Component Description
Volatile Organic Compounds (Human Blood):
Exposure to volatile organic compounds (VOCs) is ubiquitous. Chronic exposure to extremely high levels of some VOCs can lead to cancer and neurocognitive dysfunction (1,2).
Nearly 200 air toxics have been associated with adverse health effects in occupational studies or laboratory studies, but have not been monitored in general population groups. Information on levels of exposure to these compounds as measured by their levels in blood is essential to determine the need for regulatory mechanisms to reduce the levels of hazardous air pollutants to which the general population is exposed.
Volatile Organic Compounds (Home Tap Water):
In addition to assessing levels of VOCs in blood, VOC levels will be measured in home tap water specimens provided by NHANES participants. Specifically, trihalomethanes (THMs) and the fuel additive methyl tertiary-butyl ether (MTBE) are measured in these samples.
Eligible Sample
Participants aged 20 to 59 years on a one-third sample were tested.
Description of Laboratory Methodology
Measurements of Trihalomethanes (THMs) and MTBE in Tap Water:
The prevalence of water disinfection by-products in drinking water supplies has raised concerns about possible health effects from chronic exposure to these compounds. The objective is to support studies exploring the relationship between exposure to THMs and health effects.
This automated analytical method uses headspace solid-phase microextraction (SPME) coupled with capillary gas chromatography and mass spectrometry (3). This method quantities trace levels of THMs (chloroform, bromodichloromethane, dibromochloromethane, and bromoform) and MTBE in tap water.
Detection limits of less than 100 pg/mL for all analytes and linear ranges of three orders of magnitude are adequate for measuring the THMs in tap water samples tested from across the United States. THMs are stable for extended periods in tap water samples after quenching of residual chlorine and buffering to pH 6.5, thus enabling larger epidemiologic field studies with simplified sample collection protocols.
Measurements of THMs and MTBE in Whole Blood:
The prevalence of water disinfection by-products (e.g. THMs) in tap water has raised concerns about possible health effects from chronic exposure to these compounds. Exposure to the fuel oxygenate MTBE has also raised concerns. People can be exposed to THMs and MTBE through a variety of sources, including use of household tap water that contains these chemicals. The objective of this study is to support studies exploring the relationship between health effects and exposure to THMs and MTBE. THMs and MTBE were quantified in human blood using capillary gas chromatography (GC) and high-resolution mass spectrometry (MS) with selected ion mass detection and isotope-dilution techniques (4). This method quantified trace levels of THMs (chloroform, bromodichloromethane, dibromochloromethane, and bromoform) and MTBE in human blood. Analyte responses were adequate for measuring background levels after extraction of these volatile organic compounds with either purge-and-trap extraction or headspace SPME. Detection limits ranged from 0.3–2.4 pg/mL, with linear ranges of three orders of magnitude. This method provided adequate sensitivity for measuring the THMs and MTBE in most blood samples tested from diverse U.S. reference population.
Measurements of other VOCs in Whole Blood:
An additional 11 VOCs were measured in human blood using SPME in conjunction with gas chromatography and bench top quadrupole mass spectrometer (5). A combination of SPME and multiple single-ion monitoring minimizes the interferences and chemical noise associated with whole-blood samples. Detection limits are below 50 ppt (pg/mL) for a majority of the VOCs tested.
Data Processing and Editing
Specimens were processed, stored and shipped to Division of Laboratory Sciences, National Center for Environmental Health, National Centers for Disease Control and Prevention, Atlanta, Georgia. Detailed specimen collection and processing instructions are discussed in the NHANES Laboratory/Medical Technologists Procedures Manual (LPM). Read the LABDOC file for detailed data processing and editing protocols. The analytical methods are described in the Description of the Laboratory Methodology section.
Laboratory Quality Assurance and Monitoring
The NHANES quality control and quality assurance protocols (QA/QC) meet the 1988 Clinical Laboratory Improvement Amendments mandates. Detailed quality control and quality assurance instructions are discussed in the NHANES Laboratory/Medical Technologists Procedures Manual (LPM). Read the LABDOC file for detailed QA/QC protocols.
Analytic Notes
Measures of volatile organic compounds in blood and water were assessed in participants aged 20 to 59 on a one-third sample. Use the special weights included in this data file when analyzing data. Read section 10.3 below before beginning analysis.
The analysis of NHANES 2001-2002 laboratory data must be conducted with the key survey design and basic demographic variables. The NHANES 2001-2002 Household Questionnaire Data Files contain demographic data, health indicators, and other related information collected during household interviews. They also contain all survey design variables and sample weights for these age groups. The phlebotomy file includes auxiliary information such as the conditions precluding venipuncture. The household questionnaire and phlebotomy files may be linked to the laboratory data file using the unique survey participant identifier SEQN.
Detection limits: The detection limit was variable for many of the analytes in the data set. In addition two variables are provided for each of these analytes. The variable named LBD___LC indicates whether the result was below the limit of detection. There are three values: “0”, “1”, and “2”. “0” means that the result was at or above the limit of detection. “1” indicates that the result was below the lower limit of detection. “2” means the result was above the upper limit of detection of the assay.
The other variable named LBX___ provides the analytic result for that analyte. In cases, where the result was below the limit of detection, the value for that variable is the detection limit divided by the square root of two.
Special sample weights are required to analyze these data properly. Use the special weights included in this data file when analyzing data. Please refer to the Analytic Guidelines for further details on the use of sample weights and other analytic issues.
The assay method
was expanded during this the two-year cycle to measure additional analytes.
However, because of confidentiality reasons the results can't be released.