國家衛生研究院 NHRI:Item 3990099045/9566
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/9566


    Title: Intake of phthalate-tainted foods and microalbuminuria in children: The 2011 Taiwan food scandal
    Authors: Tsai, HJ;Chen, BH;Wu, CF;Wang, SL;Huang, PC;Tsai, YC;Chen, ML;Ho, CK;Hsiung, CA;Wu, MT
    Contributors: National Institute of Environmental Health Sciences;Division of Biostatistics and Bioinformatics
    Abstract: Background: A major threat to public health involving phthalate-tainted foodstuffs occurred in Taiwan in 2011. Phthalates, mainly di-(2-ethylhexyl) phthalate (DEHP), were intentionally added to several categories of food commonly consumed by children. This study investigated the relationship between intake of the phthalate-tainted foods and renal function in children. Methods: Children aged ≤ 10 years with possible phthalate exposure were enrolled in this study between August 2012 and January 2013. Questionnaires were used to collect details of exposure to phthalate-tainted foodstuffs, and blood and urine samples were collected for clinical biochemical workup. The clinical biomarkers of renal injury, including urinary microalbumin, N-acetyl-beta- d-glucosaminidase (NAG), and β2-microglobulin were measured. Exposure was categorized based on recommended tolerable daily intake level defined by the U.S. Environmental Protection Agency (0.02 mg/kg/day) and the European Food Safety Authority (0.05 mg/kg/day). Results: We analyzed intake and renal function of 184 children whose intake of DEHP-tainted foods was known. Higher DEHP exposure to DEHP-tainted foods was significantly associated with increase of urine albumin/creatinine ratio (ACR). Children in the high-exposed group (daily DEHP intake (DDI) > 0.05 mg/kg/day) had 10.395 times the risk of microalbuminuria than the low-exposed group (DDI ≤ 0.02 and > 0 mg/kg/day) and no-exposed group combined after adjustment (95% CI = 1.096-98.580, P = 0.04). Conclusion: Intake of DEHP from phthalate-tainted foods may be a potential risk factor for microalbuminuria, a marker of glomerular injury in children.
    Date: 2016-04
    Relation: Environment International. 2016 Apr;89-90:129-137.
    Link to: http://dx.doi.org/10.1016/j.envint.2016.01.015
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0160-4120&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000374603900014
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84956774695
    Appears in Collections:[Po-Chin Huang] Periodical Articles
    [Shu-Li Wang] Periodical Articles
    [Chao A. Hsiung] Periodical Articles

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