Fact
Sheets
Issue:
Premature sexual development is linked to exposure to estrogenic contaminants.
Background: Precocious puberty has been reported in children exposed
to environmental contaminants. Premature breast bud development was
reported in young girls in Puerto Rico with exposure to phthalate esters.
In Michigan premature puberty was recently reported in young girls with
exposure to brominated diphenyl ethers.
Trends: The age of puberty onset has been suggested to be decreasing
over at least two decades. However, the extent and persistence of the
decline remains controversial. Moreover, there is no data available
for regional differences in the sexual development.
Consistency of the data: Too few studies have been conducted
to permit an evaluation of the consistency of the data in this area.
Experimental evidence: Animal studies have shown that exposure to
environmental contaminants with estrogenic activity (chemicals that
mimic some or all of the actions of estrogens) can accelerate the onset
of puberty onset.
Biological plausibility: The biological trigger for the onset of
puberty remains unknown. However, it is clear that estrogens accelerate
the onset of sexual development. Hence, it is plausible that environmental
estrogens can accelerate sexual development if present at sufficient
concentration. It can be argued that if estrogenic contaminants can
induce this effect then we should also be concerned about exposure to
dietary phytoestrogens that are plant estrogens that although they have
much shorter half life than man-made chemicals are much more potent.
Conclusion: Overall the literature does not support the contention
that environmental chemicals or dietary factors are having widespread
effects on human sexual development. Nevertheless, accelerated sexual
development is plausible in individuals exposed to high concentrations
of estrogenic substances.
Key Papers on this issue:
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Marcia
E. Hermann-Giddens, et al. Secondary sexual characteristics and
menses in young girls seen in office practice: A study from the
pediatric research in office settings network. Pediatrics 99(4)
1997. Get summary.