Evidence map›Paper›PMID 33598445›Full record

ArticleFrontiers in public health2021

Effects of a Plastic-Free Lifestyle on Urinary Bisphenol A Levels in School-Aged Children of Southern Italy: A Pilot Study.

Francesco Sessa, Rita Polito, Vincenzo Monda, Alessia Scarinci, Monica Salerno, Marco Carotenuto, Giuseppe Cibelli, Anna Valenzano, Angelo Campanozzi, Maria Pina Mollica and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07411001 (Understanding and Preventing the Impact of Endocrine Disruptors on the Hypothalamus-pituitary Axis in Sensitive Populations), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07411001 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Understanding and Preventing the Impact of Endocrine Disruptors on the Hypothalamus-pituitary Axis in Sensitive Populations: Study of the Effects of a School and Parental Policy to Minimize Exposure to Endocrine Disruptors Among 6 and 8 Year-olds in the Wallonia-Brussels Federation and Catalunya

TypeinterventionalSponsorSciensanoRan2025 to 2028Enrolled700ConditionsPrecocious Puberty, Central, Executive DysfunctionArmsMulti-Component Behavioral intervention, Information
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Comparison of the Effects of Plastic-Free Diet, Plastic-Free Diet Education and Exposure Feedback on Urinary Bisphenol: A Levels in Adolescents.The Journal of school nursing : the official publication of the National Association of School Nurses · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
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  8. Nutritional interventions to ameliorate the effect of endocrine disruptors on human reproductive health: A semi-structured review from FIGO.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. A Children's Health Perspective on Nano- and Microplastics.Environmental health perspectives · 2022
    Article
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Francesco SessaDepartment of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
Rita PolitoDepartment of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
Vincenzo MondaSection of Human Physiology and Unit of Dietetics and Sports Medicine, Department of Experimental Medicine, Università degli Studi della Campania "Luigi Vanvitelli," Naples, Italy.
Alessia ScarinciDepartment of Education Sciences, Psychology, and Communication, University of Bari, Bari, Italy.
Monica SalernoDepartment of Medical, Surgical and Advanced Technologies "G.F. Ingrassia," University of Catania, Catania, Italy.
Marco CarotenutoClinic of Child and Adolescent Neuropsychiatry, Department of Mental Health, Physical and Preventive Medicine, Università degli Studi della Campania "Luigi Vanvitelli," Naples, Italy.
Giuseppe CibelliDepartment of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
Anna ValenzanoDepartment of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.
Angelo CampanozziPediatrics, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
Maria Pina MollicaSection of Human Physiology and Unit of Dietetics and Sports Medicine, Department of Experimental Medicine, Università degli Studi della Campania "Luigi Vanvitelli," Naples, Italy.
Marcellino MondaSection of Human Physiology and Unit of Dietetics and Sports Medicine, Department of Experimental Medicine, Università degli Studi della Campania "Luigi Vanvitelli," Naples, Italy.
Giovanni MessinaDepartment of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bisphenol A (BPA) is an endocrine disruptor (ED) frequently used in food packaging. BPA is used as a monomer in the manufacture of some food packaging. This study aimed to evaluate the urinary BPA concentration in an Italian pediatric cohort, testing the levels of this ED over a period of 6 months, evaluating the effects of a diet regimen with a reduction of Plastic Food Packaging (PFP). One hundred thirty Italian children were enrolled and divided into two groups "School Canteen" and "No School Canteen." The first group consumed one meal at school using a plastic-free service for 5 days/weeks, while the other group did not modify their normal meal-time habits. The BPA levels were tested in urine samples at three time points: T0, is the time before the application of the plastic-free regimen diet; T3, 3 months later; and T6, 6 months later. A reduction of urine BPA levels was detected in the "School Canteen" group. In particular, the reduction was significant analyzing both the intra (among the three testing times) group and inter (between "School Canteen" and "No School Canteen") group variability. Our results show the effects of a diet regimen with a reduction of PFP, demonstrating a connection between urinary BPA levels and food packaging.

Indexed as

Benzhydryl CompoundsPlasticsBisphenol A CompoundsChildHumansItalyLife StylePhenolsPilot ProjectsSchoolsBenzhydryl Compoundsbisphenol ABisphenol A CompoundsPhenolsPlasticsbisphenol A (BPA)eating behaviorendocrine disruptors (EDs)pediatric populationplastic food packaging (PFP)urinary BPA concentration

Identifiers

PMID33598445
PMCPMC7882684

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.