Document Detail


Perfluorooctanoic acid, perfluorooctanesulfonate, and serum lipids in children and adolescents: results from the C8 Health Project.
MedLine Citation:
PMID:  20819969     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Perfluorooctanoic acid (PFOA) and perfluorooctanesulfonate (PFOS) are man-made compounds with widespread presence in human sera. In previous occupational and adult studies, PFOA and PFOS were positively associated with serum lipid levels.
OBJECTIVE: To interrogate associations between PFOA and PFOS and serum lipids in children and adolescents.
DESIGN: Cross-sectional community-based study.
SETTING: Mid-Ohio River Valley.
PARTICIPANTS: A total of 12 476 children and adolescents included in the C8 Health Project, which resulted from the pretrial settlement of a class action lawsuit pursuant to PFOA contamination of the drinking water supply.
MAIN OUTCOME MEASURES: Serum lipids (total, high-density lipoprotein [HDL-C], and low-density lipoprotein [LDL-C] cholesterol and fasting triglycerides).
RESULTS: Mean (SD) serum PFOA and PFOS concentrations were 69.2 (111.9) ng/mL and 22.7 (12.6) ng/mL, respectively. In linear regression after adjustment for covariables, PFOA was significantly associated with increased total cholesterol and LDL-C, and PFOS was significantly associated with increased total cholesterol, HDL-C, and LDL-C. Using general linear model analysis of covariance, between the first and fifth quintiles of PFOA there was a 4.6-mg/dL and a 3.8-mg/dL increase in the adjusted mean levels of total cholesterol and LDL-C levels, respectively, and an 8.5-mg/dL and a 5.8-mg/dL increase in the adjusted mean levels of total cholesterol and LDL-C, respectively, between the first and fifth quintiles of PFOS. Increases were 10 mg/dL for some age- and sex-group strata. Observed effects were nonlinear, with larger increases in total cholesterol and LDL-C levels occurring at the lowest range, particularly of PFOA.
CONCLUSION: Although the epidemiologic and cross-sectional natures of this study limit causal inferences, the consistently observed associations between increasing PFOA and PFOS and elevated total cholesterol and LDL-C levels warrant further study.
Authors:
Stephanie J Frisbee; Anoop Shankar; Sarah S Knox; Kyle Steenland; David A Savitz; Tony Fletcher; Alan M Ducatman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  164     ISSN:  1538-3628     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-07     Completed Date:  2010-09-24     Revised Date:  2011-09-13    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  860-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Community Medicine, West Virginia University School of Medicine, Robert C. Byrd Health Sciences Center, 1 Medical Center Drive, Morgantown, WV 26506-9105, USA. sfrisbee@hsc.wvu.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Alkanesulfonic Acids / blood*
Chemical Industry
Child
Child, Preschool
Cholesterol / blood
Cholesterol, LDL / blood
Cross-Sectional Studies
Environmental Exposure
Female
Fluorocarbons / blood*
Humans
Infant
Infant, Newborn
Lipids / blood*
Logistic Models
Male
Octanoic Acids / blood*
Water Supply
Grant Support
ID/Acronym/Agency:
R03 ES018888-01/ES/NIEHS NIH HHS; R03 ES018888-02/ES/NIEHS NIH HHS
Chemical
Reg. No./Substance:
0/Alkanesulfonic Acids; 0/Cholesterol, LDL; 0/Fluorocarbons; 0/Lipids; 0/Octanoic Acids; 1763-23-1/perfluorooctane sulfonic acid; 335-67-1/perfluorooctanoic acid; 57-88-5/Cholesterol
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