Of the bands tested, 15 of 22 were found to have fluorine concentrations greater than 1%, suggesting widespread use (only bands sold for < $15 did not contain fluorine). A targeted LC-MS/MS analysis for 20 PFAS compounds found perfluorohexanoic acid (PFHxA) to be the most common PFAS in these bands. The median concentration was 800 parts per billion (ppb) in these bands, roughly 4-fold higher than found in cosmetics.
The U.S. Agency for Toxic Substances & Disease Registry does not consider dermal exposure to be a significant source of PFAS exposure (ingestion, placental transfer, and inhalation are listed as more likely), yet very little data exists for the PFAS content and skin absorption of these personal devices, many of which are worn throughout the day and night. We currently have an absence of evidence rather than evidence of safety. What data does exist suggests that PFAS absorption through the skin is quite likely to occur. A recent study using porcine skin as a model indicated that multiple PFAS (including PFHxA) do permeate skin within 8 hours of exposure. Until more evidence for safe use is available, less expensive silicone-only watch bands may be preferable.