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Published on: August 29, 2014
Duration of breastfeeding and serum PCB 153 concentrations in children
Kinga Lancz1, Irva Hertz-Picciotto2, Todd A Jusko3
1Slovak Medical University, Limbová 14, 83303 Bratislava, Slovakia.
Insights
This study introduces a new model to accurately assess infant exposure to polychlorinated biphenyls (PCBs) through breast milk. The improved method uses serum PCB 153 concentration at weaning to better understand dose-outcome relationships.
Area of Science:
- Environmental Health
- Toxicology
- Pediatrics
Background:
- Polychlorinated biphenyls (PCBs) are persistent, bioaccumulative toxins found in human breast milk.
- Infants are at risk of significant PCB exposure through breastfeeding.
- Current exposure estimations based solely on milk levels and duration may be inaccurate.
Purpose of the Study:
- To develop a more accurate method for assessing infant exposure to PCBs.
- To improve the validity of dose-outcome relationship assessments for PCBs.
Main Methods:
- Determined PCB 153 serum concentration at weaning in 305 breastfed infants.
- Utilized 5 time-point concentration measurements over 7 years and breastfeeding duration data.
- Developed a polynomial function to model PCB 153 serum concentration adjusted for cord serum levels.
Main Results:
- A polynomial function (Ctbf/C0=0.596+0.278t-0.0047t(2)) was derived to predict PCB 153 exposure.
- Adjustment of serum concentrations to cord serum levels enhanced exposure assessment validity.
- The model reliably predicts PCB 153 exposure in breastfed infants.
Conclusions:
- Serum PCB 153 concentration at weaning provides a reliable measure of infant exposure.
- Adjusting for cord serum concentration improves exposure assessment accuracy.
- This refined method is crucial for understanding PCB dose-outcome relationships in infants.
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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