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Appendix D Food Codes for NHANES - OEHHA

Appendix D Food Codes for NHANES - OEHHA

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Scientific Review Panel Draft February, 2012<br />

On the other hand, dermal absorption of some chemicals does not appear to be<br />

affected by the viability status of the skin samples. Dermal penetration of TCDD<br />

through viable and non-viable pig skin was found to be similar (Weber, 1993).<br />

F.2.10 Human Adult and Infant Variability in Skin Permeability<br />

Animal studies are designed to ensure uni<strong>for</strong>mity within the experimental<br />

population by using inbred strains and often only one sex. The variability<br />

between animals is much less than the genetically diverse human population.<br />

Human studies also rarely use children or infants, the elderly, pregnant women<br />

and the infirm, partially because of ethical considerations. Dermal uptake may<br />

vary due to genetic diversity in the human population and differences in age.<br />

This variability will not necessarily be accounted <strong>for</strong> by experimental data.<br />

A review of the data on human skin permeability to chemicals suggest at least a<br />

mean intra-individual coefficient of variation of approximately 40% and a mean<br />

inter-individual variation of about 70% (Loth et al., 2000; Hostynek, 2003). A<br />

leading cause in the variation is the lipid composition of the stratum corneum,<br />

which influences solubility and permeability of drugs. This factor is partly<br />

responsible <strong>for</strong> the high variability in accumulation and permeation<br />

measurements (Loth et al., 2000).<br />

There has been increasing awareness in recent years that infants and children<br />

are more susceptible than adults to the harmful effects of some pollutants. This<br />

can be due to differences in exposure, physiology, absorption, distribution,<br />

metabolism, and excretion. Further, organ development and faster cell division<br />

influence targets of toxicity. Finally, a large skin surface area to body weight ratio<br />

would increase the dose of an absorbed chemical on a mg/kg body weight basis.<br />

Only a few studies have examined age-related differences in the dermal<br />

absorption capacity of chemicals in infants and children compared to adults.<br />

Preterm infants lack a fully developed dermal barrier function and are particularly<br />

prone to accidental poisoning of toxic agents applied to the skin surface (Barrett<br />

and Rutter, 1994). In an in vitro system, McCormack et al. (1982) observed<br />

increased penetration of some alcohols and fatty acids through skin of premature<br />

infants compared to full term infant skin and adult skin. Dermal absorption of<br />

sodium salicylate was found to be a hundred- to a thousand-fold greater in<br />

infants of 30 weeks gestation or less compared to full term infants (Barker et al.,<br />

1987).<br />

In full-term infants, epidermal structure and function matures by 2-3 weeks of age<br />

(Holbrook, 1998; Makri et al., 2004). In general, the in vitro system of<br />

McCormack et al. (1982) showed full-term baby skin to be a good barrier <strong>for</strong><br />

some compounds. No difference in penetration of alcohols through full term<br />

infant and adult skin was seen. However, penetration of some fatty acids<br />

through full term infant skin was greater than that through adult skin. Higher lipid<br />

F-14

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