Perfluoroalkyl and polyfluoroalkyl substances (PFASs) are a class of organic compounds that are persistent in the environment due to their stable
carbon-
fluorine backbone, which is not susceptible to degradation. Research suggests these chemicals may exert an immunotoxic effect. The aim of this study is to investigate the associations between four PFASs -
perfluorooctane sulfonic acid (PFOS),
perfluorooctanoic acid (PFOA),
perfluorononanoic acid (PFNA), and
perfluorohexane sulfonic acid (PFHxS) - with food sensitization and
food allergies in adolescent participants (ages 12-19years) in the National Health and Nutrition Examination Survey (NHANES) 2005-2006 and 2007-2010, respectively. We performed multivariate logistic regression to analyze the association between individual PFASs with food sensitization (defined as having at least 1 food-specific
IgE level≥0.35kU/L) in NHANES 2005-2006 and
food allergies (self-reported) in NHANES 2007-2010. Serum PFOA, PFOS, and PFHxS were statistically significantly associated with higher odds to have self-reported
food allergies in NHANES 2007-2010. When using
IgE levels as a marker of food sensitization, we found that serum PFNA was inversely associated with food sensitization (NHANES 2005-2006). In conclusion, we found that serum levels of PFASs were associated with higher odds to have self-reported
food allergies. Conversely, adolescents with higher serum PFNA were less likely to be sensitized to food
allergens. These results, along with previous studies, warrant further investigation, such as well-designed longitudinal studies.