PMID- 29570653 OWN - NLM STAT- MEDLINE DCOM- 20180917 LR - 20240314 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 10 IP - 4 DP - 2018 Mar 23 TI - Elucidating Adverse Nutritional Implications of Exposure to Endocrine-Disrupting Chemicals and Mycotoxins through Stable Isotope Techniques. LID - 10.3390/nu10040401 [doi] LID - 401 AB - Multiple drivers of the double burden of malnutrition (DBM) include a rapid shift from predominantly plant-based diets to energy-dense foods based on meats, milk, animal fats and vegetable oils. The shift to overweight and obesity is driven by increased exposure to mass media, urbanization, technological advances in food processing, rising income and increased population density associated with increased access to cheap foods. At the same time, undernutrition persists mainly due to food insecurity and lack of access to safe water, sanitation and adequate health care. All known nutrition interventions result in only one third reduction in stunting. Little consideration has been given to hazardous exposure to endocrine disrupting chemicals (EDCs) and microbial toxins as major components of the malnutrition-causal framework. These hazards include microbial toxins, for example, mycotoxins, and environmental pollutants such as persistent organic pollutants (POPs), some of which are known to disrupt the endocrine system. These hazards sit at the cross road of undernutrition and overweight and obesity since the exposure cuts across the critical window of opportunity (the first 1000 days). In this review, we update on the role of food and environmental contaminants, especially EDCs and aflatoxins, in child growth and on the implications for metabolic dysfunction and disease risk in later life, and discuss potential applications of nuclear and isotopic techniques to elucidate the underlying biological mechanisms, outcome indicators, as well as occurrence levels. FAU - Owino, Victor O AU - Owino VO AD - Nutrition and Health Related Environmental Studies Section, Division of Health, International Atomic Energy Agency, Vienna International Centre P.O. Box 100, A-1400 Vienna, Austria. V.Owino@iaea.org. FAU - Cornelius, Carolin AU - Cornelius C AD - Nutrition and Health Related Environmental Studies Section, Division of Health, International Atomic Energy Agency, Vienna International Centre P.O. Box 100, A-1400 Vienna, Austria. Carolin.Cornelius@meduniwien.ac.at. FAU - Loechl, Cornelia U AU - Loechl CU AD - Nutrition and Health Related Environmental Studies Section, Division of Health, International Atomic Energy Agency, Vienna International Centre P.O. Box 100, A-1400 Vienna, Austria. C.U.Loechl@iaea.org. LA - eng PT - Journal Article PT - Review DEP - 20180323 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Aflatoxins) RN - 0 (Endocrine Disruptors) RN - 0 (Mycotoxins) SB - IM MH - Adult MH - Aflatoxins/adverse effects MH - Age Factors MH - Animals MH - Child MH - Child Development/drug effects MH - Child, Preschool MH - Endocrine Disruptors/*adverse effects MH - Energy Metabolism/*drug effects MH - Female MH - *Food Contamination MH - Humans MH - Infant MH - Infant, Newborn MH - Isotope Labeling/*methods MH - Male MH - Malnutrition/*chemically induced/physiopathology MH - Maternal Exposure/adverse effects MH - Mycotoxins/*adverse effects MH - Nutritional Status/*drug effects MH - Obesity/*chemically induced/physiopathology MH - Pregnancy MH - Prenatal Exposure Delayed Effects MH - Risk Assessment PMC - PMC5946186 OTO - NOTNLM OT - aflatoxins OT - child growth and development OT - endocrine disruptors OT - food and environmental hazards OT - stable isotope techniques COIS- The authors declare not having any conflict of interest. EDAT- 2018/03/24 06:00 MHDA- 2018/09/18 06:00 PMCR- 2018/04/01 CRDT- 2018/03/24 06:00 PHST- 2018/02/22 00:00 [received] PHST- 2018/03/16 00:00 [revised] PHST- 2018/03/19 00:00 [accepted] PHST- 2018/03/24 06:00 [entrez] PHST- 2018/03/24 06:00 [pubmed] PHST- 2018/09/18 06:00 [medline] PHST- 2018/04/01 00:00 [pmc-release] AID - nu10040401 [pii] AID - nutrients-10-00401 [pii] AID - 10.3390/nu10040401 [doi] PST - epublish SO - Nutrients. 2018 Mar 23;10(4):401. doi: 10.3390/nu10040401.