Sise Sengul, Uguz Cevdet
Dept. of Midwifery, Faculty of Health Sciences, Suleyman Demirel University, Isparta, Turkey.
Dept. of Medical Biology and Genetics, Faculty of Veterinary Medicine, Afyon Kocatepe University, Afyonkarahisar, Turkey.
Iran J Public Health. 2017 Apr;46(4):491-499.
Human breast milk is the most important food for infants and one of the main roads to exposure to toxic substances. In this study, nonylphenol (NP) levels in human milk samples collected from Turkish mothers (n=100) were determined, and the factors including mothers' demographics, eating habits, obstetric histories, and usage of cleaning and cosmetic products were examined.
Participants were mothers of randomly selected infants and toddlers from the Primary Health Care Center Number-8 in Afyonkarahisar City in western Turkey. The concentrations of NP in milk samples were measured using high-performance liquid chromatography (HPLC).
All the analyzed samples showed the occurrence of NP at levels up to 47 ng/ml. The mean± SE and the median NP concentrations were 10.1±0.98 ng/ml and 8.46 ng/ml or ppb, respectively. A negative correlation with infant age was observed. There was a significant correlation between fresh fish consumption and the level of NP in the breast milk of mothers. No significant association between body mass index (BMI) and the NP level in human milk of mothers was observed. The mothers who were using excessive cleaning products in comparison to those using less had significantly higher NP in their breast milk.
This study provides the first report about NP levels in a population and characterizes individual variation, thus giving a measure of exposed infants through breastfeeding in Turkey.
母乳是婴儿最重要的食物,也是接触有毒物质的主要途径之一。在本研究中,测定了从土耳其母亲(n = 100)采集的母乳样本中的壬基酚(NP)水平,并检查了包括母亲的人口统计学特征、饮食习惯、产科病史以及清洁和化妆品使用情况等因素。
参与者是从土耳其西部阿菲永卡拉希萨尔市第8初级卫生保健中心随机选取的婴幼儿的母亲。使用高效液相色谱法(HPLC)测量母乳样本中NP的浓度。
所有分析样本中均检测到NP,含量高达47 ng/ml。NP的平均±标准误浓度和中位数浓度分别为10.1±0.98 ng/ml和8.46 ng/ml或ppb。观察到与婴儿年龄呈负相关。母亲食用新鲜鱼类与母乳中NP水平之间存在显著相关性。未观察到母亲的体重指数(BMI)与母乳中NP水平之间存在显著关联。与使用较少清洁产品的母亲相比,使用过多清洁产品的母亲母乳中的NP含量显著更高。
本研究提供了关于某人群中NP水平的首份报告,并描述了个体差异,从而给出了土耳其通过母乳喂养接触NP的婴儿的暴露量。