Publications by authors named "Govarts Eva"

Article Synopsis
  • Mycotoxins, like Deoxynivalenol (DON), are naturally occurring toxins from fungi linked to health issues, prompting public health concern, especially in Europe.
  • A study analyzed urinary DON levels from 1270 participants across six countries to assess exposure and identify key factors influencing it, finding notable variances based on demographics and lifestyle.
  • About 12.3% of participants had DON levels exceeding the recommended safe limit, highlighting significant exposure among certain groups and contributing valuable data on mycotoxin risks in Europe.
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Background: Asthma and allergic diseases are among the common causes of morbidity and mortality globally. Various environmental pollutants are linked to the development of asthma and allergic diseases. Evidence on the role of oxidative stress and immune markers in the association of environmental pollutants with asthma and allergy is scant.

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Based on toxicological evidence, children's exposure to phthalates may contribute to altered neurodevelopment and abnormal regulation of brain-derived neurotrophic factor (BDNF). We analyzed data from five aligned studies of the Human Biomonitoring for Europe (HBM4EU) project. Ten phthalate metabolites and protein BDNF levels were measured in the urine samples of 1148 children aged 6-12 years from Italy (NACII-IT cohort), Slovakia (PCB-SK cohort), Hungary (InAirQ-HU cohort) and Norway (NEBII-NO).

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Background: Phthalates are ubiquitous in the environment. Despite short half-lives, chronic exposure can lead to endocrine disruption. The safety of phthalate substitute DINCH is unclear.

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Background: Bisphenol A (BPA; or 4,4'-isopropylidenediphenol) is an endocrine disrupting chemical. It was widely used in a variety of plastic-based manufactured products for several years. The European Food Safety Authority (EFSA) recently reduced the Tolerable Daily Intake (TDI) for BPA by 20,000 times due to concerns about immune-toxicity.

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Background: Exposure to phthalate/DINCH metabolites can induce human reproductive toxicity, however, their endocrine-disrupting mechanisms are not fully elucidated.

Objective: To investigate the association between concentrations of phthalate/DINCH metabolites, serum kisspeptin, and reproductive hormones among European teenagers from three of the HBM4EU Aligned Studies.

Methods: In 733 Belgian (FLEHS IV study), Slovak (PCB cohort follow-up), and Spanish (BEA study) teenagers, ten phthalate and two DINCH metabolites were measured in urine by high-performance liquid chromatography-tandem mass spectrometry.

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Phthalates and the substitute plasticizer DINCH belong to the first group of priority substances investigated by the European Human Biomonitoring Initiative (HBM4EU) to answer policy-relevant questions and safeguard an efficient science-to-policy transfer of results. Human internal exposure levels were assessed using two data sets from all European regions and Israel. The first collated existing human biomonitoring (HBM) data (2005-2019).

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Little is known about exposure determinants of acrylamide (AA), a genotoxic food-processing contaminant, in Europe. We assessed determinants of AA exposure, measured by urinary mercapturic acids of AA (AAMA) and glycidamide (GAMA), its main metabolite, in 3157 children/adolescents and 1297 adults in the European Human Biomonitoring Initiative. Harmonized individual-level questionnaires data and quality assured measurements of AAMA and GAMA (urine collection: 2014-2021), the short-term validated biomarkers of AA exposure, were obtained from four studies (Italy, France, Germany, and Norway) in children/adolescents (age range: 3-18 years) and six studies (Portugal, Spain, France, Germany, Luxembourg, and Iceland) in adults (age range: 20-45 years).

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Article Synopsis
  • The research investigates the impact of organophosphate flame retardants on children's neurodevelopment, focusing on two European cohorts: the Odense Child Cohort from Denmark and the PCB cohort from Slovakia.
  • Neurodevelopment was assessed using children's IQ scores from the Wechsler Intelligence Scale, and urine samples were analyzed for organophosphate metabolites.
  • Results revealed a slight negative trend in neurodevelopment scores associated with bis(1,3-dichloro-2-propyl) phosphate (BDCIPP) in the Danish cohort, while no significant associations were found with diphenyl phosphate (DPHP) or in the Slovakian cohort.
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Flame retardant (FR) exposure has been linked to several environmental and human health effects. Because of this, the production and use of several FRs are regulated globally. We reviewed the available records of polybrominated diphenyl ethers (PBDEs) and hexabromocyclododecanes (HBCDDs) in human breast milk from literature to evaluate the efficacy of regulation to reduce the exposure of FRs to humans.

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Article Synopsis
  • Human biomonitoring (HBM) data in Europe is often fragmented, but assessments were made for exposure levels in children and adult women from 2000 to 2021 using harmonized methods and biobanked samples.
  • Analysis showed decreasing trends in harmful phthalate metabolites and BPA among children and women, respectively, alongside increasing levels of substitutes like DINCH, BPF, and BPS.
  • While clear causal relationships weren't established, the findings indicate the effectiveness of EU chemical regulations, showing reduced exposure to restricted substances but a rise in their substitutes.
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Early puberty has been found to be associated with adverse health outcomes such as metabolic and cardiovascular diseases and hormone-dependent cancers. The decrease in age at menarche observed during the past decades has been linked to an increased exposure to endocrine-disrupting compounds (EDCs). Evidence for the association between PFAS and phthalate exposure and menarche onset, however, is inconsistent.

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Background: Perfluoroalkyl substances (PFAS) and phthalates are synthetic chemicals widely used in various types of consumer products. There is epidemiological and experimental evidence that PFAS and phthalates may alter thyroid hormone levels; however, studies in children and adolescents are limited.

Aim: To investigate the association of exposure to PFAS and phthalate with serum levels of thyroid hormones in European adolescents.

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Article Synopsis
  • PFAS exposure can affect human reproductive functions, influencing puberty timing and hormone levels, though the exact mechanisms remain unclear.
  • The study analyzed serum samples from 733 teenagers in Belgium, Slovakia, and Spain, measuring various PFAS compounds and reproductive hormones using advanced lab techniques.
  • Findings revealed sex-specific associations, with PFAS linked to higher testosterone levels in girls and lower follicle-stimulating hormone levels in boys, highlighting potential adverse effects on the reproductive axis due to PFAS exposure.
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The environmental impact on health is an inevitable by-product of human activity. Environmental health sciences is a multidisciplinary field addressing complex issues on how people are exposed to hazardous chemicals that can potentially affect adversely the health of present and future generations. Exposure sciences and environmental epidemiology are becoming increasingly data-driven and their efficiency and effectiveness can significantly improve by implementing the FAIR (findable, accessible, interoperable, reusable) principles for scientific data management and stewardship.

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The European Human Biomonitoring Initiative (HBM4EU) ran from 2017 to 2022 with the aim of advancing and harmonizing human biomonitoring in Europe. More than 40,000 analyses were performed on human samples in different human biomonitoring studies in HBM4EU, addressing the chemical exposure of the general population, temporal developments, occupational exposure and a public health intervention on mercury in populations with high fish consumption. The analyses covered 15 priority groups of organic chemicals and metals and were carried out by a network of laboratories meeting the requirements of a comprehensive quality assurance and control system.

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Per- and polyfluoroalkyl substances (PFASs) were one of the priority substance groups selected which have been investigated under the ambitious European Joint programme HBM4EU (2017-2022). In order to answer policy relevant questions concerning exposure and health effects of PFASs in Europe several activities were developed under HBM4EU namely i) synthesis of HBM data generated in Europe prior to HBM4EU by developing new platforms, ii) development of a Quality Assurance/Quality Control Program covering 12 biomarkers of PFASs, iii) aligned and harmonized human biomonitoring studies of PFASs. In addition, some cohort studies (on mother-child exposure, occupational exposure to hexavalent chromium) were initiated, and literature researches on risk assessment of mixtures of PFAS, health effects and effect biomarkers were performed.

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Phthalates are mainly used as plasticizers and are associated inter alia with adverse effects on reproductive functions. While more and more national programs in Europe have started monitoring internal exposure to phthalates and its substitute 1,2-Cyclohexanedicarboxylic acid (DINCH), the comparability of results from such existing human biomonitoring (HBM) studies across Europe is challenging. They differ widely in time periods, study samples, degree of geographical coverage, design, analytical methodology, biomarker selection, and analytical quality assurance level.

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Human health risk assessment of chemical mixtures is complex due to the almost infinite number of possible combinations of chemicals to which people are exposed to on a daily basis. Human biomonitoring (HBM) approaches can provide inter alia information on the chemicals that are in our body at one point in time. Network analysis applied to such data may provide insight into real-life mixtures by visualizing chemical exposure patterns.

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Article Synopsis
  • Human biomonitoring studies show that people are frequently exposed to environmental chemicals linked to serious health risks, including reproductive and neurological disorders.
  • One of the goals of the HBM4EU initiative was to create a standardized set of effect biomarkers to better understand these health impacts in large-scale studies across Europe.
  • The initiative developed a process to identify and validate these biomarkers through comprehensive research, and demonstrated their application through pilot studies, including examining the effects of BPA on adolescent behavior through the biomarker BDNF.
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Article Synopsis
  • - Phthalates are chemicals primarily used to make plastics more flexible, particularly in PVC, and exposure to them can negatively impact reproductive health.
  • - The HBM4EU Aligned Studies (2014-2021) analyzed phthalate exposure in ~5,600 children and adolescents across 12 European countries to gather data on levels and regional differences of exposure using urinary metabolites.
  • - Results showed varying geometric means (GMs) of phthalate metabolites, with the highest levels found in ∑DEHP and MiBP for both children and adolescents, while exposure differences were also examined based on factors like region and education level.
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As one of the core elements of the European Human Biomonitoring Initiative (HBM4EU) a human biomonitoring (HBM) survey was conducted in 23 countries to generate EU-wide comparable HBM data. This survey has built on existing HBM capacity in Europe by aligning national or regional HBM studies, referred to as the HBM4EU Aligned Studies. The HBM4EU Aligned Studies included a total of 10,795 participants of three age groups: (i) 3,576 children aged 6-12 years, (ii) 3,117 teenagers aged 12-18 years and (iii) 4,102 young adults aged 20-39 years.

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The European Joint Programme HBM4EU coordinated and advanced human biomonitoring (HBM) in Europe in order to provide science-based evidence for chemical policy development and improve chemical management. Arsenic (As) was selected as a priority substance under the HBM4EU initiative for which open, policy relevant questions like the status of exposure had to be answered. Internal exposure to inorganic arsenic (iAs), measured as Toxic Relevant Arsenic (TRA) (the sum of As(III), As(V), MMA, DMA) in urine samples of teenagers differed among the sampling sites (BEA (Spain) > Riksmaten adolescents (Sweden), ESTEBAN (France) > FLEHS IV (Belgium), SLO CRP (Slovenia)) with geometric means between 3.

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Background: Children are born with a burden of persistent organic pollutants (POPs) which may have endocrine disrupting properties and have been postulated to contribute to the rise in childhood obesity. The current evidence is equivocal, which may partly because many studies investigate the effects at one time point during childhood. We assessed associations between prenatal exposure to POPs and growth during infancy and childhood.

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