Considerations for Stability of Environmental Samples in Storage for Long-Term Studies

It is often advantageous to store collected environmental samples for future retrospective analyses. However, information about sample stability is necessary to determine if there will be analyte loss or gain or degradation under the specified storage conditions and storage period. Failure to evaluate stability could result in inaccurate results and biased exposure assessments. As part of the National Children’s Study pilot, we considered which types of environmental samples could be stored for extended periods of time. We conducted an extensive literature review and considered the conduct of long-term stability studies for environmental samples. We present our findings and experience below as guidance for consideration by the environmental research community

Feasibility and Informative Value of Environmental Sample Collection in the National Children\u27s Vanguard Study

Background: Birth cohort studies provide the opportunity to advance understanding of the impact of environmental factors on childhood health and development through prospective collection of environmental samples. Methods: We evaluated the feasibility and informative value of the environmental sample collection methodology in the initial pilot phase of the National Children\u27s Study, a planned U.S. environmental birth cohort study. Environmental samples were collected from January 2009–September 2010 at up to three home visits: pre-pregnancy (n¼306), pregnancy (n¼807), and 6-months postnatal (n¼117). Collections included air for particulate matter r2.5 mm (PM2.5), nitrogen dioxide, ozone, volatile organic compounds (VOCs), and carbonyls; vacuum dust for allergens/endotoxin; water for VOCs, trihalomethanes (THMs), and haloacetic acids (HAAs); and wipe samples for pesticides, semi-volatile organics, and metals. We characterized feasibility using sample collection rates and times and informative value using analyte detection frequencies (DF). Results: Among the 1230 home visits, environmental sample collection rates were high across all sample types (mean¼89%); all samples except the air PM2.5 samples had collection times o30 min. Informative value was low for water VOCs (median DF¼0%) and pesticide floor wipes (median DF¼5%). Informative value was moderate for air samples (median DF¼35%) and high for water THMs and HAAs (median DF¼91% and 75%, respectively). Conclusions: Though collection of environmental samples was feasible, some samples (e.g., wipe pesticides and water VOCs) yielded limited information. These results can be used in conjunction with other study design considerations, such as target population size and hypotheses of interest, to inform the method selection of future environmental health birth cohort studies

Exposure and risk estimates for Arizona drinking water

As part of the National Human Exposure Assessment Survey, a multistage sampling was used to estimate and compare exposures and risks associated with drinking water for two groups - the population of Arizona and that of border communities. There had been some concern that the border communities' exposures would be higher than those of other parts of the state because of their proximity to Mexico, where environmental quality may not be as high a priority as it is in the United States. The two study populations were further categorized by gender, age, ethnicity, education, income, and building structure type and year of construction. For these subgroups, the study estimated and compared risks for arsenic, 1,3-butadiene, chloroform, chromium, 1,2-dichloroethane, dichloromethane, lead, nickel, and toluene. For almost all of the sample subjects, residue concentrations were below the drinking water guideline values of both Arizona and the US Environmental Protection Agency. Of the metals studied, arsenic was the only one with a population carcinogenic risk above the acceptable level of 1.0E-6. Contrary to expressed concerns, average daily exposures and associated risks were estimated to be smaller in the border communities than in the Arizona population. For utilities, one finding deserving further study was that risks from tap water were estimated to be greater than risks from nontap water. Further research may be warranted to uncover the causes for these elevated risks

Mode of Action in Relevance of Rodent Liver Tumors to Human Cancer Risk

Hazard identification and risk assessment paradigms depend on the presumption of the similarity of rodents to humans, yet species specific responses, and the extrapolation of high-dose effects to lowdose exposures can affect the estimation of human risk from rodent data. As a consequence, a human relevance framework concept was developed by the International Programme on Chemical Safety (IPCS) and International Life Sciences Institute (ILSI) Risk Science Institute (RSI) with the central tenet being the identification of a mode of action (MOA). To perform a MOA analysis, the key biochemical, cellular, and molecular events need to first be established, and the temporal and dose-dependent concordance of each of the key events in the MOA can then be determined. The key events can be used to bridge species and dose for a given MOA. The next step in the MOA analysis is the assessment of biological plausibility for determining the relevance of the specified MOA in an animal model for human cancer risk based on kinetic and dynamic parameters. Using the framework approach, a MOA in animals could not be defined for metal overload. The MOA for phenobarbital (PB)-like P450 inducers was determined to be unlikely in humans after kinetic and dynamic factors were considered. In contrast, after these factors were considered with reference to estrogen, the conclusion was drawn that estrogen-induced tumors were plausible in humans. Finally, it was concluded that the induction of rodent liver tumors by porphyrogenic compounds followed a cytotoxic MOA, and that liver tumors formed as a result of sustained cytotoxicity and regenerative proliferation are considered relevant for evaluating human cancer risk if appropriate metabolism occurs in the animal models and in humans

Association between milk intake and childhood growth: results from a nationwide cross-sectional survey

Purpose: The literature is inconsistent regarding milk intake and physical growth. This study aims to evaluate the association of milk intake with body height and weight in a nationally representative sample of Chinese children. Methods: A total of 41,439 children ages 6–17 were recruited from 30 provinces in mainland China in 2013–2016 using a multistage stratified cluster sampling approach. Milk intake information was collected using a questionnaire aided with standard containers. Weight and height were measured using a standard physician beam scale with a height rod. Milk intake was categorized into no-, low-, and high-intake groups based on the intake rate, and weight status into normal, overweight, and obese groups based on the body-mass-index (BMI). Associations between height/weight status and milk intake were evaluated using multivariate weighted linear and logistic regression models. Results: Chinese children had low milk intake: 1/5 of children did not drink milk, and those drinking milk had a median intake of 100 ml/month. The low- and high-intake groups were 0.83 cm (95% confidence interval: 0.00, 1.68 cm) and 1.26 cm (0.34, 2.19 cm) taller than the no-intake group for girls, respectively, after adjusting for confounding factors. Boys with high milk intake had lower BMI (−0.56, 95% CI: −1.00, −0.12 kg/m2) and risk of obesity (OR = 0.67, 95% CI: 0.46, 0.97) than those without milk intake. Conclusions: This study revealed the association of increased milk intake with increased body height and lowered obesity risk among Chinese children. Given the cross-sectional nature of the study and the possibility of residual confounding, further research is warranted to uncover the role of milk intake in promoting children’s growth