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Harmonized human biomonitoring in European children, teenagers and adults: EU-wide exposure data of 11 chemical substance groups from the HBM4EU Aligned Studies (2014-2021)

2023-02-09Journal article Open access
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dc.contributor.authorGovarts, Eva
dc.contributor.authorGilles, Liese
dc.contributor.authorRodriguez Martin, Laura
dc.contributor.authorSantonen, Tiina
dc.contributor.authorApel, Petra
dc.contributor.authorAlvito, Paula
dc.contributor.authorAnastasi, Elena
dc.contributor.authorAndersen, Helle Raun
dc.contributor.authorAndersson, Anna-Maria
dc.contributor.authorAndryskova, Lenka
dc.contributor.authorANTIGNAC, Jean-Philippe
dc.contributor.authorRüther, Maria
dc.contributor.authorSarigiannis, Denis
dc.contributor.authorSilva, Maria João
dc.contributor.authorŠlejkovec, Zdenka
dc.contributor.authorSnoj Tratnik, Janja
dc.contributor.authorStajnko, Anja
dc.contributor.authorSzigeti, Tamas
dc.contributor.authorTarazona, Jose
dc.contributor.authorThomsen, Cathrine
dc.contributor.authorTkalec, Žiga
dc.contributor.authorTrnovec, Tomas
dc.contributor.authorTolonen, Hanna
dc.contributor.authorUhl, Maria
dc.contributor.authorVan Nieuwenhuyse, An
dc.contributor.authorVasco, Elsa
dc.contributor.authorVerheyen, Veerle J.
dc.contributor.authorViegas, Susana
dc.contributor.authorVinggaard, Anne Marie
dc.contributor.authorVogel, Nina
dc.contributor.authorVorkamp, Katrin
dc.contributor.authorWasowicz, Wojciech
dc.contributor.authorWimmerova, Sona
dc.contributor.authorWeber, Till
dc.contributor.authorWoutersen, Marjolijn
dc.contributor.authorZimmermann, Philipp
dc.contributor.authorZvonar, Martin
dc.contributor.authorKoch, Holger
dc.contributor.authorKolossa-Gehring, Marike
dc.contributor.authorEsteban López, Marta
dc.contributor.authorCastano, Argelia
dc.contributor.authorStewart, Lorraine
dc.contributor.authorSepai, Ovnair
dc.contributor.authorAppenzeller, Brice
dc.contributor.authorSchoeters, Greta
dc.contributor.authorBarbone, Fabio
dc.contributor.authorBarnett-Itzhaki, Zohar
dc.contributor.authorBarouki, Robert
dc.contributor.authorBerman, Tamar
dc.contributor.authorBil, Wieneke
dc.contributor.authorBorges, Teresa
dc.contributor.authorBuekers, Jurgen
dc.contributor.authorCañas-Portilla, Ana
dc.contributor.authorCovaci, Adrian
dc.contributor.authorCsako, Zsofia
dc.contributor.authorDen Hond, Elly
dc.contributor.authorDvorakova, Darina
dc.contributor.authorFabelova, Lucia
dc.contributor.authorFletcher, Tony
dc.contributor.authorFrederiksen, Hanne
dc.contributor.authorGabriel, Catherine
dc.contributor.authorGanzleben, Catherine
dc.contributor.authorGöen, Thomas
dc.contributor.authorHalldorsson, Thorhallur
dc.contributor.authorHaug, Line Småstuen
dc.contributor.authorHorvat, Milena
dc.contributor.authorHuuskonen, Pasi
dc.contributor.authorImboden, Medea
dc.contributor.authorJagodic Hudobivnik, Marta
dc.contributor.authorJanasik, Beata
dc.contributor.authorJanev Holcer, Natasa
dc.contributor.authorKarakitsios, Spyros
dc.contributor.authorKatsonouri, Andromachi
dc.contributor.authorKlanova, Jana
dc.contributor.authorKokaraki, Venetia
dc.contributor.authorKold Jensen, Tina
dc.contributor.authorKoponen, Jani
dc.contributor.authorLaeremans, Michelle
dc.contributor.authorLaguzzi, Federica
dc.contributor.authorLange, Rosa
dc.contributor.authorLemke, Nora
dc.contributor.authorLignell, Sanna
dc.contributor.authorLindroos, Anna Karin
dc.contributor.authorLobo Vicente, Joana
dc.contributor.authorLuijten, Mirjam
dc.contributor.authorMakris, Konstantinos C.
dc.contributor.authorMazej, Darja
dc.contributor.authorMelymuk, Lisa
dc.contributor.authorMeslin, Matthieu
dc.contributor.authorMol, Hans
dc.contributor.authorMontazeri, Parisa
dc.contributor.authorMurawski, Aline
dc.contributor.authorNamorado, Sónia
dc.contributor.authorNiemann, Lars
dc.contributor.authorNübler, Stefanie
dc.contributor.authorNunes, Baltazar
dc.contributor.authorOlafsdottir, Kristin
dc.contributor.authorPalkovicova Murinova, Lubica
dc.contributor.authorPapaioannou, Nafsika
dc.contributor.authorPedraza-Diaz, Susana
dc.contributor.authorPiler, Pavel
dc.contributor.authorPlichta, Veronika
dc.contributor.authorPoteser, Michael
dc.contributor.authorProbst-Hensch, Nicole
dc.contributor.authorRambaud, Loic
dc.contributor.authorRauscher-Gabernig, Elke
dc.contributor.authorRausova, Katarina
dc.contributor.authorRemy, Sylvie
dc.contributor.authorRiou, Margaux
dc.contributor.authorRosolen, Valentina
dc.contributor.authorRousselle, Christophe
dc.date.accessioned2023-10-06T11:04:15Z
dc.date.available2023-10-06T11:04:15Z
dc.date.issued2023-02-09
dc.descriptionReviewpt_PT
dc.description.abstractAbstract: As one of the core elements of the European Human Biomonitoring Initiative (HBM4EU) a human biomonitoring (HBM) survey was conducted in 23 countries to generate EU-wide comparable HBM data. This survey has built on existing HBM capacity in Europe by aligning national or regional HBM studies, referred to as the HBM4EU Aligned Studies. The HBM4EU Aligned Studies included a total of 10,795 participants of three age groups: (i) 3,576 children aged 6–12 years, (ii) 3,117 teenagers aged 12–18 years and (iii) 4,102 young adults aged 20–39 years. The participants were recruited between 2014 and 2021 in 11–12 countries per age group, geographically distributed across Europe. Depending on the age group, internal exposure to phthalates and the substitute DINCH, halogenated and organophosphorus flame retardants, per- and polyfluoroalkyl substances (PFASs), cadmium, bisphenols, polycyclic aromatic hydrocarbons (PAHs), arsenic species, acrylamide, mycotoxins (deoxynivalenol (total DON)), benzophenones and selected pesticides was assessed by measuring substance specific biomarkers subjected to stringent quality control programs for chemical analysis. For substance groups analyzed in different age groups higher average exposure levels were observed in the youngest age group, i.e., phthalates/DINCH in children versus teenagers, acrylamide and pesticides in children versus adults, benzophenones in teenagers versus adults. Many biomarkers in teenagers and adults varied significantly according to educational attainment, with higher exposure levels of bisphenols, phthalates, benzophenones, PAHs and acrylamide in participants (from households) with lower educational attainment, while teenagers from households with higher educational attainment have higher exposure levels for PFASs and arsenic. In children, a social gradient was only observed for the non-specific pyrethroid metabolite 3-PBA and di-isodecyl phthalate (DiDP), with higher levels in children from households with higher educational attainment. Geographical variations were seen for all exposure biomarkers. For 15 biomarkers, the available health-based HBM guidance values were exceeded with highest exceedance rates for toxicologically relevant arsenic in teenagers (40%), 3-PBA in children (36%), and between 11 and 14% for total DON, Σ (PFOA + PFNA + PFHxS + PFOS), bisphenol S and cadmium. The infrastructure and harmonized approach succeeded in obtaining comparable European wide internal exposure data for a prioritized set of 11 chemical groups. These data serve as a reference for comparison at the global level, provide a baseline to compare the efficacy of the European Commission's chemical strategy for sustainability and will give leverage to national policy makers for the implementation of targeted measures.pt_PT
dc.description.abstractHighlights: Harmonized EU-wide HBM survey in 10,795 participants covering 11 chemical groups; Both legacy compounds and their substitutes are ubiquitous; Social and geographical gradients in internal exposure are observed; Higher biomarker concentrations observed in younger age groups; For 15 out of 20 biomarkers health risks cannot be excluded.pt_PT
dc.description.sponsorshipHBM4EU is co-financed under Horizon 2020 (grant agreement No 733032). The authors thank all principal investigators of the contrib uting studies for their participation and contribution to the HBM4EU Aligned Studies and the national program owners for their financial support. Further details on funding for all the participating studies can be found in the Supplemental Material, Table S12.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt J Hyg Environ Health. 2023 Apr:249:114119. doi: 10.1016/j.ijheh.2023.114119. Epub 2023 Feb 9. Reviewpt_PT
dc.identifier.doi10.1016/j.ijheh.2023.114119pt_PT
dc.identifier.issn1438-4639
dc.identifier.urihttp://hdl.handle.net/10400.18/8665
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relationEuropean Human Biomonitoring Initiative
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S143846392300010Xpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectDeterminantes da Saúde e da Doençapt_PT
dc.subjectDeterminants of Health and Diseasept_PT
dc.subjectObservação em Saúde e Vigilânciapt_PT
dc.subjectObservation in Health and Surveillancept_PT
dc.subjectGenotoxicidade Ambientalpt_PT
dc.subjectEnvironmental Genotoxicitypt_PT
dc.subjectBiomonitorização Humanapt_PT
dc.subjectHuman Biomonitoringpt_PT
dc.subjectHBM4EUpt_PT
dc.subjectAligned Studiespt_PT
dc.subjectEuropapt_PT
dc.subjectEuropept_PT
dc.subjectChildrenpt_PT
dc.subjectCriançaspt_PT
dc.subjectTeenagerspt_PT
dc.subjectAdolescentespt_PT
dc.subjectAdultspt_PT
dc.subjectAdultospt_PT
dc.subjectExposure Biomarkerspt_PT
dc.subjectBiomarcadores de Exposiçãopt_PT
dc.subjectAvaliação do Riscopt_PT
dc.subjectRisk Assessmentpt_PT
dc.titleHarmonized human biomonitoring in European children, teenagers and adults: EU-wide exposure data of 11 chemical substance groups from the HBM4EU Aligned Studies (2014-2021)pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleEuropean Human Biomonitoring Initiative
oaire.awardURIinfo:eu-repo/grantAgreement/EC/H2020/733032/EU
oaire.citation.startPage114119pt_PT
oaire.citation.titleInternational Journal of Hygiene and Environmental Healthpt_PT
oaire.citation.volume249pt_PT
oaire.fundingStreamH2020
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