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Bisphenol A exposure pathways in early childhood: Reviewing the need for improved risk assessment models
Bridget F Healy1,2,3, Karin R English1,3, Paul Jagals2
1Children's Health and Environment Program, Queensland Children's Medical Research Institute, Brisbane, Queensland, Australia.
Insights
Bisphenol A (BPA) exposure in children is linked to health issues, contrary to risk models. Non-dietary sources significantly contribute to this exposure, necessitating updated risk assessments for early childhood.
Area of Science:
- Environmental Health
- Pediatric Toxicology
- Endocrinology
Background:
- Bisphenol A (BPA) is a common plasticizer in household items and food packaging.
- Epidemiological studies suggest BPA exposure is associated with adverse child health outcomes like obesity and asthma.
- Existing risk assessments conflict with these findings, indicating potential underestimation of risk.
Purpose of the Study:
- To review evidence on BPA exposure sources and pathways in early childhood.
- To highlight the discrepancy between human studies and current risk assessment models.
- To emphasize the need for updated risk assessment frameworks for infants and toddlers.
Main Methods:
- Literature review of human epidemiological studies.
- Analysis of experimental models and human bio-monitoring data.
- Collating findings on exposure sources and pathways in young children.
Main Results:
- Non-dietary sources may significantly contribute to total daily BPA exposure in young children.
- Infants and toddlers possess unique exposure routes, physiology, and metabolism for endocrine-disrupting chemicals.
- Animal studies show conflicting safety data for BPA at environmentally relevant exposure levels.
Conclusions:
- Current risk assessment models may not adequately address BPA exposure and hazards in early childhood.
- Updated frameworks are recommended to specifically evaluate risks for infants and toddlers.
- Further research is needed to reconcile conflicting safety data and inform public health policies regarding BPA exposure.
Abstract:
Bisphenol A (BPA) is a plasticiser found in a number of household plastics, electronics, and food-packaging materials. Over the past 5 years, several human epidemiological studies have reported a positive association between BPA exposure and adverse health outcomes in children, including obesity, asthma, preterm birth, and neuro-behavioural disturbances. These findings are in conflict with international environmental risk assessment models, which predict daily exposure levels to BPA should not pose a risk to child health. The aim of this review is to provide an overview of the evidence for different exposure sources and potential exposure pathways of BPA in early childhood. By collating the findings from experimental models and exposure associations observed in human bio-monitoring studies, we affirm the potential for non-dietary sources to make a substantial contribution to total daily exposure in young children. Infants and toddlers have distinctive exposure sources, physiology, and metabolism of endocrine-disrupting chemicals. We recommend risk-assessment models implement new frameworks, which specifically address exposure and hazard in early childhood. This is particularly important for BPA, which is present in numerous products in the home and day-care environments, and for which animal studies report contradictory findings on its safety at environmentally relevant levels of exposure.
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