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Leggings have become a staple in wardrobes worldwide, not just for workouts but as everyday wear, contributing to a booming industry worth over $32 billion in 2022. However, recent findings from a collaborative study by Mamavation and Environmental Health News have raised concerns about the presence of potentially harmful chemicals, known as “forever chemicals,” in these popular garments.

The study, which analyzed 32 popular brands of leggings and yoga pants, revealed that a startling 25% of the products tested positive for detectable levels of organic fluorine, a marker for per- and polyfluoroalkyl substances (PFAS). PFAS are known for their use in textiles due to their water and stain-resistant properties, making them ideal for activewear. However, their widespread presence in everyday items raises questions about unintended exposure and its potential health impacts.

PFAS are not only found in textiles but are also used in various industrial applications, including nonstick cookware, firefighting foams, food packaging, and cosmetics. The concerning aspect of PFAS is their persistence in the environment and the body, earning them the moniker “forever chemicals.” Once introduced into the body, PFAS accumulate and can lead to adverse health effects over time.

The National Academies of Sciences, Engineering, and Medicine (NASEM) released a groundbreaking clinical practice guideline in 2022, focusing on PFAS exposure, testing, and clinical follow-up. The guideline identifies several adverse health outcomes linked to PFAS exposure, including dyslipidemia, decreased fetal and infant growth, kidney cancer, and a weakened immune response.

Clinicians are faced with the challenge of addressing PFAS exposure concerns while promoting healthy lifestyle behaviors such as exercise. The NASEM guidelines provide invaluable assistance by offering strategies for patient discussions, identifying individuals at risk for exposure, and recommending health screenings based on PFAS concentrations in the body.

Despite the alarming findings, there is a glimmer of hope. The study revealed that 75% of the tested clothing did not contain detectable levels of organic fluorine, suggesting that PFAS-free options are available. However, without regulatory restrictions or labeling requirements for PFAS content in products, consumers may remain unaware of potential exposure risks.

The broader implications of PFAS contamination underscore the need for comprehensive efforts to eliminate human exposure. Healthcare providers must also recognize their role as advocates for public health, addressing environmental factors that contribute to disease and promoting policies that prioritize community well-being.

As the conversation around environmental health continues to evolve, it’s clear that collaborative efforts are needed to protect individuals and communities from the harmful effects of forever chemicals like PFAS. By raising awareness, advocating for change, and prioritizing patient well-being, healthcare providers can play a vital role in safeguarding public health for generations to come.

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