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Published in: European Journal of Pediatrics 4/2019

01-04-2019 | Original Article

Preliminary study on bisphenol A levels and possible exposure history of mother and exclusively breastfed infant pairs

Authors: Ilker Ufuk Sayıcı, Filiz Simsek Orhon, Seda Topçu, Betul Ulukol, Sevgi Baskan

Published in: European Journal of Pediatrics | Issue 4/2019

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Abstract

The aims of this study were to determine bisphenol A (BPA) levels in breast milk and urine specimens of healthy mother and exclusively breastfed infant pairs having no known BPA exposure, and also to examine the relationship between BPA levels and possible BPA exposure history. Forty mothers and their 1–2-month-old exclusively breastfeed infant were included in the study. The questionnaires about sociodemographic characteristics and possible BPA exposure history were filled out. Breast milk and urine samples were taken. BPA analyses of these samples were conducted using high-performance liquid chromatography coupled with mass spectrometry. All mother-infant pairs showed detectable BPA concentrations. The geometric means of BPA levels in breast milk, maternal urine, and infant urine were determined as 0.12 μg/L (0.03–0.59), 0.12 μg/L (0.03–0.73), and 0.13 μg/L (0.02–0.44), respectively. Infants whose mothers were consuming yoghurt in plastic containers had relatively higher urinary BPA levels (p = 0.00). Mothers consuming hot beverages in plastic glass showed higher breast milk BPA levels (p = 0.033). There were no statistical associations between BPA levels and the use of plastic materials and tools (p > 0.05).
Conclusion: The measurable BPA concentrations in all breast milk specimens of healthy mothers may reflect possible exposure from dietary or non-dietary sources. Exclusively, breastfed healthy infants without any known BPA exposure may be exposed to BPA from their mothers through breastfeeding.
What is Known:
Fetuses, neonates and infants are exposed to BPA from their mothers through placental transfer and breastfeeding.
Breast milk is considered a continuous low-level exposure to BPA.
What is New:
BPA was detected in 100% of maternal urine, infant urine, and breast milk in healthy mother-infant pairs having no known BPA exposure.
The measurable amount of BPA in breast milk and infant urine may reflect possible BPA exposure of mother-infant pairs.
Literature
1.
go back to reference Andaluri G, Manickavachagam M, Suri R (2018) Plastic toys as a source of exposure to bisphenol-A and phthalates at child care facilities. Environ Monit Assess 190:65CrossRefPubMed Andaluri G, Manickavachagam M, Suri R (2018) Plastic toys as a source of exposure to bisphenol-A and phthalates at child care facilities. Environ Monit Assess 190:65CrossRefPubMed
2.
go back to reference Arbuckle TE, Davis K, Marro L, Fisher M, Legrand M, LeBlanc A, Gaudreau E, Foster WG, Choeurng V, Fraser WD, the MIREC Study Group (2014) Phthalate and bisphenol A exposure among pregnant women in Canada — results from the MIREC study. Environ Int 68:55–65CrossRefPubMed Arbuckle TE, Davis K, Marro L, Fisher M, Legrand M, LeBlanc A, Gaudreau E, Foster WG, Choeurng V, Fraser WD, the MIREC Study Group (2014) Phthalate and bisphenol A exposure among pregnant women in Canada — results from the MIREC study. Environ Int 68:55–65CrossRefPubMed
3.
go back to reference Arbuckle TE, Weiss L, Fisher M, Hauser R, Dumas P, Bérubé R, Neisa A, LeBlanc A, Lang C, Ayotte P, Walker M, Feeley M, Koniecki D, Tawagi G (2015) Maternal and infant exposure to environmental phenols as measured in multiple biological matrices. Sci Total Environ 508:575–584CrossRefPubMed Arbuckle TE, Weiss L, Fisher M, Hauser R, Dumas P, Bérubé R, Neisa A, LeBlanc A, Lang C, Ayotte P, Walker M, Feeley M, Koniecki D, Tawagi G (2015) Maternal and infant exposure to environmental phenols as measured in multiple biological matrices. Sci Total Environ 508:575–584CrossRefPubMed
4.
go back to reference Balakrishnan B, Henare K, Thorstensen EB, Ponnampalam AP, Mitchell MD (2010) Transfer of bisphenol A across the human placenta. Am J Obstet Gynecol 202(4):393.e1–393.e7CrossRef Balakrishnan B, Henare K, Thorstensen EB, Ponnampalam AP, Mitchell MD (2010) Transfer of bisphenol A across the human placenta. Am J Obstet Gynecol 202(4):393.e1–393.e7CrossRef
5.
go back to reference Braun J, Kalkbrenner AE, Calafat AM, Bernert JT, Ye X, Silva MJ, Barr DB, Sathyanarayana S, Lanphear B (2011) Variability and predictors of urinary bisphenol A concentrations during pregnancy. Environ Health Perspect 119(1):131–137CrossRefPubMed Braun J, Kalkbrenner AE, Calafat AM, Bernert JT, Ye X, Silva MJ, Barr DB, Sathyanarayana S, Lanphear B (2011) Variability and predictors of urinary bisphenol A concentrations during pregnancy. Environ Health Perspect 119(1):131–137CrossRefPubMed
6.
go back to reference Calafat AM, Slakman AR, Silva MJ, Herbert AR, Needham LL (2004) Automated solid phase extraction and quantitative analysis of human milk for 13 phthalate metabolites. J Chromatogr B Anal Technol Biomed Life Sci 805:49–56CrossRef Calafat AM, Slakman AR, Silva MJ, Herbert AR, Needham LL (2004) Automated solid phase extraction and quantitative analysis of human milk for 13 phthalate metabolites. J Chromatogr B Anal Technol Biomed Life Sci 805:49–56CrossRef
7.
go back to reference Calafat AM, Weuve J, Ye X, Jia LT, Hu H, Ringer S, Huttner K, Hauser R (2009) Exposure to bisphenol A and other phenols in neonatal intensive care unit premature infants. Environ Health Perspect 117(4):639–644CrossRefPubMed Calafat AM, Weuve J, Ye X, Jia LT, Hu H, Ringer S, Huttner K, Hauser R (2009) Exposure to bisphenol A and other phenols in neonatal intensive care unit premature infants. Environ Health Perspect 117(4):639–644CrossRefPubMed
8.
go back to reference Cao XL, Popovic S, Arbuckle TE, Fraser WD (2015) Determination of free and total bisphenol A in human milk samples from Canadian women using a sensitive and selective GC-MS method. Food Addit Contam Part A 32(1):120–125CrossRef Cao XL, Popovic S, Arbuckle TE, Fraser WD (2015) Determination of free and total bisphenol A in human milk samples from Canadian women using a sensitive and selective GC-MS method. Food Addit Contam Part A 32(1):120–125CrossRef
9.
go back to reference Chevalier N, Fénichel P (2015) Bisphenol A: targeting metabolic tissues. Rev Endocr Metab Disord 16:299–309CrossRefPubMed Chevalier N, Fénichel P (2015) Bisphenol A: targeting metabolic tissues. Rev Endocr Metab Disord 16:299–309CrossRefPubMed
10.
go back to reference Duty SM, Mendonca K, Hauser R, Calafat AM, Ye X, Meeker JD, Ackerman R, Cullinane J, Faller J, Ringer S (2013) Potential sources of bisphenol A in the neonatal intensive care unit. Pediatrics 131(3):483–489CrossRefPubMedPubMedCentral Duty SM, Mendonca K, Hauser R, Calafat AM, Ye X, Meeker JD, Ackerman R, Cullinane J, Faller J, Ringer S (2013) Potential sources of bisphenol A in the neonatal intensive care unit. Pediatrics 131(3):483–489CrossRefPubMedPubMedCentral
11.
go back to reference EFSA (2015) Scientific opinion on the risks to public health related to the presence of bisphenol A (BPA) in foodstuffs: executive summary. EFSA J 13:3978CrossRef EFSA (2015) Scientific opinion on the risks to public health related to the presence of bisphenol A (BPA) in foodstuffs: executive summary. EFSA J 13:3978CrossRef
12.
go back to reference Geens T, Aerts D, Berthot C, Bourguignon JP, Goeyens L, Lecomte P, Maghuin-Rogister G, Pironnet AM, Pussemier L, Scippo LM et al (2012) A review of dietary and non-dietary exposure to bisphenol-A. Food Chem Toxicol 50:3725–3740CrossRefPubMed Geens T, Aerts D, Berthot C, Bourguignon JP, Goeyens L, Lecomte P, Maghuin-Rogister G, Pironnet AM, Pussemier L, Scippo LM et al (2012) A review of dietary and non-dietary exposure to bisphenol-A. Food Chem Toxicol 50:3725–3740CrossRefPubMed
13.
go back to reference Georgescu B, Georgescu CE (2013) Bisphenol A levels in commercial milk, infant formula and dairy products. Anim Biol Anim Husb 5:171–174 Georgescu B, Georgescu CE (2013) Bisphenol A levels in commercial milk, infant formula and dairy products. Anim Biol Anim Husb 5:171–174
14.
go back to reference Hines EP, Mendola P, von Ehrenstein OS, Ye X, Calafat AM, Fenton SE (2015) Concentrations of environmental phenols and parabens in milk, urine and serum of lactating North Carolina women. Reprod Toxicol 54:120–128CrossRefPubMed Hines EP, Mendola P, von Ehrenstein OS, Ye X, Calafat AM, Fenton SE (2015) Concentrations of environmental phenols and parabens in milk, urine and serum of lactating North Carolina women. Reprod Toxicol 54:120–128CrossRefPubMed
15.
go back to reference Koch HM, Gonzalez-Reche LM, Angerer J (2003) On-line clean-up by multidimensional liquid chromatography-electrospray ionization tandem mass spectrometry for high throughput quantification of primary and secondary phthalate metabolites in human urine. J Chromatogr B Anal Technol Biomed Life Sci 784:169–182CrossRef Koch HM, Gonzalez-Reche LM, Angerer J (2003) On-line clean-up by multidimensional liquid chromatography-electrospray ionization tandem mass spectrometry for high throughput quantification of primary and secondary phthalate metabolites in human urine. J Chromatogr B Anal Technol Biomed Life Sci 784:169–182CrossRef
16.
go back to reference Lee BE, Park H, Hong YC, Ha M, Kim Y, Chang N, Kim BN, Kim YJ, Yu SD, Ha EH (2014) Prenatal bisphenol A and birth outcomes: MOCEH (mothers and children’s environmental health) study. Int J Hyg Environ Health 217:328–334CrossRefPubMed Lee BE, Park H, Hong YC, Ha M, Kim Y, Chang N, Kim BN, Kim YJ, Yu SD, Ha EH (2014) Prenatal bisphenol A and birth outcomes: MOCEH (mothers and children’s environmental health) study. Int J Hyg Environ Health 217:328–334CrossRefPubMed
17.
go back to reference Lee J, Choi K, Park J, Moon HB, Choi G, Lee JJ, Suh E, Kim HJ, Eune SE, Kim GH et al (2018) Bisphenol A distribution in serum, urine, placenta, breast milk, and umbilical cord serum in a birth panel of mother–neonate pairs. Sci Total Environ 626:1494–1501CrossRefPubMed Lee J, Choi K, Park J, Moon HB, Choi G, Lee JJ, Suh E, Kim HJ, Eune SE, Kim GH et al (2018) Bisphenol A distribution in serum, urine, placenta, breast milk, and umbilical cord serum in a birth panel of mother–neonate pairs. Sci Total Environ 626:1494–1501CrossRefPubMed
18.
go back to reference Mendonca K, Hauser R, Calafat AM, Arbuckle TE, Duty SM (2014) Bisphenol A concentrations in maternal breast milk and infant urine. Int Arch Occup Environ Health 87(1):13–20CrossRefPubMed Mendonca K, Hauser R, Calafat AM, Arbuckle TE, Duty SM (2014) Bisphenol A concentrations in maternal breast milk and infant urine. Int Arch Occup Environ Health 87(1):13–20CrossRefPubMed
19.
go back to reference Mercogliano R, Santonicola S (2018) Investigation on bisphenol A levels in human milk and dairy supply chain: a review. Food Chem Toxicol 114:98–107CrossRefPubMed Mercogliano R, Santonicola S (2018) Investigation on bisphenol A levels in human milk and dairy supply chain: a review. Food Chem Toxicol 114:98–107CrossRefPubMed
20.
go back to reference Migeot V, Dupuis A, Cariot A, Albouy-Llaty M, Pierre F, Rabouan S (2013) Bisphenol A and its chlorinated derivatives in human colostrum. Environ Sci Technol 47(23):13791–13797CrossRefPubMed Migeot V, Dupuis A, Cariot A, Albouy-Llaty M, Pierre F, Rabouan S (2013) Bisphenol A and its chlorinated derivatives in human colostrum. Environ Sci Technol 47(23):13791–13797CrossRefPubMed
21.
go back to reference Mikołajewska K, Stragierowicz J, Gromadzińska J (2015) Bisphenol A – application, sources of exposure and potential risks in infants, children and pregnant women. Int J Occup Med Environ Health 28(2):209–241PubMed Mikołajewska K, Stragierowicz J, Gromadzińska J (2015) Bisphenol A – application, sources of exposure and potential risks in infants, children and pregnant women. Int J Occup Med Environ Health 28(2):209–241PubMed
22.
go back to reference Nachman RM, Hartle JC, Lees PSJ, Groopman JD (2014) Early life metabolism of bisphenol A: a systematic review of the literature. Curr Environ Health Rep 1(1):90–100CrossRefPubMedPubMedCentral Nachman RM, Hartle JC, Lees PSJ, Groopman JD (2014) Early life metabolism of bisphenol A: a systematic review of the literature. Curr Environ Health Rep 1(1):90–100CrossRefPubMedPubMedCentral
23.
go back to reference Nakao T, Akiyama E, Kakutani H, Mizuno A, Aozasa O, Akai Y, Ohta S (2015) Levels of tetrabromobisphenol A, tribromobisphenol A, dibromobisphenol A, monobromobisphenol A, and bisphenol A in Japanese breast milk. Chem Res Toxicol 28(4):722–728CrossRefPubMed Nakao T, Akiyama E, Kakutani H, Mizuno A, Aozasa O, Akai Y, Ohta S (2015) Levels of tetrabromobisphenol A, tribromobisphenol A, dibromobisphenol A, monobromobisphenol A, and bisphenol A in Japanese breast milk. Chem Res Toxicol 28(4):722–728CrossRefPubMed
24.
go back to reference Rubin BS (2011) Bisphenol A: an endocrine disruptor with widespread exposure and multiple effects. J Steroid Biochem 127:27–34CrossRef Rubin BS (2011) Bisphenol A: an endocrine disruptor with widespread exposure and multiple effects. J Steroid Biochem 127:27–34CrossRef
25.
go back to reference Stefanidou M, Maravelias C, Spiliopoulou C (2009) Human exposure to endocrine disruptors and breast milk. Endocr Metab Immune Disord Drug Targets 9(3):269–276CrossRefPubMed Stefanidou M, Maravelias C, Spiliopoulou C (2009) Human exposure to endocrine disruptors and breast milk. Endocr Metab Immune Disord Drug Targets 9(3):269–276CrossRefPubMed
26.
go back to reference Vandenberg LN, Maffini MV, Sonnenschein C, Rubin BS, Soto AM (2009) Bisphenol-A and the great divide: a review of controversies in the field of endocrine disruption. Endocr Rev 30(1):75–95CrossRefPubMedPubMedCentral Vandenberg LN, Maffini MV, Sonnenschein C, Rubin BS, Soto AM (2009) Bisphenol-A and the great divide: a review of controversies in the field of endocrine disruption. Endocr Rev 30(1):75–95CrossRefPubMedPubMedCentral
27.
go back to reference Vandenberg LN, Chahoud I, Heindel JJ, Padmanabhan V, Paumgartten FJR, Schoenfelder G (2010) Urinary, circulating, and tissue biomonitoring studies indicate widespread exposure to bisphenol A. Environ Health Perspect 118:1055–1070CrossRefPubMedPubMedCentral Vandenberg LN, Chahoud I, Heindel JJ, Padmanabhan V, Paumgartten FJR, Schoenfelder G (2010) Urinary, circulating, and tissue biomonitoring studies indicate widespread exposure to bisphenol A. Environ Health Perspect 118:1055–1070CrossRefPubMedPubMedCentral
28.
go back to reference Völkel W, Kiranoglu M, Fromme H (2011) Determination of free and total bisphenol A in urine of infants. Environ Res 111:143–148CrossRefPubMed Völkel W, Kiranoglu M, Fromme H (2011) Determination of free and total bisphenol A in urine of infants. Environ Res 111:143–148CrossRefPubMed
29.
go back to reference WHO (World Health Organization). Joint FAO/WHO expert meeting to review toxicological and health aspects of bisphenol A: summary report including report of stakeholders meeting on bisphenol A1–5 November 2010, Ottawa, Canada WHO (World Health Organization). Joint FAO/WHO expert meeting to review toxicological and health aspects of bisphenol A: summary report including report of stakeholders meeting on bisphenol A1–5 November 2010, Ottawa, Canada
30.
go back to reference Ye X, Kuklenyik Z, Needham LL, Calafat AM (2005) Automated on-line column switching HPLC–MS/MS method with peak focusing for the determination of nine environmental phenols in urine. Anal Chem 77:5407–5413CrossRefPubMed Ye X, Kuklenyik Z, Needham LL, Calafat AM (2005) Automated on-line column switching HPLC–MS/MS method with peak focusing for the determination of nine environmental phenols in urine. Anal Chem 77:5407–5413CrossRefPubMed
31.
go back to reference Ye X, Bishop AM, Needham LL, Calafat AM (2008) Automated on-line column-switching HPLCMS/MS method with peak focusing for measuring parabens, triclosan, and other environmental phenols in human milk. Anal Chim Acta 622(1–2):150–156CrossRefPubMed Ye X, Bishop AM, Needham LL, Calafat AM (2008) Automated on-line column-switching HPLCMS/MS method with peak focusing for measuring parabens, triclosan, and other environmental phenols in human milk. Anal Chim Acta 622(1–2):150–156CrossRefPubMed
32.
go back to reference Yi B, Kim C, Park M, Han Y, Park JY, Yang M (2013) Association between endocrine disrupting phenols in colostrums and maternal and infant health. Int J Endocrinol Article ID 282381 Yi B, Kim C, Park M, Han Y, Park JY, Yang M (2013) Association between endocrine disrupting phenols in colostrums and maternal and infant health. Int J Endocrinol Article ID 282381
33.
go back to reference Zimmers SM, Browne EP, O’Keefe PW, Anderton DL, Kramer L, Reckhow DA, Arcaro KF (2014) Determination of free bisphenol A (BPA) concentrations in breast milk of U.S. women using a sensitive LC/MS/MS method. Chemosphere 104(Supplement C):237–243CrossRefPubMed Zimmers SM, Browne EP, O’Keefe PW, Anderton DL, Kramer L, Reckhow DA, Arcaro KF (2014) Determination of free bisphenol A (BPA) concentrations in breast milk of U.S. women using a sensitive LC/MS/MS method. Chemosphere 104(Supplement C):237–243CrossRefPubMed
Metadata
Title
Preliminary study on bisphenol A levels and possible exposure history of mother and exclusively breastfed infant pairs
Authors
Ilker Ufuk Sayıcı
Filiz Simsek Orhon
Seda Topçu
Betul Ulukol
Sevgi Baskan
Publication date
01-04-2019
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Pediatrics / Issue 4/2019
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-019-03329-4

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