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Citation
Tags
HERO ID
3981395
Reference Type
Journal Article
Title
Quantitative bias analysis for epidemiological associations of perfluoroalkyl substance serum concentrations and early onset of menopause
Author(s)
Ruark, CD; Song, G; Yoon, M; Verner, MA; Andersen, ME; Clewell, HJ; Longnecker, MP
Year
2017
Is Peer Reviewed?
1
Journal
Environment International
ISSN:
0160-4120
EISSN:
1873-6750
Publisher
PERGAMON-ELSEVIER SCIENCE LTD
Location
OXFORD
Volume
99
Page Numbers
245-254
Language
English
PMID
27927583
DOI
10.1016/j.envint.2016.11.030
Web of Science Id
WOS:000394062700024
URL
https://linkinghub.elsevier.com/retrieve/pii/S0160412016309205
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Abstract
An association between increased serum concentrations of perfluoroalkyl substances (PFAS) such as perfluorooctane sulfonate (PFOS) and perfluorooctanoate (PFOA) and early menopause has been reported (Knox et al., 2011; Taylor et al., 2014). This association may be explained by the fact that women who underwent menopause no longer excrete PFAS through menstruation. Our objective was to assess how much of the epidemiologic association between PFAS and altered timing of menopause might be explained by reverse causality. We extended a published population life-stage physiologically-based pharmacokinetic (PBPK) model of PFOS and PFOA characterized by realistic distributions of physiological parameters including age at menopause. We then conducted Monte Carlo simulations to replicate the Taylor population (Taylor et al., 2014) and the Knox population (Knox et al., 2011). The analysis of the simulated data overall showed a pattern of results that was comparable to those reported in epidemiological studies. For example, in the simulated Knox population (ages 42-51) the odds ratio (OR) for menopause in the fifth quintile of PFOA compared to those in the first quintile was 1.33 (95% CI 1.26-1.40), whereas the reported OR was 1.4 (95% CI 1.1-1.8). Using our model structure, a substantial portion of the associations reported can be explained by pharmacokinetics.
Keywords
Quantitative bias analysis; Menopause
Tags
PFAS
•
Additional PFAS (formerly XAgency)
•
Expanded PFAS SEM (formerly PFAS 430)
Litsearch: September 2019
PubMed
Web of Science
Not prioritized for screening
Perfluorooctane
•
^Per- and Polyfluoroalkyl Substances (PFAS)
PFOA (335-67-1) and PFOS (1763-23-1)
Literature Search – Adverse outcome pathway (2015-present)
Pubmed
WOS
•
PFAS 150
Literature Search Update December 2020
PubMed
WOS
Literature Search August 2019
PubMed
Web of Science
Not prioritized for screening
Perfluorooctane
Perfluorooctanesulfonic acid
Perfluorooctanoic acid
•
PFNA
Litsearch Update 2017-2018
PFAS Untag
Literature Search
Toxline
PFNA May 2019 Update
Toxnet
Title and Abstract Screening
Full Text Screening
Studies Meeting PECO
Human health effects studies
Tagged as Supplemental
Exposure assessment or qualitative exposure only
Other PFAS
Other
•
PFOA (335-67-1) and PFOS (1763-23-1)
Literature Search – Adverse outcome pathway (2015-present)
Pubmed
WOS
Screening Results
Human/Epi studies
Repro tox
Literature Search Update (2013-2019)
PubMed
WOS
•
PFOA and PFOS OW MCLG Approaches
Cited in White Papers
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