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Published on: March 6, 2018
Potential Health Risk to Brazilian Infants by Polybrominated Diphenyl Ethers Exposure via Breast Milk Intake
Marília Cristina Oliveira Souza1, Paula Pícoli Devóz1, João Paulo Bianchi Ximenez1
1Analytical and System Toxicology Laboratory, Department of Clinical Analyses, Toxicology and Food Sciences, School of Pharmaceutical Sciences of Ribeirao Preto, University of Sao Paulo, Avenida do Cafe s/no, Ribeirao Preto 14040-903, Brazil.
Insights
Polybrominated diphenyl ethers (PBDEs) are found in Brazilian breast milk, with levels linked to maternal education and income. Infant exposure via breast milk is a concern, necessitating further research on developmental impacts.
Area of Science:
- Environmental Science
- Toxicology
- Public Health
Background:
- Polybrominated diphenyl ethers (PBDEs) are persistent flame retardants with known health risks, including endocrine disruption and neurotoxicity.
- Infant exposure to PBDEs begins prenatally and continues through breastfeeding, posing a significant public health concern.
- Factors influencing PBDE exposure in infants via breast milk are not well understood.
Purpose of the Study:
- To assess PBDE levels in Brazilian breast milk from 200 lactating women.
- To evaluate the risk of infant exposure through Estimated Daily Intake (EDI) calculations.
- To identify socio-demographic factors associated with PBDE levels in breast milk.
Main Methods:
- Breast milk samples were collected from 200 lactating women in Brazil.
- PBDE congeners were quantified using established analytical methods.
- Infant exposure was estimated using EDI calculations, with statistical analysis to identify associated factors.
Main Results:
- PBDEs were detected in all breast milk samples, with a geometric mean of 2.33 ng/g wet weight.
- 2,2',4,4'-tetrabromodiphenyl ether (BDE-47) had a 100% detection rate.
- Maternal education, salary, race, and location of residence were associated with higher PBDE levels (p < 0.05).
- Higher EDI for BDE-47 and total PBDEs was observed in Belo Horizonte compared to Viçosa.
Conclusions:
- PBDEs are prevalent in Brazilian breast milk, indicating widespread exposure.
- Socio-demographic factors significantly influence maternal PBDE body burden.
- Infant exposure levels warrant continued monitoring and research into potential impacts on fetal growth and neurodevelopment.
Abstract:
Polybrominated diphenyl ethers (PBDEs) are ubiquitous flame retardants and are environmentally persistent. PBDEs show endocrine disruption, neurotoxicity, and lower birth weight in infants, and their human body burden has become a public health concern. The infants' exposure begins in the prenatal period and continues via breast milk ingestion, although, little is known about the factors that may influence this exposure. In this study, PBDE levels in Brazilian breast milk were assessed in 200 lactating women. The risk assessment of infants' exposure to PBDE was performed through the estimated daily intake (EDI) calculation. The geometric mean (GM) of ∑PBDEs levels was 2.33 (0.14-6.05) ng/g wet weight. At least one PBDE congener was detected in the samples, and the 2,2',4,4'-tetrabromodiphenyl ether (BDE-47) showed a 100% of detection rate (GM of 1.05 ng/g). Location of residence, maternal level education, monthly salary, and race were positively associated with PBDE levels (p < 0.05). The EDI of BDE-47 was higher in Belo Horizonte (8.29 ng/kg/day) than in Viçosa (6.36 ng/kg/day), as well as for the ∑PBDEs (19.77 versus 12.78 ng/kg/day) (p < 0.05). Taking the high detection rate of PBDEs in breast milk and their toxicity, continuous studies on infant exposure, fetal growth, and child neurodevelopment are requested.
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