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Tag: phthalates

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There is growing evidence that women around a lot of endocrine disrupting chemicals at home or in jobs such as cleaners, hairdressers and laboratory workers during pregnancy are more likely to have baby boys with a genital defect called hypospadias (a condition where the opening of the urethra is on the underside of the penis rather than at the tip). From Environmental Health News:

Genital defect in baby boys linked to moms’ chemical exposure

Mothers around a lot of endocrine disrupting chemicals at home or in jobs such as cleaners, hairdressers and laboratory workers during pregnancy are more likely to have baby boys with a genital defect, according to a new study in the south of France.The study adds to mounting evidence that fetal exposure to chemicals that mimic people’s natural hormones may cause hypospadias, a condition where the opening of the urethra is on the underside of the penis rather than at the tip.

French researchers examined more than 600 children in the south of France and found that babies exposed to endocrine disrupting chemicals while their genitals were developing were more likely to suffer from hypospadias. Half the boys had hypospadias and half did not. The risk for those exposed was 68 percent higher than the unexposed boys. The researchers ruled out baby boys with known genetic risks for such defects.

The defect, which can be minor or quite severe depending on how far the opening is from the tip, can lead to problems with urination and, later in life, sexual difficulty....It is one of the most common genital defects in baby boys, and most cases require surgery, often done before they reach two years old. In the United States, an estimated five out of 1,000 boys are born annually with hypospadias, while Europe’s rate is slightly less than two out of 1,000.

The researchers estimated the unborn babies’ exposure by looking at their parents’ jobs and where they lived. Working with hormone disrupting chemicals and living in homes near heavy polluters were both linked to more baby boys having the defect. However, the researchers did say a limit of the study was attempting to estimate fetal exposure to such chemicals.Mothers were most likely to have boys with hypospadias if they worked as a cleaner, hairdresser or beautician.  

Some of the endocrine disrupting chemicals linked to the professions involved in the study were bisphenol-A (BPA), phthalates, polychlorinated compounds, alkylphenolic compounds and organic solvents. Most exposures—78 percent—occurred in the window of development when babies’ genitals are forming.... but detergents, pesticides, and cosmetics accounted for 75 percent of the cases,” the authors wrote in the study published in the European Urology journal this month.

Other possible causes of the birth defect include older, obese mothers, and fertility or hormone treatments during pregnancy, according to the U.S. Centers for Disease Control and Prevention.

This wasn’t the first time scientists have found a link between certain chemicals and hypospadias. Mothers in southeast England who were heavily exposed to endocrine disrupting phthalates on the job were about three times as likely to have a baby boy with hypospadias. Phthalates are used in some cosmetics, fragrances, food packaging and PVC plastics.

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U.S. government agencies (such as FDA) say phthalates are OK, but evidence is mounting that they definitely are not OK. It's impossible to totally avoid phthalates, but one can lower exposure amounts by eating whole unprocessed foods, not microwaving or storing food in plastic containers (best is glass), and read ingredient lists on labels, including personal care products. From Medical Xpress:

Plastics chemical tied to changes in boys' reproductive development

When expectant mothers are exposed to plastics chemicals called phthalates during the first trimester, their male offspring may have a greater risk of infertility later in life, a new study suggests.Boys exposed to the chemical diethylhexyl phthalate (DEHP) may be born with a significantly shorter anogenital distance than those not exposed to these chemicals. Anogenital distance is the distance between the anus and the genitals. A shorter anogenital distance has been linked to infertility and low sperm count, the researchers explained.

"We saw these changes even though moms' exposure to DEHP has dropped 50 percent in the past 10 years," said lead researcher Shanna Swan, a professor of preventive medicine and obstetrics, gynecology and reproductive medicine at the Icahn School of Medicine at Mount Sinai in New York City. "Therefore, we have not found a safe level of phthalate exposure for pregnant women," she contended.

Swan said that this study cannot prove that these boys will have fertility problems as adults or that DEHP causes these problems. However, animal studies have implicated the chemical in male reproductive problems. Based on the data from this study, Swan believes there is a strong association between exposure to DEHP and fertility in human males.

DEHP is used to soften plastics. Most exposure results from eating foods that pick up the chemical during processing, Swan said. "Since food is the largest source of DEHP for consumers, it is difficult for pregnant women to minimize exposure," she said. "Eating unprocessed food will likely help. However, eliminating DEHP from food really has to be done by food producers."The chemical is also found in medical tubing and in a variety of products, including flooring, wallpaper, lacquers and personal care products, Swan said.

For the study, Swan's team collected data on almost 800 pregnant women and their infants.Specifically, the researchers found that exposure in the womb to three types of DEHP was associated with a significantly shorter anogenital distance in boys, but not in girls.

A group representing the chemical industry took issue with the study, however. In a statement, the American Chemistry Council (ACC) stressed that the study only examined one type of phthalate, not all versions of the chemical... The ACC added that DEHP "is known to break down into its metabolites within minutes after it enters the body. 

But another expert says phthalate exposure may not be benign. Dr. Kenneth Spaeth, director of the Occupational and Environmental Medicine Center at North Shore University Hospital in Manhasset, N.Y., said, "virtually everyone in the U.S. experiences continual exposure to phthalates."And, a number of studies have tied the chemicals with changes in developing fetuses. "Phthalates, in particular, have been shown in both human and animal studies to interfere with normal fetal development," he said.

This study supports what has been demonstrated before, that phthalate exposure in the first trimester is linked to male reproductive development, Spaeth said. "This study is an important step forward in establishing this effect because the study included a much larger number of individuals than prior studies and helps identify one particular agent, DEHP, as an important contributor to this effect," he said.Additionally, this study shows the importance of exposure in the first trimester as a critical window for the effect of phthalates on the male reproductive system. 

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Think about all the plastics we use, and all the chemicals we are exposed to. Read labels on personal care products and try to avoid: phthalates, parabens, BPA, triclosan, fragrances. If possible, use glass containers to store and microwave food. Avoid unnecessary pesticides, for example on lawns, and consider organic lawn care and gardening.  From Science Daily:

Earlier menopause linked to everyday chemical exposures

Women whose bodies have high levels of chemicals found in plastics, personal-care products, common household items and the environment experience menopause two to four years earlier than women with lower levels of these chemicals, according to a new study at Washington University School of Medicine in St. Louis.

The researchers looked at levels in blood and urine of 111 chemicals that are suspected of interfering with the natural production and distribution of hormones in the body. While several smaller studies have examined the link between so-called endocrine-disrupting chemicals and menopause, the new research is the first to broadly explore the association between menopause and individual chemicals on a large scale, using a nationally representative sample of patients across the United States.

“Chemicals linked to earlier menopause may lead to an early decline in ovarian function, and our results suggest we as a society should be concerned,” said senior author Amber Cooper, MD, an assistant professor of obstetrics and gynecology. A decline in ovarian function not only can adversely affect fertility but also can lead to earlier development of heart disease, osteoporosis and other health problems. Other problems already linked to the chemicals include certain cancers, metabolic syndrome and, in younger females, early puberty.

“Many of these chemical exposures are beyond our control because they are in the soil, water and air,” Cooper said. “But we can educate ourselves about our day-to-day chemical exposures and become more aware of the plastics and other household products we use.”...Although many of the chemicals included in the study have been banned from U.S. production because of their negative health effects, they still are produced globally and are pervasive in the environment.

In the study, Cooper and researchers at the University of Missouri-Kansas City School of Medicine and the Wadsworth Center at the State University of New York at Albany analyzed data collected from 1999-2008 as part of the National Health and Nutrition Examination Survey, conducted by the U.S. Centers for Disease Control and Prevention.The survey included data from 31,575 people, including 1,442 menopausal women who had been tested for levels of endocrine-disrupting chemicals. The average age of these women was 61, and none was using estrogen-replacement therapies or had had surgery to remove ovaries.

The women’s blood and urine samples were analyzed for exposures to 111 mostly man-made chemicals, which included known reproductive toxins and/or those that take more than a year to break down. Chemicals from the following categories were analyzed in the survey: dioxins/furans (industrial combustion byproducts); phthalates (found in plastics, common household items, pharmaceuticals and personal-care products including lotions, perfumes, makeup, nail polish, liquid soap and hair spray); phytoestrogens (plant-derived estrogens); polychlorinated biphenyls (PCBs, coolants); phenolic derivatives (phenols, industrial pollutants); organophosphate pesticides; surfactants; and polycyclic aromatic hydrocarbons (combustion products).

The researchers identified 15 chemicals — nine PCBs, three pesticides, two phthalates and a furan (a toxic chemical) — that warrant closer evaluation because they were significantly associated with earlier ages of menopause and potentially have detrimental effects on ovarian functionagefurans

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This is so sad, but it's the new reality in the USA. Less discussed, but also problematic is the increase in early puberty in boys.The research as to causes is ongoing, but increasingly our exposure to chemicals, especially endocrine disruptors is suspected to be a cause. What to do? Once again: try to reduce exposure to plastics (ha!) by buying and storing food in glass containers, and do not microwave food in plastic containers. Avoid fragrances or perfumed products. From Newsweek:

Puberty Comes Earlier and Earlier for Girls

At age 6, Rebecca’s body began to develop in ways that seemed unusual. Her mother, Ellen, had noticed a change in Rebecca’s breast area...But there was also the hair that had begun to appear under her daughter’s arms. When a test showed Rebecca’s bone age to be 10½, a pediatric endocrinologist diagnosed “precocious puberty.” While the exact cause is unknown, this endocrine disorder is triggered by the early release of hormones in the brain, a circumstance that hurls a child into sexual maturation years before the usual age.

This sudden sexual development in a child so young can be unnerving to parents. “My daughter is 7 years and 10 months old. She started having body odor at 5 and breast buds at 6,” one mother wrote recently in a group chat about the condition. She wrote, too, of her daughter’s “roller-coaster emotions,” a common complaint from parents observing massive mood swings, PMS-like symptoms and other “teen emotions” in daughters just beginning the first grade—and in some cases even younger. The condition affects individuals in different ways. ”...Unlike Rebecca, many precocious kids lose their interest in Disney and little-girl things and begin to act, well, the age of their bodies.

In girls, puberty is commonly defined as breast development, growth of pubic hair and menarche, the beginning of the menstrual cycle. At the turn of the 20th century, the average age for an American girl to get her period was 16 to 17. Today, that number has plummeted to less than 13, according to data from the National Health and Nutrition Examination Survey. The trend has been attributed to the epidemic of overweight children and a greater exposure to pollution, which does bad things to developing bodies and accelerates the timing of a girl’s first menstruation.

Environmental toxins also cause many girls to develop breasts at an earlier age than in the past. Compared with 20 years ago, American girls today begin developing breasts anywhere from one month to four months earlier, a significant difference. At the same time, the number of girls who begin to develop early is increasing. “Just a generation ago, less than five percent of girls started puberty before the age of 8; today that percentage has more than doubled,” note Dr. Louise Greenspan and Dr. Julianna Deardorff in The New Puberty: How to Navigate Early Development in Today’s Girls.

Among the toxins causing this trend, the biggest offenders are plastic compounds, in particular phthalates, man-made chemicals found all over the place: in plastic food and beverage containers, carpeting, shampoos, insect repellents, vinyl flooring, shower curtains, plastic toys and in the steering wheels and dashboards of most cars. Our bodies cannot metabolize phthalates, which interfere with the endocrine system—the body’s system of glands and hormones—and harm fat cells. Indirectly, phthalates may cause weight gain and so influence the timing of puberty. 

Our children are living in a “sea of chemicals,” says Dr. Marcia E. Herman-Giddens, a professor of public health at the University of North Carolina. She argues that children are speeding into puberty before they’re ready, and that this early maturation is both the symptom of bodily damage that has already occurred and the probable cause of health consequences they may expect in the future.

Along with higher rates of depression, younger girls who enter puberty earlier than their peers are more prone to obesity and drug abuse...Meanwhile, no matter how physically developed a girl is, her psychosocial maturation remains anchored to her chronological age. 

“Puberty is considered one of those windows of susceptibility,” says Biro, when the body is especially sensitive to the negative health impact of social and environmental stressors. In particular, the actively maturing breast tissue of a girl, unlike the breast tissue of a full-grown woman, is more vulnerable to damaging environmental pollutants.

Today’s girl is both starting puberty earlier and going through it more slowly, according to Biro, which means a girl remains in this high-risk state for a longer amount of time. In an article he co-authored with Deardorff and others, Biro found up to a 30 percent increased risk for breast cancer when a woman experiences her first period at a younger age. And “for each year that age of menarche was delayed, the risk of premenopausal breast cancer was reduced by 9 percent, and risk of postmenopausal breast cancer was reduced by 4 percent.”

Early breast development also opens the door to reproductive tract cancers, says Herman-Giddens, since “if you’re starting to develop breasts, your body is making estrogen.” Estrogen, especially when combined with stress hormones, is a known cancer-causing agent. Having had an earlier start to puberty, an early-maturing girl produces more estrogen over the years and so elevates her lifetime risk of reproductive cancers.

There is a medical solution for patients who, like 6-year-old Rebecca, are diagnosed with precocious puberty. Hormone treatments can essentially halt the process of sexual maturation. Then, at an appropriate age, the drugs are withdrawn and puberty plays out.Some girls diagnosed with precocious puberty have no choice but to medicate in order to prevent serious bone and growth problems. 

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This research finding of lower IQ in children with higher exposure to 2 common phthalates during pregnancy is very troubling. Especially since avoiding all phthalates in the USA is currently impossible. But one can lower levels in the body by reading all ingredients and trying to avoid certain products (e.g. dryer sheets, vinyl shower curtains, personal care products with phthalates, scented products). And don't microwave food in plastic containers. From Science Daily:

Prenatal exposure to common household chemicals linked with substantial drop in child IQ

Children exposed during pregnancy to elevated levels of two common chemicals found in the home -- di-n-butyl phthalate and di-isobutyl phthalate -- had an IQ score, on average, more than six points lower than children exposed at lower levels, according to researchers.

DnBP and DiBP are found in a wide variety of consumer products, from dryer sheets to vinyl fabrics to personal care products like lipstick, hairspray, and nail polish, even some soaps. Since 2009, several phthalates have been banned from children's toys and other childcare articles in the United States. 

Researchers followed 328 New York City women and their children from low-income communities. They assessed the women's exposure to four phthalates--DnBP, DiBP, di-2-ethylhexyl phthalate, and diethyl phthalate--in the third trimester of pregnancy by measuring levels of the chemicals' metabolites in urine. Children were given IQ tests at age 7.

Children of mothers exposed during pregnancy to the highest 25 percent of concentrations of DnBP and DiBP had IQs 6.6 and 7.6 points lower, respectively, than children of mothers exposed to the lowest 25 percent of concentrations after controlling for factors like maternal IQ, maternal education, and quality of the home environment that are known to influence child IQ scores. The association was also seen for specific aspects of IQ, such as perceptual reasoning, working memory, and processing speed. The researchers found no associations between the other two phthalates and child IQ. The range of phthalate metabolite exposures measured in the mothers was not unusual: it was within what the Centers for Disease Control and Prevention observed in a national sample.

"A six- or seven-point decline in IQ may have substantial consequences for academic achievement and occupational potential.""While there has been some regulation to ban phthalates from toys of young children," adds Dr. Factor-Litvak, "there is no legislation governing exposure during pregnancy, which is likely the most sensitive period for brain development. Indeed, phthalates are not required to be on product labeling."

While avoiding all phthalates in the United States is for now impossible, the researchers recommend that pregnant women take steps to limit exposure by not microwaving food in plastics, avoiding scented products as much as possible, including air fresheners, and dryer sheets, and not using recyclable plastics labeled as 3, 6, or 7.

The findings build on earlier, similar observations by the researchers of associations between prenatal exposure to DnBP and DiBP and children's cognitive and motor development and behavior at age 3. This September, they reported a link between prenatal exposure to phthalates and risk for childhood asthma. It's not known how phthalates affect child health. However, numerous studies show that they disrupt the actions of hormones, including testosterone and thyroid hormone. Inflammation and oxidative stress may also play a role.

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The studies are adding up that phthalates are harmful to humans of all ages, but uniquely so to the developing fetus. Boys exposed to high levels of phthalates before birth may have slightly altered genitals, specifically a shortened anogenital distance (the length between the anus and the genitals). This is concerning because in adulthood, this is associated with reduced semen quality and lower fertility in males - and considered a sign of incomplete masculinization. So try to avoid or lower exposure to phthalates during pregnancy (see posts on ENDOCRINE DISRUPTORS). From Environmental Health Perspectives:

Plastics chemical linked to changes in baby boys' genitals

Boys exposed in the womb to high levels of a chemical found in vinyl products are born with slightly altered genital development, according to research published today.The study of nearly 200 Swedish babies is the first to link the chemical di-isononyl phthalate (DiNP) to changes in the development of the human male reproductive tract.

Previous studies of baby boys in three countries found that a similar plastics chemical, DEHP, was associated with the same type of changes in their genitalia. Less is known about the reproductive risks of DiNP, a chemical which scientists say may be replacing DEHP in many products such as vinyl toys, flooring and packaging. In mice, high levels block testosterone and alter testicular development.

“Our data suggest that this substitute phthalate may not be safer than the chemical it is replacing,” wrote the researchers, led by Carl-Gustaf Bornehag at Sweden’s Karlstad University, in the journal Environmental Health Perspectives. Levels of DiNP in U.S. adults and children have more than doubled in the past decade.

The researchers measured metabolites of five phthalates in the urine of pregnant women during the first trimester. Development of male reproductive organs begins during that period, said senior study author Shanna Swan, a professor of reproductive science at Mount Sinai Hospital in New York. The researchers then measured the anogenital distance – the length between the anus and the genitals – when the boys were on average 21 months old. Boys who had been exposed to the highest levels of DiNP in the womb averaged a distance that was slightly shorter – about seven-hundredths of an inch – than the boys with the lowest exposures. “These were really subtle changes,” Swan said.

Considered a sign of incomplete masculinization, shortened anogenital distance in men has been associated with abnormal testicular development and reduced semen quality and fertility. In men, this measurement is typically 50 to 100 percent longer than in women. But it’s unknown whether a slightly shorter distance in infants corresponds with any fertility problems later in life.

For other phthalates, the study found shorter anogenital distance with higher concentrations, but the findings were not statistically significant, meaning they may have been due to chance. The Swedish women in the new study had phthalate levels similar to U.S. women in Swan's previous studies. Those studies, published in 2005 and 2008, linked several phthalates to shorter anogenital distance.

The scientists said exposures to the chemical can come from food or through skin contact with home furnishings or child-care articles. In 2008, the United States temporarily banned use of DiNP and two other phthalate plasticizers in toys and other children's products.... While it’s nearly impossible to eliminate exposure to phthalates, Swan suggested that pregnant women may be able to reduce their exposures by incorporating unprocessed, unpackaged foods into the diet and by avoiding heating or storing foods in plastic containers.

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Even though you may want to avoid phthalates, it is very hard to avoid them because they are commonly found in plastic food and beverage containers, perfume, hair spray, deodorants, almost anything fragranced (shampoo, air fresheners,etc.), insect repellent, carpeting, vinyl flooring, plastic toys, the steering wheel in cars, soft tubing in medical devices, etc. From Science Daily:

Reduced testosterone tied to endocrine-disrupting chemical exposure

Men, women and children exposed to high levels of phthalates -- endocrine-disrupting chemicals found in plastics and some personal care products -– tended to have reduced levels of testosterone in their blood compared to those with lower chemical exposure, according to a new study.

Testosterone is the main sex hormone in men. It contributes to a variety of functions in both sexes, including physical growth and strength, brain function, bone density and cardiovascular health. In the last 50 years, research has identified a trend of declining testosterone in men and a rise in related health conditions, including reduced semen quality in men and genital malformations in newborn boys.

Animal and cellular studies have found that some phthalates block the effects of testosterone on the body's organs and tissues. Researchers set out to examine whether these chemicals, which are widely used in flexible PVC plastics and personal care products, had a similar effect in humans.

"We found evidence reduced levels of circulating testosterone were associated with increased phthalate exposure in several key populations, including boys ages 6-12, and men and women ages 40-60," said one of the study's authors, John D. Meeker, MS, ScD, of the University of Michigan School of Public Health in Ann Arbor, MI. "This may have important public health implications, since low testosterone levels in young boys can negatively impact reproductive development, and in middle age can impair sexual function, libido, energy, cognitive function and bone health in men and women."

The cross-sectional study examined phthalate exposure and testosterone levels in 2,208 people who participated in the U.S. National Health and Nutrition Examination Survey, 2011-2012. Researchers analyzed urine samples to measure concentrations of 13 substances left after the body metabolizes phthalates. Each participant's testosterone level was measured using a blood sample.

Researchers found an inverse relationship between phthalate exposure and testosterone levels at various life stages. In women ages 40-60, for example, increased phthalate concentrations were associated with a 10.8 to 24 percent decline in testosterone levels. Among boys ages 6-12, increased concentrations of metabolites of a phthalate called di-(2-ethylhexyl) phthalate, or DEHP, was linked to a 24 to 34.1 percent drop in testosterone levels.