New
study links an additive to some soft drinks, laxatives and oil dispersants to
obesity
Stool softener, also pet laxative, and also a soda ingredient? |
The
chemical is used as a laxative and in sodas to help ingredients mix properly.
It's also a major ingredient in Corexit, the dispersant applied by the millions
of gallons in the Gulf of Mexico during the 2010 Deepwater Horizon disaster.
But
the chemical, dicotyl sodium sulfoscuccinate, or DOSS, is a likely member of a
family of chemicals contributing to obesity, researchers say in a study published today in the
Environmental Health Perspectives journal.
That
the chemical has been on the market for decades but is only now seen as
possibly problematic offers further indictment of an inadequate federal
chemical testing regime, critics say. And the new study bolsters evidence that
chemicals in the environment play a role in growing obesity rates.
"These chemicals ... change the way you respond to calories," said Bruce Blumberg, a professor and researcher at the University of California who was not involved in the study.
DOSS
has been around since the 1950s, used as a direct additive—put in food on
purpose —or as an indirect additive in the packaging or processing of food,
said Maricel Maffini, an independent consultant and scientist that studies
chemical exposure.
A food ingredient
database maintained by the Environmental Working Group, a
non-profit health and environmental organization, lists DOSS as an ingredient
in eight Flavor Air soft drink mixes, a Hawaiian Punch drink mix and Coca
Cola’s Fanta.
But
it could be in much more, said Maffini, formerly of the Natural Resources
Defense Council. Small quantities can fall beneath reporting requirements, she
said.
For
example, the FDA lists DOSS as used in some breakfast cocoas.
DOSS
was declared “generally
recognized as safe” in a 1998 petition to the U.S. Food and
Drug Administration. The agency had “no questions” for Cytec Industries
regarding their conclusion of DOSS’s safety in 1998 for use in carbonated
drinks.
Maffini
said the “generally recognized as safe” distinction was intended for substances
used for decades such as vinegars, oils and salts. “The loophole has been
expanded greatly,” she said.
DOSS
is also used as a laxative under multiple brand names including Colace and
Docusate.
Marianna
Naum, a spokesperson for the FDA, said the agency would review the new study
but would not comment on the findings and what it means for the future of DOSS
until an internal review is complete.
Medical
University of South Carolina graduate student and co-lead author of the study,
Alexis Temkin, said it’s unclear what levels of DOSS are in sodas or breakfast
cocoa, but for laxatives a high dose for women would be about 500 milligrams.
She and colleagues used doses about 2 to 10 times higher than that. However
DOSS “could act completely different in a whole body compared to in a
controlled setting in a lab,” she said.
The
study comes as obesity continues to spread in the United States. About
one-third of U.S. adults are obese, according to the Centers for Disease
Control and Prevention, a number that has doubled over the past three decades.
Factors
such as diet and lifestyle choices are undeniable but researchers continue to
find surprising interactions between obesity and additives ubiquitous in food
and consumer products. A study released
earlier this year, for instance, linked bisphenol-A (BPA), an
additive in plastics, canned food linings and thermal paper receipts, to
obesity.
In
the current study the researchers stumbled upon their findings almost by
accident.
They
were looking for non-lethal effects and any endocrine disruption impacts from
exposure to the mixture crude oil plus Corexit, Temkin said. “We weren’t really
familiar with DOSS before the study … it was sort of a needle in the haystack
expedition.”
Oil dispersant
concerns
Oil dispersant or soda ingredient? |
An
estimated 1.8 million gallons of Corexit were sprayed to break down the oil.
It’s
not the first link to health concerns for the dispersants. In April, University of
Alabama at Birmingham researchers reported that one Corexit
product used, Corexit EC9500A, can damage the cells in people’s lungs or
aquatic creatures’ gills.
There
was "little potential for worker or public exposure to dispersants due to
the extensive controls put in place, including extensive monitoring, by the
federal government and BP," said BP spokesman Jason Ryan in an email.
Ryan
also pointed out that long-term exposure to DOSS is much more likely to come
from consumer products, such as flavored drinks and laxatives.
The
U.S. EPA, and the Gulf Coast Ecosystem Restoration Council, comprised of
multiple federal and local government agencies that have been working toward
Gulf cleanup, all declined to comment on the new study.
Chemicals and
obesity
Temkin
and colleagues exposed mouse and human cells to different oil dispersant
mixtures. DOSS increased genes associated with fat cells and activated
receptors that spur the process of non-mature fat cells turning into mature fat
cells.
“That
a chemical causes more fat cells is concerning,” Blumberg said.
Temkin
said it’s too early for the study to inform any kind of policy change for DOSS
use, but that an important next step is to find a good way to measure how much
of it people are actually exposed to.
“This
is a strong study," said Michael Skinner, a professor and researcher at
Washington State University who was not involved in the study. That strength
comes in part because few studies have drilled down to see what the health
effects could be from DOSS, he added.
Most
concerning is exposure to such compounds as a fetus or at an early age, Skinner
said. It’s not that such compounds simply make you fat, but they may increase
your chances, and we can’t ignore that, he said.
“Any
disease has two elements—first element is susceptibility to develop disease.
That doesn’t mean you’ll get the disease, such as obesity,” Skinner said. “Now
the second component is the actual trigger—what promotes the onset of obesity,
such as diet and exercise.
“Lifestyle
choices later in life are critical elements to promote obesity, but initial
susceptibility had nothing to do with that.”
For
questions or feedback about this piece, contact Brian Bienkowski at bbienkowski@ehn.org.