Bisphenol A Exposure in Exclusively Breastfed Infants and Lactating Women: An Observational Cross-sectional Study

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Çiftçi S., Yalçın S. S., Samur G.

Journal of clinical research in pediatric endocrinology, vol.13, no.4, pp.375-383, 2021 (SCI-Expanded) identifier identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 13 Issue: 4
  • Publication Date: 2021
  • Doi Number: 10.4274/jcrpe.galenos.2020.2021.0305
  • Journal Name: Journal of clinical research in pediatric endocrinology
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.375-383
  • Keywords: Bisphenol A, breastfeeding, exposure, lactation, maternal exposure, ENDOCRINE-DISRUPTING CHEMICALS, DRINKING-WATER, HUMAN-MILK, BPA, DIETARY, HEALTH, IMPACT, SPAIN, LIVER
  • Hacettepe University Affiliated: Yes


Objective: Bisphenol A (BPA) is a known endocrine disruptor and free BPA will interact with estrogen. BPA is also fat soluble and will therefore contaminate breast milk. The European Food Safety Authority has set a limit for temporary tolerable daily intake of 4 mu g/kg body weight/day in breastfeeding infants. The aim of this study was to measure human milk BPA concentrations in Turkish women and thus exclusively breastfed infants' exposure to BPA. Methods: Healthy, postnatal, exclusively breastfeeding women were recruited and breast milk samples were collected. Free BPA concentration was analyzed in the milk samples using competitive enzyme-linked immunosorbent assay. Participants' demographic characteristics and nutritional habits were investigated through face-to-face interviews using a detailed questionnaire. Results: Eighty women participated. Median milk free BPA level was 0.63 mu g/L. There was no statistically significant association between maternal body mass index, birth type, parity, infant birth week, infant birth weight, and human milk BPA concentration. Nevertheless, there was a significant association between human milk BPA level and consumption of fast-food and carbonated drinks (p=0.022 and p=0.018, respectively). Exclusively breastfed infants' mean BPA exposure was 0.0099 +/- 0.0079 mu g/kg bw/day. There was a moderate negative significant correlation between infant BPA exposure and infant current body weight (r=0.327, p=0.003). Conclusion: BPA exposure in exclusively breastfed infants was within accepted limits and the current dietary exposure level of infants in this cohort was safe.