Dietary patterns related to exposure to persistent organic pollutants based on the Ewha Birth and Growth Cohort
Hye Ah Lee1, Hyo Jeong Hwang2, Se Young Oh3
1Clinical Trial Center, Mokdong Hospital, Ewha Womans University, Seoul, Republic of Korea.
Insights
Dietary patterns significantly influence children's blood levels of persistent organic pollutants (POPs), which are endocrine disruptors. Specific food group intakes correlate with different POPs, highlighting potential intervention targets.
Area of Science:
- Environmental Health
- Pediatric Nutrition
- Toxicology
Background:
- Persistent organic pollutants (POPs) are endocrine-disrupting chemicals commonly ingested through diet.
- Understanding the relationship between dietary patterns and POP levels in children is crucial for public health.
- Previous research has not fully elucidated specific dietary links to various POPs in pediatric populations.
Purpose of the Study:
- To identify dietary patterns associated with blood levels of persistent organic pollutants (POPs) in Korean children.
- To investigate the specific food groups contributing to different types of POPs, including marker PCBs, dioxin-like PCBs, and OCPs.
- To assess the linear relationship between identified dietary patterns and measured POP concentrations in children's blood.
Main Methods:
- Utilized data from the Ewha Birth and Growth Cohort study, including 188 children aged 7-9 years.
- Employed a semi-quantitative food-frequency questionnaire to collect daily food intake data, categorized into 33 food groups.
- Applied reduced rank regression (RRR) analysis with blood POP levels as dependent variables to determine dietary patterns.
Main Results:
- A marker polychlorinated biphenyl (PCB) pattern was linked to higher intake of shellfish/salted seafood, cheese, nuts, and seeds.
- Dioxin-like PCB patterns correlated with increased consumption of yogurt, beverages, and fruit, and decreased intake of grains, seaweeds, and processed meat.
- Dietary pattern scores showed a significant linear association with blood POP levels, even after adjusting for covariates.
Conclusions:
- Specific dietary patterns are significantly associated with blood POP levels in children.
- Findings suggest that dietary interventions targeting specific food groups could help reduce POP exposure in children.
- Further research is warranted to develop effective intervention strategies for mitigating POPs in pediatric populations.
Abstract:
Persistent organic pollutants (POPs) are endocrine disruptors that are typically ingested in food. Using data from the Ewha Birth and Growth Cohort study, we identified dietary patterns related to blood persistent organic pollutant (POP) levels in children. In total, 188 Korean children (95 boys and 93 girls) aged 7-9 years were included in this study. Daily food intake data derived from a semi-quantitative food-frequency questionnaire were grouped into 33 food groups. Dietary patterns were analyzed using the reduced rank regression method, with blood POP levels as dependent variables. The marker polychlorinated biphenyl (PCB) pattern showed more weighted loading factors in the intake of shellfish/salted seafood, cheese, nuts and seeds, and total PCBs showed similar results. The dioxin-like PCB pattern was characterized by a higher intake of yogurt, beverages, and fruit and a lower intake of grain, seaweeds, and processed meat. Additionally, the total organochlorine pesticide (OCP) pattern showed positive factor loading values in shrimp and beverages, and negative factor loading values in seaweeds and processed meat. Each dietary pattern accounted for 25.0% of total OCPs, 22.9% of dioxin-like PCBs, 21.6% of marker PCBs, and 21.3% of total PCBs in blood. Dietary pattern scores were linearly related to blood POP levels, and this association remained after adjusting for sex, age, follow-up survey year, maternal educational level, body mass index, and total energy. Dietary patterns differed slightly among the individual POPs. Further studies are needed to develop an intervention strategy for children.
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