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. 2022 Dec 15;10(12):789. doi: 10.3390/toxics10120789

Table 2.

Human biomonitoring studies of pyrethroid exposure based on urine samples from European populations.

Country, Region, (Cohort) Study Population Sampling Year and Method Analytical Method and Quality Control (QC), Correction Method for Urine Dilution LOD/LOQ, DF, and Urinary Concentrations (μg/L Unless Other Stated) Exposure Determinants Reported Ref
Northern EU 3-PBA Specific metabolites
Denmark, Funen (OCC) Pregnant women (n = 948) 2010–2012;
Spot urine (morning after overnight fasting), GW 28
Enzymatic hydrolyses;
LC-MS/MS;
QC: Isotope-labelled internal standards, participation in G-EQUAS for 3-PBA, trans-DCCA, and cis-DBCA;
Creatinine
LOD: 0.03
DF: 94.3
P50: 0.24
P75: 0.46
4F-3PBA
LOD: 0.2
DF: 0.1
trans-DCCA
LOD: 0.4
DF: 11.4
cis-DCCA
LOD: 0.5
DF: 2.8
cis-DBCA
LOD: 0.5
DF: 3.0
3-PBA not significantly related to any demographic characteristics, no information on diet or home use of pesticides Dalsager et al., 2019 [39]
Denmark, Funen (DGCC) Children, 10–16 y (n = 143) 2011–2012;
Spot urine
Enzymatic hydrolyses;
LC-MS/MS;
QC: Isotope-labelled internal standards, participation in G-EQUAS for 3- PBA, trans-DCCA, and cis-DBCA;
Creatinine
LOD: 0.03
DF: 100
P50: 0.56
P95: 8.90
trans-DCCA
LOD: 0.4
DF: 9.8
P95: 2.3
cis-DCCA
LOD: 0.5
DF: 2.8
cis-DBCA
LOD: 0.5
DF: 2.1
Higher 3-PBA in samples from autumn/winter than spring/summer, and if mother were occupationally exposed to pesticides Andersen et al., 2021 [38]
Sweden, Scania Adolescents aged 17–21 (approx. 200 per year in 2000, 2004, 2009, 2013, and 2017) 2000–2017;
Spot urine
Enzymatic hydrolyses;
LC-MS/MS;
QC: spiked urine samples, participate in Erlangen inter-laboratory comparison for 3-PBA;
Urine density and creatinine
LOD: 0.009
DF: 96–100
P50: 0.11–0.21
P95: 0.56–0.92
4F-3PBA
LOD: 0.005
DF: 42–74
P50: <LOD–0.01
P95: 0.02–0.06
CFCA
LOD: 0.006
DF: 39–90
P50: <LOD–0.02
P95: 0.05–0.40
DCCA
LOD: 0.017
DF: 97–99
P50: 0.16–0.22
P95: 0.53–0.89
Increasing temporal trend for 3-PBA (3.7% per year), no information on exposure sources Noren et al., 2020 [23]
Sweden, Uppsala County (POPUP) Women, after delivery (n = 178) 2009–2014;
Morning spot urine, 3 weeks after delivery
Enzymatic hydrolyses;
LC-MS/MS;
QC: Isotope-labelled internal standards, participate in Erlangen inter-laboratory comparison;
Urine density
LOD: 0.03
DF: 98
P50: 0.22
Max: 2.59
NR Increasing trend in 3-PBA from 2009 to 2014, no information on determinants Gyllen-hammar et al., 2017 [32]
Sweden, Värmland county (SELMA) Pregnant women (n = 718) 2007–2010;
FMV, GW 10
Enzymatic hydrolyses;
LC-MS/MS;
QC: Isotope-labelled internal standards;
Creatinine
LOD: 0.017
DF: 99
GM (GSD) 0.16 (2.7)
NR NR Tanner et al., 2020 [53]
Western EU
Belgium, Flanders, FLEHS IV Adolescents, 14–15 y (n = 415) 2017–2018,
spot urine
Enzymatic hydrolyses;
LC-MS/MS;
QC: Isotope-labelled internal standards, participation in G-EQUAS for 3-PBA;
Specific gravity
LOD: 0.03
DF: 99.5
P50: 0.87
P90: 2.77
NR Higher 3-PBA associated with higher household education in binary analyses Schoeters et al., 2022 [36]
Belgium, Walloon region Children, 9–12 y (n = 258) from five different locations (urban or agricultural) 2016;
FMV
Enzymatic hydrolyses;
GC-MS/MS;
QC: Internal standards and materials from previous G-EQUAS programs;
Creatinine
LOQ: 0.09
DF: 99.6
P50: 0.98
P95: 5.33
4F-3PBA
LOQ: 0.11
DF: 2.2
trans-DCCA
LOQ: 0.15
DF: 93.2
P50: 0.66
P95: 4.29
cis-DCCA
LOQ: 0.50
DF: 40.3
P95: 2.01
Higher trans-DCCA and 3-PBA associated with indoor use of pyrethroids, and negatively associated with consumption of grey bread (graubrot) Pirard et al., 2020 [37]
France, NutriNet-Sante Adults from general population, mean age 58.5 y (n = 300, divided in two matched groups based on low (<10%) or high (>50%) organic food consumption from questionnaire 2014;
Spot urine, fasted 6 h before collection
Samples were analysed both without and with a deconjugation step included.
Enzymatic hydrolyses:
LC-MS-MS;
QC: internal standards and control samples;
Creatinine
LOD: 0.02
Organic
DF: 23
Mean: 0.12
Conventional
DF: 35
Mean: 0.13
4F-3PBA
LOD: 0.02
Organic:
DF: 3
Mean: 0.012
Conventional:
DF: 3
Mean: 0.014
3-PBA was slightly lower if high organic food consumption but only significant when urine samples were analysed without a deconjugation step (mean: 0.026 vs. 0.042 μg/L for high and low organic intake) Baudry et al., 2019 [2]
France (ELFE) Pregnant women (n = 1077), nationally representative 2011;
Spot urine, at delivery
Enzymatic hydrolyses;
GC-MS/MS;
QC: Internal standards and control samples;
Creatinine
LOD: 0.004
DF: 100
P50: 0.36
P95: 1.89
4F-3PBA
LOD: 0.005
DF: 17.8
P95: 0.02
trans-DCCA
LOD: 0.006
DF: 100
P50: 0.26
P95: 2.29
cis-DCCA
LOD: 0.003
DF: 100
P50: 0.16
P95: 0.91
cis-DBCA
LOD: 0.005
DF: 100
P50: 0.23
P95: 1.38
Urinary concentrations of pyrethroid metabolites (3-PBA or sum of metabolites) were positively related to smoking during pregnancy, consuming of fish and alcohol, domestic pesticide use and living in the vicinity of crops during pregnancy. Dereu-meaux et al., 2018, 2016 [19,46]
France, Brittany (PELAGIE) Children, 6 y, (n = 245), 55 % rural residence 2009–2012;
FMV
No information on deconjugation;
LC-MS/MS for 3-PBA and 4-F-3PBA
GC-MS/MS for Trans-DCCA, Cis-DCCA, and Cis-DBCA;
QC: Internal standards;
Creatinine
LOD: 0.008
DF: 63
P50: 0.02
P95: 0.20
4F-3PBA
LOD: 0.003
DF: 15.8
P95: 0.02
trans-DCCA
LOD: 0.01
DF: 95
P50: 0.22
P95: 1.75
cis-DCCA
LOD: 0.07
DF: 64
P50: 0.09
P95:0.49
cis-DBCA
LOD: 0.07
DF: 84
P50: 0.20
P95: 1.12
3-PBA and Cis-DBCA higher in children living in proximity (<500 m) to crops. 3-PBA correlated to high fruit consumption, parental occupational pesticide exposure. cis-DBCA related to high consumption of cereal and whole grain bread. Higher trans/cis-DCCA when floor cleaning at least twice a week; cis-DCCA associated with daily consumption of pasta, rice, or semolina. Organic food intake was associated with lower 3-PBA, cis-DBCA and trans-DCCA. Gloren-nec et al., 2017 [28]
France, Brittany (PELAGIE) Pregnant women (n = 205), 55.1% rural residence 2002–2006;
FMV, GW 6–19
No information on deconjugation;
LC-MS/MS for 3-PBA and 4-F-3PBA,
GC-MS/MS for trans- and cis-DCCA, and cis-DBCA;
QC: Internal standards;
Creatinine
LOD: 0.008
DF: 30.2
P90: 0.075
4F-3PBA
LOD: 0.003
DF: 8.8
trans-DCCA
LOD: 0.01
DF: 98
P50: 0.14
P90: 0.57
cis-DCCA
LOD: 0.07
DF: 64.9
P50: 0.09
P90: 0.30
cis-DBCA
LOD: 0.07
DF: 68.3
P50: 0.11
P90: 0.39
NR Viel et al., 2017, 2015
[29,54]
France
(Pilot-ELFE study)
Pregnant women (n = 93) 2007;
Spot urine at delivery
Acidic hydrolysis;
GC-MS/MS:
QC: Isotope-labelled internal standards;
Creatinine
LOD: 0.046
DF: 100
P50: 0.37
P95: 3.06
4F-3PBA
LOD: 0.1
DF: 2
DCCA
LOD: 0.04
DF: 100
P50: 0.34
P95: 4.13
CFCA
LOD: 0.004
DF: 18
P95: 0.15
cis-DBCA
LOD: 0.02
DF: 86
P50: 0.13
P95: 0.54
NR, method validation study Hardy et al., 2021 [55]
France (ENNS) Adults, 18–74 y (n = 396), nationally representative 2006–2007;
FMV
Acidic hydrolysis/;
GC- MS/MS;
QC: Internal standards and quality control samples;
Creatinine
LOD: 0.03
DF: 98.1
P50: 0.65
P95: 4.36
4F-3PBA
LOD: 0.03
DF: 29.8
P95: 0.82
trans-DCCA
LOD: 0.03
DF: 86.1
P50: 0.31
P95: 3.85
cis-DCCA
LOD: 0.03
DF: 56.1
P50: 0.13
P95: 1.42
cis-DBCA
LOD: 0.03
DF: 83.1
P50: 0.36
P95:2.33
Associations with higher intake of solanaceous (e.g., tomatoes, aubergines) vegetables and shellfish and non-significantly with fish intake. Fréry et al., 2017 [20]
France, Limousine region Adults, 24–62 y,
(n = 39)
No information on sampling year; Spot urine Acidic hydrolysis;
LC-MS/MS;
QC: Isotope-labelled internal standards;
Creatinine
LOD: 0.015
DF: 100
P50: 0.63
P95: 2.05
LOD: 0.015 all metabolites
4F-3PBA
DF: 10
P95: NR
trans-DCCA
DF: 100
P50: 0.33
P95: 1.10
cis-DCCA
DF: 97
P50: 0.19
P95: 0.49
cis-DBCA
DF: 97
P50: 0.18
P95: 0.69
NR, method development study Le Grand et al., 2012 [56]
Germany Adults, 26–58 y (n = 38) 2012;
Spot urine
Acidic hydrolysis;
GC-MS/MS;
QC: Isotope-labelled internal standards;
Creatinine
LOQ: 0.01
DF: 100
P50: 0.22
P95: 1.79
LOQ: 0.01 all metabolites
4F-3PBA
DF: 5
trans-DCCA
DF: 100
P50: 0.17
P95: 0.92
cis-DCCA
DF: 100
P50: 0.08
P95: 0.57
cis-DBCA
DF: 80
P50: 0.04
P95: 0.28
CFCA
DF: 90
P50: 0.04
P95: 0.98
NR, method development study Schettgen et al., 2016 [24]
Germany
(GerES IV)
Children, 3–14 y (n = 598), nationally representative 2003–2006;
Spot urine
NR but references to previous GerES-studies LOQ: 0.1
DF: 98
P50: 0.43
P95: 3.80
LOQ: 0.01 for all metabolites
trans-DCCA
DF: 86
P50: 0.25
P95: 2.46
cis-DCCA
DF: 60
P50: 0.12
P95: 1.00
Girls had higher concentrations than boys, no information on determinants Schulz et al., 2009 [21]
Germany
(GerES IV), pilot study
Children, 2–17 y (n = 396), Berlin and two rural areas 2001–2002;
Morning spot urine
No information on deconjugation;
GC-MS;
Internal standards and participation in G-EQUAS
LOQ: 0.1
DF: 90
P50: 0.29
P95: 2.35
LOQ: 0.01 for all metabolites
4F-3PBA
DF: <1
trans-DCCA
DF: 74
P50: 0.19
P95: 1.73
cis-DCCA
DF: 56
P50: 0.11
P95: 0.74
cis-DBCA
DF: 22
P95: 0.52
3-PBA, cis- and trans-DCCA negatively associated with child age and positively with permethrin in house dust, use of biocides indoor, consumption of boiled vegetables, and Berlin sampling area Becker et al., 2006 [43]
Germany Occupational exposure: male workers exposed to pesticides in agriculture (n = 19), pest control (n = 15) or greenhouses (n = 2) Sampling year is unclear;
24 h urine collected after pyrethroid application, repeated sampling for some workers
Acidic hydrolysis;
GC-MS;
Internal standards;
Creatinine
LOD: 0.5
DF: 67–100
P50: 0.6–2.9
μg/g crea
4F-3PBA
LOD: 0.5
DF: 0–3
DCCA
LOD: 0.5
DF: 46–100
P50: <LOD–2.9
μg/g crea
cis-DBCA
LOD: 0.3
DF: 0–71
P50: <LOD–0.50 μg/g crea
Highest concentration of 3-PBA and DCCA in pest control workers. Hardt and Angerer 2003 [47]
Germany, Frankfurt am Main General population, 0–65 y (n = 1177), urban residence 1998;
Spot urine
Acidic hydrolysis;
GS-MS;
QC: internal standards and participation in G-EQUAS;
Creatinine
NR LOD: 0.1–0.2 for all metabolites
4F-3PBA
DF: 16.4
P95: 0.27
trans-DCCA
DF: 65.3
P50: 0.24
P95:1.43
cis-DCCA
DF: 29.4
P95: 0.51
cis-DBCA
DF: 19.3
P95: 0.30
No significant correlation with age, smoking habits, sampling season or permethrin in dust Heudorf and Angerer 2001 [57], Schettgen et al., 2002 [58]
Germany, Frankfurt am Main Children 0–17.9 y, (n = 673), urban residence 1998;
Spot urine
Acidic hydrolysis;
GC-MS;
QC: internal standards and participation in G-EQUAS;
Creatinine
NR LOD 0.1–0.2 for all metabolites, DFs not provided
4F-3PBA
P95: 0.30
trans-DCCA
P50: 0.25
P95: 1.22
cis-DCCA
P95: 0.44
cis-DBCA
P95: 0.30
No correlation with age of the children or permethrin in dust Heudorf et al., 2004 [59]
Germany Residents after pyrethroid used indoors,
(n = 56)
1996–1998;
collected before and day 1 and 3, and 4–6 months and 10–12 months after application,
Spot and 24 h urine
Acidic hydrolysis;
GC-MS;
QC: internal standards;
Creatinine
LOD: 0.2
DF: 5–28
P95: 0.2–1.8
4F-3PBA
DF: 0–5
P95: <LOD–LOD
trans-DCCA
DF: 4–32
P95: <LOD–1.5
cis-DCCA
DF: 3–21
P95: >LOD–0.6
cis-DBCA
DF: 0–6
P95: <LOD–0.3
Highest concentrations seen 1 and 3 days after application but most samples were below LOD Leng et al., 2003
[51]
Germany,
Hannover
Residents after pyrethroid (permethrin) used indoors in homes with carpets of wool, 9 months–78 y (n = 145), 1996–1998,
24 h urine from adults, spot urine from young children
Method not described but reference to Leng et al., 1997 (se study above) LOD: 0.2
DF: 28
P95: 0.90
DCCA
LOD: 0.2
DF: 19
P95: 1.50
Most samples below LOD, children tended to have higher detection frequency than adults although not statistically significant (few children included) Berger-Preiss et al., 2002 [52]
UK Adults, 63.8 ± 10.4 y (n = 111, representing 65 twin pairs from the TwinsUK-cohort) No information Enzymatic hydrolyses;
LC-MS/MS;
QC: Isotope-labelled internal standards
LOD: 0.015
DF: 80
P50: 0.12
P75: 1.8
4F-3PBA
LOD: 0.015
DF: 10
trans-DCCA
LOD: 0.02
DF: 96.9
P50: 0.18
P75: 1.2
cis-DCCA
LOD: 0.01
DF: 98.4
P50: 0.07
P75: 0.38
cis-DBCA
LOD: 0.015
DF: 95.4
P50: 0.08
P75: 0.42
No difference between urban or rural residence, not possible to investigate impact of organic food as planned because of few participants with high intake of organic food Mesnage et al., 2022 [60]
UK, Lothian, Kent and Norfolk Farmers and residents in agricultural areas, <100 m from sprayed fields, Adults >18 y (n = 238) and children 4–12 y (n = 58); 140 with repeated samples 2011–2012;
FMV within 2 days after spraying events and outwith the spraying season (140 with repeated samples)
Enzymatic hydrolyses;
LC-MS/MS;
QC: Participate in G-EQUAS;
Creatinine
cis/trans-DCCA
LOD: 1.0
DF: 7
Max conc (μg/g crea):
Outwith spraying season: 15.4
Within spraying season, 10.8
After spray event: 7.0
No difference related to spraying activity or spraying season but low detection frequency (high LOD) Galea et al., 2015 [48]
UK, Randomly sought adult volunteers, >18 y (n = 405), nationwide
NI on sampling year (after 2005);
Spot urine
No description but all analyses were carried out by an ISO9001: 2008 accredited laboratory with internal quality control, participation in G-EQUAS;
Creatinine
LOD: 0.5 nM
DF: 87
P95: 6.1
LOD: 0.5 nM for all metabolites
trans-DCCA
DF: 66
P95: 1.6
cis-DCCA
DF: 54
P95: 0.8
cis-DBCA
DF: 50
P95: 1.6
CFCA
DF: 41
P95: 3.2
NR Bevan et al., 2013 [22]
Eastern EU
Poland, Łódź Women, 25–45 y (n = 450) attending a fertility clinic, 2017–2019;
1–2 spot urine per IVF cycle (total 739 urine samples)
No information on deconjugation;
GC–MS;
QC: No information; Specific gravity
LOD: 0.1
DF: 68
GM: 0.35
GSD: 2.66
LOD: 0.1 for all metabolites
trans-DCCA
DF: 45
GM: 0.43
GSD: 2.48
cis-DCCA
DF: 34
GM: 0.29
GSD: 2.18
cis-DBCA
DF: 22
GM: 0.28
GSD: 2.51
NR Radwan et al., 2022 [61]
Poland Łódź Young men, 19–33 y (n = 306), urban area residence 2015–2018;
morning spot urine
Acidic hydrolysis;
GC-MS;
QC: Internal standards (spiked urine samples); participation in G-EQUAS;
Specific gravity
LOD: 0.1
DF: 69
P50: 0.20
P95: 1.67
LOD: 0.1 for all metabolites
trans-DCCA
DF: 76
P50: 0.26
P95: 2.07
cis-DCCA
DF: 36
P95: 0.94
cis-DBCA
DF: 32
P95: 0.93
trans-DCCA and 3-PBA associated with dog ownership, pesticide use indoor and household pets. Seeds and nuts consumption was also associated with higher 3-PBA and vegetable juice intake with higher trans-DCCA. Rodzaj et al., 2021 [45]
Poland Women, 25–39 y, (n = 511), attending a fertility clinic No information on sampling year (likely after funding grant in 2017);
Spot urine
Acidic hydrolysis;
GC–MS;
QC: Isotope-labelled internal standards and participation in G-EQUAS;
Specific gravity
LOD: 0.1
DF: 66.5
P50: 0.25
P95: 2.28
LOD: 0.1 for all metabolites
trans-DCCA
DF: 34.9
P95: 3.47
cis-DCCA
DF: 32.8
P95: 1.54
cis-DBCA
DF: 19.4
P95: 2.17
NR Jurewicz et al., 2020 [62]
Poland, Gdansk, General population, 5–77 y (n = 132),
Urban residence
2010–2011;
FMV
Acidic hydrolysis;
GC-MS;
QC: Internal standards;
Creatinine
LOD: 0.1
DF: 80
P50: 0.26
P95: 1.15
LOD: 0.1 for all metabolites
trans-DCCA
DF: 7
P95: 0.12
cis-DCCA
DF: 8
P95: 0.15
cis-DBCA
DF: 11
P95: 0.31
No age or sex related differences in 3-PBA Wielgo-mas et al., 2013 [63]
Poland, North Children <18 y (n = 184) and parents (n = 190);
Urban or rural residence
2012;
FMV
Acidic hydrolysis;
GC-MS;
QC: Internal standards,
participation in G-EQUAS;
Creatinine
LOD: 0.1
DF: 82.4
P50: 0.25 (all);
0.29 (children); 0.23 (adults)
P95: 1.24 (all)
LOD: 0.1 for all metabolites
trans-DCCA
DF: 46.8
P95: 1.00
cis-DCCA
DF: 46
P95: 0.89
cis-DBCA
DF: 17.1
P95: 0.50
Higher concentrations of all metabolites in rural areas, higher 3-PBA in participants using pesticide containing pet care products in the last 6 months for both rural and urban locations. Higher 3-PBA in children than adults Wielgo-mas and Piskuno-wicz 2013 [40]
Poland, Łódź Adult men, 23–45 y (n = 195) recruited from fertility clinic 2008–2011;
Spot urine
Acidic hydrolysis;
GC-MS;
QC: participation in G-EQUAS;
Creatinine
LOD: 0.1
DF: 71.6
P50: 0.16
P95: 0.50
LOD: 0.1 for all metabolites
Trans-DCCA
DF: 65.5
P50: 0.16
P95: 0.62
cis-DCCA
DF: 58
P50: 0.12
P95: 0.46
cis-DBCA
DF: 16.8
P95: 0.27
NR Radwan et al., 2015, Jurewicz et al., 2016 [64,65]
Slovenia, Ljubljana (PHIME) Children 7–8 y (n = 168) and their mothers (n = 168) 2016;
Spot urine
Enzymatic hydrolyses;
UPLC-MS/MS;
QC: Isotope-labelled internal standards and participation in G-EQUAS;
Specific gravity and creatinine
LOD: 0.018
Children
DF: 80
P50: 0.40
Max: 12.0
Mothers
DF: 76
P50: 0.24
Max: 12.0
4F-3PBA
LOD: 0.019
Children
DF: 30
Max: 0.53
Mothers
DF: 16
Max: 0.73
Children had higher concentrations than mothers, no significant associations with demographic variables (education, smoking, BMI etc.) Bravo et al., 2020 [41]
Southern EU
Cyprus, Limassol (ORGANIKO) Children, 10–11 y (n = 177), urban area 2017;
FMV
No information on deconjugation;
LC-MS/ MS;
QC: Analysed in HBM4EU-accredited lab;
Creatinine
LOQ: 0.1
DF: 100
P50: 1.93
P95: 6.59
LOQ: 0.2 for DBCA, 0.1 for all other metabolites
4F-3PBA
DF: 6
trans-DCCA
DF: 100
P50: 0.93
P95: 4.28
cis-DCCA
DF: 99
P50: 0.61
P95: 2.22
cis-DBCA
DF: 97
P50: 0.60
P95: 3.85
CFCA
DF: 30
P95: 0.27
Cis- and trans-DCCA were negatively associated with maternal education level and paternal education positively associated with DBCA (binary analyses) Makris et al., 2022 [33]
Greece, Athens Adults, (n = 40), part of multi-country study 2012–2014;
Spot urine
Enzymatic hydrolyses;
HPLC-MS-MS;
QC: Isotope-labelled internal standards;
Creatinine
LOQ: 0.003
DF: 100
P50: 0.50
Max: 6.6
4F-3PBA
LOQ: 0.002
DF: 80
P50: 0.01
Max: 0.2
trans-DCCA
LOQ: 0.002
DF: 100
P50: 0.6
Max: 4.0
cis-DCCA
LOQ: 0.003
DF: 97.5
P50: 0.8
Max: 17.0
cis-DBCA
LOQ: 0.019
DF: 50
P50: 0.02
Max: 6.0
NR Li and Kannan 2018 [66]
Italy, NACII (PHIME) Children 7 y (n = 199) 2014–2015;
Spot urine
Enzymatic hydrolyses;
UPLC-MS-MS;
QC: Isotope-labelled internal standards and participation in G-EQUAS;
Specific gravity
LOD: 0.018
DF: 81
P50: 0.56
Max: 36.0
4F-3PBA
LOD: 0.019
DF: 24
Max: 1.3
No significant associations with population characteristics (education, age etc) or fish intake in binary analyses Bravo et al., 2019 [67]
Italy, Rome Adults (n = 55)
patients referred to hospital for skin diseases
No information on sampling year;
Spot urine
Acidic hydrolyses;
GC-MS/SIM,
QC: Internal standards;
Creatinine
LOQ: 0.5
Males:
DF: 34.5
Mean (SD): 0.52 (0.32) μg/g crea
Females:
DF: 65.5
Mean (SD): 0.74 (0.61) μg/g crea
Small sample size hamper significant results but tendencies to higher 3-PBA in samples collected in spring than winter, in females and among smokers, and if insecticides had been used inside or outdoor (binary analyses). Significantly associated with high intake of cooked vegetables Fortes et al., 2013 [44]
Italy, Ragusa Occupational,
male greenhouse male workers (n = 30) exposed to alpha-cypermethrin and office workers as controls (n = 30)
No information on sampling year; Spot urine collected 3 months after occupational use of alpha-cypermethrin (Fastac) Acidic hydrolysis;
GS-MS;
QC: no information;
Creatinine
LOD: 0.04
Mean (SD):
7.8 (2.1) μg/g crea for workers
<LOD for controls
Higher 3-PBA among workers occupationally exposed to alpha-cypermethrin Costa et al., 2013 [50]
Italy, EPIC (substudy) Adults (n = 69, 51 from Florence and 18 from Ragusa) 1993–1998;
24 h urine
Acidic hydrolysis;
GC-MS;
QC: Internal spiked standards;
Creatinine
LOD: 2.5 nmol/L
DF: 53.6
P50: 5.6 nmol/day
Max: 52.8 nmol/day
Higher concentrations in Florence than Ragusa, tended to be higher in overweight/obese individuals Saieva et al., 2004 [68]
Portugal, Oporto Occupational,
non-organic (n = 85) and organic (n = 36) farmers, controls from same area (n = 61)
No information on sampling year; Spot urine No information on deconjugation;
ELISA Immunoassay,
QC: internal standards;
Creatinine
Mean
Total pyrethroid, μg/mmol crea,
Organic: 0.06
Non-organic: 0.08
Controls: 0.13
No significant differences Costa et al., 2014 [31]
Spain, INMA-Granada-Cohort Male adolescents, 15–17 y (n = 134), 71.6% from urban area 2017–2019;
FMV
No information on deconjugation;
LC-MS/MS;
QC: no information;
Creatinine
LOD: 0.12
DF: 19.4
P95: 0.25
NR Freire et al., 2021 [30]
Spain, Valencia Region, BIOVAL Children, 5–12 y (n = 568), 78% from urban area 2016;
FMV
Enzymatic hydrolyses;
LC-MS/MS;
QC: Isotope-labelled internal standards and participation in G-EQUAS;
Creatinine
LOQ: 0.50
DF: 79
P50: 1.63
P95: 11.57
4F-3PBA
LOQ: 0.13
DF: 4
DCCA
LOQ: 5.00
DF: 20
P95: 46.7
cis-DBCA
LOQ: 1.25
DF: 14
P95: 5.6
Intake of fresh vegetables within 72 h Fernán-dez et al., 2020 [34]
Spain, Valencia Women (n = 116), lactating mothers, 2–8 weeks after birth, 80% from urban areas 2015;
FMV
Enzymatic hydrolyses;
LC-MS/MS;
QC: Isotope-labelled internal standards and participation in G-EQUAS;
Creatinine
LOQ: 0.50
DF: 65
P50: 1.7
P95: 18.8
No significant associations with population characteristics or dietary variables Fernán-dez et al., 2020 [35]
Spain, Catalonia and Galicia Occupational, adults (n = 125), 36% farmworkers No information on sampling year; Spot urine Enzymatic hydrolyses;
UPLC-MS-MS;
QC: Isotope-labelled internal standards and participation in G-EQUAS;
Specific gravity and creatinine
LOD: 0.018
DF: 82
P50: 1.5
Max: 20.5
4F-3PBA
LOD: 0.019
DF: 54
P50: 0.08
Max: 0.34
Higher 3-PBA concentrations in farmworkers Gari et al., 2018 [49]
Spain, Valencia Children 6–11 y (n = 125) 2010;
FMV
Enzymatic hydrolyses;
LC-MS/MS;
QC: Isotope-labelled internal standards;
Creatinine
LOQ: 0.8
DF: 23
P95: 12.3 μg/g crea
4F-3PBA
LOQ: 0.2
DF: 0
trans-DCCA
LOQ: 0.4
DF: 26
P95: 4.44 μg/g crea
cis-DCCA
LOQ: 0.4
DF: 10
P95: 1.26 μg/g crea
cis-DBCA
LOQ: 0.8
DF: 23
P95: 3.77 μg/g crea
No significant associations with population characteristics or dietary variables Roca et al., 2014 [69]

DF: detection frequency (%>LOD/LOQ); FMV: first morning void; German External Quality Assessment Scheme (G-EQUAS); NR: not reported; P50: 50th percentile (median); P25, P75, P90, P95: the respective percentile; GM: geometric mean; GSD: geometric standard derivation; SD: standard derivation; GW: gestational week; 3-PBA: 3-phenoxybenzoic acid; 4-F-3-PBA: 4-fluoro-3-phenoxybenzoic acid; cis-DCCA: cis-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropane-1-carboxylic acid; trans-DCCA: trans-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropane-1-carboxylic acid; cis-DBCA: cis-3-(2,2-dibromovinyl)-2,2-dimethylcyclopropane-1-carboxylic acid; CFCA (3-(-2-Chloro-3,3,3-trifluoroprop-1-enyl)-2,2- dimethyl-cyclopropane-carboxylic acid; crea: creatinine.