Zietz Björn P, Hoopmann Michael, Funcke Markus, Huppmann René, Suchenwirth Roland, Gierden Edith
Governmental Institute of Public Health of Lower Saxony (Niedersächsisches Landesgesundheitsamt), Division of Environmental Medicine and Environmental Epidemiology, Roesebeckstrasse 4-6, D-30449 Hannover, Germany.
Int J Hyg Environ Health. 2008 Oct;211(5-6):624-38. doi: 10.1016/j.ijheh.2008.04.001. Epub 2008 Jun 11.
Polychlorinated biphenyls (PCBs) and organochlorine pesticides are persistent organic pollutants that have a widespread distribution in the environment. Human biomonitoring is a suitable tool to assess the burden of humans with these substances. Over a time span of 8 years, a free analysis of their milk was offered to lactating mothers residing in the state of Lower Saxony, Germany. The human milk was analyzed for a number of organic chemicals including polychlorinated biphenyls (PCBs), 1,1,1-trichloro-2,2-bis(p-chlorophenyl)ethane (DDT), hexachlorobenzene (HCB) and beta-hexachlorocyclohexane (beta-HCH). Factors that may influence these levels were investigated using a questionnaire. In total, 4314 samples were collected in the years 1999-2006 and analyzed for their content of these persistent organic pollutants (POPs). A clear downward trend of median total PCB, DDT, beta-HCH and HCB values in all participants and also in different selected subgroups could be observed. The median values of calculated total PCB in the year 2006 including all participants was 0.1825mg/kg lipid, that of DDT 0.0815mg/kg lipid, beta-HCH 0.0116mg/kg lipid and of HCB 0.0229mg/kg lipid. There were reductions between 40.9% and 47.1% compared to the year 1999. Among other influencing factors, median concentrations of total PCB, DDT, beta-HCH and HCB showed a clear rise with increasing age of mothers whereas an increasing number of breastfed infants per mother led to a decrease. The proportions of other measured substances exceeding limits of quantification were as follows: dieldrin 68.6%, alpha-HCH 1.3%, gamma-HCH 60.1%, heptachlor epoxide 41.5%, musk xylene 15.6%, musk ambrette 0.4%. We conclude that the known declining trend of important xenobiotic substances in human milk of German mothers has continued.
多氯联苯(PCBs)和有机氯农药是持久性有机污染物,在环境中广泛分布。人体生物监测是评估人体接触这些物质负担的合适工具。在8年的时间跨度内,为居住在德国下萨克森州的哺乳期母亲提供了免费的乳汁分析。对母乳进行了多种有机化学品的分析,包括多氯联苯(PCBs)、1,1,1-三氯-2,2-双(对氯苯基)乙烷(滴滴涕)、六氯苯(HCB)和β-六氯环己烷(β-HCH)。使用问卷调查了可能影响这些水平的因素。1999年至2006年共收集了4314份样本,并分析了其中这些持久性有机污染物(POPs)的含量。在所有参与者以及不同选定亚组中,总多氯联苯、滴滴涕、β-HCH和六氯苯的中位数明显呈下降趋势。2006年包括所有参与者在内的计算得出的总多氯联苯中位数为0.1825mg/kg脂质,滴滴涕为0.0815mg/kg脂质,β-HCH为0.0116mg/kg脂质,六氯苯为0.0229mg/kg脂质。与1999年相比,降幅在40.9%至47.1%之间。在其他影响因素中,总多氯联苯、滴滴涕、β-HCH和六氯苯的中位数浓度随着母亲年龄的增加而明显上升,而每位母亲母乳喂养婴儿数量的增加则导致浓度下降。其他测量物质超过定量限的比例如下:狄氏剂68.6%、α-HCH 1.3%、γ-HCH 60.1%、七氯环氧化物41.5%、二甲苯麝香15.6%、葵子麝香0.4%。我们得出结论,德国母亲母乳中重要的外源性物质已知的下降趋势仍在持续。