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.

Environmental Research
|December 3, 2014
PubMed

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.

Related Concept Videos

Development of Human Microbiota01:30

Development of Human Microbiota

The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from...
53
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
373
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
513
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
895
Types of Toxins01:36

Types of Toxins

Humans continually engage with an environment rich in potentially harmful chemicals. These are introduced to our bodies through inhalation, ingestion, or skin contact. These chemicals exist in various forms, such as air and environmental pollutants, agricultural chemicals, organic solvents, and heavy metals.
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...
4.1K