Bone Mineral Density Changes in Relation to Environmental PCB Exposure.

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Title: Bone Mineral Density Changes in Relation to Environmental PCB Exposure.
Authors: Hodgson, Susan1,2 susan.hodgson@ncl.ac.uk, Thomas, Laura2, Fattore, Elena3, Lind, Monica4, Alfven, Tobias4, Hellström, Lennart5,6, Håkansson, Helen4, Carubelli, Grazia3, Fanelli, Roberto3, Jarup, Lars2
Source: Environmental Health Perspectives. Sep2008, Vol. 116 Issue 9, p1162-1166. 5p. 3 Charts.
Subject Terms: *Toxicity testing, *Organochlorine compounds, *Polychlorinated biphenyls, *Environmental exposure, Bone density, Absorption spectra, Blood testing
Abstract: BACKGROUND: Bone toxicity has been linked to organochlorine exposure following a few notable poisoning incidents, but epidemiologic studies in populations with environmental organochlorine exposure have yielded inconsistent results. OBJECTIVES: The aim of this study was to investigate whether organochlorine exposure was associated with bone mineral density (BMD) in a population 60-81 years of age (154 males, 167 females) living near the Baltic coast, close to a river contaminated by polychlorinated biphenyls (PCBs). METHODS: We measured forearm BMD in participants using dual energy X-ray absorptiometry; and we assessed low BMD using age- and sex-standardized Z-scores. We analyzed blood samples for five dioxin-like PCBs, the three most abundant non-dioxin-like PCBs, and p,p´-dichlorophenyldichloroethylene (p,p´-DDE). RESULTS: In males, dioxin-like chlorobiphenyl (CB)-118 was negatively associated with BMD; the odds ratio for low BMD (Z-score less than --1) was 1.06 (95% confidence interval, 1.01--1.12) per 10 pg/mL CB-118. The sum of the three most abundant non-dioxin-like PCBs was positively associated with BMD, but not with a decreased risk of low BMD. In females, CB-118 was positively associated with BMD, but this congener did not influence the risk of low BMD in women. CONCLUSIONS: Environmental organochlorine exposures experienced by this population sample since the 1930s in Sweden may have been sufficient to result in sex-specific changes in BMD. [ABSTRACT FROM AUTHOR]
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Abstract:BACKGROUND: Bone toxicity has been linked to organochlorine exposure following a few notable poisoning incidents, but epidemiologic studies in populations with environmental organochlorine exposure have yielded inconsistent results. OBJECTIVES: The aim of this study was to investigate whether organochlorine exposure was associated with bone mineral density (BMD) in a population 60-81 years of age (154 males, 167 females) living near the Baltic coast, close to a river contaminated by polychlorinated biphenyls (PCBs). METHODS: We measured forearm BMD in participants using dual energy X-ray absorptiometry; and we assessed low BMD using age- and sex-standardized Z-scores. We analyzed blood samples for five dioxin-like PCBs, the three most abundant non-dioxin-like PCBs, and p,p´-dichlorophenyldichloroethylene (p,p´-DDE). RESULTS: In males, dioxin-like chlorobiphenyl (CB)-118 was negatively associated with BMD; the odds ratio for low BMD (Z-score less than --1) was 1.06 (95% confidence interval, 1.01--1.12) per 10 pg/mL CB-118. The sum of the three most abundant non-dioxin-like PCBs was positively associated with BMD, but not with a decreased risk of low BMD. In females, CB-118 was positively associated with BMD, but this congener did not influence the risk of low BMD in women. CONCLUSIONS: Environmental organochlorine exposures experienced by this population sample since the 1930s in Sweden may have been sufficient to result in sex-specific changes in BMD. [ABSTRACT FROM AUTHOR]
ISSN:00916765
DOI:10.1289/ehp.11107