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Adil N, Sibt-E-Hassan S, Siddiqui AJ, Jamil Z, Iqbal J, Ali SA, Musharraf SG. Toxic elements identified in breast milk of mothers residing in water contaminated region of Sindh and their impact on infants' growth patterns: A case-control study. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2024; 356:124368. [PMID: 38876378 DOI: 10.1016/j.envpol.2024.124368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2024] [Revised: 05/16/2024] [Accepted: 06/11/2024] [Indexed: 06/16/2024]
Abstract
Breast milk is a vital source of nutrition for breastfed infants, providing essential nutrients and elements but, in some cases, toxic ones. This is the first case-control study that investigated the elemental profile of breast milk samples collected from mothers residing in Matiari (Sindh), a region with insufficient industrial waste management, and its potential impact on infants' anthropometrics. Precisely, 62 milk samples, including 42 cases and 20 controls, were analyzed using the ICP-MS technique. Overall, six elements showed significance between the two groups, arsenic (As) was present at 0.68 μg/L in cases and absent in controls, while lead (Pb) exhibited elevated concentrations in the case group at 4.56 μg/L compared to 0.25 μg/L in controls, well-known for their toxicity. Barium (Ba) and manganese (Mn) levels were also higher in cases, associated with reported health effects on child well-being. Essential elements molybdenum (Mo) and selenium (Se) were higher in the controls. Furthermore, the association of these metals with the child growth standards as per WHO guidelines was calculated. Linear regression analysis revealed As negatively associated with WAZ and WHZ scores, while Mo was positively associated with WAZ, WHZ, and HAZ scores. These findings highlight serious health concerns in the region, where toxic elements pervade drinking water and food sources. Immediate actions are imperative to maintain the wellness of future generations.
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Affiliation(s)
- Nurmeen Adil
- H. E. J. Research Institute of Chemistry, International Center for Chemical and Biological Sciences, University of Karachi, Karachi, 75270, Pakistan
| | - Syed Sibt-E-Hassan
- H. E. J. Research Institute of Chemistry, International Center for Chemical and Biological Sciences, University of Karachi, Karachi, 75270, Pakistan
| | - Amna Jabbar Siddiqui
- Dr. Panjwani Center for Molecular Medicine and Drug Research, International Center for Chemical and Biological Sciences, University of Karachi, Karachi, 75270, Pakistan
| | - Zehra Jamil
- Department of Biological and Biomedical Sciences, Aga Khan University, Karachi, Pakistan; Department of Community Health Science, Aga Khan University, Karachi, Pakistan
| | - Junaid Iqbal
- Department of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan
| | - Syed Asad Ali
- Department of Community Health Science, Aga Khan University, Karachi, Pakistan
| | - Syed Ghulam Musharraf
- H. E. J. Research Institute of Chemistry, International Center for Chemical and Biological Sciences, University of Karachi, Karachi, 75270, Pakistan; Dr. Panjwani Center for Molecular Medicine and Drug Research, International Center for Chemical and Biological Sciences, University of Karachi, Karachi, 75270, Pakistan.
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Rahimi A, Talebi-Ghane E, Heshmati A, Ranjbar A, Mehri F. Content of potentially toxic elements (PTEs) in coffee and coffee-based products: a meta-analysis study, Systematic review, and health risk assessment. Drug Chem Toxicol 2024; 47:356-364. [PMID: 37017136 DOI: 10.1080/01480545.2023.2193354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 10/11/2022] [Indexed: 04/06/2023]
Abstract
Coffee is the most popular beverage after water in the world, which has an important role in health as a result of various minerals and vitamins but it may be pollution source of potentially toxic elements (PTEs) that can threate the health. Thus, the current study intended to detect the level of PTEs such as Cadmium (Cd), Copper (Cu), Lead (Pb), Nickel (Ni), Znc (Zn) and Iron (Fe), in various coffee and coffee-based products (powder, ground, processed, infusion and bean). Considering the databases of Scopus, Google scholar, PubMed, and Web of Science, the concentration of PTEs in coffee and coffee-based products was retrieved and meta-analyzed. Additionally, the non-carcinogenic risks in terms of total hazard quotient (TTHQ) were assessed using Monte Carlo simulated (MCS) model. According to the findings of 23 articles, the ranking of metal concentration in different coffees was Fe > Zn > Cu> Ni > Pb > Cd in powder, Fe > Cu > Zn> Ni in ground, Fe > Zn > Ni> Cu> Pb > Cd in processed and infusion and Fe > Zn > Ni> Cs > Pb in bean. Moreover, based on WHO regions, the highest concentrations of Cd and Pb (0.742 mg/kg) were related to the South-East Asia Region (SEARO) and European region (EURO) respectively. However, the highest concentrations of Fe (81.161 mg/kg), Zn (33.392 mg/kg), Cu (9.408 mg/kg), and Ni (18.064 mg/kg) were related to Pan American health organization (PAHO), PAHO, PAHO and Eastern Mediterranean Region (EMRO), respectively. On the other hand, the risk pattern was different in different countries. Moreover, consumers in some countries were not at significant non-carcinogenic risks because of ingestion of PTEs via coffee and consumption of coffee-based products.
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Affiliation(s)
- Alireza Rahimi
- Department of Food Sciences and Technology, National Nutrition and Food Technology Research Institutes, Faculty of Nutrition Sciences and food Technology Shahid Beheshti, University of Medical Sciences, Tehran, Iran
| | - Elaheh Talebi-Ghane
- Biostatistics, Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Ali Heshmati
- Nutrition Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Akram Ranjbar
- Nutrition Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Fereshteh Mehri
- Nutrition Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
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Bzikowska-Jura A, Wesołowska A, Sobieraj P, Nawrocka A, Filipek A, Durkalec M, Katryńska D, Jedziniak P. Essential and non-essential element concentrations in human milk samples and the assessment of infants' exposure. Sci Rep 2024; 14:8140. [PMID: 38584184 PMCID: PMC10999444 DOI: 10.1038/s41598-024-58683-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Accepted: 04/02/2024] [Indexed: 04/09/2024] Open
Abstract
As the data concerning element concentrations in human milk (HM) samples and their intake by infants are lacking in Poland, the present study aimed to explore this issue. The material consisted of HM samples obtained from 30 exclusively breastfeeding mothers during 4-6 weeks postpartum. Additionally, to identify the factors that may potentially affect HM composition, information regarding maternal data (anthropometry, body composition, and diet) was also collected. Maternal diet was assessed with two methods-a food frequency questionnaire and 3-day dietary records. In total, 18 essential and non-essential elements were determined. For the elements analysis, we used inductively coupled plasma quadrupole mass spectrometry. Most of the elements (n = 11, 61%) were detected in all HM samples. In all HM samples tin concentration was higher (5.67 ± 2.39 μg/L) than the usual range reported by the World Health Organization (~ 1.0 μg/L). HM cadmium content was positively associated with maternal salty snacks intake (r = 0.502, p = 0.005), arsenic with whole-grain products intake (r = 0.37, p = 0.043), and mercury concentration with fruits and seeds/nuts consumption (r = 0.424, p = 0.042 and r = 0.378, p = 0.039, respectively). Higher HM lead concentration was predicted by maternal age (95% CI [0.94-0.97]), intake of fish (95% CI [1.01-1.03]), and vegetables (95% CI [1.02-1.06]). The highest infants' intake was observed for copper (35.24 ± 12.48) and the lowest for arsenic (0.076 ± 0.102). Infants' exposure to lead was associated with maternal frequency consumption of canned fish (p = 0.0045). There is a need to perform further research on this topic to maximize the benefits of breastfeeding by minimizing maternal and infant exposure to potentially toxic elements.
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Affiliation(s)
- Agnieszka Bzikowska-Jura
- Laboratory of Human Milk and Lactation Research at Regional Human Milk Bank in Holy Family Hospital, Department of Medical Biology, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.
| | - Aleksandra Wesołowska
- Laboratory of Human Milk and Lactation Research at Regional Human Milk Bank in Holy Family Hospital, Department of Medical Biology, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland
| | - Piotr Sobieraj
- Department of Internal Medicine, Hypertension and Vascular Diseases, Faculty of Medicine, Medical University of Warsaw, Warsaw, Poland
| | - Agnieszka Nawrocka
- Department of Pharmacology and Toxicology, National Veterinary Research Institute, Pulawy, Poland
| | - Aleksandra Filipek
- Department of Pharmacology and Toxicology, National Veterinary Research Institute, Pulawy, Poland
| | - Maciej Durkalec
- Department of Pharmacology and Toxicology, National Veterinary Research Institute, Pulawy, Poland
| | - Danuta Katryńska
- The Institute of Biology and Earth Sciences, University of the National Education Commission, Cracow, Poland
| | - Piotr Jedziniak
- Department of Pharmacology and Toxicology, National Veterinary Research Institute, Pulawy, Poland
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Mahmudiono T, Esfandiari Z, Zare A, Sarkhoshkalat M, Mehri F, Fakhri Y. Concentration of potentially toxic elements in fillet shrimps of Mediterranean Sea: Systematic review, meta-analysis and health risk assessment. Food Chem X 2024; 21:101206. [PMID: 38379801 PMCID: PMC10876684 DOI: 10.1016/j.fochx.2024.101206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Revised: 01/17/2024] [Accepted: 02/04/2024] [Indexed: 02/22/2024] Open
Abstract
In this study, an attempt was made to meta-analyzed the concentration of potentially toxic elements (PTEs) in shrimps tissue of Mediterranean Sea and health risk of consumers was estimated. Search was conducted in international databases includes Scopus, PubMed, Embase, Science Direct and Web of Science from 1 January 2010 to 20 July 2023. The random effects model used to meta-analysis of concentration of PTEs in shrimp in subgroups. In addition, non-carcinogenic and carcinogenic risks for adults and children were calculated using target hazard quotient (THQ) and cancer risk (CR). Meta-analysis concentration of PTEs in shrimps was conducted using random effects model based on country subgroups. The rank order of PTEs based on mean (pooled) level in fillet of shrimps was Fe (15.395 mg/kg-ww) > Zn (10.428 mg/kg-ww) > Cu (6.941 mg/kg-ww) Pb (5.7 mg/kg-ww) > Ni (1.115 mg/kg-ww) > As (0.681 mg/kg-ww) > Cd (0.412 mg/kg-ww) > Hg (0.300 mg/kg-ww). THQ level in adults and children due to Cd and Pb in Italy was higher than 1 value. THQ level in adults and children due to Cu, Ni, Fe, Zn and inorganic As was lower than 1 value. CR due to inorganic As in Greece and Türkiye for adults and children was higher than 1E-6 value. Therefore, it was recommended to continuously monitor and reduce the concentration of PTEs in shrimps in Italy, Greece and Türkiye, especially.
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Affiliation(s)
- Trias Mahmudiono
- Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
| | - Zahra Esfandiari
- Nutrition and Food Security Research Center, Department of Food Science and Technology, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Ali Zare
- Food Health Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | | | - Fereshteh Mehri
- Nutrition Health Research Center, Center of Excellence for Occupational Health, Research Center for Health Sciences, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Yadolah Fakhri
- Food Health Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
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Mehri F, Heshmati A, Ghane ET, Khazaei M, Mahmudiono T, Fakhri Y. A probabilistic health risk assessment of potentially toxic elements in edible vegetable oils consumed in Hamadan, Iran. BMC Public Health 2024; 24:218. [PMID: 38238752 PMCID: PMC10797719 DOI: 10.1186/s12889-023-17624-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Accepted: 12/31/2023] [Indexed: 01/22/2024] Open
Abstract
In this study, potential toxic element (PTEs) including lead (Pb), arsenic (As), cadmium(Cd), iron (Fe) and zinc (Zn) in traditional and industrial edible vegetable oils (peanut, sunflower, olive and sesame) collected from Hamadan, west of Iran were determined using Inductivity Coupled Plasma Optical Emission Spectrometry (ICP-OES). Besides, probabilistic health risk assessment (non-carcinogenic and carcinogenic risks) was identified via total target hazard quotient (TTHQ) and cancer risk (CR) by the Monte Carlo Simulation (MCS) model. The ranking of concentration PTEs in traditional and industrial edible vegetable oils was Fe > Zn > As > Pb > Cd. The in all samples, content of PTEs in industrial oils were upper than traditional oils (p < 0.001). The level of PTEs in most of vegetable oils was lower than permissible concentration regulated by Codex and national standard. In term of non-carcinogenic, consumers were at acceptable range (TTHQ < 1) due to ingestion both traditional and industrial vegetable oils content of PTEs. In term of carcinogenic, CR the both adults and children was higher than acceptable range (CR < 1E-6), Hence consumer are at unacceptable risk due to ingestion industrial vegetable oils content of inorganic As. Therefore, it is recommended to implement control plans for PTEs in vegetable oils consumed in Hamadan, Iran.
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Affiliation(s)
- Fereshteh Mehri
- Nutrition Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Ali Heshmati
- Nutrition Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
| | - Elaheh Talebi Ghane
- Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mohammad Khazaei
- Department of Environmental Health Engineering, Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Trias Mahmudiono
- Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Jl. Mulyorejo Kampus C, Surabaya, 60115, Indonesia
| | - Yadolah Fakhri
- Food Health Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
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Niede R, Benbi DK. Integrated review of the nexus between toxic elements in the environment and human health. AIMS Public Health 2022; 9:758-789. [PMID: 36636150 PMCID: PMC9807406 DOI: 10.3934/publichealth.2022052] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 11/16/2022] [Accepted: 11/24/2022] [Indexed: 12/05/2022] Open
Abstract
Emerging pollutants in the environment due to economic development have become a global challenge for environmental and human health management. Potentially toxic elements (PTEs), a major group of pollutants, have been detected in soil, air, water and food crops. Humans are exposed to PTEs through soil ingestion, consumption of water, uptake of food crop products originating from polluted fields, breathing of dust and fumes, and direct contact of the skin with contaminated soil and water. The dose absorbed by humans, the exposure route and the duration (i.e., acute or chronic) determine the toxicity of PTEs. Poisoning by PTEs can lead to excessive damage to health as a consequence of oxidative stress produced by the formation of free radicals and, as a consequence, to various disorders. The toxicity of certain organs includes neurotoxicity, nephrotoxicity, hepatotoxicity, skin toxicity, and cardiovascular toxicity. In the treatment of PTE toxicity, synthetic chelating agents and symptomatic supportive procedures have been conventionally used. In addition, there are new insights concerning natural products which may be a powerful option to treat several adverse consequences. Health policy implications need to include monitoring air, water, soil, food products, and individuals at risk, as well as environmental manipulation of soil, water, and sewage. The overall goal of this review is to present an integrated view of human exposure, risk assessment, clinical effects, as well as therapy, including new treatment options, related to highly toxic PTEs.
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Affiliation(s)
- Rolf Niede
- Institute of Geoecology, Technische Universität Braunschweig, Germany,* Correspondence:
| | - Dinesh K. Benbi
- Department of Soil Science, Punjab Agricultural University, Ludhiana, India
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Kordas K, Cantoral A, Desai G, Halabicky O, Signes-Pastor AJ, Tellez-Rojo MM, Peterson KE, Karagas MR. Dietary Exposure to Toxic Elements and the Health of Young Children: Methodological Considerations and Data Needs. J Nutr 2022; 152:2572-2581. [PMID: 36774123 PMCID: PMC10157815 DOI: 10.1093/jn/nxac185] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 08/03/2022] [Accepted: 08/15/2022] [Indexed: 12/16/2022] Open
Abstract
Concerns have been raised regarding toxic-element (arsenic, cadmium, lead, and mercury) contamination of commercially available infant foods around the world. Young children are vulnerable to the effects of toxic elements, based on higher absorption levels and potentially poorer detoxification capacities. Toxic-element exposures in early life exact high societal costs, but it is unclear how much dietary exposure to these elements contributes to adverse health outcomes. Well-designed epidemiological studies conducted in different geographical and socioeconomic contexts need to estimate dietary toxicant exposure in young children and to determine whether causal links exist between toxicants in children's diets and health outcomes. This commentary outlines the methodological considerations and data needs to advance such research.
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Affiliation(s)
- Katarzyna Kordas
- Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo NY, USA.
| | | | - Gauri Desai
- Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo NY, USA
| | - Olivia Halabicky
- Department of Nutritional Sciences, University of Michigan, Ann Arbor, MI, USA
| | - Antonio J Signes-Pastor
- Unidad de Epidemiología de la Nutrición, Universidad Miguel Hernández, Alicante, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III (ISCIII), Madrid, Spain; Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Alicante, Spain
| | - Martha M Tellez-Rojo
- Center for Nutrition and Health Research, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, Mexico
| | - Karen E Peterson
- Department of Nutritional Sciences, University of Michigan, Ann Arbor, MI, USA; Department of Environmental Health Sciences, University of Michigan, Ann Arbor, MI, USA
| | - Margaret R Karagas
- Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA
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