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PVC flooring is related to human uptake of phthalates in infants
F Carlstedt1, B A G Jönsson, C-G Bornehag
1Primary Care Research Unit, County Council of Värmland, Karlstad, Sweden. fredrik.carlstedt@liv.se
Insights
Polyvinyl chloride (PVC) flooring increases infant exposure to phthalates, which are endocrine-disrupting chemicals. This study links PVC flooring in bedrooms to higher phthalate metabolite levels in infants, highlighting environmental sources of exposure.
Area of Science:
- Environmental Health
- Toxicology
- Pediatrics
Background:
- Polyvinyl chloride (PVC) flooring is a source of phthalates, suspected endocrine-disrupting chemicals (EDCs), in indoor dust.
- Infant exposure to EDCs is a growing public health concern.
Purpose of the Study:
- To investigate the association between PVC flooring in the home and phthalate metabolite levels in infants.
- To identify environmental and lifestyle factors influencing phthalate exposure in early life.
Main Methods:
- Urinary phthalate metabolites (DEP, DBP, BBzP, DEHP) were measured in infants aged 2-6 months.
- Mothers completed questionnaires on indoor environmental factors and lifestyle.
- Infant phthalate metabolite levels were compared based on the presence of PVC flooring in bedrooms and feeding methods.
Main Results:
- Infants in bedrooms with PVC flooring had significantly higher levels of the BBzP metabolite (MBzP).
- Higher levels of DEHP metabolites (MEHHP, MEOHP) were observed in non-exclusively breast-fed infants compared to breast-fed infants.
- Urinary phthalate metabolite levels were associated with PVC flooring, infant body area, and infant formula use.
Conclusions:
- PVC flooring is a significant source of phthalate uptake in infants, beyond oral intake.
- Indoor building materials play a crucial role in phthalate exposure for children.
- Designing child-friendly indoor environments should consider the impact of materials like PVC.
Unlabelled:
Polyvinyl chloride (PVC) flooring material contains phthalates, and it has been shown that such materials are important sources for phthalates in indoor dust. Phthalates are suspected endocrine-disrupting chemicals (EDCs). Consecutive infants between 2 and 6 months old and their mothers were invited. A questionnaire about indoor environmental factors and family lifestyle was used. Urinary metabolites of the phthalates diethyl phthalate (DEP), dibutyl phthalate (DBP), butylbenzyl phthalate (BBzP), and dietylhexyl phthalate (DEHP) were measured in the urine of the children. Of 209 invited children, 110 (52%) participated. Urine samples were obtained from 83 of these. Urine levels of the BBzP metabolite monobenzyl phthalate (MBzP) was significantly higher in infants with PVC flooring in their bedrooms (P < 0.007) and related to the body area of the infant. Levels of the DEHP metabolites MEHHP (P < 0.01) and MEOHP (P < 0.04) were higher in the 2-month-old infants who were not exclusively breast-fed when compared with breast-fed children. The findings indicate that the use of soft PVC as flooring material may increase the human uptake of phthalates in infants. Urinary levels of phthalate metabolites during early life are associated with the use of PVC flooring in the bedroom, body area, and the use of infant formula.
Practical Implications:
This study shows that the uptake of phthalates is not only related to oral uptake from, for example, food but also to environmental factors such as building materials. This new information should be considered when designing indoor environment, especially for children.
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