Background exposure of general population to cadmium and lead in Tainan city, Taiwan

Estimation of dietary intake of cadmium from cadmium in blood or urine in East Asia

BACKGROUND AND AIM

Cadmium (Cd) is an ubiquitous environmental toxic pollutant. As daily foods are an almost exclusive source of exposure for general populations, it is of public health importance to know the level of dietary intake of cadmium (Cd-D). The purpose of this study is to examine whether Cd in blood (Cd-B) or urine (Cd-U) correlates with Cd-D in East Asia, and in case it is, whether it is possible to estimate Cd-D from Cd-B or Cd-U. It should be added that the measurement of Cd-D is quite hand-consuming in practice.

MATERIALS AND METHODS

Literature was retrieved for publication on Cd-B and Cd-U in combination with Cd-D. Twenty three data sets thus obtained for East Asia were subjected to regression analysis to investigate the possibility to estimate Cd-D from Cd-B or Cd-U.

RESULTS

In Japan and Korea, large correlation coefficients (p > 0.7) were observed between Cd-B and Cd-D, as well as between Cd-U and Cd-D. In China, the coefficient was >0.7 between Cd-B and Cd-D. Furthermore, correlation was significant for Cd-B and Cd-D, as well as Cd-U and Cd-D, when 19 sets for Japan, Korea and China were combined for analysis.

DISCUSSION

Major reasons for successful analysis may be predominant use of women-based data. Women have been less smoking than men in East Asia, and possible confounding effects of smoking on Cd exposure might be minimized.

CONCLUSION

Based on significant correlations, Cd-D can be estimated from Cd-B or Cd-U in East Asia.

Risk of Alzheimer's disease with metal concentrations in whole blood and urine: A case-control study using propensity score matching

Environmental exposure to heavy metals is suspected to result in neuropathology damage and cognitive impairment. We aimed to explore the association of Alzheimer's disease (AD) risk with the internal dose of heavy metals by constructing a hospital-based case-control study and using propensity-score-matching methods. We investigated 170 patients with AD and 264 controls from the Department of Neurology and Family Medicine, China Medical University Hospital in Taiwan. All patients with AD received clinical neuropsychological examination and cognitive-function assessments, including the mini-mental status examination and clinical dementia rating scale. We also constructed a propensity-score-matched population of 82 patients with AD and 82 controls by matching age, gender, education, and AD-related comorbidity. Blood levels with cadmium, lead, mercury, selenium, and urinary arsenic profile were measured. Logistic regression models and 95% confidence intervals (CIs) were applied to estimate AD risk. After stratification by respective quartile cutoffs of heavy metals, the AD risk of study participants with high urinary inorganic arsenic (InAs%) or low dimethylarsinic acid (DMA%) significantly increased (p < 0.05), as similarly found in the propensity-score-matched population. In addition, people with a low median level of selenium and high median level of InAs%, or/and a low median level of DMA% had approximately two- to threefold significant AD risk. Urinary arsenic profiles may be associated with increased AD risk. Repeat measurements of heavy metals with large sample size and the surveying of potential exposure sources are recommended in future studies.

Estimation of calcium, magnesium, cadmium, and lead in biological samples from paralyzed quality control and production steel mill workers

The determination of trace and toxic metals in the biological samples of human beings is an important clinical screening procedure. The aim of the present study was to compare the level of essential trace and toxic elements cadmium (Cd), calcium (Ca), lead (Pb), and magnesium (Mg) in biological samples (whole blood, urine, and scalp hair) of male paralyzed production (PPW) and quality control workers (PQW) of a steel mill, age ranged (35-55 years). For comparison purposes, healthy age-matched exposed referent subjects (EC), working in steel mill and control subjects (NEC), who were not working in industries and lived far away from the industrial areas, were selected as control subjects. The concentrations of electrolytes and toxic elements in biological samples were measured by atomic absorption spectrometry after microwave-assisted acid digestion. The validity and accuracy of the methodology were checked using certified reference materials. The results of this study showed that the mean values of Cd and Pb were significantly higher in scalp hair, blood, and urine samples of PPW and PQW as compared to NEC and EC (p < 0.001), whereas the concentrations of Ca and Mg were found to be lower in the scalp hair and blood but higher in the urine samples of PPW and PQW. The results show the need for immediate improvements in workplace, ventilation, and industrial hygiene practices.

Simultaneous Exposure to Heavy Metals among Residents in the Industrial Complex: Korean National Cohort Study

A survey was conducted to evaluate the multi-exposure level and correlation among toxic metal biomarkers (Cd, Pb, and Hg). A total of 592 individuals who participated in the survey were residents near an industrial complex in Gwangyang and Yeosu (exposed group) and of Hadong and Namhae (control group) in southern Korea from May 2007 to November 2010. The Gwangyang and Yeosu area exposed groups had slightly higher blood Pb (2.21 and 1.90 µg/dL), urinary Cd observed values (2.20 and 1.46 µg/L), urinary Cd with a urinary creatinine correction (1.43 and 1.25 µg/g Cr), and urinary Hg observed values (2.26 and 0.98 µg/L) in women participants than those in the Hadong and Namhae area (control group). Blood Pb (3.18 and 2.55 µg/dL), urinary Hg observed values (1.14 and 0.92 µg/L), and urinary Hg with a urinary creatinine correction (1.06 and 0.96 µg/L) for male participants were also slightly higher than those in the Hadong and Namhae area (control group). The correlation among urinary Cd, Hg and Pb concentrations in the blood was significant. We suggest that the exposed group of residents were simultaneously exposed to Pb, Cd, and Hg from contaminated ambient air originating from the iron manufacturing industrial complex.

Temporal changes in urinary levels of cadmium, N-acetyl-β-d-glucosaminidase and β2-microglobulin in individuals in a cadmium-contaminated area

Cadmium (Cd) is a metal that is toxic to renal tubules. If renal tubules are damaged by Cd, urinary excretion of N-acetyl-β-D-glucosaminidase (NAG) and beta 2-microglobulin (β2-MG) increases. The aim of this study was to describe the changing patterns of urinary Cd, NAG, and β2-MG levels over a 3-year period in individuals living in a Cd-contaminated area. This follow-up study included 191 residents (65.6±9.3 years) who were living in the vicinity of a copper refinery. Urinary levels of Cd, NAG activity, and β2-MG levels were measured, and their determinants and changing patterns were analyzed statistically. The natural logarithm of urinary Cd levels decreased significantly over time. Sex and intake of locally cultivated rice were significant determinants of urinary Cd concentration. Urinary NAG activity decreased over time. Age and urinary Cd concentration were significant determinants of urinary NAG activity in subjects with urinary Cd concentrations >5μg/g creatinine. In subjects whose urinary Cd concentrations were >2μg/g creatinine, diabetes was found to be a significant risk factor for high urinary NAG activity. The slope for temporal changes in urinary β2-MG levels was negative in subjects whose urinary Cd levels were <2μg/g creatinine but was positive in those whose urinary Cd levels were 2-5μg/g creatinine or >5μg/g creatinine. The urinary β2-MG levels found in individuals whose urinary Cd levels were >2μg/g creatinine suggest that previous Cd-induced renal tubular damage had occurred.

Affects of mining activities on Cd pollution to the paddy soils and rice grain in Hunan province, Central South China

Located in Central South China, Hunan province is rich in mineral resources. To study the influence of mining on Cd pollution to local agricultural eco-system, the paddy soils and rice grain of Y county in northern Hunan province were intensively monitored. The results were as follows: (1) Total Cd (T-Cd) content in the soils of the county ranges from 0.13 to 6.02 mg kg(-1), with a mean of 0.64 mg kg(-1), of which 57.5% exceed the allowable limit specified by the China Soil Environmental Quality Standards. T-Cd in the soils varies largely, with the coefficient of variation reaching 146.4%. The spatial distribution of T-Cd in the soils quite matches with that of mining and industries. The content of HCl-extractable Cd (HCl-Cd) in the soils ranges from 0.02 to 2.17 mg kg(-1), with a mean of 0.24 mg kg(-1). A significant positive correlation exists between T-Cd and HCl-Cd in the soils (r = 0.770, ρ < 0.01). (2) Cd content in the rice produced in Y county ranges from 0.01 to 2.77 mg kg(-1), with a mean of 0.46 mg kg(-1). The rate of rice with Cd exceeding the allowable limit specified by the Chinese Grain Security Standards reaches 59.6%; that with Cd exceeding 1 mg kg(-1), called as "Cd rice," reaches 11.1%. (3) Cd content in the rice of Y county is positively significantly correlated with HCl-Cd (r = 0.177, ρ < 0.05) but not significantly with T-Cd in the soils (r = 0.091, ρ > 0.05), which suggests that the amount of Cd accumulating in the rice is more affected by its availability in the soils, rather than the total content. (4) The dietary intake of Cd via rice consumption in Y county is estimated to be 179.9 μg day(-1) person(-1) on average, which is far beyond the allowable limit specified by FAO/WHO and the target hazard quotients of Cd much higher than 1, suggesting the high risk on human health from Cd exposure.

Determination of lead in solution by solid phase extraction, elution, and spectrophotometric detection using 4-(2-pyridylazo)-resorcinol

Lead (+2) was selectively adsorbed on a solid phase extraction (SPE) gel (molecular recognition technology, MRT), quantitatively extracted, and spectrophotometrically determined as the Pb(II)-PAR (4-(2-pyridylazo)-resorcinol) complex. The linear range was 0.01 to 0.75 mg L−1 and the detection limit was 6.4 µg L−1. The MRT-SPE allows selective Pb(II) extraction from complex ion-rich matrices, which is difficult with other techniques. Interference from common matrix ions such as Fe2+, Ni2+, Cu2+ or Co2+ is minimized.

Levels of arsenic, cadmium, lead, manganese and zinc in biological samples of paralysed steel mill workers with related to controls

The determination of essential trace and toxic elements in the biological samples of human beings is an important clinical screening procedure. This study aimed to assess the possible effects of environmental exposure on paralysed male workers (n = 75) belonging to the production and quality control departments of a steel mill. In this investigation, the concentrations of arsenic, cadmium, lead, manganese and zinc were determined in biological samples (blood, urine and scalp hair samples) of exposed paralysis and non-paralysed steel mill workers. For comparative purposes, unexposed healthy subjects of same age group were selected as referents. The elements in the biological samples were measured by atomic absorption spectrophotometry prior to microwave-assisted acid digestion. The validity of the methodology was checked by the biological certified reference materials. The results indicate that the level understudy elements in all three biological samples were significantly higher in paralysed workers of both groups (quality control and production) as compared to referents (p < 0.01). The possible connection of these elements with the aetiology of disease is discussed. The results also show the need for immediate improvements of workplace ventilation and industrial hygiene practices.

Estimation of dietary Pb and Cd intake from Pb and Cd in blood or urine

Successful trials were made to estimate the dietary daily intake of lead (Pb) and cadmium (Cd) via foods from the levels of the metals in blood or urine. In practice, 14 and 15 reports were available for Pb and Cd in blood (Pb-B and Cd-B), urine (Pb-U and Cd-U) and 24-h diet duplicates (Pb-D and Cd-D), respectively, from which 68 pairs each of Pb or Cd in blood and food duplicates [each being geometric mean (GM) values for the survey sites] were obtained. Regression analysis revealed that there was a significant correlation between Pb-B and Pb-D, and also between Cd-B and Cd-D, suggesting that it should be possible to estimate both Pb-D and Cd-D from Pb-B and Cd-B, respectively. For Cd-U, the number of available cases was limited (20 pairs), but a significant correlation was detected between Cd-U (as Cd-U(cr), or Cd levels in urine as corrected for creatinine concentration) and Cd-D. Care should be taken in estimating Pb-D from Pb-B, as the ratio of Pb-D over Pb-B may decrease as a function of increasing Pb-B levels. The Pb-D (μg/day) for typical Japanese women with Pb-B of 15 μg/l was best estimated to be 13.5 μg/day. No Cd-B- or Cd-U(cr)-dependent change was detected in case of Cd. The best estimate of Cd-D for Cd-B at 1.5 μg/l should be about 19.4 μg/day.

Cadmium toxicity at low concentration on rabbit spermatozoa motility, morphology and membrane integrity in vitro

In this study the effect of cadmium on various parameters of spermatozoa motility, morphology as well as on the spermatozoa membrane integrity in rabbits was analyzed in vitro, experimental concentrations ranging from 0.62 to 0.98 micro g CdCl(2)/mL. Pooled rabbit (n = 5) semen was cultured in vitro with cadmium and subsequently diluted to various experimental concentrations apart from control which received no cadmium exposure. Using computer assisted semen analysis method (CASA) we detected decrease of total motility with in the higher concentration range at Time 0. However, with increasing time (after 1 and 2 h of culture), cadmium exerted deleterious effect leading to significant motility reduction in comparison to control. A similar trend was exhibited in case of progressive motility, too. Most of the spermatozoa distance and velocity parameters detected no significant change in comparison to control at the beginning of culture (Time 0), although the toxic effect became significant (P < 0.05) with the passage of culture time (Times 1 and 2 h) in all concentrations. Analysis of spermatozoa morphology detected significant (P < 0.05) alterations at higher concentrations. At higher concentrations acrosomal changes, head without flagellum/separated flagellum, broken flagellum and other abnormalities were significantly higher (P < 0.05), while knob-twisted flagellum and small heads differed significantly (P < 0.05) in comparison to control at all concentrations. In regards to flagellum torso, flagellum ball and retention of cytoplasmic drop statistically higher values (P < 0.05) were noted at the maxium experimental concentration only. Annexin analysis for detection of spermatozoa with disordered membranes revealed higher occurrence of positive spermatozoa in cadmium exposed groups. Annexin-positive reactions suggested alterations in anterior part of head (acrosome) and in flagellum (mitochondrial segment) of spermatozoa. This paper underlines that cadmium is highly toxic for rabbit spermatozoa, as visualized by the toxic effects on parameters of spermatozoa motility, morphology and membrane integrity. The toxic effect is more drastic at higher concentrations. This study also indicates that cadmium requires a minimum one hour incubation time to exert its deletorious effects on various parameters of spermatozoa, particularly at low concentrations.

The effect of cadmium in combination with zinc and selenium on ovarian structure in Japanese quails

In this study the effect of cadmium, cadmium+selenium and cadmium+zinc administration on the ovarian structure in Japanese quails was studied. The morphometric analysis of the relative volume of primary follicles detected the highest value in control group with a similar value in the group with administration of cadmium with selenium. Lower relative volume is reported in group with cadmium and zinc administration and the group with simple cadmium administration (P < 0.05). The relative volume of growing follicles was very similar in all studied groups (11.33-15.35%), and the relative volume of stroma was very stable (82.59-86.45%). In the evaluation of the number of follicles undergoing atresia detected significantly higher number of atretic primary follicles as well as atretic growing follicles in the group with cadmium administration and cadmium with selenium administration in comparison with control group. In comparison of normal and atretic follicles we report the most negative effect of single cadmium administration on ovarian structure. Selenium co-administration shows protective effects but only the co-administration with zinc prevent significant cadmium ovarian alterations.

Lead dietary intake in a Spanish population (Canary Islands)

For most people diet is the main route of exposure to trace metals, so information about dietary intake is also important to assess risks to human health for these elements. The purpose of this study was to determine the levels of Pb in the foods and drinks of highest consumption in the authors' our community to estimate daily intakes of Pb for each of the seven Canary Islands. Four hundred and twenty samples were analyzed using GFAAS. The total Pb intake of the Canarian population is 72.8 microg/day, 29.12% (for a person of 70 kg body weight) of the provisional tolerable weekly intake limit of 25 microg/kg fixed by the FAO/WHO. The island that presents the highest lead intake is La Gomera, followed by Lanzarote, Tenerife, and Gran Canaria islands. These four islands present a lead dietary intake over the mean Pb intake for the whole archipelago. The islands with lower Pb intakes are La Palma and Fuerteventura, with intakes under 70 microg/day. These results have also been compared with the values found for other national and international communities.

Distribution of cadmium and lead in liver and kidney of some wild animals in Slovakia

The content of cadmium and lead, as risk factors of environment, in liver and kidneys of wild animals as brown hare (Lepus europaeus), yellow-necked mouse (Apodemus flavicollis), wood mouse (Cleithrionomys glareolus), and red deer (Cervus elaphus) were studied. Samples were analyzed by the atomic absorption spectrophotometry method (AAS). The highest levels of cadmium were found in kidneys (0.213-2.387 mg/kg) of all animal species. The concentration of cadmium in liver was 0.032-0.258 mg/kg. The analysis of lead showed that the concentration of this element was higher in kidneys of yellow-necked mouse and wood mouse (0.503-0.780 mg/kg) than in liver (0.177-0.268 mg/kg). In brown hare and red deer a higher accumulation of lead in liver (0.221-1.904 mg/kg) in comparison with kidneys (0.115-0.561 mg/kg) is reported.

Gender-related difference, geographical variation and time trend in dietary cadmium intake in Japan

OBJECTIVES

The present analysis was initiated to examine possible gender-dependency, geographic variation, and time-dependent changes in dietary intake of cadmium (Cd-F) among general populations in Cd-non-polluted areas in Japan. The role of rice as Cd-F source was also within the scope.

METHODS

Two databases on Cd and nutritional analyses were re-visited. Both databases were established through collection of 24-h food duplicate portion samples from residents in areas with no known Cd pollution, and contained information on Cd and energy contents in the duplicate portion, together with daily rice consumption, the gender, the age and the location of the residence of each sample donor. The first and the second databases were established through surveys in the years around 1980 on 564 cases and around 1995 on 702 cases, respectively. The two databases were combined for evaluation by multiple regression (MRA) and other analyses.

RESULTS

The analyses showed that men tended to take more Cd than women, more clearly so in the 1980 survey than in the 1995 survey. When Cd-F in the 1995 survey was compared with that in the 1980 survey, a substantial decrease was observed, e.g. by 30% (from 37.5 to 26.2 microg/day) in case of women. Cd-F values varied subject to the survey sites in a wide range (e.g. from 20 to 86 microg/day among women in the 1980 survey). In MRA with Cd-F as a dependent variable and survey sites and food intake factors (e.g. rice and energy intakes) as independent variables, the survey sites could explain more than 53% and 35% of total variation in Cd-F in the 1980 and 1995 surveys, respectively. Rice consumption was also influential to Cd-F in both surveys with partial correlation coefficients of 0.36 and 0.21, respectively, the influence being stronger in the 1980 survey than in the 1995 survey. A significant correlation was detected between the 1980 and 1995 survey results both in Cd-F and in rice consumption.

CONCLUSION

Geographic and gender-related differences, and time-dependent decrease in dietary Cd intake in Japan were detected through analyses of food duplicate-based databases. The leading role of rice as dietary Cd source was also observed.

Concentration of selected metals in liver, kidney, and muscle of the red deer (Cervus elaphus)

Concentration of cadmium, lead, chromium, zinc, copper, and manganese in liver, kidney, and muscle of red deer was investigated. For analysis of the content of these trace elements an AAS method was used. The concentration of cadmium was significantly (p < 0.05) higher in kidney in comparison with liver and muscle. The level of lead was the highest in muscle (p < 0.05). Lower values were detected in liver and in kidney. The concentration of chromium was very similar in all studied tissues. A higher concentration of zinc was found in muscle, followed by kidney and liver. The level of copper was significantly higher in liver (p < 0.05), and lower in kidneys and muscle. In evaluation of the concentration of manganese in red deer, the highest concentration of this element in liver was detected.

Accumulation of lead, cadmium, and mercury in liver and kidney of the brown hare (Lepus europaeus) in relation to the season, age, and sex in the West Slovakian Lowland

Concentrations of lead, cadmium, and mercury in liver and kidneys of brown hares in relation to season, age, and sex were investigated. Over a period of one year 74 hares, 36 males and 38 females were analyzed. The concentrations of lead and cadmium were analyzed by AAS and mercury was determined by mercury vapor technique. The median concentration of lead in liver as well as in kidney in relation to the season is the highest in winter period in comparison with spring, summer, and summer period (p < 0.001). The highest concentration of cadmium was found in winter, but the differences were not significant. In mercury, we report significantly higher (p < 0.001) median concentrations in liver (0.023 mg kg(-1)) as well as in kidney (0.068 mg kg(-1)) in winter period in comparison with all other observed periods. In relation to age the concentrations in lead and mercury in liver and kidney were very similar, without significant differences. In cadmium we report significantly higher concentrations in the liver as well as kidney in adult animals (0.154 and 1.521 mg kg(-1)) in comparison with juvenile animals (0.048 and 0.582 mg kg(-1), respectively). In comparison of the female and male brown hares we found significantly higher (p < 0.05) median concentration of lead in the liver of males (0.216 mg kg(-1)) than in females (0.127 mg kg(-1)) and the level of cadmium is significantly higher (p < 0.001) in females (1.464 mg kg(-1) than in male brown hares (1.384 mg kg(-1)).

Rice as the most influential source of cadmium intake among general Japanese population

The objective of the present study is to examine whether rice is still a leading source of cadmium (Cd) burden among general populations in Japan. For this purpose, 10 prefectures were selected from all over Japan (including the northern- and southern-most Hokkaido and Okinawa prefecture, respectively). Cadmium levels in urine of never-smoking women (corrected for creatinine; Cd-Ucr) were compared with the rice- and wheat product-based Cd intake, which were estimated from Cd contents in rice and wheat (in the forms of bread, noodle and flour) consumed by residents in the areas, and per-capita daily consumption of rice and wheat. Stepwise multiple regression analysis taking Cd-Ucr as a dependent variable and rice- or wheat product-based Cd intakes as independent variables showed that rice was the most influential and almost exclusive variable with a partial correlation coefficient of 0.770-0.832, explaining 59-69% of total variation in Cd-Ucr. The effects of other sources including wheat were essentially negligible.

Concentration of copper, iron, zinc, cadmium, lead, and nickel in boar semen and relation to the spermatozoa quality

The concentration of copper, iron, zinc, cadmium, lead, and nickel as well as its relation to spermatozoa quality was investigated. The semen samples were analyzed by atomic absorption spectrophotometry (AAS). The concentration of copper in boar semen was 1.64 +/- 0.28 mg kg(-1) and of iron 16.14 +/- 10.35 mg kg(-1). The concentration of zinc in boar semen reached an average value of 171.74 +/- 64.72 mg kg(-1) and the level of cadmium reached 0.01-0.16 mg kg(-1) with the average value of 0.05 mg kg(-1). The analysis of lead showed that the concentration of this element in boar semen was 0.02 +/- 0.03 mg kg(-1) and the average level of nickel was 0.06 +/- 0.08 mg kg(-1). The total percentage of pathological spermatozoa was 9.82 +/- 1.47%. Detail analysis determined 3.18% of separated flagellum, 2.26% knob twisted flagellum, 0.88% flagellum torso, 0.85% flagellum ball, 0.42% broken flagellum, 0.23% retention of the cytoplasmic drop, 0.14% small heads, 0.03% large heads, and 1.83% forms other of pathological changes. Correlation analysis showed significant (p < 0.05) positive correlation between copper and lead (r = 0.52). High correlation between small head and knob twisted tail (r = 0.67), small head and broken flagellum (r = 0.88) as well as between small head and total number of pathological spermatozoa (r = 0.73) was determined.

Alimentary lead intake of adults in Thuringia/Germany determined with the duplicate portion technique

The daily lead intake in Germany in 1996 was studied using the duplicate portion technique. The study was carried out in four towns in Thuringia (Jena, Ronneburg, Rositz, Steudnitz), in which volunteers collected all foods and beverages over 7 consecutive days. The mean lead content of consumed food and beverages was 66 and 55 microg/kg dry matter for women and men, respectively; the average lead intake was 19 microg/day for both, women and men. In relation to body weight (b.w.) the intake for women was 283 ng/kg and for men 242 ng/kg b.w. These values are well below the WHO limit. An oral lead exposure of the adult population of Thuringia/Germany can be excluded.

Exposure of women in general populations to lead via food and air in East and Southeast Asia

BACKGROUND

Despite increasing public concern of the possible health effects of lead (Pb) on general populations, reports on Pb levels in blood (Pb-B) and urine (Pb-B), as well as Pb intake via foods (Pb-F) for many Asian countries are scarce. The present study was initiated to elucidate the extent of non-occupational Pb exposure among general populations in East and Southeast Asia.

METHODS

In 1991-1997, peripheral blood, morning spot urine and 24-hour food duplicate samples were collected from 20 to 50 non-smoking adult women in each of four cities in Southeast Asia and five cities in Mainland China, and two cities each in Japan and Korea. The samples were wet-ashed and then analyzed by inductively coupled plasma mass spectrometry for Pb-B, Pb-U and Pb-F. Measures after logarithmic conversion were subjected to ANOVA and regression analysis.

RESULTS

Geometric mean values in cities in East and Southeast Asia were in ranges of 32-65 microg/L for Pb-B, 2.1-7.5 microg/g cr for Pb-Ucr, and 7-32 microg/day for Pb-F. The values for a combination of two cities of Tokyo and Kyoto, Japan (38 microg/L for Pb-B and 9.3 microg/day for Pb-F) appeared to be lower than the values for other Asian cities, and the values for all Japan (thus including both urban and rural areas) were even lower (19 microg/L for Pb-B and 7.7 microg/day for Pb-F). Comparison of Pb uptake via respiratory and dietary routes showed that Pb via dietary route accounted for 15% of the total in Manila where Pb in air was high (ca. 650 ng/m(3)), whereas it was 54% in Tokyo+Kyoto where Pb in air was low (ca. 75 ng/m(3)).

CONCLUSIONS

When compared internationally, Pb-F and Pb-B in Asia in general are similar to or somewhat higher than the levels in Europe and USA, whereas the levels in Japan are probably lower than the two latter areas. In Asia, Pb-F accounted for 15-54% of all Pb sources, the percentage being variable depending on local conditions especially Pb in atmospheric air.

Urban population exposure to lead and cadmium in east and south-east Asia

Information is still scarce for many Asian countries on general population exposure to two potentially toxic heavy metals of lead (Pb) and cadmium (Cd). The present review on publications from this study group is intended to provide an overview of the non-occupational exposure to Pb and Cd among general populations in east and south-east Asia. During the period of 1991-1998, surveys were conducted in four cities in south-east Asia, five cities in mainland China, and two cities each in Japan and Korea. Peripheral blood, morning spot urine and 24-h food duplicate samples were collected from 20-50 non-smoking adult women in each survey site. The samples were digested by heating in the presence of mineral acids, and then analyzed by inductively-coupled plasma mass spectrometry for the metals in blood (Pb-B and Cd-B), in urine (Pb-U and Cd-U), and in food duplicate (Pb-F and Cd-F). Measures were subjected to statistical analysis with an assumption of log-normal distribution. Pb-B, Pb-U and Pb-F levels varied substantially among the 11 urban sites; GM distributed in ranges of 32-65 microg/l for Pb-B, 2.1-7.5 microg/g cr (creatinine) for Pb-U, and 7-32 microg/day for Pb-F. The same was also the case for Cd exposure parameters, the distribution ranges being 0.5-1.8 microg/l for Cd-B, 1.2-3.1 microg/g cr for Cd-U, and 5-32 microg/day for Cd-F. It appeared that the exposure to Pb and Cd was highest in Kuala Lumpur, and Tokyo + Kyoto, respectively, and lowest in Tokyo + Kyoto and in Manila. Additional surveys in Japan showed that Pb exposure was even lower in rural areas than in Tokyo + Kyoto. When compared with the values reported in the literature, Pb exposure levels among Asian populations appear to be similar to the levels in Europe and in the United States, whereas Cd exposure seems to be higher in Asia than in Europe. The contribution of the dietary route in Pb absorption was variable and was inversely related to the extent of air pollution, whereas Cd uptake was almost exclusively via the dietary route with little contribution of the respiratory route.

Background lead and cadmium exposure of adult women in Xian City and two farming villages in Shaanxi Province, China

The objectives of the present study are: (a) to clarify the current levels of environmental exposure to lead (Pb) and cadmium (Cd) in Shaanxi Province in China in comparison with levels in other parts of mainland China; (b) to examine if there is any urban-rural difference in Pb and Cd exposure; and (c) to quantify the role of cereals as the dietary source of environmental exposure to these metals. For this purpose, triplet surveys on lead and cadmium exposure were conducted in the provincial capital of Xian and two farming villages A and B in Shaanxi Province, China in 1997. The grand geometric mean for lead (Pb) intake via foods (Pb-F), Pb in blood (Pb-B) and Pb in urine as corrected for creatinine concentration (Pb-Ucr) were 30 micrograms/day, 33 micrograms/l and 5 micrograms/g creatinine, respectively, with significant differences among the survey sites, e.g. Pb-B being higher in Xian (43 micrograms/l) than in the two villages (38 and 22 micrograms/l). The counterpart values for cadmium (Cd) intake via foods (Cd-F), Cd in blood (Cd-B) and Cd in urine (Cd-Ucr) were 6.1 micrograms/day, 0.46 microgram/l and 2.8 micrograms/g creatinine, respectively, with no substantial inter-survey site difference. Thus, it was possible to conclude that, from comparison with the values reported in 1990s literature, the exposure of Shaanxi people to Pb and Cd is no higher than, and even possibly lower than, the levels reported for people in other parts of mainland China. The exposure to Cd was almost exclusively from foods, whereas the exposure to air-borne Pb was large enough in Xian to explain higher Pb-B and Pb-Ucr than the level in Village B despite lower Pb-F in Xian than in Village B. Cereals (wheat, rice, maize and foxtail millet) contributed 26 and 84% of dietary Pb and Cd intake, respectively.

Correlation between concentration in urine and in blood of cadmium and lead among women in Asia

The objectives of the present study are to examine if there exists a quantitative relationship between lead in urine (Pb-U) and that in blood (Pb-B), and also between cadmium in urine (Cd-U) and that in blood (Cd-B) among the general populations who are environmentally (and not occupationally) exposed to these elements at various levels. For this purpose, peripheral blood and morning spot urine samples were collected in 1991-1998 from approximately 50 non-smoking adult women each in four cities in south-east Asia and five cities in mainland China, and two cities each in Japan and Korea. The samples were wet-ashed and then analyzed by inductively-coupled plasma mass spectrometry for Pb-B, Cd-B, Pb-U and Cd-U. Measured values were subjected to analysis to detect possible correlation between the pairs of parameters. A significant correlation between Pb-B and Pb-U was observed when the intensity of Pb exposure (as expressed by Pb-B) was relatively high so that the correlation was significant in all cases studied when Pb-B level was, e.g. 50 microg/l or above. It was also observed that the correlation between Cd-B and Cd-U was significant when Cd-B was, e.g. > 1 microg/l. Thus, it is possible to deduce that, in environmental health, Pb-B and Cd-U levels can be estimated on a group basis from Pb-U and Cd-B, respectively, when Pb and Cd exposure levels are relatively high, e.g. with Pb-B and Cd-B of > 50 microg/l and > 1 microg/l.

Daily intake of heavy metals by infants through milk and milk products

Concentrations of the essential elements Zn and Cu and potentially toxic elements Pb and Cd in different milk samples and baby food materials were measured, primarily to assess whether the intakes comply with recommended desired levels for essential and permissible levels for toxic elements. The geometric mean concentrations of Pb, Cd, Cu and Zn in different types of milk were found to vary from 1.70 to 3.35, 0.07 to 0.10, 43.2 to 195 and 1772 to 4230 micrograms/l, while the same in different baby foods had values from 39.5 to 77.7, 0.45 to 17.7, 1106.3 to 3157.3 and 9367 to 34,592 micrograms/kg, respectively. The concentration of Cd was found to be very low (0.1 microgram/l) and fairly constant in all types of milk. The lead content in cow milk was observed to be lowest even in comparison with breast milk. Concentrations of all these metals are approximately one order of magnitude higher in baby food products than those observed in different types of milk owing to higher fat content. The infant baby food Amul Spray contains low concentrations of toxic (Pb and Cd) and high concentrations of essential (Cu and Zn) elements. The daily intakes of Pb, Cd, Cu and Zn by infants through milk and baby foods marketed in Mumbai city have also been estimated. The daily intakes of Pb (1.1 micrograms/kg) and Cd (0.01 microgram/kg) for infants through baby foods are well below the recommended tolerable levels of 3.57 micrograms/kg and 0.8-1.0 microgram/kg, respectively. Similarly the daily intake levels of essential elements are also significantly lower than the recommended desirable levels of 3-5 mg and 0.5-1.0 mg for Zn and Cu, respectively. Milk from an Indian mother also does not provide adequate levels of essential elements to the infants and children.

Non-occupational lead and cadmium exposure of adult women in Bangkok, Thailand

This survey was conducted to examine the extent of the exposure of Bangkok citizens to lead (Pb) and cadmium (Cd), and to evaluate the role of rice as the source of these heavy metals. In practice, 52 non-smoking adult women in an institution in the vicinity of Bangkok, volunteered to offer blood, spot urine, boiled rice and 24-h total food duplicate samples. Samples were wet-ashed, and then analyzed for Pb and Cd by ICP-MS. Geometric means for the levels in blood (Pb-B and Cd-B) and urine (Pb-U and Cd-U as corrected for creatinine concentration), and also for dietary intake (Pb-F and Cd-F) were 32.3 micrograms/l for Pb-B, 0.41 microgram/l for Cd-B, 2.06 micrograms/g creatinine for Pb-U, 1.40 micrograms/g creatinine for Cd-U, 15.1 micrograms/day for Pb-F and 7.1 micrograms/day for Cd-F. Rice contributed 30% and 4% of dietary Cd and Pb burden, respectively. When compared with the counterpart values obtained in four neighboring cities in southeast Asia (i.e. Nanning, Tainan, Manila, and Kuala Lumpur), dietary Pb burden of the women in Bangkok was middle in the order among the values for the five cities. Pb level in the blood was the lowest of the levels among the five cities and Pb in urine was also among the low group. This apparent discrepancy in the order between Pb-B (i.e. the fifth) and Pb-F (the third) might be attributable to recent reduction of Pb levels in the atmosphere in Bangkok. Regarding Cd exposure, Cd levels in blood and urine as well as dietary Cd burden of Bangkok women were either the lowest or the next lowest among those in the five cities.

Urban-rural comparison on cadmium exposure among general populations in Shandong Province, China

In 1996, peripheral blood samples and 24-h food duplicate samples together with samples of wheat, rice, foxtail millet and maize were collected from 50 non-smoking women each from Jinan (a provincial capital) and Baiquan (a nearby basically self-sustaining farming village) in China. The samples were analyzed for cadmium (Cd) contents by graphite furnace atomic absorption spectrometry after wet digestion. The dietary Cd intake of the people in the city was 6.4 micrograms/day as a geometric mean (GM) and 5.9 micrograms/day for the villagers. The Cd level in blood was 0.48 and 0.29micrograms/l (as GMs) for the city and village people, respectively. Thus, Cd burden of the people in the city tended to be greater than that for those in the village. Nevertheless, the Cd burden of the Jinan citizens was lower than the values published for people in large cities in China. When Cd intake via the four cereals was compared with Cd in total food to estimate the total contribution of the four cereals (combined) in total dietary Cd intake, the cereals accounted for 60% of total dietary Cd intake among the city people and as high as 78% among the villagers. Cadmium contents in the four cereals were in a narrow range and it was considered acceptable to combine all cereals in evaluating them as dietary Cd sources.

Non-occupational exposure of adult women in Manila, the Philippines, to lead and cadmium

In total, 45 adult women in Manila, the Philippines, volunteered to participate in the study by offering peripheral blood samples and 24-h total food duplicate samples. In addition, they offered raw (uncooked) rice as well as wheat flour and maize starch from the kitchen. Lead (Pb) and cadmium (Cd) in food duplicates and blood samples were measured by inductively coupled plasma mass spectrometry after homogenization (when necessary) and wet-ashing. The consumption of rice, wheat and maize was calculated by weighing each food item in the duplicates taking advantage of the food composition tables. The dietary exposure level of the women was 11 micrograms Pb/day and 14 micrograms Cd/day, and the levels of Pb and Cd in their blood were 37 ng Pb/ml and 0.47 ng Cd/ml. There is a subtle age-dependent increase in the dietary burden of Pb and Cd and also in blood levels of Pb and Cd. Rice accounted for 18 and 21% of dietary Pb and Cd intake, respectively and cereals (i.e. rice, wheat and maize in combination) accounted for 24% both for Pb and Cd. The calculation from the published data on air quality in Manila suggested that another and yet a greater source of Pb burden was Pb in atmospheric air which may account for 85% of total Pb uptake, whereas the amount of Cd in air was quite small (i.e. < 10% of the total uptake).

Dietary intake of heavy metals in Bombay city, India

Concentrations of heavy metals such as Pb, Cd, Cu and Zn have been estimated in air particulates, water and food samples collected from different suburbs in Bombay during 1991-1994. The concentrations of these metals are translated into intake rates through inhalation and ingestion pathways. Results indicate the highest concentration of Pb and Cu are in pulses (green gram), Cd in leafy vegetables (amaranth) and Zn in meat. Root vegetables and fruits contained a lower concentration of these metals. Total intakes of Zn, Cu, Pb and Cd through air, water and food were 10,500 micrograms/day, 1500 micrograms/day, 30 micrograms/day and 4.3 micrograms/day, respectively. Although the major contribution for the daily intake is the ingestion route, eventual uptake in the body stream is contributed through inhalation for Pb (41%) and Cd (16%) and ingestion for Cu (98.8%) and Zn (99.6%). The total intake of these elements through the duplicate diet study is 9500 micrograms/day for Zn, 1770 micrograms/day for Cu, 27 micrograms/day for Pb and 2.5 micrograms/day for Cd, respectively. The daily intake of these metals by the population of Bombay is well below the recommended dietary values.

Maize and foxtail millet as substantial sources of dietary lead intake

In 1996, 24-h food duplicate samples were collected from two groups of 50 non-smoking women each; one group was in Jinan, the capital city of Shandong Province in China, and the other in a farming village in the Zhangqiu area some 30 km away from the city. The people in the village took significantly more dietary lead (46 micrograms/day) than their counterparts in the city (26 micrograms/day), and blood lead concentrations (35 and 50 micrograms/l for the urban and the rural people, respectively) were in parallel with the dietary lead intake. Search for cereals as the determinants of dietary lead intake and blood lead concentration by multiple regression analysis showed that maize was the most influential source of dietary lead intake among the four common cereals of wheat, rice, foxtail millet (to be called just millet) and maize, whereas millet was the leading determinant of the blood lead level among the four cereals although the influential power was weaker than millet for dietary lead. Lead content in maize (47 ng/g) and millet (47 ng/g) was twice or even more times higher than the levels in wheat (26-30 ng/g) and rice (20-21 ng/g). The significant roles of non-rice/non-wheat cereals such as millet and maize as possible dietary lead sources for farming populations are discussed.

Urban-rural difference in cereal consumption by people in Shandong Province, China

In October, 1996, 24-hour food duplicate samples were collected from two groups of 50 adult women each; one group was in Jinan, the capital city of Shandong Province in China, and the other in a farming village of Baiquan in Zhangqiu area some 30 km away from the city. Perusal of food menus showed that wheat, rice, foxtail millet and maize were major cereals for the two groups. Nutritional analysis of the food duplicate samples were conducted taking advantage of weight of each food item and the standard food composition tables for Chinese populations. Whereas wheat was the leading source in both groups (73% of cereal-based energy in the city and 64% in the village), further urban-rural comparison showed that women in the village took substantial amounts of millet (19%) and maize (12%) in contrast to small consumption by the city people (millet by 5% and maize by 2%). Rice consumption was larger in the city (20%) than in the village (5%). The differences between the two groups were all significant for each of the four cereals. Nutritional significance of consumption of maize in particular and also that of millet were discussed.