Abstract
The study objective was to determine if the healthy participants were exposed to diethyl phthalate (DEP) and di (2-ethylhexyl) phthalate (DEHP) and if this exposure could be linked to the development of metabolic syndrome. The study included 103 healthy volunteers of similar age with normal BMI values, waist circumference, total cholesterol, HDL, LDL, and triglycerides. DEP and DEHP were measured in the morning urine samples to detect monoethyl phthalate (MEP) and mono-2-ethylhexyl phthalate (MEHP). Two phthalate groups and a control group were formed. Both MEP group and control group had similar results. The correlations between MEP and the measured parameters were insignificant. The correlation between the MEHP group and the age was significantly negative, but between the MHEP group and the waist circumference the correlation was significantly positive. Lipids and lipoproteins were within the reference values and equal in both groups. The significant negative correlation was observed only between MEHP and HDL. Our population is exposed to DEP and DEHP. There was only a significant correlation between DEHP and the observed metabolic syndrome components. Its negative impact was higher as the participants were younger.
Similar content being viewed by others
References
Agus, H. H., Sümer, S., & Erkoç, F. (2015). Toxicity and molecular effects of di-n-butyl phthalate (DBP) on CYP1A, SOD, and GPx in Cyprinus carpio (common carp). Environmental Monitoring and Assessment, 187(7), 4622. doi:10.1007/s10661-015-4622-3.
Bajkin, I., Bjelica, A., Ičin, T., Dobrić, V., Kovačev Zavišić, B., & Medić Stojanoska, M. (2014). Effects of phthalatic acid esters on fetal health. Medicinski Pregled, LXVII(5-6), 172–175.
Birnbaum, S. L., & Schug, T. T. (2013). Phthalates in our food. Endocrine disruptors, 1(1), 1–5.
Braun, J. M., Smith, K. W., & Williams, P. L. (2012). Variability of urine phthalate metabolite an bisphenol a concentrations before and during pregnancy. Environmental Health Perspectives, 120, 739–745.
De Jonge, L., DeLany, J. P., Nguyen, T., Howard, J., Hadley, E. C., Redman, L. M., et al. (2007). Validation study of energy expenditure and intake during calorie restriction using doubly labeled water and changes in body composition. American Journal of Clinical Nutrition, 85, 73–79.
DeLany, J. P., Jakicic, J. M., Lowery, J. B., Hames, K. C., Kelley, D. E., & Goodpaster, B. H. (2014). African American women exhibit similar adherence to intervention but lose less weight due to lower energy requirements. International Journal of Obesity, 38, 1147–1152.
Diamanti-Kandarakis, E., Bourguignon, J. P., Giudice, C. L., Hauser, R., Prins, S. G., Soto, A. M., et al. (2009). Endocrine-disrupting chemicals: an endocrine society scientific statement. Endocrine Reviews, 30(4), 293–342.
Ebbeling, C. B., Pawlak, D. B., & Ludwig, D. S. (2002). Childhood obesity: public-health crisis, common sense cure. Lancet, 360, 473–482.
Feige, J. N., Gelman, L., Rossi, D., Zoete, V., Metivier, R., Tudor, C., et al. (2007). The endocrine disruptor monoethyl-hexyl-phthalate is a selective peroxisome proliferator-activated receptor gamma modulator that promotes adipogenesis. Journal of Biological Chemistry, 282, 19152–19166.
Goodpaster, B. H., DeLany, J. P., Otto, A. D., Kuller, L., Vockley, J., South-Paul, J. E., et al. (2010). Effects of diet and physical activity interventions on weight loss and cardiometabolic risk factors in severely obese adults: a randomized trial. JAMA, 304, 1795–1802.
Grun, F., & Blumberg, B. (2009). Endocrine disrupters as obesogens. Molecular and Cellular Endocrinology, 304, 19–29.
Hart, R., Doherty, D. A., Frederiksen, H., Keelan, J. A., Hickey, M., Sloboda, D., Pennell, C. E., Newnham, J. P., Skakkebaek, N. E., & Main, K. M. (2014). The influence of antenatal exposure to phthalates on subsequent female reproductive development in adolescence: a pilot study. Reproduction, 147(4), 379–390.
Hatch, E. E., Nelson, J. W., Qureshi, M. M., Weinberg, J., Moore, L. L., Singer, M., et al. (2008). Association of urinary phthalate metabolite concentrations with body mass index and waist circumference: a cross-sectional study of NHANES data, 1999–2002. Environmental Health, 7, 27–42.
Hauser, R., Meeker, J. D., Park, S., Silva, J. M., & Calafat, A. M. (2004). Temporal variability of urinary phthalate metabolit levels in men of reproductive age. Environmental Health Perspectives, 112, 1734–1740.
Hollis, J. F., Gullion, C. M., Stevens, V. J., Brantley, P. J., Appel, L. J., Ard, J. D., et al. (2008). Weight loss during the intensive intervention phase of the weight-loss maintenance trial. American Journal Preventive Medicine, 35, 118–126.
Kondo, F., Ikai, Y., Hayashi, R., Okumura, M., Takatori, S., Nakazawa, H., Izumi, S., & Makino, T. (2010). Determination of five phthalate monoesters in human urine using Gas chromatography-mass spectrometry. Bulletin of Environment Contamination and Toxicology, 85, 92–96.
Latini, G., De Felice, C., Presta, G., Del Vecchio, A., Paris, I., Ruggieri, F., et al. (2003). In utero exposure to di-(2-ethylhexyl)phthalate and duration of human pregnancy. Environmental Health Perspectives, 111, 1783–1785.
Legler, J., Fletcher, T., Govarts, E., Porta, M., Blumberg, B., Heindel, J. J., & Trasande, L. (2015). Obesity, diabetes, and associated costs of exposure to endocrine-disrupting chemicals in the european union. Journal of Clinical Endocrinology and Metabolism, 100(4), 1278–1288.
Makris, A., & Foster, G. D. (2011). Dietary approaches to the treatment of obesity. The Psychiatric Clinics of North America, 34, 813–827.
Meeker, D. J., Sathyanarayana, S., & Swan, H. S. (2009). Phthalates and other additives in plastics: human exposure and associated health outcomes. Philosopichal Transactions of the Royal Society B, 364, 2097–2113.
Mensah, G. A., Mokdad, A. H., Ford, E. S., Greenlund, K. J., & Croft, J. B. (2005). State of disparities in cardiovascular health in the United States. Circulation, 111, 1233–1241.
Rosenfield, L.R., Barnes, B.R., Ehramann, A.D. (2015). Hyperandrogenism, Hirsustism, and Polycystic Ovary Syndrome. in Jameson, J.L., De Groot, L.J.et al. Endocrinology: Adult and Pediatric (7th ed). Elselvier Saunders: 2275-2296.
Rudel, R. A., Gray, J. M., Engel, C. L., Rawsthorne, T. W., Dodson, R. E., Ackerman, J. M., et al. (2011). Food packaging and bisphenol A and bis(2-ethylhexyl)phthalate exposure: findings from a dietary intervention. Environmental Health Perspectives, 119, 914–920.
Silva, M. J., Barr, D. B., Reidy, J. A., Malek, N. A., Hodge, C. C., Caudill, S. P., et al. (2004). Urinary levels of seven phthalate metabolites in the U.S. population from the National Health and Nutrition Examination Survey (NHANES) 1999-2000. Environmental Health Perspectives, 112, 331–338.
Silva, M. J., Samandar, E., Preau, J. L., Jr., Reidy, J. A., Needham, L. L., & Calafat, A. M. (2007). Quantification of 22 phthalate metabolites in human urine. Journal of Chromatography B, 860, 106–112.
Stahlhut, R. W., Wijngaarden, E., Dye, T. D., Cook, S., & Swan, S. H. (2007). Concentrations of urinary phthalate metabolites Are associated with increased waist circumference and insulin resistance in adult U.S. Males. Environmental Health Perspectives, 115(6), 876–882.
Swedenborg, E., Ruegg, J., Makela, S., & Pongratz, I. (2009). Endocrine disruptive chemicals: mechanisms of action and involvement in metabolic disorders. Journal of Molecular Endocrinology, 43, 1–10.
Trasande, L., Zoeller, R. T., Hass, U., Kortenkamp, A., Grandjean, P., Myers, J. P., et al. (2015). Estimating burden and disease costs of exposure to endocrine-disrupting chemicals in the European Union. Journal of Clinical Endocrinology and Metabolism, 100(4), 1245–1255.
Boricic, K., Vasic, M., Grozdanov, J., Gudelj Rakic, J., Zivkovic Sulovic, M., Jacovic Knezevic, N., Jovanovic, V., et al. (2014). Determinante zdravlja.Zdravlje dece.in Ilic ,D. (ed). Rezultati istrazivanja zdravlja stanovnistva Srbije 2013 godine, Beograd, Institut za javno zdravlje Dr Milan Jovanovic Batut and Ministarstvo zdravlja Republike Srbije: 42-80.
Acknowledgments
This research has been financially supported by the Provincial Secretariat for Science and Technological Development, AP Vojvodina, Republic of Serbia, Grant No. 114-451-1094/2014.
Conflicts of interest
The authors declare no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Medic Stojanoska, M., Milankov, A., Vukovic, B. et al. Do diethyl phthalate (DEP) and di-2-ethylhexyl phthalate (DEHP) influence the metabolic syndrome parameters? Pilot study. Environ Monit Assess 187, 526 (2015). https://doi.org/10.1007/s10661-015-4754-5
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s10661-015-4754-5