Consensus document on the prevention of methylmercury exposure in Spain: Study group for the prevention of Me-Hg exposure in Spain (GEPREM-Hg)

Are lead, cadmium and mercury risk factors for resistant hypertension?

BACKGROUND

Lead (Pb), cadmium (Cd) and mercury (Hg) are toxic trace elements that represent a public health problem as risk factors for cardiovascular disease and hypertension (HT) and could also contribute to the development of resistant hypertension (rHT) AIMS: To compare the blood concentrations of Pb, Cd and Hg in subjects with resistant and non-resistant HT and to define whether there is a relationship between its levels and rHT.

METHODS

Cross-sectional study. Subjects aged ≥ 21 to ≤ 80 years with a body mass index < 40 kg/m2 were recruited on a discretionary basis from October 2001 to October 2004 in a hypertension unit of a tertiary hospital amongst those sent to the hypertension unit by their family physician. Resistant hypertension was defined according to the American Heart Association (AHA) criteria. Whole blood concentrations of Cd, Pb and Hg were measured by electrothermal atomic absorption spectrometry.

RESULTS

46 out of 73 included subjects (63%) suffered from rHT. Blood Pb median: HT 3.9 (IQR 2.7-5.2) vs. rHT 3.6 (IQR 2.8-6.0) µg/dL (p=0.941). Blood Cd median: HT 0.07 (IQR 0.07-0.80) vs. rHT 0.30 (IQR 0.07-0.65) µg/L (p=0.681). Blood Hg median: HT 7.9 (IQR 5.8-12.9) vs. rHT 7.3 (IQR 4.6-13.3) µg/L (p=0.611). Considering the 75th percentile of each element (Pb: 5.55 µg/dL, Cd: 0.75 µg/L, Hg: 13.15 µg/L), a multiple logistic regression analysis (adjusted for age, BMI, diabetes mellitus, clearance of creatinine and only for Cd the smoking habit) showed an OR = 3.44 (0.84-14.10, p=0.086) for Pb, OR = 1.80 (0.39-8.24, p=0.451), for Cd and OR = 2.31 (0.59-9.14, p=0.232) for Hg. Moreover, the stratified analyses showed that men with Pb ≥5.55 µg/dL have a 14 times higher risk of suffering from rHT (p=0.026). Interestingly, a 9-fold increased risk was found for non-obese subjects with elevated Pb levels, above 5.55 µg/dL (p=0.029). Also in men, the probability of suffering from rHT was more than 7 times higher if Cd levels were ≥ 0.75 µg/L (p=0.076). Most smokers had higher Cd levels, with a high risk of suffering from rHT (ORa 12.6 (0.8-200.2), p=0.072).

CONCLUSION

A higher blood Pb levels, defined by the 75th percentile (Pb ≥ 5.55 µg/dL), is associated with a greater risk of suffering from rHT and to a lesser extent in the case of Cd and Hg.

Determination of toxic metals in canned tuna sold in developed and developing countries: Health risk assessment associated with human consumption

This study investigated toxic metal levels in a total of 222 canned tuna sampled from 36 countries (developed and developing) during 2017-2019. For this purpose, four toxic metals (Cadmium (Cd), lead (Pb), mercury (Hg), and arsenic (As) were analyzed using inductively coupled plasma-mass spectrometry (ICP-MS). Under the optimized conditions, the limit of detection (LOD) and the limit of quantification (LOQ) of the instrument ranged from 0.025 to 0.18 and from 0.54 to 0.045 ppb, respectively, with recoveries in the range of 98 %-108 %. Moreover, noncancer risk using the target hazard quotient (THQ) of each of the four toxic metals was assessed, and cancer risk using the target cancer risk (TCR) of inorganic arsenic (iAs) was evaluated. The THQ values of Hg were higher than the limits of safe (THQ ˃1) and TCR showed the carcinogenic risk for iAs for consumers when consuming more than one meal of canned tuna per week.

Probabilistic risk analysis of mercury intake via food consumption in Spain

In Spain, recently, the public institutions have given information to the population in relation to fish consumption and the risk that it poses to health from the ingestion of mercury supposedly contained in the fish. At the same time, several scientific societies have published various works in this direction. All this without there being, up to now, any study on the evaluation of a probabilistic risk from mercury due to fish and seafood intake in Spain, which is the objective of this present work. For that purpose, we took individual data from a survey of the total diet of 3000 people, whose consumption of the principal fish and seafood species (49) was estimated. We compiled individualized data (2000) on the total mercury content of those species, which were completed and validated with bibliographic statistical data. After estimating the distributions of each fish and seafood species, both of their consumption and their mercury content, a simulation was made of the distribution of mercury ingestion from fish and seafood offered by 2.6% of the Spanish population at risk of exceeding total mercury recommendations, and between 12.2% and 21.2% of those exceeding methylmercury ones. The main species responsible were tuna fish, swordfish and hake, and significant differences were identified in fish consumption between sexes and ages, although, in the risk percentage, what stands out is an increase in the latter with an increase in age.

Total mercury in fresh and processed tuna marketed in Galicia (NW Spain) in relation to dietary exposure

Mercury is a toxic trace metal, which can accumulate to levels threatening human and environmental health. In this study, contents of total mercury have been determined by ICP-MS spectrometry in fresh and processed tuna (110 samples) purchased from supermarkets in NW Spain. Mercury was present in all samples analyzed; however, only one sample of fresh tuna (1.070 mg kg^-1 wet weight (w.w.)) slightly exceeded the limit of the EU (1.0 mg kg^-1 w.w.). The average mercury concentration in processed tuna was lower than fresh, 0.306 mg kg^-1 w.w., and ranged from 0.080 to 0.715 mg kg^-1 w.w. Results were compared with literature data. In regard to the three types of preparation-packaging media for canned tuna, total Hg content was found in the following order: olive oil > natural > pickled sauce; the last showed significant statistical differences (p < 0.01) with the other two preparations. Between the two evaluated canned tuna species, significant statistical differences (p = 0.008) were observed and Thunnus alalunga presented a greater mean content (0.332 ± 0.114 mg kg^-1 w.w.) compared to Thunnus albacares (0.266 ± 0.171 mg kg^-1 w.w.).Taking into account the AESAN recommendation for adults and children, as well as the EU regulations and the tuna consumption by the Spanish population, the Hg levels obtained in this study pose no risk to consumer health. However, additional studies, a monitoring process, and efforts to reduce Hg concentration in tuna would be necessary, as well as considering other sources of exposure to Hg.