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Relationship between Risk Assessment Based on Urinary Bisphenol A Concentration and Allergic Diseases in Children

어린이의 요 중 비스페놀 A 농도에 근거한 위해성 평가와 알레르기 질환과의 관련성

  • Choi, Jihee (Department of Environmental Health Research, Seoul Medical Center) ;
  • Hong, Soyoung (Department of Environmental Health Research, Seoul Medical Center) ;
  • Kim, KyooSang (Department of Environmental Health Research, Seoul Medical Center)
  • 최지희 (서울의료원 의학연구소 환경건강연구실) ;
  • 홍소영 (서울의료원 의학연구소 환경건강연구실) ;
  • 김규상 (서울의료원 의학연구소 환경건강연구실)
  • Received : 2019.01.31
  • Accepted : 2019.02.20
  • Published : 2019.02.28

Abstract

Objectives: The purpose of this study was to examine the relationship between urinary bisphenol A concentration and allergic diseases in children. Methods: This study was conducted in Seoul, South Korea. We collected urine samples from 231 children from a single elementary school in June 2014. Among these, 69 children with urinary creatinine levels outside the normal range were excluded. Information on allergic diseases was obtained from the parents of the children. Urinary bisphenol A was analyzed using a liquid chromatography tandem mass spectrometer. Logistic regression analysis was used to determine if allergic disease was affected by urinary bisphenol A concentration. Results: Girls had a significantly higher concentration of urinary bisphenol A than did boys (p<0.05). Children of 10-12 years old had a significantly higher concentration of urinary bisphenol A than did children 7-9 years old (p<0.01). Concentration of urinary bisphenol A was increased from underweight to overweight (p<0.05). As the concentration of urinary bisphenol A was increased by $1{\mu}g/L$ or $1{\mu}g/g$ creatinine, the risks of lifetime symptoms of atopic dermatitis in children was 1.22 times (95% CI; 1.05-1.41) or 1.08 times (95% CI; 1.01-1.15). Conclusion: Concentration of urinary bisphenol A was associated with gender, age, body mass index, and allergic disease. Particularly, urinary bisphenol A concentration was associated with lifetime symptoms of atopic dermatitis. The findings of this study could contribute to the management of health effects among sensitive groups such as children.

Keywords

References

  1. Shin JW, Kim WK, Yoon HS. Association of breast-feeding and allergic diseases in preschool aged children. Pediatr Asthma Allergy Immunol. 2009; 19(4): 374-382.
  2. National Health Insurance Service (NHIS). National Health Insurance Service Press Release. Available: http://www.nhis.or.kr/menu/retriveMenuSet.xx?menuId=D4000 [accessed 28 November 2018]
  3. Korea Centers for Disease Control and Prevention (KCDC). The Korea Youth Risk Behavior Webbased Survey. Available: https://www.cdc.go.kr/yhs/home.jsp?id=m03_01 [accessed 28 November 2018]
  4. Maio S, Baldacci S, Simoni M, Angino A, Martini F, Cerrai S, et al. Impact of asthma and comorbid allergic rhinitis on quality of life and control in patients of Italian general practitioners. J Asthma. 2012; 49(8): 854-861. https://doi.org/10.3109/02770903.2012.716471
  5. Yi Y, Kim J. Factors affecting asthma and atopic dermatitis in Korean children: a population-based cross-sectional survey. Child Health Nurs Res. 2015; 21(1): 20-27. https://doi.org/10.4094/chnr.2015.21.1.20
  6. Lee Y, Lee Y, Jang J, Han G, Kho Y. Exposure to bisphenol A through contact with thermal receipts among service industry workers. J Environ Health Sci. 2014; 40(6): 435-441.
  7. Kwak ES, Just A, Whyatt R, Miller RL. Phthalates, pesticides, and bisphenol-A exposure and the development of nonoccupational asthma and allergies: how valid are the links? Open Allergy J. 2009; 2: 45-50. https://doi.org/10.2174/1874838400902010045
  8. Cho HH, Yoon YM, Moon SH. Research trends on children with precocious puberty and their families in Korea. J Korean Soc Matern Child Health. 2014; 18(1): 97-108. https://doi.org/10.21896/jksmch.2014.18.1.97
  9. Hwang MY, Lee YM, Jung SW, Hong SY, You JY, Park CH. Relationship between bisphenol A exposure and obesity in Korean adults from the second stage of KoNEHS (2012-2014). J Environ Health Sci. 2018; 44(4): 370-379.
  10. Lang IA, Galloway TS, Scarlett A, Henley WE, Depledge M, Wallace RB, et al. Association of urinary bisphenol A concentration with medical disorders and laboratory abnormalities in adults. JAMA. 2008; 300(11): 1303-1310. https://doi.org/10.1001/jama.300.11.1303
  11. Zhou A, Chang H, Huo W, Zhang B, Hu J, Xia W, et al. Prenatal exposure to bisphenol A and risk of allergic diseases in early life. Pediatr Res. 2017; 81(6): 851-856. https://doi.org/10.1038/pr.2017.20
  12. Valentin J. Basic anatomical and physiological data for use in radiological protection: reference values: ICRP publication 89. Ann ICRP. 2002; 32(3-4): 1-277. https://doi.org/10.1016/S0146-6453(03)00002-2
  13. European food safety authority (EFSA). Opinion of the scientific panel on food additives, flavourings, processing aids and materials in contact with food on a request from the commission related to 2,2-bis(4-hydroxyphenyl)propane (bisphenol A). EFSA J. 2006; 428: 1-75.
  14. National Institute of Environmental Research (NIER). Korean environmental health survey for children [VI]. National Institute of Environmental Research; 2010.
  15. Ha M, Kwon HJ, Leem JH, Kim HC, Lee KJ, Park I, et al. Korean environmental health survey on children and adolescents (KorEHS-C): survey design and pilot study results on selected exposure biomarkers. Int J Hyg and Environ Health. 2014; 217(2-3): 260-270. https://doi.org/10.1016/j.ijheh.2013.06.001
  16. National Institute of Environmental Research (NIER). Annual report on Korean national environmental health survey: the first stage (2009-2011) 3rd year. National Institute of Environmental Research; 2011.
  17. Bearer CF. How are children different from adults? Environ. Health Perspect. 1995; 103(Suppl 6): 7-12. https://doi.org/10.1289/ehp.95103s67
  18. Perez-Lobato R, Mustieles V, Calvente I, Jimenez-Diaz I, Ramos R, Caballero-Casero N, et al. Exposure to bisphenol A and behavior in school-age children. Neurotoxicology. 2016; 53: 12-19. https://doi.org/10.1016/j.neuro.2015.12.001
  19. Calafat AM, Ye X, Wong LY, Reidy JA, Needham LL. Exposure of the U.S. population to bisphenol A and 4-tertiary-octylphenol: 2003-2004. Environ. Health Perspect. 2008; 116(1): 39-44. https://doi.org/10.1289/ehp.10753
  20. LaKind JS, Naiman DQ. Daily intake of bisphenol A and potential sources of exposure: 2005-2006 national health and nutrition examination survey. J. Expo. Sci. Environ. Epidemiol. 2011; 21: 272-279. https://doi.org/10.1038/jes.2010.9
  21. Becker K, Goen T, Seiwert M, Conrad A, Pick-FuB H, Muller J, et al. GerES IV: phthalate metabolites and bisphenol A in urine of German children. Int. J. Hyg. Environ. Health. 2009; 212(6): 685-692. https://doi.org/10.1016/j.ijheh.2009.08.002
  22. Bushnik T, Hanies D, Levallois P, Levesque J, Van Oostdam J, et al. Lead and bisphenol A concentrations in the Canadian population. Health Rep. 2010; 21(3): 7-18.
  23. Larsson K, Bjorklund KL, Palm B, Wennberg M, Kaj L, Lindh CH, et al. Exposure determinants of phthalates, parabens, bisphenol A and triclosan in Swedish mothers and their children. Environ. Int. 2014; 73: 323-333. https://doi.org/10.1016/j.envint.2014.08.014
  24. Tratnik JS, Kosjek T, Heath E, Mazej D, Cehic S, Karakitsios SP, et al. Urinary bisphenol A in children, mothers and fathers from Slovenia: overall results and determinants of exposure. Environ. Res. 2019; 168: 32-40. https://doi.org/10.1016/j.envres.2018.09.004
  25. LaKind JS, Naiman DQ. Temporal trends in bisphenol A exposure in the United States from 2003-2012 and factors associated with BPA exposure: spot samples and urine dilution complicate data interpretation. Environ. Res. 2015; 142: 84-95. https://doi.org/10.1016/j.envres.2015.06.013
  26. Wang B, Wang H, Zhou W, He Y, Zhou Y, Chen Y, et al. Exposure to bisphenol A among school children in eastern China: A multicenter cross-sectional study. J. Expo. Sci. Environ. Epidemiol. 2014; 24: 657-664. https://doi.org/10.1038/jes.2014.36
  27. Park JH, Hwang MS, Ko A, Jeong DH, Lee JM, Moon G, et al. Risk assessment based on urinary bisphenol A levels in the general Korean population. Environ. Res. 2016; 150: 606-615. https://doi.org/10.1016/j.envres.2016.03.024
  28. Park EK, Kim KY, Ha EH. Women, environment, and health. J Korean Soc Matern Child Health. 2014; 18(1): 54-59. https://doi.org/10.21896/jksmch.2014.18.1.54
  29. Wang H, Zhou Y, Tang C, Wu J, Chen Y, Jiang Q. Association between bisphenol A exposure and body mass index in Chinese school children: a cross-sectional study. Environ. Health. 2012; 11(1): 79. https://doi.org/10.1186/1476-069X-11-79
  30. Newbold RR, Padilla-Banks E, Snyder RJ, Jefferson WN. Developmental exposure to estrogenic compounds and obesity. Birth Defects Res. Part A Clin. Mol. Teratol. 2005; 73(7): 478-480. https://doi.org/10.1002/bdra.20147
  31. Yi B, Shin HJ, Na H, Lee NK, Yang M. Bisphenol A exposure and childhood obesity. J. Environ. Toxicol. 2009; 24(4): 287-292. https://doi.org/10.1002/tox.20432
  32. Trasande L, Attina TM, Blustein J. Association between urinary bisphenol A concentration and obesity prevalence in children and adolescents. JAMA. 2012; 308(11): 1113-1121. https://doi.org/10.1001/2012.jama.11461
  33. Blaser MJ, Falkow S. What are the consequences of the disappearing human microbiota? Nat Rev Microbiol. 2009; 7: 887-894. https://doi.org/10.1038/nrmicro2245
  34. Islam SA, Chang DS, Colbin RA, Byrne MH, McCully ML, Moser B, et al. Mouse CCL8, a CCR8 agonist, promotes atopic dermatitis by recruiting $IL-5^+$ $T_H2$ cells. Nat Immunol. 2011; 12(2): 167-177. https://doi.org/10.1038/ni.1984
  35. Kim EH, Jeon BH, Kim J, Kim YM, Han Y, Ahn K, et al. Exposure to phthalates and bisphenol A are associated with atopic dermatitis symptoms in children: a time-series analysis. Environ. Health. 2017; 16(1): 24. https://doi.org/10.1186/s12940-017-0225-5
  36. Spanier AJ, Kahn RS, Kunselman AR, Schaefer EW, Hornung R, Xu Y, et al. Bisphenol A exposure and the development of wheeze and lung function in children through age 5 years. JAMA Pediatr. 2014; 168(12): 1131-1137. https://doi.org/10.1001/jamapediatrics.2014.1397
  37. Wang IJ, Chen CY, Bornehag CG. Bisphenol A exposure may increase the risk of development of atopic disorders in children. Int J Hyg and Environ Health. 2016; 219(3): 311-316. https://doi.org/10.1016/j.ijheh.2015.12.001
  38. Donohue KM, Miller RL, Perzanowski MS, Just AC, Hoepner LA, Arunajadai S, et al. Prenatal and postnatal bisphenol A exposure and asthma development among inner-city children. J. Allergy Clin. Immunol. 2013; 131(3): 736-742. https://doi.org/10.1016/j.jaci.2012.12.1573
  39. Lakind JS, Naiman DQ. Bisphenol A (BPA) daily intakes in the United States: estimates from the 2003-2004 NHANES urinary BPA data. J. Expo. Sci. Environ. Epidemiol. 2008; 18: 608-615. https://doi.org/10.1038/jes.2008.20