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Fighting Forever Chemicals

The pervasive substances may affect bone health

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Fighting Forever Chemicals

There are chemicals and then there are “forever chemicals,” the name given to per- and polyfluoroalkyl substances, also known as PFAS. The reason? They don’t easily break down in the environment, or in our bodies, or at all.

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What are PFAS?

PFAS is a term that denotes a large, complex group of synthetic chemicals that have been used in consumer products around the world since about the 1950s. PFAS are used in countless everyday items to make products greaseproof, waterproof, stick proof, and stain resistant. They’re nearly impossible to avoid, showing up in everything from pizza boxes and makeup to carpets and waterproof clothing.

With thousands of types out there, PFAS have also been found in drinking water and food. Because PFAS break down slowly, if at all, people and animals are repeatedly exposed to them, and blood levels of some PFAS can build up over time. They have been linked with a range of detrimental health effects, including a potentially negative impact on bone health.

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How prevalent are PFAS?

There are about 4,700 known PFAS chemicals. The National Exposure Report from the US Centers for Disease Control and Prevention, using data from the National Health and Nutrition Examination Survey (NHANES), has found PFAS in the blood of almost every American.[5]

In Canada, exposure to PFAS is almost universal, though less ubiquitous than it is in the US. The concentration levels have also lowered over time due to changes in government regulations as we recognize the toxic nature of these chemicals.

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How are we exposed to PFAS?

People are most likely exposed to these chemicals by consuming PFAS-contaminated water or food, using products made with PFAS, or breathing air where PFAS are manufacted or are breaking down.

In the environment, PFAS can contaminate drinking water in public drinking water systems and private wells. The chemicals can accumulate in the bodies of fish, shellfish, livestock, dairy, and game animals that people eat.

The chemicals remain in the body until exposure ceases and, while blood levels may drop over time, amounts of PFAS continue to persist even after exposure ends.

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What about children?

Because children are still developing, they may be more sensitive to the harmful effects of chemicals such as PFAS. They can also be exposed more than adults because they drink more water, eat more food, and breathe more air per pound of body weight than adults. Young children also crawl on floors and put things in their mouths, behaviours which lead to a higher risk of exposure to PFAS contained in carpets, household dust, toys, and cleaning products.

Infants can also be exposed to PFAS through breast milk from mothers who have PFAS in their blood or from formula made with water containing PFAS, and it may also be possible for children to be exposed in utero during pregnancy.

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What are the dangers of exposure?

The chemicals have become increasingly linked with negative health outcomes. These include:

·         reproductive effects such as decreased fertility or increased high blood pressure in pregnant women

·         developmental effects or delays in children, including low birth weight, accelerated puberty, bone variations, or behavioral changes

·         increased risk of some cancers, including prostate, kidney, and testicular cancers

·         lowered ability of the body’s immune system to fight infections

·         interference with the body’s natural hormones

·         increased cholesterol levels

·         higher risk of obesity

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How do PFAS affect bones?

Mounting evidence suggests that PFAS are also associated with lower bone mineral density in particular, which is a potential cause of bone diseases, such as osteoporosis.

Bone mineral density increases during adolescence, peaking between 20 and 30 years of age, then gradually decreases throughout adulthood. A person’s peak bone mineral density can help predict if they will get osteoporosis later in life.

According to one study, PFAS exposure was linked to decreased bone mineral density in adolescents over time. The researchers are now planning outreach efforts to help people learn how to limit their exposure, such as by avoiding nonstick pans and personal care products known to contain PFAS.

Along with limiting PFAS exposure, staying active and maintaining a healthy weight might slow the progression of bone mineral density loss, aiding future bone health and lowering risk of osteoporosis in adulthood.

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Avoiding products that may contain PFAS

Products that may contain PFAS

Alternatives

food packaging like pizza boxes, food wrappers, take-out containers, microwave popcorn bags, disposable trays, and bakery bags

glass containers for food storage

nonstick pans (Teflon)

stainless steel or cast iron pans

disposable coffee cups

reusable mugs

paper straws

stainless steel straws

carpets, rugs, furniture textiles, window treatments, car seats

products that don’t use PFAS

stain-proof and stain-resistant clothing

clothing made with 100 percent organic cotton or wool

waterproof and water-resistant outdoor wear and gear

clothing that uses PFAS alternatives like canvas and wax

personal care products like dental floss, mascara, foundation, menstrual underwear

Products that do not advertise water-resistance and are made without PFAS

cleaning products

natural cleaning products; vinegar and/or baking soda

For more information about avoiding products with PFAS, consult the EWG’S Guide To Avoiding PFAS Chemicals available at the Environmental Working Group (ewg.org).

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Supplements to improve bone health

Because PFAS interferes with bone density, it may be helpful to combat exposure with increased nutrient uptake.

Supplements

Health benefit

calcium

Without enough calcium, our body takes the calcium we need from our bones, which can, over time, weaken bones and increase risk of osteoporosis.

vitamin A

In moderate amounts, vitamin A is important for healthy bones; too much has been linked to bone loss and increased risk of fracture.

vitamin D

Promotes bone health: vitamin D helps our body absorb the calcium from our diet and protects older adults from osteoporosis.

vitamin K

Vitamin K is involved in the production of proteins in bone, including osteocalcin, which is needed to prevent the weakening of bones.

collagen (type I)

A protein found throughout the body, collagen peptides may help improve bone mass density and slow osteoporosis.

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Safer drinking water

Using a filter for tap water is one way to limit PFAS exposure. Experts suggest reverse osmosis filters work best, although some carbon-based filters may also reduce levels. Changing the filter frequently on your water filter is crucial for catching PFAS particles.

 

This article was originally published in the October 2024 issue of alive magazine.

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