Abstract
The urinary metabolites of phthalates are well-accepted exposure biomarkers for adults and children older than 6 years but are not commonly used for infants owing to non-convenient sampling. In the light of this situation, a novel sampling method based on monitoring the urine expressed from the gel diaper was developed. The urine was expressed from the gel absorbent after mixing the absorbent with CaCl2 and then collected by a laboratory-made device; the urinary phthalate metabolites were extracted and cleaned using a solid-phase extraction (SPE) column and analyzed with high-performance liquid chromatography-electrospray ionization-tandem mass spectrometry / mass spectrometry. To evaluate the method's feasibility, the following factors were investigated: the proportion of CaCl2 to gel absorbent, the urination volume variation and the target compounds’ deposition bias in the diaper, the matrix blank of the different diaper brands, the storage stabilities and the recoveries of creatinine and phthalate metabolites in the expressed urine. Mono-methyl phthalate, mono-ethyl phthalate, mono-butyl phthalate, mono-benzyl phthalate, mono-2-ethylhexyl phthalate and mono-2-ethyl-5-oxohexyl phthalate were involved. 70–80% of the urine can be expressed from the diaper, and the expressed spiking recoveries and the limit of detection of mono-phthalates ranged from 88.5–115% and 0.21–0.50 ng/ml. The method was applied to measure phthalate metabolites in 65 gel diaper samples from 15 infants, and the pilot data suggests the infants are commonly exposed to phthalates. In summary, the method for monitoring of infant exposure to phthalates is sound and validated, and the potential health effects from the vulnerable infants’ exposure to phthalates should be concerned.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 6 print issues and online access
$259.00 per year
only $43.17 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
ATSDR. Toxicological Profile for Di-n-butyl Phthalate. Agency for Toxic Substances and Disease Registry: Atlanta, GA, USA, 2001. Available at http://www.atsdr.cdc.gov/toxprofiles/tp135.html.
ATSDR. Toxicological Profile for Di (2-ethyl) phthalate (DEHP). Agency for Toxic Substances and Disease Registry: Atlanta, GA, USA, 2002. Available at: http://www.atsdr.cdc.gov/toxprofiles/tp9.html.
Lambrot R., Muczynski V., Lecureuil C., Angenard G., Coffigny H., and Pairault C., et al. Phthalates impair germ cell development in the human fetal testis in vitro without change in testosterone production. Environ Health Persp 2009: 117: 32–37.
Masuyama H., Hiramatsu Y., Kunitomi M., Kudo T., and MacDonald P.N. Endocrine disrupting chemicals, phthalic acid and nonylphenol, activate Pregnane X receptor-mediated transcription. Mol Endocrinol 2000: 14: 421–428.
Swan S.H., Main K.M., Liu F., Stewart S.L., Kruse R.L., and Calafat A.M., et al. Decrease in anogenital distance among male infants with prenatal phthalate exposure. Environ Health Persp 2005: 113: 1056–1061.
Daston G., Faustman E., Ginsberg G., Fenner-Crisp P., Olin S., and Sonawane B., et al. A framework for assessing risks to children from exposure to environmental agents. Environ Health Persp 2004: 112: 238–256.
WHO. 2006 Principles for evaluating health risks in children associated with exposure to chemicals, Environmental Health Criteria 237. http://whqlibdoc.who.int/publications/2006/924157237X_eng.pdf(Access 2011-2-8).
Itoh H., Yoshida K., and Masunaga S. Quantitative identification of unknown exposure pathways of phthalates based on measuring their metabolites in human urine. Environ Sci Technol 2007: 41: 4542–4547.
Lorber M., Angerer J., and Koch H. A simple pharmacokinetic model to characterize exposure of Americans to Di-2-ethylhexyl phthalate. J Expo Anal Environ Epidemiol 2009: 20: 38–53.
Högberg J., Hanberg A., Berglund M., Skerfving S., Remberger M., and Calafat A.M., et al. Phthalate diesters and their metabolites in human breast milk, blood or serum, and urine as biomarkers of exposure in vulnerable populations. Environ Health Persp 2008: 116: 334–339.
Liu L., Bao H., Liu F., Zhang J., and Shen H. Phthalates exposure of the Chinese reproductive age couples and their effect on male semen quality, a primary study. Environ Int 2012: 42: 78–83. (doi:10.1016/j.envint.2011.04.05).
Wolff M.S., Teitelbaum S.L., Windham G., Pinney S.M., Britton J.A., and Chelimo C., et al. Pilot study of urinary biomarkers of phytoestrogens, phthalates, and phenols in girls. Environ Health Persp 2007: 115: 116–121.
Lee E.J., and Arbuckle T.E. Urine-sampling methods for environmental chemicals in infants and young children: urine sampling of chemicals in young children. J Expo Anal Environ Epidemiol 2009: 19: 625–633.
Adibi J.J., Whyatt R.M., Williams P.L., Calafat A.M., Camann D., and Herrick R., et al. Characterization of phthalate exposure among pregnant women assessed by repeat air and urine samples. Environ Health Persp 2008: 116: 467–473.
Sathyanarayana S., Karr C.J., Lozano P., Brown E., Calafat A.M., and Liu F., et al. Baby care products: possible sources of infant phthalate exposure. Pediatrics 2008: 121: e260–e268.
Farrell M., Devine K., Lancaster G., and Judd B. A method comparison study to assess the reliability of urine collection pads as a means of obtaining urine specimens from non-toilet-trained children for microbiological examination. J Adv Nurs 2002: 37: 387–393.
Shvartzman P., and Nasri Y. Urine culture collected from gel-based diapers: developing a novel experimental laboratory method. J Am Board Fam Pract 2004: 17: 91–95.
Macfarlane P.I., Ellis R., Hughes C., Houghton C., and Lord R. Urine collection pads: are samples reliable for urine biochemistry and microscopy? Pediatr Nephrol 2005: 20: 170–179.
Hu Y.A., Barr D.B., Akland G., Melnyk L., Needham L., and Pellizzari E.D., et al. Collecting urine samples from young children using cotton gauze for pesticide studies. J Expo Anal Environ Epidemiol 2000: 10: 703–709.
Hu Y., Beach J., Raymer J., and Gardner M. Disposable diaper to collect urine samples from young children for pyrethroid pesticide studies. J Expo Anal Environ Epidemiol 2004: 14: 378–384.
Mukerjee M. Diapers — disposable. superabsorbers. Sci Am 2000: 283: 100–101.
Silva M.J., Slakman A.R., Reidy J.A., Preau Jr. J.L., Herbert A.R., and Calafat A.M., et al. Analysis of human urine for fifteen phthalate metabolites using automated solid-phase extraction. J Chromatogr B 2004: 805: 161–167.
Silva M.J., Samandar E., Preau Jr. J.L., Reidy J.A., Needham L.L., and Calafat A.M. Quantification of 22 phthalate metabolites in human urine. J Chromatogr B 2007: 860: 106–112.
Lin S., Ku H.Y., Su P.H., Chen J.W., Huang P.C., and Wang S.L., et al. Phthalate exposure in pregnant women and their children in central Taiwan. Chemosphere 2011: 82: 947–955.
Acknowledgements
We sincerely thank the participant parents of this study for providing their infants’ diaper samples, as well as others who gave us assistance. The present work was sponsored by the 39th Scientific Research Foundation for the Returned Overseas Chinese Scholars (SRF for ROCS) form the State Education Ministry (SEM) of China, Hundred Talent Program of Chinese Academy of Sciences (CAS) for 2010 on Human Exposure to Environmental Pollutants and Health Effects, CAS/SAFEA International Partnership Program for Creative Research Teams (KZCX2-YW-T08).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no conflict of interest.
Additional information
Supplementary Information accompanies the paper on the Journal of Exposure Science and Environmental Epidemiology website
Supplementary information
Rights and permissions
About this article
Cite this article
Liu, L., Xia, T., Guo, L. et al. Expressing urine from a gel disposable diaper for biomonitoring using phthalates as an example. J Expo Sci Environ Epidemiol 22, 625–631 (2012). https://doi.org/10.1038/jes.2012.51
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/jes.2012.51
Keywords
This article is cited by
-
Phthalate exposure and cumulative risk in a Chinese newborn population
Environmental Science and Pollution Research (2019)
-
A non-invasive biomonitoring method for assessing levels of urinary pyrethroid metabolites in diapered children by gas chromatography–mass spectrometry
Journal of Exposure Science & Environmental Epidemiology (2014)
-
Biomonitoring of infant exposure to phenolic endocrine disruptors using urine expressed from disposable gel diapers
Analytical and Bioanalytical Chemistry (2014)