Parabens, phthalates and perfluoroalkyl substances (PFAs) are chemicals that have many uses. When it comes to textiles specifically, PFAs are often used as stain and water repellents, phthalates in PVC- coated materials, and parabens can be found in sanitary wipes.

However, in a recent study researchers have found that early life exposure to these different chemicals is associated with reduced lung function in children.

The study was co-directed by the Barcelona Institute for Global Health (ISGlobal), an institution supported by la Caixa, and the French Institute for Health and Biomedical Research (INSERM), in collaboration with other European teams and has been published in The Lancet Planetary Health.  

Every day we are continuously and simultaneously exposed to a wide range of environmental factors including changing climate, air pollution in urban settings and at home and chemical substances. The totality of these exposures is referred to as the exposome. To date, numerous studies have addressed the effect of environmental determinants on respiratory health, but most have focused on single exposures or a single family of chemicals, according to the researchers.  

“This is the first study that applies an exposome approach to identify associations between pre and childhood exposure to a range of important environmental factors and impairment of lung function, thereby representing a new paradigm in environmental health research,” says Martine Vrijheid, ISGlobal researcher and co-ordinator of the study.

The new study performed under the European HELIX project, analysed data from 1,033 mother-child pairs from six European countries: Spain, France, Greece, England, Lithuania and Norway.

The researchers measured 85 exposures during pregnancy and 125 during childhood, relating to outdoor, indoor, chemical and lifestyle factors. Lung function was measured by spirometry in children at six and 12 years of age.

The results show that prenatal exposure to two types of PFAS – PFOA and PNFA – was associated with a decrease lung function. PFAS are used as stain and water repellents and are found in many household products and food packages. They can be absorbed by the organism, through food or water for example, and then passed to the unborn baby through the placenta.

Regarding exposures during childhood, the study identified nine exposures associated with impaired lung function. Five phthalate metabolites including DEHP and DINP — which are used as plasticisers and can be ingested, inhaled or absorbed through the skin – showed the strongest association.

An association was also found with ethyl-paraben, a phenol compound used in cosmetics, and with copper, which in the general population is ingested mainly through drinking water and diet.

Finally, house crowding and high density of facilities around school were also associated with lower lung function.

“These findings have important implications for public health,” adds Vrijheid. “Preventive measures to reduce exposure to the chemical substances identified, including a stricter regulation and the labelling of consumer products to better inform the public, could help prevent lung function impairment in childhood and benefit health in the long-term.”