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Published on Leave a comment on Vitamin D and Autism Spectrum Disorder?

This study found impressive results - improvement in autistic behaviors in children diagnosed with autism spectrum disorder (ASD) with four months of daily vitamin D supplementation. Children in the placebo group did not show improvement. A nice aspect of the study was that the children were randomly assigned  to a placebo or a vitamin D group (so that the groups were not self-selected) and it was double-blinded (so no one knew who was getting the vitamins - again to prevent bias). This was a preliminary study - meaning more studies are needed, but it would be amazing if these results hold up... From Science Daily:

Vitamin D supplements may benefit children with autism spectrum disorder

Studies have shown an association between the risk of autism spectrum disorder and vitamin D insufficiency. In this latest study, 109 children with autism spectrum disorder were randomized to receive four months of vitamin D3 supplementation or a placebo."Autism symptoms -- such as hyperactivity, social withdrawal, and others -- improved significantly following vitamin D3 supplementation but not after receiving placebo," said Dr. Khaled Saad, lead author of the Journal of Child Psychology and Psychiatry study.

Excerpts from the original study from  The Journal of Child Psychology and Psychiatry: Randomized controlled trial of vitamin D supplementation in children with autism spectrum disorder

Autism spectrum disorder (ASD) is a frequent developmental disorder characterized by pervasive deficits in social interaction, impairment in verbal and nonverbal communication, and stereotyped patterns of interests and activities. It has been previously reported that there is vitamin D deficiency in autistic children; however, there is a lack of randomized controlled trials of vitamin D supplementation in ASD children.

This study is a double-blinded, randomized clinical trial (RCT) that was conducted on 109 children with ASD (85 boys and 24 girls; aged 3–10 years). The aim of this study was to assess the effects of vitamin D supplementation on the core symptoms of autism in children. ASD patients were randomized to receive vitamin D3 or placebo for 4 months. The serum levels of 25-hydroxycholecalciferol (25 (OH)D) were measured at the beginning and at the end of the study. The autism severity and social maturity of the children were assessed by the Childhood Autism Rating Scale (CARS), .... 
Supplementation of vitamin D was well tolerated by the ASD children. The daily doses used in the therapy group was 300 IU vitamin D3/kg/day, not to exceed 5,000 IU/day. The autism symptoms of the children improved significantly, following 4-month vitamin D3 supplementation, but not in the placebo group. This study demonstrates the efficacy and tolerability of high doses of vitamin D3 in children with ASD.   

Recently, Wang et al. (2016) performed a systematic review and meta-analysis of all studies on serum concentration of 25 (OH)D in ASD (Wang et al., 2016). Eleven studies were included, accounting for a total of 870 ASD patients and 782 healthy controls. Serum levels of 25 (OH)D in participants with ASD were significantly lower than those in controls. They concluded that low vitamin D might serve as a risk factor for autism spectrum disorder (Wang et al., 2016). 

In a recent survey, our research group measured 25 (OH)D in 122 ASD children (3–9 years old) and 100 healthy children as controls (Saad, Abdel-Rahman, et al., 2015). The ASD group showed a significantly lower level of serum 25 (OH)D compared with the control group (p < .0001). The study found highly significant inverse correlations between serum 25 (OH)D levels and autism rating scales. In the second part of the previous study (Saad, AbdelRahman, et al., 2015), an open-label trial of 83 subjects who completed a 3-month therapy with high daily doses of vitamin D (300 IU/kg/day) was performed. Collectively, 80.7% of the children with ASD had significantly improved outcome, which was mainly in the sections of the CARS and ABC subscales that measure behavior, stereotypy, eye contact, and attention span (Saad, Abdel-Rahman, et al., 2015). 

Published on Leave a comment on Preventing Food Allergies In Children

Guidelines for how to prevent food allergies in children are changing. Until very recently, it was avoid, avoid, avoid exposing babies or young children to any potential allergens. Remember parents being advised that if an allergy to X (whether pets or food) runs in the family, then absolutely avoid exposing the child to the potential allergen? Well, recent research (here, here, and here) found that the opposite is true - that in the first year of life the baby should be exposed to potential allergens (whether animals or food) which stimulates the child's developing immune system in beneficial ways.

Physicians at a recent conference of allergists said that evidence shows that allergenic foods — including peanuts, eggs, and milk — should be introduced in the first year of life. The new 2017 medical guidelines will recommend introducing small amounts of peanuts (mixed in with other foods), when children are 4 to 6 months of age..

About two years ago a landmark study (LEAP study) found that when infants at a high risk of developing peanut allergy consumed peanuts on a regular basis, their risk of peanut allergy was dramatically reduced. And the opposite was also true: peanut avoidance in the first year of life was associated with a greater frequency of peanut allergy. Which made doctors start to rethink their strategies of how to avoid food allergies. From Medscape:

Allergenic Foods Should Be Introduced to Infants Early

Although the evidence shows that allergenic foods — including peanuts, eggs, and milk — should be introduced in the first year of life, guidelines are lagging behind, said an allergist speaking here at the American College of Allergy, Asthma & Immunology (ACAAI) 2016 Annual Scientific Meeting. Official guidelines to be issued early in 2017 will address only peanuts, recommending introduction when children are 4 to 6 months of age.

"There is now a large body of observation and trial data for other foods, including egg, that show that delaying the introduction of allergenic solids increases the risk of those particular food allergies," said Katrina Allen, MBBS, PhD, from the Murdoch Childrens Research Institute in Melbourne, Australia. Policy changes are needed to help guide parents' decisions, she said. In fact, there is evidence showing that changes to policy — namely, infant-feeding guidelines — mirror the rise in the incidence of food allergies.

Not everyone agrees on exposure amount and timing in the case of egg allergy. In a recent trial, researchers looked at the early introduction of allergenic foods in breast-fed children (N Engl J Med. 2016;374:1733-1743). The prevalence of any food allergy was significantly lower in the early-introduction group than in the standard-introduction group, as was the prevalence of peanut allergy and egg allergy. And a study Dr Allen was involved in, which introduced cooked egg in small amounts, showed that early introduction reduced allergy (J Allergy Clin Immunol. 2010;126:807-813).

However, in a German study, where greater amounts of egg were introduced at 4 to 6 months, early exposure increased the risk for life-threatening allergic reactions (J Allergy Clin Immunol. Published online August 12, 2016). And in the STEP study, there was no change in the number of food allergies in 1-year-old children when egg was introduced early (J Allergy Clin Immunol. Published online August 20, 2016). However, that did not take into account high-risk infants, particularly those with eczema, who are known to have a higher incidence of egg allergy and are likely to see a much greater benefit from the early introduction of egg.

The new peanut guidelines — coauthored by Amal Assa'ad, MD, from the Cincinnati Children's Hospital, who is chair of the ACAAI food allergy committee — will recommend that children with no eczema or egg allergy can be introduced to peanut-containing foods at home, according to the family's preference. And for children with mild to moderate eczema who have already started solid foods, the guidelines say that peanut-containing foods can be introduced at home at around 6 months of age, without the need for an evaluation. However, the guidelines caution, peanut-containing foods should not be the first solid food an infant tries, and an introduction should be made only when the child is healthy. The first feeding should not happen when the child has a cold, is vomiting, or has diarrhea or another illness.

For eggs, there is no official recommendation as of yet....The early introduction of allergenic foods is not the only policy that needs to be changed to lower the incidence of food allergies, Dr Allen told Medscape Medical News. Other factors, particularly environmental factors — mostly written up in observational studies — are contributing to an increasing intolerance to allergenic foods. Policies advocating that kids "get down and dirty," have more exposure to dogs, and bathe less are also warranted....Dr Allen and Dr Assa'ad agree that delaying the introduction of foods such cow's milk and egg until after 12 months is harmful. Guidelines should encourage families to introduce these foods in the first year of life, once solids have commenced at around 6 months, but not before 4 months.

Published on Leave a comment on Exposure To Harmful Chemicals During Pregnancy Shows Up In the Newborn

An important study was recently published that documents that when pregnant women are exposed to potentially harmful chemicals in the environment around them (environmental pollutants), many of these chemicals also get transferred to the fetus. Many of the 59 chemicals looked for were detected in the newborn babies' umbilical cords (thus the chemicals had crossed the placenta to the fetus during the pregnancy). Some chemicals were measured in higher levels in the umbilical cord than in the mother (as measured in her blood), while only cadmium appeared in mothers, but not in the umbilical cord (thus there was some protection for the fetus from that particular chemical).

This study did not look at the effects on the fetus and newborn from exposure to all these toxic chemicals - it just found that out of 59 chemicals tested for, the median number was 25 in maternal blood and 17 in umbilical cord blood. Eight of the 59 chemicals analyzed were detected in more than 90 percent of both the maternal and cord blood samples - and these included lead and mercury.

The researchers pointed out that no human studies have examined the developmental and reproductive health effects on the fetus and baby from being exposed to multiple chemicals simultaneously during pregnancy - which of course can have bigger risks and negative effects than being exposed to only one chemical at a time. Other studies have already shown that there are negative health effects (adverse neurodevelopmental effects) from a number of these chemicals, such as PCBs, PBDEs, Pb (lead) and Hg (mercury). Bottom line: No one really knows what these mixtures of chemicals do to the developing baby, but it is known that these chemicals have potential health risks. From Futurity:

Mom’s exposure to toxic chemicals shows up in newborn

Low-income and Latina pregnant women in a recent study had widespread exposure to environmental pollutants. In addition, many of the toxins showed up at even higher levels in their newborns. The study is the first in the United States to measure exposure to 59 toxic chemicals in pregnant women and their newborns.

“Pregnant women in the US are exposed to many harmful industrial chemicals that have been linked to premature birth, low birth weight, and birth defects, but estimates of how efficiently pollutants are transferred from mother to fetus have varied widely,” says Tracey Woodruff, professor of obstetrics, gynecology, and reproductive sciences and the Philip R. Lee Institute for Health Policy Studies at the University of California, San Francisco. “Our findings have found that many chemicals do indeed accumulate in the fetal environment and are absorbed at greater levels by fetuses than by the pregnant women themselves. This may have significant consequences for the growing fetus, since many of these chemicals are known to affect development.”

Researchers measured polychlorinated biphenyls (PCBs), organochlorine pesticides (OCPs), polybrominated diphenyl ethers (PBDEs), perfluorinated compounds (PFCs), mercury, and lead, among other chemicals. These industrial pollutants are common in the environment, and in previous studies many have been detected in greater than 99 percent of US pregnant women, according to National Health and Nutrition Examination Survey (NHANES) data.

“Contrary to previous research, we found evidence that several PCBs and OCPs were often higher in umbilical cord samples than in maternal blood samples,” says Rachel Morello-Frosch,  professor of environmental science, policy and management at the University of California, Berkeley. The study also found that concentrations of mercury and certain PBDEs were often higher in umbilical cord samples than in maternal samples, and for most PFCs and lead, cord blood concentrations were generally equal to or lower than maternal concentrations, which is consistent with previous research.

Almost 80 percent of the chemicals detected in maternal blood samples were also detected in the umbilical cord blood samples, indicating that they passed through the placenta and entered the fetal environment, where they can pose a health risk to the developing baby. For those chemicals detected in at least 20 paired maternal and umbilical cord samples, 77 percent had significant correlations between maternal and umbilical cord concentrations.

The women in the study were participating in the Chemicals in Our Bodies Study, also referred to as the Maternal and Infant Environmental Exposure Project. Of the women participating in the current study, 95 percent had a combined annual household income of less than $40,000, two-thirds were Latina, and a third were born in Mexico, where they may have had less exposure to environmental toxics like the PBDEs found in flame retardants that have been widely used in the US. This demographic is often not well-represented in larger biomonitoring studies, such as NHANES, that form the basis of most of what is known about pregnant women’s exposure to environmental toxics nationally.

The study also provides a first indication of how several different classes of environmental chemicals found in a pregnant woman’s blood are also present in the newborn....From 2010 to 2011, researchers collected maternal blood samples from 77 pregnant women at Zuckerberg San Francisco General. Once they delivered their babies, researchers collected umbilical cord blood samples from 65 of these women. Of those samples tested for all 59 chemicals, the median number was 25 in maternal blood and 17 in umbilical cord blood. Eight of the 59 chemicals analyzed were detected in more than 90 percent of both the maternal and cord blood samples. 

Published on Leave a comment on Rare and Deadly Complication From Measles

Image result for measles wikipedia An always fatal measles complication appears to be occurring at higher rates than experts originally thought. New research found that the chance of a baby before age 1 getting measles and then the later deadly complication of subacute sclerosing panencephalitis (SSPE) is 1 in 609, while if the child got measles under the age of 5, the rate of SSPE was one in 1,367 children.

SSPE is a neurological disorder that is a rare long-term complication of measles, typically appearing 4 to 8 years after the measles infection. First there are behavior changes, and later seizures, which progressively get more severe. Death usually occurs between 1 and 3 years after diagnosis. The researchers said that many of the patients studied had been vaccinated on time, but had measles in the first year of life, before the vaccine could be given. This rare disorder is a good reason to get the measles vaccine, but it was apparently too late for those that were diagnosed with measles or a "measles-like rash and illness" in the first 12 months of life.

What to do? Children should get measles vaccine at the normal time (12 to 15 months of age), but infants between 6 and 11 months should get the measles vaccine prior to travel to an area with measles. Infants younger than that should not travel to an area with measles. The researchers pointed out that SSPE demonstrates the "high human cost of “natural” measles immunity". As the researcher Dr. james Cherry said: "The new findings are "really frightening." Yup. From Live Science:

Deadly Measles Complication More Common Than Doctors Thought

A deadly complication of the measles, which can occur years after a person is infected with the virus, is more common than researchers previously thought, according to a new study. The complication, called subacute sclerosing panencephalitis (SSPE), is a progressive neurological disorder that involves inflammation in the brain.

People with SSPE die, on average, within one or two years of being diagnosed with the disease. Some people may live longer, but the condition is always fatal, according to the U.S. National Library of Medicine.

Previously, researchers thought the risk of post-measles SSPE was one in 100,000, according to the study. But the new analysis suggests that kids who get the measles before age 5 have a one in 1,387 chance of developing SSPE, and kids who get the measles before age 1 have a one in 609 chance. In the study, the researchers looked at all of the cases of SSPE in California that occurred between 1998 and 2015, identifying 17 cases. The children were diagnosed with SSPE, on average, at age 12, the researchers found. However, some children were diagnosed when they were as young as age 3, and others, as old as age 35.

When someone gets sick with the measles, the body usually rids itself of the virus in about 14 days. In rare cases, however, the virus can spread to the brain but go dormant. Scientists don't know why the virus becomes active again, but if it does, it leads to SSPE.  SSPE is thought to occur in three stages, study senior author Dr. James Cherry, a distinguished research professor of pediatrics at the David Geffen School of Medicine at the University of California, Los Angeles, said at a press conference today (Oct. 28), here at IDWeek 2016, a meeting of several organizations focused on infectious diseases.

In the first stage, a person with SSPE may act a little differently, Cherry said. If the patient is a child in school, he or she may not do as well, or may act aggressively, Cherry said. The behavioral changes can be subtle, he added. In the second stage of SSPE, a person will have seizures, Cherry said. These seizures can be subtle at first; for example, a person may faint, but in fact he or she is having a seizure, Cherry said. As the disease progresses, the seizures become more common and more pronounced, he said. In the final stage, seizures occur constantly, and the person eventually becomes comatose, Cherry said. Of the 17 cases of people with SSPE identified in the new study, 16 have died and one person is receiving hospice care, Cherry said.

Indeed, the measles vaccine is the only surefire way to prevent this type of infection, Marshall said. However, because the first dose of the measles vaccine isn't given until a child is between 12 and 15 months old, children younger than 1 year are susceptible to the disease. To protect these children, as well as people who, due to medical reasons, can't be vaccinated, everyone else needs to get the vaccine, Cherry said. This would create herd immunity, he said. Herd immunity is what protects babies, Marshall said at the press conference. But there's a threshold to herd immunity, he added. If the proportion of people who are vaccinated dips below a certain rate, herd immunity no longer comes into effect, he said.

Image result for measles wikipedia An electron micrograph of the measles virus. Credit:Wikipedia

Image result for measles wikipedia Child showing a 4-day measles rash. Credit: Wikipedia

Published on Leave a comment on Youth Football Players Have Brain Changes After One Season

Another study finding brain changes from playing tackle football - this time measurable brain changes were found in boys 8 to 13 years old after just one season of playing football. None of the boys had received a concussion diagnosis during the season. The changes in the white matter of the brain (and detected with magnetic resonance imaging (MRI) were from the cumulative subconcussive head impacts that occur in football - the result of repetitive hits to the head during games and practices.

No one knows if the brains of football players fully recover after the football season. But these findings are worrisome. Especially because last year researchers found that NFL players who had begun playing  football before age 12 had a higher risk of altered brain development, as compared to players who started later (see post). Currently nearly 3 million students participate in youth tackle football programs across the United States. Some are calling for young players to only play flag or touch football, and to only play tackle football starting with the teenage years. From Science Daily:

Brain changes seen in youth football players without concussion

Researchers have found measurable brain changes in children after a single season of playing youth football, even without a concussion diagnosis, according to a new study published online in the journal Radiology.

"Most investigators believe that concussions are bad for the brain, but what about the hundreds of head impacts during a season of football that don't lead to a clinically diagnosed concussion? We wanted to see if cumulative sub-concussive head impacts have any effects on the developing brain," said the study's lead author, Christopher T. Whitlow, M.D., Ph.D., M.H.A., associate professor and chief of neuroradiology at Wake Forest School of Medicine in Winston-Salem, N.C.

The research team studied 25 male youth football players between the ages of 8 and 13. Head impact data were recorded using the Head Impact Telemetry System (HITs), which has been used in other studies of high school and collegiate football to assess the frequency and severity of helmet impacts....The study participants underwent pre- and post-season evaluation with multimodal neuroimaging, including diffusion tensor imaging (DTI) of the brain. DTI is an advanced MRI technique, which identifies microstructural changes in the brain's white matter. 

The brain's white matter is composed of millions of nerve fibers called axons that act like communication cables connecting various regions of the brain. Diffusion tensor imaging produces a measurement, called fractional anisotropy (FA), of the movement of water molecules in the brain and along axons. In healthy white matter, the direction of water movement is fairly uniform and measures high in FA. When water movement is more random, FA values decrease, which has been associated with brain abnormalities in some studies.

The results showed a significant relationship between head impacts and decreased FA in specific white matter tracts and tract terminals, where white and gray matters meet. "We found that these young players who experienced more cumulative head impact exposure had more changes in brain white matter, specifically decreased FA, in specific parts of the brain," Dr. Whitlow said. "These decreases in FA caught our attention, because similar changes in FA have been reported in the setting of mild TBI."

It is important to note that none of the players had any signs or symptoms of concussion."We do not know if there are important functional changes related to these findings, or if these effects will be associated with any negative long-term outcomes," Dr. Whitlow said. "Football is a physical sport, and players may have many physical changes after a season of play that completely resolve. These changes in the brain may also simply resolve with little consequence. However, more research is needed to understand the meaning of these changes to the long-term health of our youngest athletes." [Original study]

Published on Leave a comment on Lower Lead Levels With Iron Fortified Foods

Lead exposure is a big problem for children throughout the United States and the rest of the world - whether lead from plumbing, lead paint, lead solder, and even from nearby mining. There are no safe levels of lead in children (best is zero) because it is a neurotoxicant - thus it can permanently lower IQ scores as well as other neurological effects. More lead gets absorbed if the person also has an iron deficiency than if the person has normal iron levels.

This study found that simply eating iron fortified biscuits daily lowered lead levels (and improved iron levels) in children during a several month period. Two types of iron supplements were tested, and it was found that sodium iron EDTA (which is commonly added to foods) worked better than iron sulphate. The CDC (Centers for Disease Control) recommend eating foods high in calcium, iron, and vitamin C to lower iron absorption. From Science Daily:

Iron supplements in the fight against lead

Lead is a toxic heavy metal that was added to gasoline for use in cars until as recently as 25 years ago. It is particularly harmful to the developing brains of infants, children and teenagers, and the damage it does is irreversible. The situation becomes significantly worse if people are exposed to a high level of lead at the same time as they are suffering from iron deficiency. In the small intestine, lead and iron bind to the same transport protein, which absorbs the metals into the bloodstream. If someone consumes too little iron with their food, the transporter increases its activity, and can carry lead into the bloodstream instead, leading to increased levels of the toxic heavy metal in the body and brain.

A team of researchers led by ETH professor Michael B. Zimmermann from the Laboratory of Human Nutrition have now shown in a study that fortifying food with iron produces a striking reduction in blood lead concentration in children exposed to high levels of the metal. This is the result of a trial involving over 450 children carried out by Zimmermann's former doctoral student Raschida Bouhouch and colleagues in southern Morocco.....Mining in the surrounding area meant that children of preschool and school age were exposed to an increased quantity of lead. At the same time, the level of iron in their blood was relatively low, placing them in a high-risk group.

Depending on their weight, the children were given several white-flour biscuits on a daily basis for a period of four and a half months. The biscuits were fortified with different iron preparations: some received biscuits containing a specific quantity of iron sulphate, while others received biscuits with sodium iron EDTA or sodium EDTA without iron. To test the effect of the iron supplements, some children received only placebo biscuits containing no additional iron. EDTA, which stands for ethylene diamine tetraacetic acid, forms stable complexes with iron, aiding its uptake into the bloodstream from the intestines, but it is not absorbed itself. EDTA can also bind to lead in the intestines, reducing its absorption....Sodium iron EDTA has already been used for iron fortification in foodstuffs for many years.

The researchers measured the children's blood lead concentration and iron status before and after the trial, as well as conducting tests to determine how well the children could solve cognitive tasks. The researchers were delighted to find that the biscuits fortified with iron did indeed reduce the level of lead in the blood -- specifically, by a third with sodium iron EDTA complexes and by a quarter with EDTA and iron sulphate.

Before the study began, the children's blood contained on average 4.3 micrograms of lead per decilitre. Biscuits with added sodium iron EDTA facilitated a reduction in blood lead concentration to 2.9 micrograms per decilitre. The biscuits also brought about an improvement in the children's iron status. On the other hand, the reduction in lead concentration had no effect on cognitive performance, as the researchers discovered during the corresponding tests. Although, contrary to the researchers' expectations, the children's blood lead concentration before supplementation with iron was in line with the worldwide average at 4.3 micrograms per decilitre of blood, it was still possible to achieve a considerable reduction by administering the biscuits.  

Published on Leave a comment on Exposure to Common Chemicals Costs the US $340 Billion Each Year

Many articles have been written about endocrine disrupting chemicals and the numerous health problems they're linked to (see posts on them). It's been known for decades that endocrine-disrupting chemicals pose a danger to human health because the compounds can interfere with natural hormone function. Chemical exposure occurs through routine contact with plastic bottles, vinyl items, toys, food cans, cosmetics, flame retardants, and other consumer products containing "endocrine-disrupting chemicals". We ingest, breathe them in (inhalation), or absorb them through the skin as consumer products are used and also as consumer products break down (the dust).

Finally a study examines the financial cost of these chemicals - an estimate of more than $340 billion annually due to health care costs and lost wages (the authors say this is a conservative estimate). What can ordinary people do to lower their exposure to these chemicals? Avoid the use of pesticides in the home, lawns, and gardens. Eat as much organic foods as possible. Avoid buying food in cans, including soda. Store food in glass and stainless steel containers. Avoid microwaving in plastic containers (use glass instead). Avoid plastic bottles with the numbers 3, 6, and 7 on the bottom. Avoid vinyl items such as vinyl shower curtains and vinyl toys. Avoid fragrances (get unscented products). Read labels on lotions, shampoos, soaps, make-up - avoid phthalates and parabens. Avoid flame retardants (check the labels on new upholstered furniture). Avoid non-stick pots, avoid stain-repellant items, avoid air fresheners and dryer sheets. And that's just a partial list....From Environmental Health News:

Toxic economy: Common chemicals cost US billions every year

Exposure to chemicals in pesticides, toys, makeup, food packaging and detergents costs the U.S. more than $340 billion annually due to health care costs and lost wages, according to a new analysis. The chemicals, known as endocrine disruptors, impact how human hormones function and have been linked to a variety of health problems such as impaired brain development, lower IQs, behavior problems, infertility, birth defects, obesity and diabetes. The findings, researchers say, "document the urgent public threat posed by endocrine disrupting chemicals.”   ...continue reading "Exposure to Common Chemicals Costs the US $340 Billion Each Year"

Published on Leave a comment on Endocrine Disruptors In Fast Food

Recent research examined levels of endocrine disruptors called phthalates in people eating fast food. Researchers found evidence of a dose–response relationship between fast food intake and exposure to phthalates - the more one eats fast food, the more phthalates (actually metabolites of the phthalates) can be measured in the person's urine. Fast food consumers had higher urinary levels of the phthalates DEHP, DiNP, and BPA than those not consuming fast food (even though the differences in levels of BPA among groups were "non-significant"). This is of concern because these endocrine disruptors are linked to a number of health problems. (Earlier discussion of this research.)

DEHP, DiNP, and BPA are detected in over 90% of the population in the US, but since there are many health concerns - it is better to have lower levels than higher levels. (Zero levels would be best). Note that phthalates and BPA are quickly metabolized and excreted in urine, with elimination half-lives of less than 24 hr - which is why the study looked at what had been eaten in the last 24 hours. But this also shows that one can quickly reduce their levels in the body.

Some possible sources of phthalate contamination in fast food are: PVC tubing, vinyl gloves used for food handling, and food packaging, including beverage cans - the chemicals leach or migrate out into the food and then are ingested. (More on chemicals migrating from containers to food), Fast food was defined as food obtained from restaurants without waiter service and from pizza restaurants, as well as all carry-out and delivery food. Another excellent reason to cut back on fast food (like we don't have enough reasons already!). The following news report discusses the research. From Environmental Health Perspectives:

Phthalates in Fast Food: A Potential Dietary Source of Exposure

Many research studies have surveyed nutritional habits, but fewer have studied how food processing and packaging might introduce unwanted chemicals into foods. In this issue of EHP, researchers report that fast food consumption appears to be one source of exposure to the chemicals di(2-ethylhexyl) phthalate (DEHP) and diisononyl phthalate (DiNP).1

The authors used data from the National Health and Nutrition Examination Survey (NHANES) to estimate the percentage of individuals’ calories that came from fast food, fat intake attributable to fast food consumption, and fast food intake by food group. During NHANES interviews, respondents had reported their diet from the preceding 24 hours. Fast food was defined as food obtained from restaurants without waiter service and from pizza restaurants, as well as all carryout and delivery food.2 ....The final study population included nearly 9,000 people aged 6 years or older. Approximately one-third of people surveyed had eaten fast food in the preceding 24 hours. Study participants who ate fast food were more likely to be male, under age 40, and non-Hispanic black, and to have higher total calorie and total fat intake from fast food, compared with the general population.1

Fast food consumers had higher urinary levels of DEHP, DiNP, and BPA than non-consumers, although the differences in average urinary levels were small and for BPA were non-significant. When fast food intake was categorized by food group, DEHP metabolites were associated with intake of grains and “other” (a category that included vegetables, condiments, potato items, beverages, and more). DiNP metabolites were associated with intake of meat and grains.1

The authors also found that the associations between phthalates and fast food were not uniform across the population.1They speculate that the pronounced association they saw between fast food consumption and DEHP in black consumers could reflect higher overall consumption of fast food and/or different food choices among this population. Prior research suggests that predominately black neighborhoods in urban areas have a greater density of fast food restaurants than white neighborhoods.3

The authors point to PVC tubing, vinyl gloves used for food handling, and food packaging as possible sources of phthalate contamination in fast food. DEHP is a ubiquitous high-molecular-weight phthalate that has been removed from some products due to concerns about potential adverse health effects.5 In some cases it is being replaced with DiNP.2

The related Environmental Health Perspectives research article:  Recent Fast Food Consumption and Bisphenol A and Phthalates Exposures among the U.S. Population in NHANES, 2003–2010

Experimental animal studies demonstrate that DEHP and DiNP have endocrine-disrupting properties because of their anti-androgenic effects on the male reproductive system (National Research Council 2008). Human exposure to DEHP has been associated with adverse reproductive, neurobehavioral, and respiratory outcomes in children (Braun et al. 2013; Ejaredar et al. 2015) and metabolic disease risk factors such as insulin resistance in adolescents and adults (James-Todd et al. 2012; Attina and Trasande 2015). Though epidemiologic evidence of DiNP is less complete, recent studies report associations between exposure and similar health outcomes including adverse respiratory and metabolic outcomes in children (Bertelsen et al. 2013; Attina and Trasande 2015). BPA is also a suspected endocrine disrupter, and experimental and human evidence suggest that BPA is a reproductive toxicant (Peretz et al. 2014). In addition, prenatal BPA exposure has also been associated with adverse neurobehavioral outcomes in children (Mustieles et al. 2015).

Given the concern over chemical toxicity, it is important to identify modifiable sources of exposure that may be targeted for exposure reduction strategies. Simulated exposure modeling, observational epidemiologic studies, and intervention studies all suggest that diet is an important exposure pathway for both high-molecular-weight phthalates and BPA.....Phthalates have been shown to leach into food from PVC in materials like tubing used in the milking process, lid gaskets, food preparation gloves, conveyor belts and food packaging materials (Cao 2010;Serrano et al. 2014). In fact, an intervention study reported that urinary BPA and DEHP were reduced by 66% and 53–56%, respectively, when participants’ diets were restricted to food with limited packaging (Rudel et al. 2011). Foods high in fat, such as dairy and meat, may be more contaminated by high-molecular-weight phthalates that are more lipophilic such as DEHP (Serrano et al. 2014). Fast food may be an important source of exposure to phthalates and BPA because it is highly processed, packaged, and handled.

Published on Leave a comment on Building Blocks Are Important Toys For Children

This study reinforces (once again) that actively playing with toy blocks is good for developing the spatial skills and spatial abilities of children. Other studies have shown that playing with puzzles and actively going out and exploring their environment (like riding a bicycle around the neighborhood) are also good for developing spatial skills and spatial abilities. For both boys and girls. Even though unfortunately this study only looked at 8 year old boys. (Hey, where were the girls???) Remember that playing is how children learn, and helping develop spatial skills is good for math, science, and technology. So get out the Legos and toy blocks and encourage children to play and build! From Medical Xpress:

Neuroimaging study: Building blocks activate spatial ability in children better than board games

Research from Indiana University has found that structured block-building games improve spatial abilities in children to a greater degree than board games. The study, which appears in the journal Frontiers in Psychology, measured the relative impact of two games—a structured block-building game and a word-spelling board game—on children's spatial processing, including mental rotation, which involves visualizing what an object will look like after it is rotated. The research lends new support to the idea that such block games might help children develop spatial skills needed in science- and math-oriented disciplines.

Block play changed brain activation patterns," Newman said. "It changed the way the children were solving the mental rotation problems; we saw increased activation in regions that have been linked to spatial processing only in the building blocks group." The structured block-building game used for the study was called "Blocks Rock"; the board game was Scrabble.

The research builds upon previous studies that have shown that children who frequently participate in activities such as block play, puzzles and board games have higher spatial ability than those who participate more in activities such as drawing, riding bikes, or playing with trucks and sound-producing toys.

It is also demonstrates that training on one visuo-spatial task can transfer to other tasks. In this instance, training on the structured block-building game resulted in transfer to mental rotation performance.....To conduct the study, IU researchers placed 28 8-year-olds in a magnetic resonance imaging scanner before and after playing one of the two games. Play sessions were conducted for 30 minutes over the course of five days.

There were no differences in mental rotation performance between the two groups in either the brain activation or performance during the first rotation test and scan. But the block play group showed a change in activation in regions linked to both motor and spatial processing during the second scan. The group who played board games failed to show any significant change in brain activation between the pre- and post-game scans, or any significant improvement on the mental rotation test results.

 Scans of the children's brains show increased activation in the anterior lobe of the cerebellum and the parahippocampus during the second mental rotation test, which was administered after they played with blocks. Credit: Indiana University

Published on Leave a comment on What’s In Your Household Dust?

Ten chemicals suspected or known to harm human health are present in more than 90% of U.S. household dust samples, according to a new study. The research adds to a growing body of evidence showing the dangers posed by exposure to chemicals we are exposed to on a daily basis. The chemicals come from a variety of household goods, including toys, cosmetics, personal care products, furniture, electronics, nonstick cookware, food packaging, floor coverings, some clothing (e.g., stain resistant), building materials, and cleaning products. How do the chemicals get into the dust? The chemicals can leach, migrate, abrade, or off-gas from the products, which winds up in the dust and  results in human exposure. (That's right:  vacuum a lot and wash your hands a lot, and try to avoid or cut  back use of products with these chemicals,)

What was found in the dust? The main chemicals were: phthalates — a group of chemicals that includes DEP, DEHP, DNBP and DIBP (these were present in the highest concentrations),  highly fluorinated chemicals (HFCs), flame retardants (both old and newer replacement ones), synthetic fragrances, and phenols. These chemicals are known to have various adverse health effects, including endocrine disruption, cancer, neurological, immune, and developmental effects. (See posts on endocrine disruptors and flame retardants) Studies typically study one chemical at a time, but household dust contains MIXTURES of these chemicals with effects unknown. How does it get into us? Inhalation, ingestion, and through skin contact. And while the levels we are exposed to may be low, research is showing that even low level exposure can have adverse health effects. From Medical Xpress:

Potentially harmful chemicals widespread in household dust

Household dust exposes people to a wide range of toxic chemicals from everyday products, according to a study led by researchers at Milken Institute School of Public Health at the George Washington University. The multi-institutional team conducted a first-of-a-kind meta-analysis, compiling data from dust samples collected throughout the United States to identify the top ten toxic chemicals commonly found in dust. They found that DEHP, a chemical belonging to a hazardous class called phthalates, was number one on that list. In addition, the researchers found that phthalates overall were found at the highest levels in dust followed by phenols and flame retardant chemicals....."The findings suggest that people, and especially children, are exposed on a daily basis to multiple chemicals in dust that are linked to serious health problems." ...continue reading "What’s In Your Household Dust?"