Evidence map›Paper›PMID 24280536›Full record

ArticleEnvironmental health perspectives2014

Breastfeeding: a potential excretion route for mothers and implications for infant exposure to perfluoroalkyl acids.

Debapriya Mondal, Rosana Hernandez Weldon, Ben G Armstrong, Lorna J Gibson, Maria-Jose Lopez-Espinosa, Hyeong-Moo Shin, Tony Fletcher

Abstract read
In one paragraph

Article in Environmental health perspectives, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Public health evaluation of PFAS exposures and breastfeeding: a systematic literature review.Toxicological sciences : an official journal of the Society of Toxicology · 2023
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7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Debapriya MondalLondon School of Hygiene & Tropical Medicine, London, United Kingdom.
Rosana Hernandez Weldon
Ben G Armstrong
Lorna J Gibson
Maria-Jose Lopez-Espinosa
Hyeong-Moo Shin
Tony Fletcher

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe presence of perfluoroalkyl acids (PFAAs) in breast milk has been documented, but their lactational transfer has been rarely studied. Determination of the elimination rates of these chemicals during breastfeeding is important and critical for assessing exposure in mothers and infants.

objectivesWe aimed to investigate the association between breastfeeding and maternal serum concentrations of perfluorooctanoic acid (PFOA), perfluorooctane sulfonate (PFOS), perfluorononanoic acid (PFNA), and perfluorohexane sulfonate (PFHxS). For a subset of the population, for whom we also have their infants' measurements, we investigated associations of breastfeeding with infant serum PFAA concentrations.

methodsThe present analysis included 633 women from the C8 Science Panel Study who had a child < 3.5 years of age and who provided blood samples and reported detailed information on breastfeeding at the time of survey. PFAA serum concentrations were available for all mothers and 8% (n = 49) of the infants. Maternal and infant serum concentrations were regressed on duration of breastfeeding.

resultsEach month of breastfeeding was associated with lower maternal serum concentrations of PFOA (-3%; 95% CI: -5, -2%), PFOS (-3%; 95% CI: -3, -2%), PFNA (-2%; 95% CI: -2, -1%), and PFHxS (-1%; 95% CI: -2, 0%). The infant PFOA and PFOS serum concentrations were 6% (95% CI: 1, 10%) and 4% (95% CI: 1, 7%) higher per month of breastfeeding.

conclusionsBreast milk is the optimal food for infants, but is also a PFAA excretion route for lactating mothers and exposure route for nursing infants.

Indexed as

Age FactorsAlkanesulfonic AcidsBreast FeedingCaprylatesEnvironmental PollutantsFatty AcidsFemaleFluorocarbonsHumansLondonMilk, HumanSulfonic AcidsSurveys and QuestionnairesAlkanesulfonic AcidsCaprylatesEnvironmental PollutantsFatty AcidsFluorocarbonsperfluorohexanesulfonic acidperfluoro-n-nonanoic acidperfluorooctane sulfonic acidperfluorooctanoic acidSulfonic Acids

Identifiers

PMID24280536
PMCPMC3915259

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.