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Pierezan MD, Dalla Nora FM, Verruck S. Correlation between As, Cd, Hg, Pb and Sn concentration in human milk and breastfeeding mothers' food consumption: a systematic review and infants' health risk assessment. Crit Rev Food Sci Nutr 2022; 63:8261-8274. [PMID: 35352976 DOI: 10.1080/10408398.2022.2056869] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Mothers' food and water consumption appear to be determining factors for infants' potentially toxic elements exposure through human milk. Therefore, this systematic review aimed to assess correlations between As, Cd, Hg, Pb and/or Sn concentration in human milk and breastfeeding mothers' food consumption, with later infants' health risk assessment. Estimated Daily Intakes of such elements by infants were also calculated and compared with reference values (RfD or BMDL01). Among 5.663 identified studies, 23 papers remained for analysis. Potentially toxic elements concentration in human milk presented positive correlation with seafood (As, Hg), fresh vegetables (Hg, Cd), cereals (Hg, Cd), cheese, rice, potatoes, private and well-water supply (Pb), wild meat (Pb, Cd) and milk, dairy products, dried fruits and oilseeds (Cd) mothers' consumption. Red meat, caffeinated drinks, and dairy products consume presented negative correlations (Pb). No correlations were found for Sn. Infants from three studies presented high Hg exposition through human milk (> 0. 1 μg/kg PC-1 day-1), as well as observed for Pb in one study (> 0. 5 μg/kg PC-1 day-1). Potentially toxic elements can damage infants' health when they are present in mothers' diet due to the infants' high vulnerability. Therefore, these results raise important issues for public health.Supplemental data for this article is available online at https://doi.org/10.1080/10408398.2022.2056869 .
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Affiliation(s)
- Milena Dutra Pierezan
- Department of Food Science and Technology, Federal University of Santa Catarina, Florianópolis, Brazil
| | | | - Silvani Verruck
- Department of Food Science and Technology, Federal University of Santa Catarina, Florianópolis, Brazil
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Nazlıcan E, Arıca E, Gören İE, Kılınçlı B, Mete B, Daglioglu N. The risk estimation and assessment of heavy metal exposure by biomonitoring in the breast milk of mothers in the Cukurova Region, Turkey. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:13963-13970. [PMID: 34599714 DOI: 10.1007/s11356-021-16602-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Accepted: 09/14/2021] [Indexed: 06/13/2023]
Abstract
Toxic heavy metals released into the environment through various industrial processes have potential adverse effects on the environment and human health. In order to reveal these adverse health effects, it is vital to carry out toxicological studies by performing biomonitoring. This study aimed to assess the level of Cr, As, Cd, Hg, and Pb in the breast milk samples of mothers in the Cukurova region, Turkey, and its association with health risk to infants. Ten-milliliter postpartum milk samples were collected from 34 breast-feeding mothers in the first 2 months of their postpartum period and living in the Cukurova region, Adana. The measurement of target heavy metals levels was performed by using inductively coupled plasma mass spectroscopy (ICP-MS). The average breast milk levels of Cr, As, Cd, Hg, and Pb were 8.25, 1.64, 0.37, 2.60, and 12.12 μg/L, respectively. Evaluation of breast milk samples for these toxic heavy metals revealed the high exposure level for Cr and As. However, the mothers who participated in the study were not occupationally exposed to these metals. This study showed that Cr, As, Cd, Hg, and Pb cross the placenta and blood-brain barrier prenatally and accumulate in breast milk postnatally.
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Affiliation(s)
- Ersin Nazlıcan
- Faculty of Medicine, Department of Public Health, Çukurova University, Adana, Turkey
| | - Enes Arıca
- Faculty of Medicine, Department of Forensic Medicine, Dicle University, Diyarbakir, Turkey
| | - İsmail Ethem Gören
- Faculty of Medicine, Department of Forensic Medicine, Cukurova University, 01330, Adana, Turkey
| | - Betül Kılınçlı
- Department of Food Chemistry, Adana Alparslan Turkes Science and Technology University, Adana, Turkey
| | - Burak Mete
- Faculty of Medicine, Department of Public Health, Çukurova University, Adana, Turkey
| | - Nebile Daglioglu
- Faculty of Medicine, Department of Forensic Medicine, Cukurova University, 01330, Adana, Turkey.
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3
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Concentrations and determinants of lead, mercury, cadmium, and arsenic in pooled donor breast milk in Spain. Int J Hyg Environ Health 2021; 240:113914. [PMID: 34974272 DOI: 10.1016/j.ijheh.2021.113914] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 12/23/2021] [Accepted: 12/25/2021] [Indexed: 01/19/2023]
Abstract
AIM To measure concentrations of lead (Pb), mercury (Hg), cadmium (Cd), and arsenic (As) in longitudinally collected donor breast milk samples and to determine associated factors. METHODS Pb, Hg, Cd, and As concentrations were measured in 242 pooled breast milk samples from 83 donors to a Human Milk Bank in Spain, in 2015-2018, determining their association with the donors' sociodemographic profile, dietary and lifestyle habits, and post-partum time, among other factors, and with the nutritional characteristics of samples. Mixed-effect linear regression was used to identify predictors of Hg and As concentrations in breast milk and mixed-effect logistic regression to identify predictors of the presence of Pb and Cd. RESULTS As was the element most frequently detected in milk samples (97.1%), followed by Hg (81.2%), Pb (50.6%), and Cd (38.0%). Their median breast milk concentrations were 1.49 μg/L, 0.26 μg/L, 0.14 μg/L, and <0.04 μg/L, respectively. Concentrations of As were higher in breast milk from primiparous donors, while Hg was higher in donors with a greater intake of fatty fish and meat and lower in samples collected after a longer post-partum time and with higher lactose content. Detection of Pb was higher among multiparous donors, those gaining weight since before pregnancy, and ex-smokers and was lower in samples collected more recently and from donors with greater intake of red meat and eggs. Cd detection was higher for donors with university education and those with greater intake of fried and canned food and more frequent use of hand cream and was lower for donors with greater bread intake. CONCLUSIONS These findings reveal relatively high As concentrations, moderate Hg concentrations, and low Pb and Cd concentrations in pooled donor breast milk. Several factors including post-partum time, parity, smoking habit, and the intake of certain food items were associated with the metal content of milk samples.
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Cherkani-Hassani A, Slaoui M, Ghanname I, Mojemmi B, Belhaj A, Kers B, Flayou M, Mouane N. Levels of mercury in Moroccan breast milk and the affecting factors: CONTAMILK study. Regul Toxicol Pharmacol 2021; 127:105065. [PMID: 34687771 DOI: 10.1016/j.yrtph.2021.105065] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 10/04/2021] [Accepted: 10/15/2021] [Indexed: 11/17/2022]
Abstract
This study aims to evaluate the level of mercury in the breast milk of Moroccan mothers and its association with several maternal parameters and habits, and to estimate the daily intake of the newborns. Inductively coupled plasma mass spectrometry (ICP-MS) was used to determine the concentrations of mercury in 70 colostrum samples. Indeed, a structured questionnaire was administrated during milk collection to report data concerning the maternal socioeconomic and anthropometric parameters, as well as dietary habits and smoking habits in the family, etc. The median of mercury in breast milk was 3,56 μg/L (range 1.64-124 μg/L) and exceeded normal levels of 1.7 μg/l, suggested by the World health organization in 99% of milk samples. Significant associations were found between mercury levels and the occurrence of previous miscarriages, anemia before pregnancy and vitamin & mineral supplementation during pregnancy, as well the frequency of consumption of cereals and the use of lipstick. The estimated daily intake was higher than the tolerable daily intake of the World health organization and the European food safety authority in 30% of newborns. These results need to be confirmed by multicenter studies to investigate the levels of mercury in the breast milk of the Moroccan population.
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Affiliation(s)
- Abha Cherkani-Hassani
- Unit of Training and Research in Nutrition and Food Science, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco; Laboratory of Analytical Chemistry and Food Science, Faculty of Medicine and Pharmacy, University Mohammed V Rabat, Morocco.
| | | | - Imane Ghanname
- Faculty of Health Sciences, International University of Casablanca, Morocco.
| | - Brahim Mojemmi
- Laboratory of Analytical Chemistry and Food Science, Faculty of Medicine and Pharmacy, University Mohammed V Rabat, Morocco.
| | - Abdelilah Belhaj
- Laboratory of Quality Control of Waters, National Office of Electricity and Drinking Water (ONEE), Rabat, Morocco.
| | - Brahim Kers
- Laboratory of Quality Control of Waters, National Office of Electricity and Drinking Water (ONEE), Rabat, Morocco.
| | - Majda Flayou
- Laboratory of Quality Control of Waters, National Office of Electricity and Drinking Water (ONEE), Rabat, Morocco.
| | - Nezha Mouane
- Unit of Training and Research in Nutrition and Food Science, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco; Department of Pediatric, Hepatology, Gastroenterology and Nutrition PIII-Children's Hospital, Rabat, Morocco.
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5
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Dórea JG. Exposure to environmental neurotoxic substances and neurodevelopment in children from Latin America and the Caribbean. ENVIRONMENTAL RESEARCH 2021; 192:110199. [PMID: 32941839 DOI: 10.1016/j.envres.2020.110199] [Citation(s) in RCA: 33] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 09/09/2020] [Accepted: 09/10/2020] [Indexed: 05/24/2023]
Abstract
Environmental (and occupational) exposure to neurotoxic substances is a worldwide problem that can affect children's neurodevelopment (ND). In Latin American and Caribbean (LAC) countries there are over 300 million children living under the threat of neurodevelopmental delays due to toxic environmental exposure. Large industrial centers, intense mining and agricultural activities, along with changing complex ecosystems constitute a mosaic that drives contamination of air, water and the food chain. Neurotoxic contaminants such as pesticides (organochlorines, organophosphates, carbamates, pyrethroids, neonicotinoids, and manganese fungicides), chemicals of industrial use (phthalates), and metals (Hg, Pb, Al, As, F, Cd, Mo, Mn) are at the center of environmental exposure studies. Exposure to neurotoxic substances singly or in combination with other compounds or socioeconomic stressors (maternal education, socio-economic and nutritional status) intertwined with occupational and para-occupational exposure can affect ND (motor, cognition, behavior) of children. Significant negative effects of pesticides and neurotoxic elements on ND were found in all studied countries, affecting especially the less-privileged children from laboring families. Studies showed that exposures to the neurotoxicants in human milk are secondary to their more lasting effects during prenatal exposure. This review integrates exposure (prenatal and breastfeeding), metabolism, and ND effects of neurotoxicants. It highlights the overwhelming evidence showing that current levels of exposures are hazardous and detrimental to children's ND in LAC countries. The evidence indicates that a reduction in neurotoxicant exposure is essential to protect children's ND. Therefore, it is urgent to adopt policies and actions that prevent and remediate region-specific children's ND issues.
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Affiliation(s)
- José G Dórea
- Universidade de Brasília, Brasília, 70919-970, DF, Brazil.
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6
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Oliveira MM, Trevilato TMB, Segura-Muñoz SI, Aragon DC, Alves LG, Nadal M, Marquès M, Domingo JL, Sierra J, Camelo JS. Essential and toxic elements in human milk concentrate with human milk lyophilizate: A preclinical study. ENVIRONMENTAL RESEARCH 2020; 188:109733. [PMID: 32574850 PMCID: PMC7479503 DOI: 10.1016/j.envres.2020.109733] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Accepted: 05/22/2020] [Indexed: 05/02/2023]
Abstract
Concentrated human milk (HM-concentrate) can be obtained from the simple and inexpensive method of donated breast milk direct lyophilization. A previous study reported that HM-concentrate contains the adequate amount of main macro- and micronutrients for use as a nutritional resource for preterm infants with very low birth weight admitted to neonatal intensive care units. However, further details need to be elucidated about HM-concentrate composition, particularly its content of essential and potentially toxic trace elements. Therefore, this study aimed to determine the concentration of essential and toxic elements in human milk considered baseline (HM-baseline) and HM-concentrate, as well as to quantify changes in concentration of these elements after the HM concentration process. The concentration of Aluminum, Arsenic, Cadmium, Chromium, Iron, Mercury, Manganese, Nickel, Lead, Selenium, Tin, and Thallium was analyzed by inductively coupled plasma-mass spectrometry (ICP-MS). Moreover, Bayesian linear mixed effect models were applied to estimate the mean difference between HM-baseline and HM-concentrate samples. After comparison (HM-concentrate versus HM-baseline), a significant increase in concentration was observed only for Manganese (0.80 μg/L; 95% CrI [0.16; 1.43]) and Selenium (6.74 μg/L; 95% CrI [4.66; 8.86]), while Lead concentration (-6.13 μg/L; 95% CrI [-8.63; -3.61]) decreased. This study provides latest and reliable information about HM composition. After milk concentration by lyophilization, there was a significant increase only in the essential elements Manganese and Selenium. The essential micronutrient content in HM-concentrate was similar or higher than that in preterm mothers' milk, which suggests it is viable for nutritional support of preterm infants. In addition, the low concentrations of potentially toxic elements in HM-concentrate indicates that it is safe for consumption by premature newborns.
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Affiliation(s)
- Mariana M Oliveira
- Department of Pediatrics, Childreńs Hospital, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Tânia M B Trevilato
- Section of Metals and Rare Diseases, Laboratory of Pediatrics, Clinics Hospital of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Susana I Segura-Muñoz
- Laboratory of Ecotoxicology and Environmental Parasitology, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Davi C Aragon
- Department of Pediatrics, Childreńs Hospital, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Larissa G Alves
- Human Milk Bank, Clinics Hospital of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Martí Nadal
- Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira I Virgili, Reus, Catalonia, Spain
| | - Montse Marquès
- Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira I Virgili, Reus, Catalonia, Spain
| | - José L Domingo
- Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira I Virgili, Reus, Catalonia, Spain
| | - Jordi Sierra
- Laboratory of Toxicology and Environmental Health, School of Medicine, IISPV, Universitat Rovira I Virgili, Reus, Catalonia, Spain; Laboratory of Soil Science, Faculty of Pharmacy, Universitat de Barcelona, Catalonia, Spain
| | - José Simon Camelo
- Department of Pediatrics, Childreńs Hospital, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
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7
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Mahmoudi N, Jonidi Jafari A, Moradi Y, Esrafili A. The mercury level in hair and breast milk of lactating mothers in Iran: a systematic review and meta-analysis. JOURNAL OF ENVIRONMENTAL HEALTH SCIENCE & ENGINEERING 2020; 18:355-366. [PMID: 32399246 PMCID: PMC7203362 DOI: 10.1007/s40201-020-00460-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Accepted: 02/10/2020] [Indexed: 05/24/2023]
Abstract
Exposure to mercury is one of the major global health concerns due to its stability, bioaccumulation and high toxicity. Therefore, the present study was conducted to assess the mean mercury level in hair and breast milk (BM) of Iranian lactating mothers (ILMs) through meta-analysis technique. We conducted a systematic literature search in online electronic databases included main domestic databases (SID, Magiran, Iran medex, Medlib and ISC) and international databases (Embase, Scopus and PubMed) for studies published between 2000 up 2018. Each process of research and evaluation of articles based on inclusion and exclusion criteria is done by two researchers, individually. From10 studies entered to meta-analysis process including 556 ILM, the mean hair mercury level (HML) and mean milk mercury level (MML) was estimated to be 0.15 μg/g (95 CI: 0.11-0.19, I2: 47.6%, P: 0.028) and 0.51 μg/l (95 CI: 0.28-0.74, I2: 1.9%, P: 0.421), respectively. In this meta-analysis, the mean HML and mean MML were estimated to be lower than the standard of World Health Organization (WHO). Although the mean mercury level in hair and BM of ILMs was lower than the WHO standard, but due to toxicity and serious concern of health, management and Periodic monitor are recommended in different cities of the country for evaluate the mercury levels in hair and BM of ILMs and to estimate the infant's exposure.
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Affiliation(s)
- Norouz Mahmoudi
- Research Center for Environmental Health Technology, Iran University of Medical Sciences, Tehran, Iran
- Department of Environmental Health Engineering, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
- Health Research Center, Life style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Ahmad Jonidi Jafari
- Research Center for Environmental Health Technology, Iran University of Medical Sciences, Tehran, Iran
- Department of Environmental Health Engineering, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
| | - Yousef Moradi
- Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
| | - Ali Esrafili
- Research Center for Environmental Health Technology, Iran University of Medical Sciences, Tehran, Iran
- Department of Environmental Health Engineering, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
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Danil de Namor AF, Alharthi S, Howlin B, Al Hakawati N. A selective and easily recyclable dimer based on a calix[4]pyrrole derivative for the removal of mercury(ii) from water. RSC Adv 2020; 10:3060-3071. [PMID: 35497725 PMCID: PMC9048711 DOI: 10.1039/c9ra09911e] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Accepted: 01/09/2020] [Indexed: 11/21/2022] Open
Abstract
A recyclable mercury(ii) selective dimer based on a calix[4]pyrrole derivative has been synthesised and characterised by mass and FT-IR spectrometry, Scanning Electron Microscopy (SEM) and Energy Dispersive X-ray (EDX). Information regarding the ability of the dimer to interact with metal cations was obtained from FTIR and SEM-EDX analyses. A striking feature of micrographs of the loaded dimer is the change of morphology with the cation. Based on these results, optimal conditions for removing cations from water were assessed under different experimental conditions. Results obtained demonstrate that the removal process is fast. Capacity values and selectivity factors show that the dimer is selective for Hg(ii) in single and multiple component metal solutions relative to other cations. Single-ion transfer Gibbs energies from water to a solvent containing common functionalities to those of the dimer were used to assess the counter-ion effect on the removal process. Agreement is found between these data and energy calculations derived from molecular simulation studies. Studies on polluted water in the presence of normal water components in addition to toxic metal cations are reported. Further experimental work on wastewater from the mining industry is in progress.
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Affiliation(s)
- Angela F Danil de Namor
- Laboratory of Thermochemistry, Department of Chemistry, University of Surrey Guildford Surrey GU2 7XH UK +44(0)-1483 689581 +44(0)-7757147701
- Instituto Nacional de Tecnologia Industrial, Ministry of Production Argentina
| | - Salman Alharthi
- Laboratory of Thermochemistry, Department of Chemistry, University of Surrey Guildford Surrey GU2 7XH UK +44(0)-1483 689581 +44(0)-7757147701
| | - Brendan Howlin
- Laboratory of Thermochemistry, Department of Chemistry, University of Surrey Guildford Surrey GU2 7XH UK +44(0)-1483 689581 +44(0)-7757147701
| | - Nawal Al Hakawati
- Laboratory of Thermochemistry, Department of Chemistry, University of Surrey Guildford Surrey GU2 7XH UK +44(0)-1483 689581 +44(0)-7757147701
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Ursinyova M, Masanova V, Uhnakova I, Murinova LP, Patayova H, Rausova K, Trnovec T, Stencl J, Gajdos M. Prenatal and Early Postnatal Exposure to Total Mercury and Methylmercury from Low Maternal Fish Consumption. Biol Trace Elem Res 2019; 191:16-26. [PMID: 30499063 DOI: 10.1007/s12011-018-1585-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2018] [Accepted: 11/19/2018] [Indexed: 10/27/2022]
Abstract
The aim of this study was to investigate the influence of low fish consumption on prenatal and early postnatal exposure to mercury species. The samples of umbilical cord blood and maternal milk as well as interviewer-administered questionnaires were collected from 142 Slovak mother-child pairs. The mean total mercury (THg) concentrations in cord blood and milk were 0.949 μg/L and 0.376 μg/kg, respectively. The mean methylmercury (MeHg) concentration in cord blood was 0.504 μg/L. Fish eaters had significantly higher cord blood MeHg concentrations than non-fish eaters (p = 0.030); no difference was found in milk or cord blood THg concentrations. The bivariate analysis showed a positive correlation between cord blood MeHg and consumption of sea fish and shellfish (rs = 0.320, p < 0.001); after adjustment for the potential confounders, the association was weakened (β = 0.173, p = 0.059). Nevertheless, the decision tree method showed sea fish and shellfish consumption to be the best predictor of cord blood MeHg. Furthermore, a negative association was found between THg concentrations in maternal milk and freshwater fish consumption (β = - 0.193, p = 0.017), which might indicate a beneficial effect of freshwater fish consumption. The results suggest there is a need for future research to investigate the benefits versus the adverse effects of low maternal fish consumption on child development.
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Affiliation(s)
- Monika Ursinyova
- Department of Metallomics, Faculty of Medicine, Slovak Medical University in Bratislava, Limbova 12, 833 03, Bratislava, Slovak Republic.
| | - Vlasta Masanova
- Department of Metallomics, Faculty of Medicine, Slovak Medical University in Bratislava, Limbova 12, 833 03, Bratislava, Slovak Republic
| | - Iveta Uhnakova
- Department of Metallomics, Faculty of Medicine, Slovak Medical University in Bratislava, Limbova 12, 833 03, Bratislava, Slovak Republic
| | - Lubica Palkovicova Murinova
- Department of Environmental Medicine, Faculty of Public Health, Slovak Medical University in Bratislava, Limbova 12, 833 03, Bratislava, Slovak Republic
| | - Henrieta Patayova
- Department of Environmental Medicine, Faculty of Public Health, Slovak Medical University in Bratislava, Limbova 12, 833 03, Bratislava, Slovak Republic
| | - Katarina Rausova
- Department of Environmental Medicine, Faculty of Public Health, Slovak Medical University in Bratislava, Limbova 12, 833 03, Bratislava, Slovak Republic
| | - Tomas Trnovec
- Department of Environmental Medicine, Faculty of Public Health, Slovak Medical University in Bratislava, Limbova 12, 833 03, Bratislava, Slovak Republic
| | - Jan Stencl
- Honorary Rector, Slovak Medical University in Bratislava, Limbova 12, 833 03, Bratislava, Slovak Republic
| | - Martin Gajdos
- Department of Clinical and Experimental Pharmacotherapy, Faculty of Medicine, Slovak Medical University in Bratislava, Limbova 12, 833 03, Bratislava, Slovak Republic
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Pajewska-Szmyt M, Sinkiewicz-Darol E, Gadzała-Kopciuch R. The impact of environmental pollution on the quality of mother's milk. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2019; 26:7405-7427. [PMID: 30687894 PMCID: PMC6447517 DOI: 10.1007/s11356-019-04141-1] [Citation(s) in RCA: 51] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/24/2018] [Accepted: 01/02/2019] [Indexed: 05/18/2023]
Abstract
Breastfeeding is a gold standard of neonate nutrition because human milk contains a lot of essential compounds crucial for proper development of a child. However, milk is also a biofluid which can contain environmental pollution, which can have effects on immune system and consequently on the various body organs. Polychlorinated biphenyls are organic pollutants which have been detected in human milk. They have lipophilic properties, so they can penetrate to fatty milk and ultimately to neonate digestive track. Another problem of interest is the presence in milk of heavy metals-arsenic, lead, cadmium, and mercury-as these compounds can lead to disorders in production of cytokines, which are important immunomodulators. The toxicants cause stimulation or suppression of this compounds. This can lead to health problems in children as allergy, disorders in the endocrine system, end even neurodevelopment delay and disorder. Consequently, correlations between pollutants and bioactive components in milk should be investigated. This article provides an overview of environmental pollutants found in human milk as well as of the consequences of cytokine disorder correlated with presence of heavy metals. Graphical abstract.
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Affiliation(s)
- Martyna Pajewska-Szmyt
- Department of Environmental Chemistry and Bioanalytics, Faculty of Chemistry, Nicolaus Copernicus University in Toruń, 7 Gagarin St, 87-100, Toruń, Poland
- Interdisciplinary Centre for Modern Technologies, Nicolaus Copernicus University, 4 Wileńska St, PL-87100, Toruń, Poland
| | - Elena Sinkiewicz-Darol
- Ludwik Rydygier Provincial Polyclinic Hospital in Toruń, Human Milk Bank, Św. Józefa 53-59, 87-100, Toruń, Poland
- Human Milk Bank Foundation, 128J Podkowy St, 04-937, Warsaw, Poland
| | - Renata Gadzała-Kopciuch
- Department of Environmental Chemistry and Bioanalytics, Faculty of Chemistry, Nicolaus Copernicus University in Toruń, 7 Gagarin St, 87-100, Toruń, Poland.
- Interdisciplinary Centre for Modern Technologies, Nicolaus Copernicus University, 4 Wileńska St, PL-87100, Toruń, Poland.
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11
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Cherkani-Hassani A, Ghanname I, Mouane N. Total, organic, and inorganic mercury in human breast milk: levels and maternal factors of exposure, systematic literature review, 1976-2017. Crit Rev Toxicol 2019; 49:110-121. [PMID: 30777784 DOI: 10.1080/10408444.2019.1571010] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
This systematic review summarizes the finding of 58 studies from 33 countries, which assessed mercury concentrations in breast milk and the factors related to the level of contamination. We performed a literature search in Pubmed, Science Direct, and Google Scholar databases for studies published between 1976 and 2017 that are monitoring and measuring mercury in human breast milk and investigating the associated factors. Then, we extracted more information about the aim of the study, the country, samples size, time of lactation, mercury concentration, and other data. Most of the studies used mature milk or colostrum for analysis and in about 60% of them, the concentrations exceed significantly the limit set by the World Health Organization (WHO) of 1.7 µg/l; In addition, many factors and parameters were related to the level of mercury contamination in breast milk. Periodic monitoring surveys are recommended in each country to evaluate the level of mercury in milk of lactating women and to estimate the level of exposure of newborns.
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Affiliation(s)
- Abha Cherkani-Hassani
- Unit of training and research in Nutrition and Food Sciences, Faculty of Medicine and Pharmacy, University Mohammed V , Rabat , Morocco.,Center of Doctoral Studies in Life Sciences and Health CEDoc-SVS, Faculty of Medicine and Pharmacy, University Mohammed V , Rabat , Morocco
| | - Imane Ghanname
- Team Research of Pharmacoeconomics and Pharmacoepidemiology, Laboratory of Pharmacology and Toxicology, Faculty of Medicine and Pharmacy, University Mohammed V , Rabat , Morocco.,Faculty of Health Sciences, International University of Casablanca , Rabat , Morocco
| | - Nezha Mouane
- Unit of training and research in Nutrition and Food Sciences, Faculty of Medicine and Pharmacy, University Mohammed V , Rabat , Morocco.,Department of Pediatric Hepatology Gastroenterology and Nutrition-P III, Rabat Children's Hospital , Rabat , Morocco
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Ortiz J, Jacxsens L, Astudillo G, Ballesteros A, Donoso S, Huybregts L, De Meulenaer B. Multiple mycotoxin exposure of infants and young children via breastfeeding and complementary/weaning foods consumption in Ecuadorian highlands. Food Chem Toxicol 2018; 118:541-548. [PMID: 29883782 DOI: 10.1016/j.fct.2018.06.008] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2017] [Revised: 06/03/2018] [Accepted: 06/04/2018] [Indexed: 12/24/2022]
Abstract
The dietary exposure to mycotoxins in Ecuadorian children aged 0-23 months (320 rural and 603 urban) was evaluated based on the intake of breast milk and staple cereals used as complementary/weaning foods. A probabilistic distribution approach by first order Monte Carlo simulation was adopted to assess the locally occurring mycotoxins (aflatoxins M1 and B1 in breast milk, ochratoxin A and deoxynivalenol in wheat noodles and oat flakes, and HT-2 toxin in polished rice). Overall, exposure was modest but higher for rural children due to their monotonous diet. Aflatoxin exposure by breast milk intake were of health concern in both areas (Margin of Exposure and Combined Margin of Exposure Index<10,000). Mycotoxin exposure by staple cereals intake was considered tolerable across feeding stages for individual mycotoxin-cereal combination (Hazard Quotient<1) and combined exposure (Hazard Index<1). The major exposure was to HT-2 toxin by rice intake at complementary feeding (15% rural and 4% urban above TDI) and at weaning stage (26% rural and 6% urban above TDI). Since the usual Ecuadorian diet is based on the same staple cereals, risk management actions could lead to a better protection of young children and also ensure higher safety of the recommended breastfeeding practices by protecting nursing mothers.
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Affiliation(s)
- Johana Ortiz
- Department of Food Safety and Food Quality, Faculty of Bioscience Engineering, Ghent University, Coupure Links 653, 9000 Ghent, Belgium; Department of Biosciences, Food Nutrition and Health Research Unit, Faculty of Chemical Sciences, Cuenca University, Av. 12 de Abril s/n Cdla. Universitaria, P.O. Box 01.01.168, Cuenca, Ecuador.
| | - Liesbeth Jacxsens
- Department of Food Safety and Food Quality, Faculty of Bioscience Engineering, Ghent University, Coupure Links 653, 9000 Ghent, Belgium
| | - Gabriela Astudillo
- Department of Biosciences, Food Nutrition and Health Research Unit, Faculty of Chemical Sciences, Cuenca University, Av. 12 de Abril s/n Cdla. Universitaria, P.O. Box 01.01.168, Cuenca, Ecuador
| | - Adriana Ballesteros
- Department of Biosciences, Food Nutrition and Health Research Unit, Faculty of Chemical Sciences, Cuenca University, Av. 12 de Abril s/n Cdla. Universitaria, P.O. Box 01.01.168, Cuenca, Ecuador
| | - Silvana Donoso
- Department of Biosciences, Food Nutrition and Health Research Unit, Faculty of Chemical Sciences, Cuenca University, Av. 12 de Abril s/n Cdla. Universitaria, P.O. Box 01.01.168, Cuenca, Ecuador
| | - Lieven Huybregts
- Department of Food Safety and Food Quality, Faculty of Bioscience Engineering, Ghent University, Coupure Links 653, 9000 Ghent, Belgium; Child Health and Nutrition Unit, Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium
| | - Bruno De Meulenaer
- Department of Food Safety and Food Quality, Faculty of Bioscience Engineering, Ghent University, Coupure Links 653, 9000 Ghent, Belgium
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Park Y, Lee A, Choi K, Kim HJ, Lee JJ, Choi G, Kim S, Kim SY, Cho GJ, Suh E, Kim SK, Eun SH, Eom S, Kim S, Kim GH, Moon HB, Kim S, Choi S, Kim YD, Kim J, Park J. Exposure to lead and mercury through breastfeeding during the first month of life: A CHECK cohort study. THE SCIENCE OF THE TOTAL ENVIRONMENT 2018; 612:876-883. [PMID: 28886539 DOI: 10.1016/j.scitotenv.2017.08.079] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/14/2017] [Revised: 07/19/2017] [Accepted: 08/09/2017] [Indexed: 06/07/2023]
Abstract
Mercury and lead are naturally occurring toxicants and are responsible for various health issues including neurobehavioral and developmental disorders. Because of crucial synchronized developmental processes occurring at the early stage of life, infancy and childhood are considered as among the most susceptible windows to the exposure to these metals. Breastmilk is often the only source of nutrition during the first months of life. As breastmilk can be contaminated with these metals, breastfeeding may serve as a significant route of heavy metal exposure among infants. In order to understand current levels of exposure to mercury and lead through breastfeeding, and their associated risks, a total of 157 lactating mothers were recruited from Children's Health and Environmental Chemicals of Korea (CHECK) cohort, and breastmilk samples were collected at 15 and 30days after delivery (n=207). Mercury was detected from 100% of breastmilk with a median concentration of 0.59μg/L, and lead was detected in 77% of the samples with a median at 4.71μg/L. Higher concentrations of lead were found in the 30- day breastmilk than in the 15-day. Up to 45% of the breastmilk samples exceeded the normal range of the breastmilk lead suggested by WHO. Based on Monte Carlo simulation, about 71% of 15days old infants and 56% of 30days old infants were estimated at risk due to lead exposure through breastfeeding. Considering vulnerability of infants and well-known neurological toxicity of these metals, further studies to identify major exposure sources that contribute the lead concentration in breastmilk and health implication of early life stage exposure to lead among the breastfed infants are warranted.
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Affiliation(s)
- Yelim Park
- College of Natural Sciences, Soonchunhyang University, Asan, Republic of Korea; Chemtopia, Seoul, Republic of Korea
| | - Aram Lee
- College of Natural Sciences, Soonchunhyang University, Asan, Republic of Korea
| | - Kyungho Choi
- School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Hai-Joong Kim
- College of Medicine, Korea University, Seoul, Republic of Korea
| | - Jeong Jae Lee
- College of Medicine, Soonchunhyang University, Seoul, Republic of Korea
| | - Gyuyeon Choi
- College of Medicine, Soonchunhyang University, Seoul, Republic of Korea
| | - Sungjoo Kim
- College of Medicine, Hallym University, Seoul, Republic of Korea
| | - Su Young Kim
- College of Medicine, Jeju National University, Jeju, Republic of Korea
| | - Geum Joon Cho
- College of Medicine, Korea University, Seoul, Republic of Korea
| | - Eunsook Suh
- College of Medicine, Soonchunhyang University, Seoul, Republic of Korea
| | - Sung Koo Kim
- College of Medicine, Hallym University, Seoul, Republic of Korea
| | - So-Hee Eun
- College of Medicine, Korea University, Seoul, Republic of Korea
| | - Soyong Eom
- College of Medicine, Yonsei University, Seoul, Republic of Korea
| | - Seunghyo Kim
- College of Medicine, Jeju National University, Jeju, Republic of Korea
| | - Gun-Ha Kim
- College of Medicine, Korea University, Seoul, Republic of Korea
| | - Hyo-Bang Moon
- Department of Marine Sciences and Convergent Technology, Hanyang University, Ansan, Republic of Korea
| | - Sungkyoon Kim
- School of Public Health, Seoul National University, Seoul, Republic of Korea
| | - Sooran Choi
- College of Medicine, Inha University, Inchoen, Republic of Korea
| | - Young Don Kim
- School of Medicine, Sungkyunkwan University, Changwon, Republic of Korea
| | - Jinho Kim
- Hankook General Hospital, Cheongju, Republic of Korea
| | - Jeongim Park
- College of Natural Sciences, Soonchunhyang University, Asan, Republic of Korea.
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Rebelo FM, Cunha LRD, Andrade PD, Costa Junior WAD, Bastos WR, Caldas ED. Mercury in breast milk from women in the Federal District, Brazil and dietary risk assessment for breastfed infants. J Trace Elem Med Biol 2017; 44:99-103. [PMID: 28965609 DOI: 10.1016/j.jtemb.2017.06.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Revised: 06/15/2017] [Accepted: 06/24/2017] [Indexed: 10/19/2022]
Abstract
Mercury is a toxic metal, ubiquitous in nature; it is excreted in breast milk from exposed mothers and may affect infant neuro-development. In this study, 224 breast milk samples provided by eight human milk banks in the Federal District of Brazil were analyzed for total mercury (THg), of which 183 were also analyzed for methyl mercury (MeHg), the most relevant form of this metal for the breastfed infants. Samples were acid digested in a microwave oven and THg determined by atomic fluorescence spectrometry (LOQ of 0.76μg/L). Samples were lyophilized, ethylated and MeHg determined in a MERX automated system (LOQ of 0.10μg/L). Inorganic mercury (IHg) levels were estimated from the THg and MeHg determined in the samples. Most of the samples were collected 1-2 months postpartum, with 38% during the first month. Over 80% of the samples had THg values above the LOQ, reaching a maximum of 8.40μg/L, with a mean of 2.56μg/L. On average, MeHg accounted for 11.8% of THg, with a maximum of 97.4%. Weekly intakes were estimated individually, considering the baby's age and body weight at the time of milk collection. Mean weekly intake for MeHg was 0.16±0.22μg/kg bw, which represented 10% of the PTWI; in only one case, the intake exceeded 100% of the PTWI (1.90μg/kg bw, 119% of PTWI). Mean intake for IHg was 2.1±1.5μg/kg bw, corresponding to 53% PTWI. These results indicate no health concern for the breastfed babies, a conclusion that can be extended to the consumers of breast milk donated to the milk banks, primarily immature and low weight babies.
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Affiliation(s)
- Fernanda M Rebelo
- Brazilian Health Surveillance Agency, University of Brasilia, Brasilia, DF, Brazil; Laboratory of Toxicology, Department of Pharmacy, University of Brasilia, Brasilia, DF, Brazil
| | - Leandro R da Cunha
- Laboratory of Toxicology, Department of Pharmacy, University of Brasilia, Brasilia, DF, Brazil
| | - Patrícia D Andrade
- Laboratory of Toxicology, Department of Pharmacy, University of Brasilia, Brasilia, DF, Brazil
| | - Walkimar A da Costa Junior
- Laboratory of Environmental Biogeochemistry Wolfgang Christian Pfeiffer, Federal University of Rondônia, Porto Velho, RO, Brazil
| | - Wanderley R Bastos
- Laboratory of Environmental Biogeochemistry Wolfgang Christian Pfeiffer, Federal University of Rondônia, Porto Velho, RO, Brazil
| | - Eloisa D Caldas
- Laboratory of Toxicology, Department of Pharmacy, University of Brasilia, Brasilia, DF, Brazil.
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Rebelo FM, Caldas ED. Arsenic, lead, mercury and cadmium: Toxicity, levels in breast milk and the risks for breastfed infants. ENVIRONMENTAL RESEARCH 2016; 151:671-688. [PMID: 27619212 DOI: 10.1016/j.envres.2016.08.027] [Citation(s) in RCA: 150] [Impact Index Per Article: 18.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2016] [Revised: 08/23/2016] [Accepted: 08/24/2016] [Indexed: 05/18/2023]
Abstract
Metals are ubiquitous in nature, being found in all environmental compartments, and have a variety of applications in human activities. Metals are transferred by maternal blood to the fetus via the placenta, and exposure continues throughout life. For the general population, exposure comes mainly from water and food consumption, including breast milk. In this paper, we reviewed studies on the toxicity of arsenic, lead, mercury and cadmium, the toxic metals of most concern to human health, focusing on the potential risks to newborns and infants. A total of 75 studies published since 2000 reporting the levels of these metals in breast milk were reviewed. Lead was the metal most investigated in breast milk (43 studies), and for which the highest levels were reported (up to 1515µg/L). Arsenic was the least investigated (18 studies), with higher levels reported for breast milk (up to 149µg/L) collected in regions with high arsenic concentrations in water (>10µg/L). Data from 34 studies on mercury showed that levels in breast milk were generally higher in populations with high fish consumption, where it may be present mainly as MeHg. Cadmium levels in breast milk were the lowest, with means <2µg/L in most of the 29 studies reviewed. Results of risk assessments indicated that the intake of arsenic, lead and mercury by infants through breastfeeding can be considered a health concern in most regions of the world. Although the potential risks to infants are mostly outweighed by the benefits of breast milk consumption, it is essential that contaminants be continuously monitored, especially in the most critical regions, and that measures be implemented by health authorities to reduce exposure of newborns and infants to these metals, and thus avoid unnecessary health risks.
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Affiliation(s)
- Fernanda Maciel Rebelo
- Brazilian Health Surveillance Agency, University of Brasilia, 70910-900 Brasilia, DF, Brazil
| | - Eloisa Dutra Caldas
- Laboratory of Toxicology, Department of Pharmacy, University of Brasilia, 70910-900 Brasilia, DF, Brazil.
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Al-Saleh I, Nester M, Abduljabbar M, Al-Rouqi R, Eltabache C, Al-Rajudi T, Elkhatib R. Mercury (Hg) exposure and its effects on Saudi breastfed infant's neurodevelopment. Int J Hyg Environ Health 2016; 219:129-41. [DOI: 10.1016/j.ijheh.2015.10.002] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2015] [Revised: 10/18/2015] [Accepted: 10/19/2015] [Indexed: 10/22/2022]
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Al-Saleh I, Abduljabbar M, Al-Rouqi R, Eltabache C, Al-Rajudi T, Elkhatib R, Nester M. The extent of mercury (Hg) exposure among Saudi mothers and their respective infants. ENVIRONMENTAL MONITORING AND ASSESSMENT 2015; 187:678. [PMID: 26450688 DOI: 10.1007/s10661-015-4858-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2015] [Accepted: 09/09/2015] [Indexed: 06/05/2023]
Abstract
A total of 1016 healthy Saudi mothers and their respective infants (aged 3-12 months) were recruited from 57 Primary Health Care Centers (PHCCs) in Riyadh, Saudi Arabia, to evaluate the extent of mercury (Hg) exposure and predict its sources in the healthy Saudi population. Total Hg levels were measured in maternal urine, breast milk, blood, and hair and in the infants' urine and hair. Only 1.9% of the mothers had urinary Hg (UHg)>10 μg/l, the limit for asymptomatic adults recommended by the World Health Organization, but the median (0.99 μg/l) was higher than in other countries. Also, 49.3% of the mothers had UHg>1 μg/l, the German reference value for adults. Median infant UHg was 0.729 μg/l, and 77 and 93 % of the infants had levels higher than 0.4 and 0.1 μg/l, the reference values of the Centers for Disease Control and Prevention and for Germany, respectively. The median Hg level in breast milk was 0.884 μg/l. Even though 43.2% of the milk samples were above the background level for Hg in human milk (1 μg/l), our results were lower than those reported from other countries. Median maternal total Hg in blood was 0.637 μg/l, and only 0.4 and 6.9% of samples were higher than the Hg reference levels of 5.8 μg/l of the Environmental Protection Agency (EPA) and of 2 μg/l for Germany, respectively. Total Hg levels in hair (HHg) varied widely among mothers and infants, but only 3.9% of the mothers and 2.8% of the infants had HHg>1 μg/g (the EPA reference level). Median HHg values were 0.117 μg/g dry weight in mothers and 0.1 μg/g dry weight in infants; both were lower than in other countries. The Hg levels in mothers and their respective infants were relatively low, but our results were consistent with other studies indicating that dental amalgam fillings and fish consumption were the main predictors of maternal Hg exposure. Among the several biomarkers of Hg exposure, Hg levels in maternal hair and urine were the strongest predictors of infant exposure. The lack of an association between Hg in breast milk and Hg in infant urine and hair suggested that the infants were exposed to Hg predominately during pregnancy rather than during breastfeeding. We expect that our data can serve as a baseline for further biomonitoring and follow-up studies, particularly of the long-term impact of Hg on childhood neurodevelopment.
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Affiliation(s)
- Iman Al-Saleh
- Environmental Health Section, King Faisal Specialist Hospital and Research Centre, PO Box: 3354, Riyadh, 11211, Saudi Arabia.
| | - Mai Abduljabbar
- Environmental Health Section, King Faisal Specialist Hospital and Research Centre, PO Box: 3354, Riyadh, 11211, Saudi Arabia
| | - Reem Al-Rouqi
- Environmental Health Section, King Faisal Specialist Hospital and Research Centre, PO Box: 3354, Riyadh, 11211, Saudi Arabia
| | - Chafica Eltabache
- Environmental Health Section, King Faisal Specialist Hospital and Research Centre, PO Box: 3354, Riyadh, 11211, Saudi Arabia
| | - Tahreer Al-Rajudi
- Environmental Health Section, King Faisal Specialist Hospital and Research Centre, PO Box: 3354, Riyadh, 11211, Saudi Arabia
| | - Rola Elkhatib
- Environmental Health Section, King Faisal Specialist Hospital and Research Centre, PO Box: 3354, Riyadh, 11211, Saudi Arabia
| | - Michael Nester
- Department of Neurosciences, King Faisal Specialist Hospital and Research Centre, PO Box: 3354, Riyadh, 11211, Saudi Arabia
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Ferreira SL, Lemos VA, Silva LO, Queiroz AF, Souza AS, da Silva EG, dos Santos WN, das Virgens CF. Analytical strategies of sample preparation for the determination of mercury in food matrices — A review. Microchem J 2015. [DOI: 10.1016/j.microc.2015.02.012] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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20
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Kampalath RA, Jay JA. Sources of Mercury Exposure to Children in Low- and Middle-Income Countries. J Health Pollut 2015; 5:33-51. [PMID: 30524768 PMCID: PMC6221478 DOI: 10.5696/i2156-9614-5-8.33] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
BACKGROUND Many children in low- and middle-income countries face enhanced risks of exposure to contaminants via the environment, parental occupation, and other routes. While mercury (Hg) is a global pollutant whose transport properties allow it to have an impact even in pristine areas, the presence of significant Hg sources in the developing world can cause localized effects that are more severe than those observed in other areas. OBJECTIVES This paper provides a narrative review of sources of Hg exposure to people in the developing world with a particular focus on children, and presents an overview of key aspects to this important issue. METHODS We searched Web of Knowledge and Google Scholar using keywords including combinations of "mercury" and one or more of the following: "children," "exposure," "breast milk," "artisanal mining," "prenatal," "religion," "medicine," "dental amalgam," "chlor-alkali," "VCM," "vaccine," "e-waste," "industry," "beauty," "cosmetics," "strategies," "child labor," "costs," and "developing countries" to find peer-reviewed articles pertaining to Hg exposure in the developing world. RESULTS Sources of Hg exposure include mining, consumption, industrial operations, religious practices, traditional medicines, beauty products, vaccines, dental amalgams, and waste scavenging and recycling. CONCLUSION Children in the developing world are often subject to higher levels of Hg exposure than those living in developed countries due to the higher prevalence of Hg-intensive industrial processes and consumer products, lack of environmental regulation, and limits in mobility and food choices, among other factors. This issue can be addressed through additional research to fill in data gaps on exposure sources, establish sound and enforceable policies, and increase education and participation in affected communities. Challenges to addressing this problem include limited resources for needed equipment, training, and manpower to implement solutions.
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Affiliation(s)
| | - Jennifer Ayla Jay
- Civil and Environmental Engineering, Department, U.C.L.A., Los Angeles, CA, U.S.A
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Al-Saleh I, Abduljabbar M, Al-Rouqi R, Elkhatib R, Alshabbaheen A, Shinwari N. Mercury (Hg) exposure in breast-fed infants and their mothers and the evidence of oxidative stress. Biol Trace Elem Res 2013; 153:145-54. [PMID: 23661328 DOI: 10.1007/s12011-013-9687-7] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2013] [Accepted: 04/25/2013] [Indexed: 11/24/2022]
Abstract
The objective of this work was to assess exposure to mercury (Hg) and its induction of oxidative stress in 155 healthy lactating Saudi mothers and their infants. Samples of breast milk and blood were collected from the mothers, while urine was taken from both infants and mothers. Both urinary 8-hydroxy-2'-deoxyguanosine (8-OHdG) and malondialdehyde (MDA) were measured in mothers and infants as biomarkers of oxidative stress. The mean concentration of Hg in breast milk was 1.19 μg/L (range 0.012-6.44 μg/L) with only one mother having Hg >4 μg/L, the upper limit established by the US Agency for Toxic Substance and Disease Registry. However, 57.4 % had Hg ≥1 μg/L, the background level for Hg in human milk. The mean urinary Hg corrected for creatinine (Hg-C) in mothers and infants was 1.47 and 7.90 μg/g creatinine, respectively, with a significant correlation between the two (p < 0.001). Urinary Hg levels over 5 μg/g creatinine (the background level in an unexposed population) were found in 3.3 % of mothers and 50.1 % of infants. None of the mothers had total blood Hg above the US Environmental Protection Agency's maximum reference dose of 5.8 μg/L. No correlation was noted between urinary Hg in infants and Hg in breast milk (p > 0.05). Hg in breast milk, though, was associated with Hg in blood (p < 0.001), suggesting the efficient transfer of Hg from blood to milk. Hg in the breast milk of mothers and in the urine of infants affected the excretion of urinary MDA and 8-OHdG, respectively, in a dose-related manner. These findings reveal for the first time lactational exposure to Hg-induced oxidative stress in breast-fed infants, which may play a role in pathogenesis, particularly during neurodevelopment. This will also contribute to the debate over the benefits of breast milk versus the adverse effects of exposure to pollutants. Nevertheless, breastfeeding should not be discouraged, but efforts should be made to identify and eliminate the source of Hg exposure in the population.
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Affiliation(s)
- Iman Al-Saleh
- Environmental Health Section, Biological and Medical Research Department, King Faisal Specialist Hospital and Research Centre, PO Box: 3354, Riyadh 11211, Saudi Arabia.
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