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  • Hi, I'm Dr. Mike Warshawski, a board-certified family medicine doctor.

  • Welcome to the new series, Truth or Scare, where I dive into the latest research and give you my take on the scariest, most viral health claims making news today.

  • This episode's claim that burning candles indoors can emit toxic chemicals that cause all sorts of serious health problems and the type of candle could make it worse?

  • Burning a candle for one hour has the same negative effects as smoking a whole cigarette.

  • Let's get into it.

  • Whenever you burn anything, you will have chemicals released into the air that can be harmful for you.

  • This will change drastically based on what's being burned, where it's being burned, and how long you're exposed to it.

  • One group of chemicals detected in those emissions are called volatile organic compounds, or VOCs for short.

  • Some VOCs, like benzene and formaldehyde, are well-known carcinogens, meaning they can cause cancer.

  • Then you have particulate matter, a mix of solid and liquid particles small enough to get deep into your lungs and enter your bloodstream.

  • These particles are a component of soot, that dark, powdery residue you might see on the floor of a fireplace or inside of a glass candle jar.

  • Inhaling them can increase your risk of lung and other cancers and respiratory diseases like asthma and COPD.

  • Soot is mainly caused by incomplete combustion.

  • This happens when the wax doesn't fully burn because there isn't enough oxygen available.

  • Visible smoke is the most obvious sign of this incomplete combustion.

  • Candles tend to give off this smoke right after they're lit or when the flame is dying out.

  • One older EPA study actually found that a few seconds of smoldering produced more particle emissions than several hours of normal candle burning did.

  • Third are phthalates, or endocrine disruptors.

  • They're chemicals that truly can impact hormone levels, as well as aggravate allergy and asthma symptoms.

  • Technically, phthalates are considered like semi-VOCs.

  • Phthalates are actually specific to scented candles.

  • They're used in synthetic fragrances, which give most scented candles their aromas.

  • Burning a candle creates a very low level of exposure to all of these chemicals.

  • This is the case for both scented and unscented candles, and candles really made from all different types of wax.

  • However, there is some evidence showing the type of candle wax might play a role in worse emissions.

  • In addition to containing phthalates, scented candles are said to give off more soot.

  • And there's some evidence that paraffin wax, which is made from petroleum, produces more VOCs and more soot than natural waxes like beeswax and soy wax.

  • But these differences are likely too small to make candles a true health hazard.

  • Also, at least one study found that I looked at showed that all types of wax basically release the same mix of chemicals into the air.

  • Those worried about allergies should be on alert when it comes to scented candles.

  • In that case, you'd wanna avoid all products with added fragrance, not just candles.

  • But if you use candles a typical amount, should you panic?

  • While "typical candle usage" doesn't have a truly defined meaning, the National Candle Association does recommend four hours as a limit.

  • They also say to follow a candle manufacturer's instructions on ideal burn time, using a well-ventilated space, and limiting how many candles are burning at the same time.

  • There's actually been some research done to address the concerns surrounding scented candles.

  • In one 2014 study, researchers burned candles for four hours in indoor spaces, ranging from the size of a small bathroom to an average-sized living room.

  • They measured airborne emissions of VOCs, semi-VOCs, and particulate matter throughout the entire burn session.

  • Even in the smallest space, the highest VOC levels were less than half of the limit for safe indoor air quality as recommended by the WHO.

  • Compared to candle emissions, you're exposed to far more particulate matter and VOCs when you use a wood-burning stove or an indoor fireplace, and neither activity is considered unsafe when used in moderation.

  • However, heavy exposure to combustion products is a valid concern for some groups of people, like chimney sweeps or anyone who smokes cigarettes inside without proper filtration.

  • So what's the takeaway here?

  • Burning a candle does release potentially harmful substances into the air, and unless you're overdoing it or uniquely vulnerable, the quantities are too low to make you sick.

  • With that said, less soot is always better.

  • So if you notice that your candles produce a lot of it, here are some suitable steps to take, sorry, I had to do it, to take to minimize your soot exposure.

  • Trim the wick to 1 1⁄4 of an inch.

  • Remove any debris from the pool of wax around the wick.

  • Put out the candle before it starts smoldering.

  • Avoid placing a candle near an open window, fan, or air conditioner.

  • Air movement like that can interfere with oxygen supply.

  • Never leave a candle unattended, especially around kids or doggos.

  • And no matter how often you burn candles, you never need to do this.

  • And you may need to do a full body detox if you've been using candles for a number of years to get those toxins out of your body.

  • So on my truth or scare scale, where zero is total BS and 10 is a true evidence-based claim, this claim gets a three.

  • Speaking of scents, let's talk about how often we should be showering.

  • Click here to check that out.

  • And as always, stay happy and healthy.

Hi, I'm Dr. Mike Warshawski, a board-certified family medicine doctor.

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