Evidence map›Paper›PMID 30187772›Full record

ReviewEnvironmental health perspectives2018

Environmental Chemicals in Breast Milk and Formula: Exposure and Risk Assessment Implications.

Geniece M Lehmann, Judy S LaKind, Matthew H Davis, Erin P Hines, Satori A Marchitti, Cecilia Alcala, Matthew Lorber

Abstract readReview
In one paragraph

Review in Environmental health perspectives, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Public health evaluation of PFAS exposures and breastfeeding: a systematic literature review.Toxicological sciences : an official journal of the Society of Toxicology · 2023
    Pooled it
  2. Article
  3. Article
  4. Article
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  7. Review
  8. Identification of nanoparticle infiltration in human breast milk: Chemical profiles and trajectory pathways.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Best for Whom? Heterogeneous Treatment Effects of Breastfeeding on Child Development.Social forces; a scientific medium of social study and interpretation · 2024
    Article
  15. Review
  16. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Geniece M LehmannOffice of Research and Development (ORD), U.S. Environmental Protection Agency (EPA), Research Triangle Park, North Carolina, USA.
Judy S LaKindLaKind Associates, LLC, Catonsville, Maryland, USA.
Matthew H DavisOffice of Children's Health Protection, U.S. EPA, Washington, District of Columbia, USA.
Erin P HinesOffice of Research and Development (ORD), U.S. Environmental Protection Agency (EPA), Research Triangle Park, North Carolina, USA.
Satori A MarchittiOak Ridge Institute for Science and Education (ORISE), ORD, U.S. EPA, Athens, Georgia, USA.
Cecilia AlcalaAssociation of Schools and Programs of Public Health (ASPPH), ORD, U.S. EPA, Washington, District of Columbia, USA.
Matthew LorberORD, U.S. EPA, Washington, District of Columbia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman health risk assessment methods have advanced in recent years to more accurately estimate risks associated with exposure during childhood. However, predicting risks related to infant exposures to environmental chemicals in breast milk and formula remains challenging.

objectivesOur goal was to compile available information on infant exposures to environmental chemicals in breast milk and formula, describe methods to characterize infant exposure and potential for health risk in the context of a risk assessment, and identify research needed to improve risk analyses based on this type of exposure and health risk information.

methodsWe reviewed recent literature on levels of environmental chemicals in breast milk and formula, with a focus on data from the United States. We then selected three example publications that quantified infant exposure using breast milk or formula chemical concentrations and estimated breast milk or formula intake. The potential for health risk from these dietary exposures was then characterized by comparison with available health risk benchmarks. We identified areas of this approach in need of improvement to better characterize the potential for infant health risk from this critical exposure pathway. DISCUSSION: Measurements of chemicals in breast milk and formula are integral to the evaluation of risk from early life dietary exposures to environmental chemicals. Risk assessments may also be informed by research investigating the impact of chemical exposure on developmental processes known to be active, and subject to disruption, during infancy, and by analysis of exposure-response data specific to the infant life stage. Critical data gaps exist in all of these areas.

conclusionsBetter-designed studies are needed to characterize infant exposures to environmental chemicals in breast milk and infant formula as well as to improve risk assessments of chemicals found in both foods. https://doi.org/10.1289/EHP1953.

Indexed as

Dietary ExposureEnvironmental ExposureEnvironmental PollutantsFemaleHumansInfantInfant FormulaInfant, NewbornMaternal ExposureMilk, HumanRisk AssessmentEnvironmental Pollutants

Identifiers

PMID30187772
PMCPMC6375394

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.