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Phthalate exposure and pulmonary function
Jane A Hoppin1, Ross Ulmer, Stephanie J London
1Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health/DHHS, PO Box 12233, Research Triangle Park, NC 27709-2233, USA. hoppin1@niehs.nih.gov
Insights
Phthalate exposure, specifically monobutyl phthalate (MBP) and monoethyl phthalate (MEP), may negatively impact lung function in adult males. These chemicals are linked to reduced forced vital capacity (FVC) and forced expiratory volume (FEV1).
Area of Science:
- Environmental Health
- Toxicology
- Pulmonary Medicine
Background:
- Phthalates are common in consumer products, leading to widespread human exposure.
- Previous studies linked phthalate exposure to adverse respiratory outcomes in children.
Purpose of the Study:
- To investigate the association between urinary phthalate metabolites and pulmonary function in adults.
- To assess specific phthalates: monobutyl phthalate (MBP), monoethyl phthalate (MEP), and monoethylhexyl phthalate (MEHP).
Main Methods:
- Utilized data from 240 adult participants in the Third National Health and Nutrition Examination Survey (NHANES III).
- Measured urinary phthalate concentrations and four pulmonary function parameters (FVC, FEV1, PEF, maximum mid-expiratory flow).
- Employed linear regression models, controlling for demographic and lifestyle factors including smoking.
Main Results:
- Monobutyl phthalate (MBP) was significantly associated with reduced pulmonary function (FVC, FEV1, PEF) in adult males, but not females.
- Monoethyl phthalate (MEP) also showed associations with lower FVC and FEV1 in men.
- Monoethylhexyl phthalate (MEHP) did not demonstrate adverse associations with any pulmonary function parameters.
Conclusions:
- MBP and MEP exposure may negatively influence pulmonary function in adult males.
- The findings suggest sex-specific effects of certain phthalates on lung health.
- MEHP, a metabolite of a common plasticizer, was not found to impact pulmonary function in this study population.
Abstract:
Exposure to phthalates is widespread because of their use in plastics, cosmetics, and other consumer products. Phthalate exposure has been associated with adverse respiratory outcomes in children. With urinary phthalate measures, we assessed the association between phthalate exposure and four pulmonary function parameters [forced vital capacity (FVC), forced expiratory volume at 1 sec (FEV1), peak expiratory flow (PEF), and maximum mid-expiratory flow] among the 240 adult Third National Health and Nutrition Examination Survey (NHANES III) participants with urinary phthalate data. Linear regression models controlled for race, age, age squared, standing height, body mass index, cumulative smoking, and current smoking. Monobutyl phthalate (MBP) was significantly associated with decrements in three measures of pulmonary function (FVC, FEV1, PEF) in males but not in females. For a change from the 25th to the 75th percentile in MBP level among men, FEV1 decreased 112 mL (SE = 51, p = 0.03). Monoethyl phthalate (MEP) was associated with lower FVC and FEV1 values in men. Monoethylhexyl phthalate (MEHP), the metabolite of the plasticizer commonly used in medical tubing, was not adversely associated with any of the pulmonary function parameters evaluated. Our results suggest that MBP and MEP, but not MEHP, may influence pulmonary function among adult males.
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