Intervention to reduce PCBs: learnings from a controlled study of Anniston residents
Nonabsorbable dietary lipid reduces the absorption of dietary PCBs and increases the excretion of previously absorbed stored PCBs. Absorption of all PCB congeners will presumably be interrupted by nonabsorbable lipid; however excretion will be enhanced only for PCBs that have not been metabolized an...
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| Veröffentlicht in: | Environmental science and pollution research international 2016-02, Vol.23 (3), p.2022-2026 |
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| creator | Jandacek, Ronald J |
| description | Nonabsorbable dietary lipid reduces the absorption of dietary PCBs and increases the excretion of previously absorbed stored PCBs. Absorption of all PCB congeners will presumably be interrupted by nonabsorbable lipid; however excretion will be enhanced only for PCBs that have not been metabolized and also for their lipophilic metabolites. Our study with the nonabsorbable lipid, olestra, in a controlled trial in Anniston residents with elevated PCB levels demonstrated that it is possible to enhance removal of PCBs from the body in the clinically meaningful time frame of 1 year. The rate of disappearance of PCBs in participants who ate 15 g/day of olestra was significantly faster than the rate determined during the 5 years prior to intervention. The rate of disappearance was not changed from the pretrial rate in participants who ingested vegetable oil. Consideration of the role of body weight and fat is an important factor in the design of intervention trials of this kind, and the results of this trial suggest that the level of body fat in individuals will influence the rate of removal from the body. Previously reported data from animals and from a case report indicate that weight loss combined with nonabsorbable dietary lipid will maximize removal of PCBs and presumably other stored organochlorine compounds. The design of future intervention trials should include a focus on body fat levels and changes. Future trials should also include the testing of dietary compounds other than olestra that have affinity for PCBs, such as plant-derived polyphenols. |
| doi_str_mv | 10.1007/s11356-015-4264-6 |
| format | Article |
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Absorption of all PCB congeners will presumably be interrupted by nonabsorbable lipid; however excretion will be enhanced only for PCBs that have not been metabolized and also for their lipophilic metabolites. Our study with the nonabsorbable lipid, olestra, in a controlled trial in Anniston residents with elevated PCB levels demonstrated that it is possible to enhance removal of PCBs from the body in the clinically meaningful time frame of 1 year. The rate of disappearance of PCBs in participants who ate 15 g/day of olestra was significantly faster than the rate determined during the 5 years prior to intervention. The rate of disappearance was not changed from the pretrial rate in participants who ingested vegetable oil. Consideration of the role of body weight and fat is an important factor in the design of intervention trials of this kind, and the results of this trial suggest that the level of body fat in individuals will influence the rate of removal from the body. Previously reported data from animals and from a case report indicate that weight loss combined with nonabsorbable dietary lipid will maximize removal of PCBs and presumably other stored organochlorine compounds. The design of future intervention trials should include a focus on body fat levels and changes. 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Absorption of all PCB congeners will presumably be interrupted by nonabsorbable lipid; however excretion will be enhanced only for PCBs that have not been metabolized and also for their lipophilic metabolites. Our study with the nonabsorbable lipid, olestra, in a controlled trial in Anniston residents with elevated PCB levels demonstrated that it is possible to enhance removal of PCBs from the body in the clinically meaningful time frame of 1 year. The rate of disappearance of PCBs in participants who ate 15 g/day of olestra was significantly faster than the rate determined during the 5 years prior to intervention. The rate of disappearance was not changed from the pretrial rate in participants who ingested vegetable oil. Consideration of the role of body weight and fat is an important factor in the design of intervention trials of this kind, and the results of this trial suggest that the level of body fat in individuals will influence the rate of removal from the body. Previously reported data from animals and from a case report indicate that weight loss combined with nonabsorbable dietary lipid will maximize removal of PCBs and presumably other stored organochlorine compounds. The design of future intervention trials should include a focus on body fat levels and changes. Future trials should also include the testing of dietary compounds other than olestra that have affinity for PCBs, such as plant-derived polyphenols.</description><subject>Absorption</subject><subject>Adipose Tissue</subject><subject>Alabama</subject><subject>Animals</subject><subject>Aquatic Pollution</subject><subject>Atmospheric Protection/Air Quality Control/Air Pollution</subject><subject>Body fat</subject><subject>Body weight</subject><subject>Case reports</subject><subject>case studies</subject><subject>Cholesterol</subject><subject>dietary fat</subject><subject>Dietary Fats - administration & dosage</subject><subject>Dietary supplements</subject><subject>Earth and Environmental Science</subject><subject>Ecotoxicology</subject><subject>Effects</subject><subject>Environment</subject><subject>Environmental Chemistry</subject><subject>Environmental Health</subject><subject>Excretion</subject><subject>fat body</subject><subject>Fatty Acids</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Hydrocarbons, Chlorinated - chemistry</subject><subject>Hydrocarbons, Chlorinated - pharmacokinetics</subject><subject>Intervention</subject><subject>Learning</subject><subject>Lipids</subject><subject>Male</subject><subject>Medical laboratories</subject><subject>Metabolites</subject><subject>Organic compounds</subject><subject>Organochlorine compounds</subject><subject>PCB</subject><subject>PCBs: Exposures</subject><subject>Plant Oils - administration & dosage</subject><subject>Polychlorinated biphenyls</subject><subject>Polychlorinated Biphenyls - chemistry</subject><subject>Polychlorinated Biphenyls - pharmacokinetics</subject><subject>polyphenols</subject><subject>Remediation and Regulation with special reference to PCBs in Schools</subject><subject>Research Design</subject><subject>Studies</subject><subject>Sucrose - analogs & derivatives</subject><subject>sucrose polyester</subject><subject>vegetable oil</subject><subject>Vegetable oils</subject><subject>Waste Water Technology</subject><subject>Water Management</subject><subject>Water Pollution Control</subject><subject>weight loss</subject><subject>Workshops</subject><issn>0944-1344</issn><issn>1614-7499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkU1LHTEUhkOp1FvbH-DGBrrpZvScfE66s5daBUFBXYfcTOYyMjexyYzgv29kbCldFFdncZ73PRweQg4RjhFAnxRELlUDKBvBlGjUG7JChaLRwpi3ZAVGiAa5EPvkfSn3AAwM0-_IPpOaoeS4IrcXcQr5McRpSJFOiebQzT7Q6_W38pWOweU4xG2hfU476qhPccppHENHyzR3TzT19DTGoUw1nUMZutpUPpC93o0lfHyZB-Tu7Pvt-ry5vPpxsT69bLxo2dRg8E6B1IYJD-C1N60AKVnwCNxsHHbdxgVtUAtUrjUg0AiPHTjGEI3mB-TL0vuQ0885lMnuhuLDOLoY0lwsatVKZTgXr0GhNbIFqOjnf9D7NOdYH6mU1K1WusVK4UL5nErJobcPedi5_GQR7LMdu9ix1Y59tmNVzRy9NM-bXej-JH7rqABbgFJXcRvyX6f_0_ppCfUuWbfNQ7F3NwxQASBHIzn_BRJroOI</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Jandacek, Ronald J</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7SN</scope><scope>7T7</scope><scope>7TV</scope><scope>7U7</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7N</scope><scope>P64</scope><scope>PATMY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>7X8</scope><scope>7ST</scope><scope>7TG</scope><scope>KL.</scope><scope>SOI</scope></search><sort><creationdate>20160201</creationdate><title>Intervention to reduce PCBs: learnings from a controlled study of Anniston residents</title><author>Jandacek, Ronald J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c482t-1eca6057924c00c7c9840552ec1039ba1ddbae7917416a8904194c1d0a2211973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Absorption</topic><topic>Adipose Tissue</topic><topic>Alabama</topic><topic>Animals</topic><topic>Aquatic Pollution</topic><topic>Atmospheric Protection/Air Quality Control/Air Pollution</topic><topic>Body fat</topic><topic>Body weight</topic><topic>Case reports</topic><topic>case studies</topic><topic>Cholesterol</topic><topic>dietary fat</topic><topic>Dietary Fats - 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analogs & derivatives</topic><topic>sucrose polyester</topic><topic>vegetable oil</topic><topic>Vegetable oils</topic><topic>Waste Water Technology</topic><topic>Water Management</topic><topic>Water Pollution Control</topic><topic>weight loss</topic><topic>Workshops</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jandacek, Ronald J</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Ecology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Pollution Abstracts</collection><collection>Toxicology Abstracts</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Environment Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>Environment Abstracts</collection><jtitle>Environmental science and pollution research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jandacek, Ronald J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intervention to reduce PCBs: learnings from a controlled study of Anniston residents</atitle><jtitle>Environmental science and pollution research international</jtitle><stitle>Environ Sci Pollut Res</stitle><addtitle>Environ Sci Pollut Res Int</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>23</volume><issue>3</issue><spage>2022</spage><epage>2026</epage><pages>2022-2026</pages><issn>0944-1344</issn><eissn>1614-7499</eissn><abstract>Nonabsorbable dietary lipid reduces the absorption of dietary PCBs and increases the excretion of previously absorbed stored PCBs. Absorption of all PCB congeners will presumably be interrupted by nonabsorbable lipid; however excretion will be enhanced only for PCBs that have not been metabolized and also for their lipophilic metabolites. Our study with the nonabsorbable lipid, olestra, in a controlled trial in Anniston residents with elevated PCB levels demonstrated that it is possible to enhance removal of PCBs from the body in the clinically meaningful time frame of 1 year. The rate of disappearance of PCBs in participants who ate 15 g/day of olestra was significantly faster than the rate determined during the 5 years prior to intervention. The rate of disappearance was not changed from the pretrial rate in participants who ingested vegetable oil. Consideration of the role of body weight and fat is an important factor in the design of intervention trials of this kind, and the results of this trial suggest that the level of body fat in individuals will influence the rate of removal from the body. Previously reported data from animals and from a case report indicate that weight loss combined with nonabsorbable dietary lipid will maximize removal of PCBs and presumably other stored organochlorine compounds. The design of future intervention trials should include a focus on body fat levels and changes. Future trials should also include the testing of dietary compounds other than olestra that have affinity for PCBs, such as plant-derived polyphenols.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25721531</pmid><doi>10.1007/s11356-015-4264-6</doi><tpages>5</tpages></addata></record> |
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| ispartof | Environmental science and pollution research international, 2016-02, Vol.23 (3), p.2022-2026 |
| issn | 0944-1344 1614-7499 |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Absorption Adipose Tissue Alabama Animals Aquatic Pollution Atmospheric Protection/Air Quality Control/Air Pollution Body fat Body weight Case reports case studies Cholesterol dietary fat Dietary Fats - administration & dosage Dietary supplements Earth and Environmental Science Ecotoxicology Effects Environment Environmental Chemistry Environmental Health Excretion fat body Fatty Acids Female Health risk assessment Humans Hydrocarbons, Chlorinated - chemistry Hydrocarbons, Chlorinated - pharmacokinetics Intervention Learning Lipids Male Medical laboratories Metabolites Organic compounds Organochlorine compounds PCB PCBs: Exposures Plant Oils - administration & dosage Polychlorinated biphenyls Polychlorinated Biphenyls - chemistry Polychlorinated Biphenyls - pharmacokinetics polyphenols Remediation and Regulation with special reference to PCBs in Schools Research Design Studies Sucrose - analogs & derivatives sucrose polyester vegetable oil Vegetable oils Waste Water Technology Water Management Water Pollution Control weight loss Workshops |
| title | Intervention to reduce PCBs: learnings from a controlled study of Anniston residents |
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