Abstract

We report on the pilot study carried out before the start of the Elfe project (French longitudinal study from childhood). A total of 44 samples of mature human milk were collected at home 8weeks after delivery. A total of 7 polychlorinated dibenzo-p-dioxins (PCDDs), 10 polychlorinated dibenzofurans (PCDFs), 12 dioxin-like (DL) polychlorinated biphenyls (PCBs), and 6 non dioxin-like (NDL)-PCBs were measured. For total TEQ (PCDD/Fs and DL-PCBs), the geometric mean concentration was 17.81pg TEQWHO05/g lipids. Relative PCDD, PCDF, and DL-PCB contributions to the arithmetic mean TEQWHO05 were 38%, 18%, and 44%, respectively. The use of TEFWHO05 instead of TEFWHO98 resulted in a 27% reduction of the total TEQ value. Although PCDD levels did not significantly change (less than 0.5% increase), PCDF and DL-PCB levels both decreased by 35% and 38%, respectively. Levels have been compared to data obtained during a previous non-reported national study conducted in 1998 (TEFWHO98) in French lactaria (n=244). The mean of PCDD/Fs has decreased about 39.4% (18.8pg TEQWHO98/g lipids in 1998 vs 11.4pg TEQWHO98/g lipids in pilot study), respectively 41.5% for PCDDs (10.6pg TEQWHO98/g lipids in 1998 vs 6.2pg TEQWHO98/g lipids in pilot study) and 36.7% for PCDFs (7.9pg TEQWHO98/g lipids in 1998 vs 5.0pg TEQWHO98/g lipids in pilot study). For the sum of the 6 NDL-PCBs, the 2007 geometric mean concentration in milk was 176.3ng/g lipids. The arithmetic mean lipid concentration in 2007 breast milk was 26.4g/l (range from 6.0 to 46.7g/l). A PCDD/F and DL-PCB daily intake was estimated to be 62.3pg TEQWHO05/kg body weight per day (85.0pg TEQWHO98/kg body weight per day) for a baby of 5kg of body weight fed daily with 700ml of maternal milk containing 25g/l of lipids.

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