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. 2021 Oct 12;7(10):e08160. doi: 10.1016/j.heliyon.2021.e08160

Table 3.

Average PFAS serum levels across studies.

Citation Population Subgroup PFOS (ng/mL) PFOA (ng/mL) PFNA (ng/mL) PFDA (ng/mL) PFUA (ng/mL) PFBS (ng/mL) PFDoA (ng/mL) PFHxS (ng/mL) SumPFAS (ng/mL)
Immune Outcome: Allergies
Averina et al. (2019), The Tromso study Fit Futures, Girls (n = 335)
Mean (IQR)
5.8 (2.7) sum
3.1 (1.6) lin
2.1 (1.2) N/A N/A N/A N/A N/A 0.82 (0.56) sum
0.62 (0.48) lin
10.7 (4.9)
Boys (n = 320)
Mean (IQR)
6.8 (3.0) sum
3.5 (1.7) lin
1.9 (0.7) N/A N/A N/A N/A N/A 0.94 (0.61) sum
0.76 (0.51) lin
11.2 (4.9)
Ait Bamai et al., 2020, Hokkaido cohort, Maternal serum at 28 and 32 weeks gestation, Japan 2003–2012
Age 0–7 years
(N = 2,206)
Median
5.12 1.94 1.14 0.51 N/A N/A N/A N/A N/A
Chen et al. (2018),
Birth cohort, cord blood, Shanghai 2012–2015
Age 6, 12, and 24 months
All (N = 687)
Mean ± SD
2.93
±3.11
7.73
±3.98
0.70
±0.29
0.45
±0.42
0.46
±0.34
0.05
±0.03
0.10
±0.07
0.18
±0.08
N/A
w/o AD (n = 514)
Descriptive statistics not stated
2.46 (1.80–3.17) 6.76 (4.84–9.29) 0.64 (0.49–0.81) 0.36 (0.23–0.52) 0.40 (0.29–0.52) 0.05 (0.04–0.06) 0.09 (0.07–0.13) 0.16 (0.13–0.20) N/A
w/AD (n = 173)
Descriptive statistics not stated
2.54 (1.83–3.37) 7.17 (5.22–10.19) 0.66 (0.54–0.86) 0.39 (0.26–0.58) 0.41 (0.30–0.57) 0.05 (0.04–0.06) 0.09 (0.07–0.12) 0.16 (0.14–0.21) N/A
Wen et al. (2019),
Cord blood,
Taiwan 2001–2005
Age 5 years
All (N = 863)
Mean ± SD
4.27
±5.58
1.22
±1.38
N/A N/A N/A N/A N/A N/A N/A
Goudarzi et al. (2016),
Maternal samples, 28–32 weeks gestation,
Hokkaido, Japan 2003–2013
Age 4 years
All (N = 1,558)
Mean
5.46 2.71 1.40 0.58 N/A N/A N/A 0.32 N/A
Okada et al. (2012),
Prospective cohort, cord blood after second trimester,
Sapporo, Japan 2002–2005
Age 18 months
All (N = 343)
Mean
5.60 1.40 N/A N/A N/A N/A N/A N/A N/A
Wen et al. (2019),
Birth cohort, cord blood, Taipei, Taiwan, 2001–2005
Age 6 months–2 years
All (N = 839)
Mean (SD)
4.24 (5.54) 1.19 (1.18) 3.27 (7.01) N/A N/A N/A N/A 25.21 (11.55) N/A
w/AD (n = 45)
Arithmetic mean ± SE
4.71
±0.48
1.60
±0.18
3.07
±0.96
N/A N/A N/A 0.27
±0.05
26.99
±1.72
N/A
w/o AD (n = 794)
Arithmetic mean ± SE
3.99
±0.12
1.17
±0.04
3.14
±0.23
N/A N/A N/A 0.35
±0.01
25.11
±0.41
N/A
Wang et al. (2011),
Birth cohort, cord blood, Taiwan 2004
Age 2 years
All (N = 244)
Median (Range)
5.5 (0.11–48.36) 1.71 (0.75–17.40) 2.3 (0.38–63.87) N/A N/A N/A N/A 0.035 (0.035–0.420) N/A
Ashley-Martin et al. (2015),
Maternal Infant Research on Environmental Chemicals Study (MIREC), cord blood,
Canada 2008–2011
Age N/A
IL-33/TSLP (pg/mL) Z ≥ 80%; <80%
(n = 1,242)
Geometric mean (SD)
4.7 (1.9);
4.5 (1.8)
1.7 (1.9); 1.7 (1.8) N/A N/A N/A N/A N/A 1.0 (2.2);
1.0 (2.3)
N/A
IgE (ku/L)
≥0.5 ku/L; <0.5 (n = 1,242)
Geometric mean (SD)
4.6 ± 1.9;
4.6 ± 1.8
1.7 ± 1.9; 1.6 ± 1.8 N/A N/A N/A N/A N/A 1.0 ± 2.4;
1.0 ± 2.3
N/A
Okada et al. (2014), Hokkaido Study on Environment and Children's Health, maternal serum at 28–32 weeks gestation,
Hokkaido 2003–2009
Age 12–24 months
All (N = 2,062)
Geometric mean
5.01 2.08 1.19 0.501 N/A N/A N/A 0.275 N/A
Oulhote et al. (2017), Faroe Island Cohort, cord blood and maternal serum 2 weeks after parturition, child serum at 18 months and 5 years, Faroe Islands, 2007–2009
Age 18 months and 5 years
Maternal (n = 55)
Geometric mean ± GSE
9.075
±0.495
1.47
±0.100
0.789
±0.056
0.298
±0.020
N/A N/A N/A 0.24
±0.022
N/A
18 months old (n = 41)
Geometric mean ± GSE
8.25
±0.761
3.58
±0.391
1.244
±0.135
0.347
±0.033
N/A N/A N/A 0.247
±0.045
N/A
5 years old (n = 53)
Geometric mean ± GSE
5.058
±0.261
2.596
±0.128
1.358
±0.095
0.357
±0.024
N/A N/A N/A 0.372
±0.032
N/A
Knudsen et al., 2018, Greenlandic Birth cohort, maternal serum, Greenland 2010–2011
Age N/A
All (N = 189)
Median (Range)
N/A N/A N/A N/A N/A N/A N/A N/A 18.5 (6.14–96.43)
Immune Outcome: Asthma
Agier et al. (2019),
European Human Early-Life Exposome (HELIX), maternal and child serum, Europe 2003–2009
Age 6–12 years
Prenatal (N = 1,033 child-mother pairs)
Mean (SD)
8.2 (6.1) 2.6 (1.8) 0.8 (0.6) N/A N/A N/A N/A 0.8 (1) N/A
Postnatal (N = 1,033 child-mother pairs)
Mean (SD)
2.6 (2.6) 1.7 (0.7) 0.7 (0.7) N/A N/A N/A N/A 0.5 (1) N/A
Beck et al. (2019), Odense Child Cohort, maternal serum, Denmark 2010–2012
Age 5 years
(N = 981) child-mother pairs
Median (25th–75th percentile)
7.73 (5.68–10.44) 1.68 (1.13–2.35) 0.65 (0.49–0.86) 0.29 (0.22–0.40) N/A N/A N/A 0.36 (0.24–0.50) N/A
Dong et al. (2013), Genetic and Biomarkers study for Childhood Asthma, child serum, Taiwan 2009–2010
Age 10–15 years
w/o asthma (n = 225)
Mean (SD)
33.4
±26.4
1.0
±1.1
0.9
±0.3
1.0
±0.5
N/A 0.5
±0.2
4.5
±6.0
2.1
±2.2
N/A
w/asthma (n = 231)
Mean (SD)
45.5
±37.3
1.5
±1.3
1.1
±0.5
1.2 ± 0.5 N/A 0.5
±0.2
5.8
±6.0
3.9
±9.0
N/A
Gaylord et al. (2019),
World Trade Center Health Registry (WTCHR) and comparison group, child serum,
United States 2014–2016
Age 13–22 years
Comparison group (n = 165)
Mean (SD)
3.45 (3.30) 1.53 (0.65) 0.56 (0.30) 0.13 (0.13) N/A N/A N/A 0.73 (0.75) 6.5 (4.0)
WTCHR (n = 118)
Mean (SD)
4.26 (2.51) 1.91 (0.80) 0.67 (0.30) 0.17 (0.12) N/A N/A N/A 1.28 (2.0) 8.44 (4.39)
Jackson-Browne et al. (2020), National Health and Nutrition Examination Survey (NHANES), child serum,
United States 2013–2014
Age 3–11 years
All (N = 607)
Geometric mean (IQR)
3.7 (2.6–5.5) 1.9 (1.4–2.7) 0.7 (0.5–1.1) N/A N/A N/A N/A 0.8 (0.5–1.3) N/A
w/o asthma (n = 504) Geometric mean (IQR) 3.7 (2.5–5.4)
1.9 (1.4–2.7)
0.8 (0.5–1.3)
N/A N/A N/A N/A 0.8 (0.5–1.2) N/A
w/asthma (n = 93) Geometric mean (IQR) 4.0 (2.9–5.6) 2.0 (1.4–2.6) 0.8 (0.5–1.3) N/A N/A N/A N/A 0.9 (0.6–1.4) N/A
Kvalem et al. (2020), Environment and Child Asthma (ECA) Study, Norway 1992–1993
Age 2, 10, and 16 years
All (N = 378)
Mean (SD)
20.9
±8.75
4.62
±1.86
0.63
±0.30
0.19
±0.11
N/A N/A N/A 3.33
±9.62
N/A
Manzano-Salgado et al. (2019), Spanish INMA birth cohort study, maternal plasma, Spain 2003–2008
Age 0–7 years
All (N = 1,243)
Mean (SD)
6.41
±2.95
2.67
±1.68
0.74
±0.41
N/A N/A N/A N/A 0.67
±0.49
N/A
Smit et al. (2015), INUENDO birth cohort, maternal serum, Greenland and Ukraine 2002–2004
Age 5–9 years
Ukraine (n = 492)
Mean
4.88 (2.34–9.94) 0.97 (0.45–2.34) 0.62 (0.30–1.38) 0.16 (0.07–0.35) N/A N/A N/A 1.53 (0.47–4.12) N/A
Greenland (n = 532)
Mean
20.6 (10.2–49.6) 1.79 (0.80–3.66) 0.73 (0.33–2.01) 0.42 (0.16–1.16) N/A N/A N/A 2.14 (0.97–5.10) N/A
Timmermann et al. (2017), Children's Health and Environment in the Faroe Islands (CHEF) study, maternal serum, cord blood, and child serum, Faroe Islands 1997–2000
Age 5, 7 and 13
Prenatal (N = 559)
Median (IQR)
27.4 (23.3–33.3) 3.3 (2.5–4.0) 0.6 (0.5–0.8) 0.3 (0.2–0.4) N/A N/A N/A 4.5 (2.2–8.3) N/A
Age 5/7 (N = 559)
Median (IQR)
16.8 (13.5–21.1) 4.0 (3.3–5.0) 1.0 (0.8–1.2) 0.3 (0.2–0.4) N/A N/A N/A 0.6 (0.4–0.9) N/A
Age 13 (N = 559)
Median (IQR)
6.7 (5.2–8.5) 2.0 (1.6–2.5) 0.7 (0.6; 0.9) 0.3 (0.2–0.4) N/A N/A N/A 0.4 (0.3–0.5) N/A
Qin et al. (2017), Genetic biomarkers study for Childhood Asthma (GBCA), child serum, Taiwan 2009–2010
Age 10–15 years
w/o asthma Comparison group (n = 168)
Median (IQR)
28.83 (12.39–42.02)
0.50 (0.43–0.69)
0.80 (0.62–1.03)
0.93 (0.76–0.93)
N/A 0.48 (0.43–0.52)
N/A N/A N/A
w/asthma
GBCA (n = 132)
Median (IQR)
31.51 (19.60–91.69) 1.02 (0.48–2.13) 1.00 (0.70–1.25) 1.13 (0.85–1.47) N/A 0.48 (0.45–0.54) N/A N/A N/A
Zhu et al. (2016), GBCA, child serum,
Taiwan 2009–2010
Age 10–15 years
w/o asthma Comparison group (n = 225)
Mean ± SD
33.39
±26.37
1.00
±1.11
0.87
±0.34
1.02
±0.52
N/A 0.48
±0.20
N/A 2.10
±2.17
N/A
w/asthma GBCA (n = 231)
Mean ± SD
45.86
±37.28
1.51
±1.34
1.07
±0.47
1.24
±0.54
N/A 0.53
±0.20
N/A 3.86
±8.96
N/A
Zhou et al., 2017a, Zhou et al., 2017b, GBCA, child serum,
Taiwan 2009–2010
Age 10–15 years
Girls w/o asthma (n = 123)
Median (IQR)
28.8 (14.8–42.6) 0.5 (0.4–1.2) 0.9 (0.6–1.1) 1.0 (0.8–1.2) N/A 0.5 (0.4–0.5) 3.1 (0.9–6.2) 1.2 (0.5–3.0) N/A
Girls w/asthma (n = 73) Median (IQR) 28.2 (13.9–46.0) 0.8 (0.5–1.8) 0.9 (0.7–1.3) 1.1 (0.8–1.5) N/A 0.5 (0.4–0.6) 2.9 (0.9–7.7) 2.5 (1.3–4.6) N/A
Boys w/o asthma (n = 102) Median (IQR)
29.9 (13.0–43.8)
0.5 (0.4–1.4)
0.8 (0.6–1.0)
0.9 (0.8–1.1)
N/A 0.5 (0.4–0.5)
2.4 (0.7–5.9) 1.4 (0.7–2.6) N/A
Boys w/asthma (n = 158) Median (IQR) 36.9 (22.6–67.8) 1.3 (0.5–2.3) 1.0 (0.8–1.3) 1.2 (0.9–1.5) N/A 0.5 (0.5–0.5)
4.3 (1.2–8.5)

2.6 (1.2–4.1)
N/A
Zhou et al., 2017a, Zhou et al., 2017b, GBCA, child serum, Taiwan 2009–2010
Age 10–15 years
w/o asthma (n = 225)
Median (IQR)
28.91 (14.06–42.02) 0.52 (0.44–1.27) 0.83 (0.64–1.05) 0.95 (0.76–1.15) N/A N/A N/A 1.32 (0.59–2.79) N/A
w/asthma (n = 231)
Median (IQR)
33.94 (19.59–61.10) 1.16 (0.48–2.16) 1.00 (0.73–1.28) 1.14 (0.89–1.48) N/A N/A N/A 2.47 (1.25–4.26) N/A
Humblet et al. (2014), NHANES, child serum, United States 1999–2000 and 2003–2008
Age 12–19 years

Never asthma (n = 1,559)
Median (IQR)
16.8 (10.8–26.2) 4.0 (2.8–5.4) 0.8 (0.5–1.2) N/A N/A N/A N/A 2.0 (1.0–4.1) N/A

Ever asthma (n = 318)
Median (IQR)
17.0 (10.8–25.8) 4.3 (3.1–5.7) 0.9 (0.6–1.2) N/A N/A N/A N/A 2.2 (1.1–3.9) N/A

No current asthma (n = 1,559)
Median (IQR)
16.8 (10.8–26.2) 4.0 (2.8–5.4) 0.8 (0.5–1.2) N/A N/A N/A N/A 2.0 (1.0–4.1) N/A
Current asthma (n = 191)
Median (IQR)
16.7 (10.3–25.3) 4.2 (2.9–5.6) 0.9 (0.5–1.3) N/A N/A N/A N/A 2.1 (1.0–3.9) N/A
Immune Outcome: Infectious Diseases and Symptoms of Infection
Dalsager et al., 2016, Odense Child Cohort, maternal serum before 16 weeks gestation,
Denmark 2010–2012
Age 3 months, 18 months, and 3 years
All (N = 359)
Median (Range)
8.07 (2.36–25.10) 1.68 (0.32–10.12) 0.7 (0.21–3.64) 0.27 (0.10–1.67) N/A N/A N/A 0.32 (0.02–1.03) N/A
Dalsager et al. (2021), Odense Child Cohort, maternal serum,
Denmark 2010–2012
Birth through 4 years
All (N = 1,503)
Median (95th percentile)
7.52 (15.08) 1.68 (4.01) 0.64 (1.43) 0.29 (0.79) N/A N/A N/A 0.36 (0.81) N/A
Goudarzi et al. (2017),
Hokkaido Study on Environment and Children's Health, maternal serum at 28–32 weeks gestation, Hokkaido 2003–2008 and 2009
Age 4, 12, and 24 months and 4 years
All (N = 1,558)
Mean
5.456 2.713 1.402 0.575 N/A N/A N/A 0.322 N/A
Impinen at el., 2018, Environment and Childhood Asthma Cohort, cord blood, Oslo, Norway 1992–1993
Age 0–2 and 10 years
All (N = 641)
Mean ± SD
5.6
±2.3
1.8
±0.9
0.2
±0.3
N/A N/A N/A N/A 0.3
±0.3
N/A
Impinen et el., 2019, Norwegian Mother and Child (MoBa) cohort, maternal plasma, Norway 2003–2004
Age 0–7 years
All (N = 1,943)
Mean (IQR)
12.87 (9.92–16.6) 2.54 (1.86–3.30) 0.45 (0.33–0.63) N/A N/A N/A N/A 0.65 (0.47–0.91) N/A
Fei et al. (2010), Danish National Birth Cohort, maternal serum at 4–14 weeks gestation,
Denmark 1996–2002
Age 0–10.7 years
All (N = 1,400)
Mean (Range)
35.3 (6.4–106.7) 5.6 (<LLOQ- 41.5) N/A N/A N/A N/A N/A N/A N/A
Immune Outcome: Vaccines and Antibodies
Timmermann et al. (2020). children from Guinea-Bissau, West Africa, Maternal blood sample at inclusion and 9 months and child blood sample at 9 months and 2 years. 135 from the intervention group and 102 from the control group 0.77 (0.53, 1.02) 0.68 (0.53, 0.92) 0.21 (0.13, 0.31) 0.19 (0.15, 0.25) N/A N/A N/A 0.10 (0.09, 0.14) N/A
Grandjean et al., 2017a, Grandjean et al., 2017b, Faroese Island Cohort 5, child serum,
Faroe Islands 2007–2009
Age 18 months and 5 years
Girls, 18 months old (N = 275)
Median (IQR)
7.1 (4.5–10.0) 2.8 (2.0–4.5) 1.0 (0.6–1.5) N/A N/A N/A N/A 0.2 (0.1–0.4) N/A
Girls, 5 years old (N = 349)
Median (IQR)
4.7 (3.5–6.3) 2.2 (1.8–2.2) 1.1 (0.8–1.6) N/A N/A N/A N/A 0.3 (0.2–0.4) N/A
Grandjean et al., 2017a, Grandjean et al., 2017b, Faroe Island Cohort, child serum, Faroe Islands 1997–2000 (birth year)
Age 7 and 13 years
7 years old (N = 587)
Median (IQR)
15.3 (12.4–19.0) 4.4 (3.5–5.7) 1.1 (0.9–1.5) 0.4 (0.2–0.6) N/A N/A N/A 0.5 (0.4–0.7) N/A
13 years old (N = 587)
Median (IQR)
6.7 (5.2–8.5) 2.0 (1.6–2.5) 0.7 (0.6–0.9) 0.3 (0.2–0.4) N/A N/A N/A 0.4 (0.3–0.5) N/A
Grandjean et al. (2012), Faroe Island Cohort, maternal serum at 32 weeks gestation, child serum at age 5, Faroe Islands, 1997–2000
Age 5 and 7 years
Maternal (n = 587)
Geometric mean (IQR)
27.3 (23.2–33.1) 3.2 (2.56–4.01) 0.6 (0.46–0.79) 0.28 (0.22–0.38) N/A N/A N/A 4.41 (2.24–8.43) N/A
5 years old (n = 537)
Geometric mean (IQR)
16.7 (13.5–21.1) 4.06 (3.33–4.96) 1.00 (0.76–1.24) 0.28 (0.21–0.38) N/A N/A N/A 0.63 (0.45–0.88) N/A
Mogensen et al., 2015b, Mogensen et al., 2015a, Faroe Island Cohort, child serum, Faroe Islands 1997–2000
Age 5 and 7 years
5 years old (N = 459)
Median (IQR)
17.3 (14.2–21.3) 4.1 (3.3–5.0) N/A N/A N/A N/A N/A 0.6 (5.0–0.9) N/A
7 years old (N = 459)
Median (IQR)
15.5 (12.8–19.2) 4.4 (3.5–5.7) N/A N/A N/A N/A N/A 0.5 (0.4–0.7) N/A
Pilkerton et al. (2018), NHANES, child serum, U.S. 1999–2004
Age 12–18 years
12–18 years (n = 1, 012)
Mean (SE)
25.1
±0.4
4.8
±0.7
N/A N/A N/A N/A N/A N/A N/A
Stein et al. (2016), NHANES, child serum, United States 1999–2000, 2003–2003, 2005–2006
Age 12–19 years
12–19 years old
1999–2000 (N = 1,191)
Geometric mean
29.0 5.41 0.471 N/A N/A N/A N/A 2.64 N/A
12–19 years old
2003–2004 (N = 1,191)
Geometric mean
19.3 3.89 0.852 N/A N/A N/A N/A 2.44 N/A
Granum et al. (2013)a, BraMat, maternal serum at time of delivery, Norway 2007–2008
Age 1–3 years
Maternal (N = 99)
Mean (IQR)
5.6 (3.8–7.1) 1.1 (0.8–1.4) 0.3 (0.2–0.4) N/A N/A N/A N/A 0.3 (0.4–0.3) N/A
Abraham et al. (2020), Cohort recruited via newspapers and pediatricians, child serum, Germany 1997–1999
Age 1 year
Formula-fed (n = 21)
Mean ± SD
6.8
±3.4
3.8
±1.1
0.2
±0.1
N/A N/A N/A N/A 1.7
±1.1
N/A
Breastfed (n = 80)
Mean ± SD
15.2
±6.9
16.8
±6.6
0.6
±0.2
N/A N/A N/A N/A 2.1
±1.3
N/A
Zeng et al. (2019), Guangzhou Birth Cohort, cord blood, China 2013
Age 3 months
All (N = 201)
Median (IQR)
3.17 (1.88–4.94) 1.22 (0.86–1.74) 0.16 (0.05–0.29) 0.12 (0.05–0.13) N/A N/A N/A 3.96 (2.32–5.41) 10.56 (8.43–15.07)
Boys (n = 106)
Median (IQR)
3.10 (1.76–4.88) 1.23 (0.86–1.94) 0.17 (0.05–0.27) 0.12 (0.05–0.20) N/A N/A N/A 4.15 (2.22–5.76) 10.52 (8.35–14.68)
Girls (n = 95)
Median (IQR)
3.41 (1.95–5.23) 1.21 (0.86–1.66) 0.15 (0.05–0.23) 0.13 (0.05–0.24) N/A N/A N/A 3.74 (2.35–5.12) 10.87 (8.60–15.57)

Note. Acronyms: AD = Atopic dermatitis; GSE = Geometric standard error; IQR = Interquartile range; ku/L = kilo unit per liter; LLOQ = Lower limit of quantitation; ng/mL = Nanogram per milliliter; N/A = Not applicable; SD = Standard deviation, SE = Standard error.

a

Pennings et al. (2016) used the same data and methods identified in the Granum et al., (2013) study and thus is not included in the table.