Public health evaluation of PFAS exposures and breastfeeding: a systematic literature review.


Journal

Toxicological sciences : an official journal of the Society of Toxicology
ISSN: 1096-0929
Titre abrégé: Toxicol Sci
Pays: United States
ID NLM: 9805461

Informations de publication

Date de publication:
28 07 2023
Historique:
pmc-release: 28 07 2024
medline: 31 7 2023
pubmed: 25 5 2023
entrez: 25 5 2023
Statut: ppublish

Résumé

Per- and polyfluoroalkyl substances (PFAS) are a class of man-made chemicals that are persistent in the environment. They can be transferred across the placenta to fetuses and through human milk to infants. The American Academy of Pediatrics advises that the benefits of breastfeeding infants almost always outweigh the potential risks of harm from environmental chemicals. However, there are few chemical-specific summaries of the potential harms of exposure to PFAS during the neonatal period through breastfeeding. This systematic review explores whether exposure to PFAS through breastfeeding is associated with adverse health outcomes among infants and children using evidence from human and animal studies. Systematic searches identified 4297 unique records from 7 databases. The review included 37 total articles, including 9 animal studies and 1 human study measuring the direct contribution of exposure of the infant or pup through milk for any health outcome. Animal studies provided evidence of associations between exposure to PFOA through breastfeeding and reduced early life body weight gain, mammary gland development, and thyroid hormone levels. They also provided limited evidence of associations between PFOS exposure through breastfeeding with reduced early life body weight gain and cellular changes in the hippocampus. The direct relevance of any of these outcomes to human health is uncertain, and it is possible that many adverse health effects of exposure through breastfeeding have not yet been studied. This review documents the current state of science and highlights the need for future research to guide clinicians making recommendations on infant feeding.

Identifiants

pubmed: 37228093
pii: 7179809
doi: 10.1093/toxsci/kfad053
pmc: PMC10527886
mid: NIHMS1916286
doi:

Substances chimiques

Fluorocarbons 0
Alkanesulfonic Acids 0
Environmental Pollutants 0

Types de publication

Systematic Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

121-137

Subventions

Organisme : Intramural CDC HHS
ID : CC999999
Pays : United States

Informations de copyright

Published by Oxford University Press on behalf of the Society of Toxicology 2023.

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Auteurs

Lydia Hoadley (L)

Agency for Toxic Substances and Disease Registry (ATSDR), Atlanta, Georgia 30341, USA.
Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, Tennessee 37830, USA.

Michelle Watters (M)

Agency for Toxic Substances and Disease Registry (ATSDR), Atlanta, Georgia 30341, USA.

Rachel Rogers (R)

Agency for Toxic Substances and Disease Registry (ATSDR), Atlanta, Georgia 30341, USA.

Lora Siegmann Werner (L)

Agency for Toxic Substances and Disease Registry (ATSDR), Atlanta, Georgia 30341, USA.

Karl V Markiewicz (KV)

Agency for Toxic Substances and Disease Registry (ATSDR), Atlanta, Georgia 30341, USA.

Tina Forrester (T)

Agency for Toxic Substances and Disease Registry (ATSDR), Atlanta, Georgia 30341, USA.

Eva D McLanahan (ED)

Agency for Toxic Substances and Disease Registry (ATSDR), Atlanta, Georgia 30341, USA.

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