attributable fraction modelling to estimate the proportion of childhood disease due to environmental exposures. We analysed data on exposures, disease prevalence and costs at a country level, and then aggregated costs across EU member states to estimate overall economic impacts within the EU. RESULTS We found the combined environmentally attributable costs of lead exposure, methylmercury exposure, developmental disabilities, asthma and cancer to be $70.9 billion in 2008 (range: $58.9-$90.6 billion). These costs amounted to ~0.480% of the gross domestic product of the EU in 2008. CONCLUSIONS Childhood chemical exposures present a significant economic burden to the EU. Our study offers an important baseline of disease costs before the implementation of Registration, Evaluation and Authorization of Chemicals, which is important for studying the impacts of this policy regime.
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Affiliation(s)
- Emily S Bartlett
- 1 School of Geography and the Environment, Oxford University, Oxford, UK
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17
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Wallner P, Kundi M, Moshammer H, Scharf S, Schmutzer M, Weiss S, Hohenblum P, Hutter HP. Urinary levoglucosan levels in Austrian communities differing in agrarian quota. Int J Hyg Environ Health 2013; 216:280-3. [DOI: 10.1016/j.ijheh.2012.05.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2011] [Revised: 04/07/2012] [Accepted: 05/01/2012] [Indexed: 10/28/2022]
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18
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Scientific Opinion on the risk for public health related to the presence of mercury and methylmercury in food. EFSA J 2012. [DOI: 10.2903/j.efsa.2012.2985] [Citation(s) in RCA: 276] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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