Do we really need toxins in our shampoo?
By University of Cincinnati
A study from the University of Cincinnati found that environmental phenols, commonly found in consumer products, can alter heart electrical activity, with specific effects differing between men and women.
These moderate changes are unlikely to harm healthy individuals but may worsen existing heart conditions, particularly in vulnerable populations.
Environmental phenols are present in numerous everyday
consumer products, serving as preservatives in packaged foods, parabens in
shampoos, and bisphenol A (BPA) in plastic dishware. Consequently, people are
consistently exposed to these chemicals on a daily basis.
Some of these environmental phenols are known to have
cardiac toxicities. Now, an interdisciplinary study involving four University of Cincinnati College of Medicine professors
is revealing their adverse impact on the heart’s electrical properties, and the
research has been published in the journal Environmental Health.
“This is the first study to look at the impact of phenol exposure on cardiac electrical activity in humans,” said Hong-Sheng Wang, PhD, professor in the Department of Pharmacology, Physiology and Neurobiology and the study’s lead author.
Researchers used data from the Fernald Community Cohort,
which includes nearly 10,000 people who lived near the former U.S. Department
of Energy uranium processing site at Fernald, outside Cincinnati, and
participated in the Fernald Medical Monitoring Program between 1990 and 2008.
Much of the cohort did not experience exposure to uranium
beyond the radiation received by the general population. Wang and his team used
their data, including biological samples and medical records, in the study so
uranium exposure would not be a factor in the findings — making them relevant
to the general population. Because urine samples and electrocardiograms, or
EKGs, were collected on the same day, the results were significant for
analyzing exposure to environmental phenols.
The EKGs, which measure cardiac electrical activities, were
read by board-certified physicians, and the urine samples were sent to the
Centers for Disease Control and Prevention for exposure analysis.
Findings on the Heart’s Electrical Activity
One goal of the study was to identify any changes in EKG
parameters associated with environmental phenol exposure.
The heart is driven by electrical activity, so anything
affecting its electrical properties can have a detrimental impact and possibly
result in arrhythmias.
The research concluded higher exposure to some environmental
phenols is associated with altered cardiac electrical activity.
Researchers found higher exposure to BPA, BPF, and BPA+F in
women is associated with a longer PR interval, a delay in the time it takes for
electrical signals to move from the atria at the top of the heart to the
ventricles.
“Our findings were highly sex-specific,” said Wang. In
women, researchers identified an association with longer QRS duration, or
contraction of the ventricles, and dysfunction of the electrical impulses of
the heart.
“It was particularly pronounced in women with higher body
mass indexes,” said Wang.
In men, researchers found higher exposure to triclocarban
(TCC), an antimicrobial agent, led to longer QT intervals in the heart —
meaning the heart’s electrical system is taking too long to recharge, a
situation that can contribute to heart rhythm dysfunction. TCC has since been
banned in the United States.
Implications for Heart Health
Wang also pointed out that typical exposure levels alone are
unlikely to cause clinically significant heart disease in healthy people.
“These were not dramatic changes that we observed, but
moderate changes to cardiac electrical activity,” he said. “However, they were
particularly pronounced in certain subpopulations.”
He said the altered cardiac activity could exacerbate
existing heart disease or arrhythmias in a patient, especially older adults or
those with other risk factors.
“Now there are new chemicals out there, so the next step
would be to examine these newer environmental chemicals and to focus on their
impact on an individual level in those who are predisposed to heart disease,”
said Wang.
Reference: “Association of same-day urinary phenol levels
and cardiac electrical alterations: analysis of the Fernald Community Cohort”
by Jack Rubinstein, Susan M. Pinney, Changchun Xie and Hong-Sheng Wang, 19
September 2024, Environmental Health.
DOI: 10.1186/s12940-024-01114-x
This study was funded by grants from the National Institute
of Environmental Health and the University of Cincinnati Center for
Environmental Genetics.