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5024205 
Journal Article 
Temporal trends and predictors of perfluoroalkyl substances serum levels in Swedish pregnant women in the SELMA study 
Shu, H; Lindh, CH; Wikström, S; Bornehag, CG 
2018 
PLoS ONE
EISSN: 1932-6203 
PUBLIC LIBRARY SCIENCE 
SAN FRANCISCO 
13 
12 
e0209255 
English 
BACKGROUND: Perfluoroalkyl substances (PFAS) are used in numerous consumer products. They are persistent, bioaccumulating, and suspected to be endocrine disrupting chemicals (EDCs). A growing body of research has reported the association between PFAS exposure and adverse health effects. Concerns have been raised with special focus in childhood development.

METHODS: Perfluoroheptanoic acid (PFHpA), perfluorooctanoic acid (PFOA), perfluorononanoic acid (PFNA), perfluorodecanoic acid (PFDA), perfluoroundecanoic acid (PFUnDA), perfluorododecanoic acid (PFDoDA), perfluorohexane sulfonate (PFHxS) and perfluorooctane sulfonate (PFOS) were analyzed by LC/MS/MS in serum from 1,616 pregnant women in the Swedish SELMA study. The serum samples were collected in the first trimester (median week 10). Least square geometric means (LSGM) of PFAS were estimated for each year period for, adjusted for potential determinants including parity, fish intake in the family, and mother's age.

RESULTS: Six PFAS (PFNA, PFDA, PFUnDA, PFHxS, PFOA, and PFOS) were detected above levels of detection (LOD) in more than 99% of the SELMA women, while PFHpA, and PFDoDA were detected above LOD in 73.4% and 46.7% respectively. Parity, maternal age, maternal smoking, and fish intake during pregnancy were found to be significantly associated (p<0.05) with serum PFAS levels in the pregnant women. Finally, serum concentration of six PFAS (PFNA, PFDA, PFHxS, PFHpA, PFOA and PFOS) were significantly decreasing (range 14-31%) during the period of 30 months from 2007-2010.

CONCLUSIONS: Our analysis shows that six out of eight PFAS could be identified in serum of more than 99% of SELMA subjects with a significant slightly decreasing trend for five of these compounds. Furthermore, parity, higher fish intake and mothers age are determinants for serum levels of PFAS in pregnant women. 
Sciences: Comprehensive Works; Pregnancy; Freshwater fish; Acetonitrile; Antenatal care; Chemical precipitation; Chemical disruption; Reproductive endocrinology; Womens health; Endocrine disruptors; Perfluorodecanoic acid; Perfluoro compounds; Organic chemistry; Smoking; Perfluoroalkyls; Children; Perfluorooctanoic acid; Serum levels; Consumer products; Health risk assessment; Disruption; Determinants; Bioaccumulation; Perfluorohexane; Health risks; New York; United States--US; Germany 
PFAS
• Additional PFAS (formerly XAgency)
     Literature Search November 2019
          PubMed
          Web of Science
     Screened Studies
          Supplemental
     Perfluorododecanoic acid
• Expanded PFAS SEM (formerly PFAS 430)
     Litsearch: September 2019
          PubMed
          Web of Science
     Not prioritized for screening
     Perfluorooctane
     Perfluorododecanoic acid
• PFAS 150
     Literature Search Update December 2020
          PubMed
          WOS
     Literature Search August 2019
          PubMed
          Web of Science
     Screened Studies
          Supplemental
     Ammonium perfluorooctanoate
     Perfluorodecanoic acid
     Perfluoroheptanoic acid
     Perfluorohexanesulfonic acid
     Perfluorononanoic acid
     Perfluorooctane
     Perfluorooctanesulfonic acid
     Perfluorooctanoic acid
     Perfluoroundecanoic acid
• PFDA
     Literature Search Update 5/2019
          PubMed
     Scopus: April 2021
     Literature Searches (through April 2023 update and post-public comment/peer review)a    
          Title & Abstract Screening
               Tagged as Supplemental
                    Full Text Screening
                    Exposure assessment or qualitative exposure only
• PFHpA
     Literature Search Update 2017-2019
          PubMed
          WOS
• PFHxS
     Database searches
          Pubmed
          WOS
          Scopus
     Supplemental
          TiAb
          Full Text
          Exposure assessment or characterization (no health outcome)
     Literature Search Update April 2023
          Supplemental
               Exposure assessment or characterization (no health outcome)
• PFNA
     PFNA Literature Search pre-2019
          WOS
     Literature Search
          Pubmed
          Toxline
          WOS
     PFNA May 2019 Update
          Pubmed
          Toxnet
          Web of Science
     Title and Abstract Screening
          Full Text Screening
               Excluded
                    Not relevant to PECO
                    Did not examine health outcome of interest
               Studies Meeting PECO
                    Human health effects studies
          Tagged as Supplemental
               Exposure assessment or qualitative exposure only
               Other PFAS
• PFOA (335-67-1) and PFOS (1763-23-1)
     Literature Search Update (2013-2019)
          PubMed
          WOS