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Collado-López S, Burns KF, Smith SN, Kordas K, Desai G. Association between breakfast skipping and blood levels of lead and cadmium in children and adolescents aged 6-17 years: Results from the National Health and Nutrition Examination Survey 2013-2018. J Trace Elem Med Biol 2024; 84:127468. [PMID: 38728997 DOI: 10.1016/j.jtemb.2024.127468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2024] [Revised: 04/27/2024] [Accepted: 04/30/2024] [Indexed: 05/12/2024]
Abstract
INTRODUCTION Previous research suggests that fasting increases lead absorption in the gastrointestinal tract, and that regularly eating meals may reduce blood lead. However, there is insufficient evidence linking breakfast status and blood-metal levels in children. We assessed the cross-sectional association between breakfast consumption status and children and adolescent's blood levels of lead and cadmium. We also explored blood hemoglobin, serum ferritin, and age group as potential effect modifiers of these associations. METHODS This analysis included children and adolescents aged 6-17 years who participated in the National Health and Nutrition Examination Survey (NHANES) cycles 2013-2018 with complete data on breakfast consumption status (consumers vs. skippers), blood metals, and covariates (N=3722). Blood metal variables were log-transformed. Crude and covariate-adjusted, survey-weighted linear regression models were conducted for each blood metal outcome. Potential effect modification was explored using stratification. RESULTS Overall fewer participants reported skipping breakfast (n=719) than eating breakfast (n=3003). Mean (SE) concentrations of blood lead and cadmium (µg/L) were 0.63 (0.01) µg/dL and 0.13 (0.00) µg/L, respectively. Children and adolescents who skipped breakfast were more likely to be female (51.2%), older (mean 12.2 years, SE = 0.1), have a higher body mass index (mean 22.8 kg/m2, SE = 0.2), and a lower income-poverty ratio (mean 1.7, SE = 0.1) than breakfast consumers. No associations between breakfast consumption and any of the blood metals were found. When stratified by age (≤ 10, 11-13, and 14-17 years), children aged 11-13 years who consumed breakfast had lower log-transformed blood lead levels [β = -0.14 µg/L; 95% CI: (-0.25, -0.03)] compared to children of the same age who skipped breakfast. CONCLUSION Children 11-13 years-old who were breakfast consumers had lower blood lead levels compared to children of the same age who skipped breakfast. Our results support that encouraging breakfast consumption among school-age children may contribute to lower blood lead levels.
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Affiliation(s)
- Sonia Collado-López
- Center for Nutrition and Health Research, Instituto Nacional de Salud Pública, Cuernavaca, Morelos 62100, Mexico
| | - Kaelyn F Burns
- Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY 14214, USA.
| | - Samantha N Smith
- Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY 14214, USA
| | - Katarzyna Kordas
- Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY 14214, USA
| | - Gauri Desai
- Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY 14214, USA
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Fellows KM, Samy S, Whittaker SG. Evaluating metal cookware as a source of lead exposure. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2024:10.1038/s41370-024-00686-7. [PMID: 38773235 DOI: 10.1038/s41370-024-00686-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Revised: 05/08/2024] [Accepted: 05/09/2024] [Indexed: 05/23/2024]
Abstract
BACKGROUND We previously demonstrated that aluminum cookware brought from Afghanistan by resettled families as well as some aluminum cookware available for purchase in the United States represent a previously unrecognized source of lead exposure. However, the extent to which this cookware represents a source of lead exposure to other United States residents is unclear. OBJECTIVES To test additional cookware for lead content and its propensity to leach lead and other toxic metals. This will further our understanding of the extent to which this cookware represents a lead poisoning risk in the United States and elsewhere. METHODS We screened an additional 28 pieces of aluminum cookware and 5 brass items for lead content using an X-ray fluorescence (XRF) analyzer and used our leachate method to estimate the amount of lead that migrates into food. We also tested 17 additional stainless steel items to determine whether they would be safer alternatives. RESULTS Many aluminum cookware products contained in excess of 100 parts per million (ppm) of lead. Many also leached enough lead under simulated cooking and storage conditions to exceed recommended dietary limits. One hindalium appam pan (an Indian frying pan/wok) leached sufficient lead to exceed the childhood limit by 1400-fold. Brass cookpots from India also yielded high lead levels, with one exceeding the childhood limit by over 1200-fold. In contrast, stainless steel cookware leached much lower levels of lead. IMPACT Aluminum and brass cookware available for purchase in the United States represents a previously unrecognized source of lead exposure.
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Affiliation(s)
- Katie M Fellows
- Hazardous Waste Management Program in King County, Seattle, WA, USA.
| | - Shar Samy
- Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, USA
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Weyrauch K, Duverna R, Sisco PN, Domesle A, Bilanovic I. A Survey of the Levels of Selected Metals in U.S. Meat, Poultry, and Siluriformes Fish Samples Taken at Slaughter and Retail, 2017-2022. J Food Prot 2024; 87:100243. [PMID: 38360407 DOI: 10.1016/j.jfp.2024.100243] [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: 10/06/2023] [Revised: 02/06/2024] [Accepted: 02/09/2024] [Indexed: 02/17/2024]
Abstract
The U.S. Department of Agriculture (USDA) Food Safety and Inspection Service (FSIS) conducts surveillance of metallic elements in U.S. meat, poultry, and Siluriformes fish samples collected immediately postmortem as part of its National Residue Program (NRP). From 2017 to 2022, 13,966 samples were analyzed under the NRP. The Federal Emergency Response Network (FERN) Cooperative Agreement Program (CAP) tests meat, poultry, and Siluriformes fish products collected at retail in the United States for metals. From 2018 to 2022, 2,902 samples were analyzed by FERN CAP laboratories. Meat and poultry samples collected by FSIS show that most metals were not detected at all or were detected infrequently. Meat is a rich source of iron and zinc, and iron was detected in 22% (1,255/5,623) and zinc was detected in 48% (2,742/5,676) of meat and poultry samples, respectively. The percentage of samples testing positive for manganese, molybdenum, lead, and cadmium were higher in the FERN CAP retail samples than in FSIS samples. Expected human exposure from average levels of lead and cadmium found in meat and poultry was compared to toxicological reference values and was not found to exceed these values. Detections of arsenic and mercury were found more often in Siluriformes fish samples (2017-2022) than in terrestrial animals. Trace amounts of arsenic and mercury were detected in 8% and 4% of Siluriformes samples, respectively, but were not detected at levels that raise concern. On the whole, both the FSIS and FERN CAP datasets provide reassuring evidence of the safety of the FSIS-regulated food supply with regard to the studied elements.
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Affiliation(s)
- Katie Weyrauch
- United States Department of Agriculture, Food Safety and Inspection Service, Office of Public Health Science, 1400 Independence Avenue SW, Washington, DC 20250, USA.
| | - Randolph Duverna
- United States Department of Agriculture, Food Safety and Inspection Service, Office of Public Health Science, 1400 Independence Avenue SW, Washington, DC 20250, USA
| | - Patrick N Sisco
- United States Department of Agriculture, Food Safety and Inspection Service, Office of Public Health Science, Russell Research Center, 950 College Station Road, Athens, GA 30605, USA
| | - Alexander Domesle
- United States Department of Agriculture, Food Safety and Inspection Service, Office of Public Health Science, 1400 Independence Avenue SW, Washington, DC 20250, USA
| | - Iva Bilanovic
- United States Department of Agriculture, Food Safety and Inspection Service, Office of Public Health Science, 1400 Independence Avenue SW, Washington, DC 20250, USA
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Wen Z, Zheng D, Wu J, Tian H, Yang Q, Chen L, Ji Z, Chen Y, Li Z. Integral trends in research of lead exposure and child health from 2012 to 2022: a bibliometric analysis. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2024; 31:9251-9271. [PMID: 38191730 DOI: 10.1007/s11356-023-31744-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 12/22/2023] [Indexed: 01/10/2024]
Abstract
Lead poisoning in children is a non-negligible and ongoing threat to children's health and optimal development worldwide. There is no sufficient scientometric analysis available on this subject, though. Aiming to uncover the research development, hotspots, and possible future orientation, we performed a scientometric analysis of related publications from 2012 to 2022. Initial information was accessed using the "Analysis Results" and "Create Citation Report" sections of the Web of Science core collection database, which were utilized to find original publications in this field of research. Biblioshiny and VOSviewer software were applied to further analyze and visualize the data. The research addressed a range of topics, including yearly publications, highly cited articles, co-cited references, journals, authors, nations, organizations, and keywords. A total of 883 articles were retrieved. From 2018 to 2021, the annual publication output was abundant and peaked in 2019. Among 111 countries, the USA obtained the highest number of documents issued, total citations, and total link strength. Meanwhile, most of the top 15 institutions, including the top four, are located in the USA. Further, we spotted greater scopes with development potential, including enhancing records to lessen exposure to harmful risks, improving methods for observing lead sources, and elucidating the gradient link between lead poisoning symptoms and concentrations. We anticipate that our research will assist researchers in summarizing previous research and providing perspectives for workable prospective study topics.
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Affiliation(s)
- Zhuolin Wen
- Department of Thyroid, Breast and Hernia Surgery, General Surgery, The Second Affiliated Hospital of Shantou University Medical College, No. 69 North Dongxia Road, Shantou, Guangdong, 515041, People's Republic of China
| | - Daitian Zheng
- Department of Thyroid, Breast and Hernia Surgery, General Surgery, The Second Affiliated Hospital of Shantou University Medical College, No. 69 North Dongxia Road, Shantou, Guangdong, 515041, People's Republic of China
| | - Jinyao Wu
- Department of Thyroid, Breast and Hernia Surgery, General Surgery, The Second Affiliated Hospital of Shantou University Medical College, No. 69 North Dongxia Road, Shantou, Guangdong, 515041, People's Republic of China
| | - Huiting Tian
- Department of Thyroid, Breast and Hernia Surgery, General Surgery, The Second Affiliated Hospital of Shantou University Medical College, No. 69 North Dongxia Road, Shantou, Guangdong, 515041, People's Republic of China
| | - Qiuping Yang
- Department of Thyroid, Breast and Hernia Surgery, General Surgery, The Second Affiliated Hospital of Shantou University Medical College, No. 69 North Dongxia Road, Shantou, Guangdong, 515041, People's Republic of China
| | - Lingzhi Chen
- Department of Thyroid, Breast and Hernia Surgery, General Surgery, The Second Affiliated Hospital of Shantou University Medical College, No. 69 North Dongxia Road, Shantou, Guangdong, 515041, People's Republic of China
| | - Zeqi Ji
- Department of Thyroid, Breast and Hernia Surgery, General Surgery, The Second Affiliated Hospital of Shantou University Medical College, No. 69 North Dongxia Road, Shantou, Guangdong, 515041, People's Republic of China
| | - Yexi Chen
- Department of Thyroid, Breast and Hernia Surgery, General Surgery, The Second Affiliated Hospital of Shantou University Medical College, No. 69 North Dongxia Road, Shantou, Guangdong, 515041, People's Republic of China
| | - Zhiyang Li
- Department of Thyroid, Breast and Hernia Surgery, General Surgery, The Second Affiliated Hospital of Shantou University Medical College, No. 69 North Dongxia Road, Shantou, Guangdong, 515041, People's Republic of China.
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Du Z, Tian Z, Yin Y, Wei J, Mu Y, Cai J, Song Z, Cen K. Bioavailability-based risk assessment of various heavy metals via multi-exposure routes for children and teenagers in Beijing, China. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:114985-115002. [PMID: 37878177 DOI: 10.1007/s11356-023-30436-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 10/09/2023] [Indexed: 10/26/2023]
Abstract
Assessing the health risks of sensitive population, such as children and teenagers, through multiple exposure routes (MERs) such as ingestion, inhalation, and dermal contact is critical for policy creation that protects or reduces exposure to pollutants for all populations. Heavy metal (HM) contents in food and environmental media in Beijing, capital of China, were collected. Furthermore, on the basis of considering the bioavailability of HMs, we evaluated the multiple environmental routes and health risks to HMs in children and teenagers of eight age groups (2-<3, 3-<4, 4-<5, 5-<6, 6-<9, 9-<12, 12-<15, and 15-<18) in Beijing, China by Monte Carlo simulation approach. The main findings are as follows: lead exposure in children aged 2-<3 years exceeds the exposure dose (0.3 μg·kg-1·d-1) of 0.5 point reduction in intelligence quotient. Moreover, children aged 2-<3 and 6-<9 years have relatively high non-carcinogenic risk (NCR) of 1.32 and 1.30, respectively. The carcinogenic risk (CR) for children aged 6-<9 and 9-<12 years is 2.73×10-6 and 2.39×10-6, respectively. Specifically, the contributions of oral ingestion, dermal contact, and inhalation to the NCR were 69.5%, 18.9%, and 11.6%, respectively. Moreover, the combined NCR contributions of copper, cadmium, mercury, and arsenic (As) were about 69.4%. The contributions of the above three routes to the CR were 93.4%, 4.1%, and 2.5%, in that order, with the largest CR contribution of As being about 92.0%. This study can provide new ideas for accurately assessing the exposure and health risks of HMs in the population, and we believe that it is necessary to update the national standards for food and soil based on the bioavailability of HMs.
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Affiliation(s)
- Zhongwen Du
- Baoding University of Technology, Baoding, 071000, China
| | - Zuguang Tian
- Baoding Productivity Promotion Center, Baoding, 071000, China
| | - Yelan Yin
- No. 4 Drilling Engineering Branch Company, CNPC Bohai Drilling Engineering Company Limited, Hejian, 062400, Hebei, China
| | - Junxiao Wei
- School of Chemistry and Environment, Guangdong Ocean University, Zhanjiang, 524088, China.
| | - Yue Mu
- Chongqing Key Laboratory of Agricultural Resources and Environment, College of Resources and Environment, Southwest University, Chongqing, 400715, China
| | - Jianjun Cai
- School of Architecture and Traffic, Guilin University of Electronic Technology, Guilin, 541004, China
| | - Zefeng Song
- Institute of Resources and Environmental Engineering, Hebei GEO University, Shijiazhuang, 050031, China
| | - Kuang Cen
- School of Earth Sciences and Resources, China University of Geosciences (Beijing), Beijing, 100083, China
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McGraw KE, Nigra AE, Klett J, Sobel M, Oelsner EC, Navas-Acien A, Hu X, Sanchez TR. Blood and Urinary Metal Levels among Exclusive Marijuana Users in NHANES (2005-2018). ENVIRONMENTAL HEALTH PERSPECTIVES 2023; 131:87019. [PMID: 37646523 PMCID: PMC10467359 DOI: 10.1289/ehp12074] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 05/19/2023] [Accepted: 07/19/2023] [Indexed: 09/01/2023]
Abstract
BACKGROUND Marijuana is the third most used drug in the world. OBJECTIVES Because the cannabis plant is a known scavenger of metals, we hypothesized that individuals who use marijuana will have higher metal biomarker levels compared with those who do not use. METHODS We combined data from the National Health and Nutrition Examination Survey (2005-2018) for n = 7,254 participants, classified by use: non-marijuana/non-tobacco, exclusive marijuana, exclusive tobacco, and dual marijuana and tobacco use. Five metals were measured in blood and 16 in urine using inductively coupled plasma mass spectrometry; urinary metals were adjusted for urinary creatinine. RESULTS Participants reporting exclusive marijuana use compared with non-marijuana/non-tobacco use had statistically significantly higher mean cadmium levels in blood [1.22 μ g / L (95% CI: 1.11, 1.34); p < 0.001 ] and urine [1.18 μ g / g (95% CI: 1.0, 1.31); p = 0.004 ] and statistically significantly higher mean lead levels in blood [1.27 μ g / dL (95% CI: 1.07, 1.50); p = 0.006 ] and urine [1.21 μ g / g (95% CI: - 0.006 , 1.50); p = 0.058 ]. DISCUSSION Our results suggest marijuana is a source of cadmium and lead exposure. Research regarding cannabis use and cannabis contaminants, particularly metals, should be conducted to address public health concerns related to the growing number of cannabis users. https://doi.org/10.1289/EHP12074.
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Affiliation(s)
- Katlyn E. McGraw
- Department of Environmental Health Science, Columbia University Mailman School of Public Health, New York, New York, USA
| | - Anne E. Nigra
- Department of Environmental Health Science, Columbia University Mailman School of Public Health, New York, New York, USA
| | - Joshua Klett
- Department of Environmental Health Science, Columbia University Mailman School of Public Health, New York, New York, USA
| | - Marisa Sobel
- Department of Environmental Health Science, Columbia University Mailman School of Public Health, New York, New York, USA
| | - Elizabeth C. Oelsner
- Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA
| | - Ana Navas-Acien
- Department of Environmental Health Science, Columbia University Mailman School of Public Health, New York, New York, USA
| | - Xin Hu
- Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
| | - Tiffany R. Sanchez
- Department of Environmental Health Science, Columbia University Mailman School of Public Health, New York, New York, USA
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Price SA, Maddaloni MA, Finley BL, Thornton SA, Unice KM. Extending Regulatory Biokinetic Lead Models towards Food Safety: Evaluation of Consumer Baby Food Contribution to Infant Blood Lead Levels and Variability. Foods 2023; 12:2732. [PMID: 37509824 PMCID: PMC10379829 DOI: 10.3390/foods12142732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 06/30/2023] [Accepted: 07/10/2023] [Indexed: 07/30/2023] Open
Abstract
The U.S. Food and Drug Administration released proposed lead (Pb) action levels for foods intended for babies and young children in January 2023 based on the agency's interim reference value of 2.2 µg/day for dietary Pb. Since the 1980s, biokinetic models have estimated blood lead levels (BLLs) associated with environmental contamination, but their use in food safety assessment has been limited. We compared three recent biokinetic models (IEUBK Model, ICRP Model Version 5, and AALM) to develop insights on contributors to variability in potential exposures to Pb in consumer baby food products. While modest variation was observed for babies, the predictions trended to convergence for children aged 3 and older, approaching the U.S. FDA dietary conversion factor of 0.16 µg Pb/dL blood per µg Pb intake/day. We applied the IEUBK model in a probabilistic exposure assessment framework characterizing the distribution of Pb in soil, dust, water, and food intake in the United States. Soil and dust were the primary contributors to variance in infant BLLs, while food and water contributed <15% combined. Thus, reductions in upper-bound soil and dust concentrations will be necessary before achieving appreciable reductions in the frequency of BLLs greater than the BLRV of 3.5 µg/dL.
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Affiliation(s)
- Skyler A Price
- Stantec ChemRisk, Brooklyn, New York, NY 11201-1217, USA
| | | | - Brent L Finley
- Stantec ChemRisk, Brooklyn, New York, NY 11201-1217, USA
| | | | - Ken M Unice
- Stantec ChemRisk, Pittsburgh, PA 15222-4801, USA
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Gray PJ. A survey of toxic elements in ready to eat baby foods in the US market 2021. FOOD ADDITIVES & CONTAMINANTS. PART B, SURVEILLANCE 2023; 16:79-85. [PMID: 36537233 DOI: 10.1080/19393210.2022.2146209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/28/2023]
Abstract
A non-targeted convenience survey was conducted in 2021 to estimate the range of total arsenic (As), cadmium (Cd), total mercury (Hg) and lead (Pb) concentrations in ready-to-eat baby foods. Four hundred samples were purchased both online and in brick-and-mortar retail. Samples included both organic and non-organic products, packaged in glass or plastic jars and foil or plastic pouches. Samples were analysed by acid assisted microwave digestion and ICP-MS with an emphasis on ultra-low detection limits. Limits of quantification were 2.26, 1.31, 0.72, and 3.14 µg/kg (ppb) for As, Cd, Hg and Pb, respectively. The median concentrations of As, Cd, Hg, and Pb in tested products were 2.60, 1.81, 0.09, and 1.38 µg/kg, respectively. Foods containing rice were more likely to contain arsenic. Foods with leafy greens, such as spinach and kale, were more likely to contain cadmium and foods with root vegetables had the highest concentrations of lead.
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Affiliation(s)
- Patrick J Gray
- Center for Food Safety and Applied Nutrition, United States Food and Drug Administration, College Park, Md, USA
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Olarewaju E, Obeng-Gyasi E. Cadmium, Lead, Chronic Physiological Stress and Endometrial Cancer: How Environmental Policy Can Alter the Exposure of At-Risk Women in the United States. Healthcare (Basel) 2023; 11:healthcare11091278. [PMID: 37174820 PMCID: PMC10178079 DOI: 10.3390/healthcare11091278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 04/04/2023] [Accepted: 04/27/2023] [Indexed: 05/15/2023] Open
Abstract
The health and life outcomes of individuals are intertwined with the context in which they grow and live. The totality of exposures one experiences affects health in the short term and throughout the life course. Environmental exposure to multiple contaminants can increase stress levels in individuals and neighborhoods with psychosocial stressors such as crime, drug and alcohol misuse, and violence also taking a toll on individual and neighborhood wellbeing. In addition, the availability, organization, and quality of local institutions and infrastructure all affect health in the short and long term. The role of these factors in endometrial cancer will be explored in this paper. In addition, policy implications regarding lead, chronic physiological stress, and endometrial cancer will be explored to ascertain the impact of these factors on at-risk women.
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Affiliation(s)
- Elizabeth Olarewaju
- Department of Built Environment, North Carolina A&T State University, Greensboro, NC 27411, USA
- Environmental Health and Disease Laboratory, North Carolina A&T State University, Greensboro, NC 27411, USA
| | - Emmanuel Obeng-Gyasi
- Department of Built Environment, North Carolina A&T State University, Greensboro, NC 27411, USA
- Environmental Health and Disease Laboratory, North Carolina A&T State University, Greensboro, NC 27411, USA
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Al-Saleh I, Al-Rouqi R, Alnuwaysir H, Aldhalaan H, Alismail E, Binmanee A, Hawari A, Alhazzani F, Bin Jabr M. Exposure of preterm neonates to toxic metals during their stay in the Neonatal Intensive Care Unit and its impact on neurodevelopment at 2 months of age. J Trace Elem Med Biol 2023; 78:127173. [PMID: 37060676 DOI: 10.1016/j.jtemb.2023.127173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 10/27/2022] [Accepted: 04/04/2023] [Indexed: 04/17/2023]
Abstract
BACKGROUND Premature neonates might be exposed to toxic metals during their stay in the neonatal intensive care unit (NICU), which could adversely affect neurodevelopment; however, limited evidence is available. The present study was therefore designed to assess the exposure to mercury, lead, cadmium, arsenic, and manganese of preterm neonates who received total parenteral nutrition (TPN) and/or red blood cell (RBC) transfusions during their NICU stay and the risk of neurodevelopment delay at the age of 2 months. METHODS We recruited 33 preterm neonates who required TPN during their NICU admission. Blood samples were collected for metal analysis at two different time points (admission and before discharge). Metals in the daily TPN received by preterm neonates were analyzed. Neurodevelopment was assessed using the Ages and Stages Questionnaire Edition 3 (ASQ-3). RESULTS All samples of TPN had metal contamination: 96% exceeded the critical arsenic limit (0.3 μg/kg body weight/day); daily manganese intake from TPN for preterm neonates exceeded the recommended dose (1 µg/kg body weight) as it was added intentionally to TPN solutions, raising potential safety concerns. All samples of RBC transfusions exceeded the estimated intravenous reference dose for lead (0.19 µg/kg body weight). Levels of mercury, lead and manganese in preterm neonates at discharge decreased 0.867 µg/L (95% CI, 0.76, 0.988), 0.831 (95%CI, 0.779, 0.886) and 0.847 µg/L (95% CI, 0.775, 0.926), respectively. A decrease in ASQ-3-problem solving scores was associated with higher levels of blood lead in preterm neonates taken at admission (ß = -0.405, 95%CI = -0.655, -0.014), and with plasma manganese (ß = -0.562, 95%CI = -0.995, -0.172). We also observed an association between decreased personal social domain scores with higher blood lead levels of preterm neonates before discharge (ß = -0.537, 95%CI = -0.905, -0.045). CONCLUSION Our findings provide evidence to suggest negative impacts on the neurodevelopment at 2 months of preterm infants exposed to certain metals, possibly related to TPN intake and/or blood transfusions received during their NICU stay. Preterm neonates may be exposed to levels of metals in utero.
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Affiliation(s)
- Iman Al-Saleh
- Environmental Health Program, King Faisal Specialist Hospital and Research Centre, P.O. Box: 3354, Riyadh 11211, Saudi Arabia.
| | - Reem Al-Rouqi
- Environmental Health Program, King Faisal Specialist Hospital and Research Centre, P.O. Box: 3354, Riyadh 11211, Saudi Arabia
| | - Hissah Alnuwaysir
- Environmental Health Program, King Faisal Specialist Hospital and Research Centre, P.O. Box: 3354, Riyadh 11211, Saudi Arabia
| | - Hesham Aldhalaan
- Center for Autism Research, King Faisal Specialist Hospital and Research Centre, P.O. Box: 3354, Riyadh 11211, Saudi Arabia
| | - Eiman Alismail
- Center for Autism Research, King Faisal Specialist Hospital and Research Centre, P.O. Box: 3354, Riyadh 11211, Saudi Arabia
| | - Abdulaziz Binmanee
- Neonatal Critical Care Section, Department of Pediatrics, King Faisal Specialist Hospital and Research Centre, P.O. Box: 3354, Riyadh 11211, Saudi Arabia
| | - Amal Hawari
- Neonatal Critical Care Section, Department of Pediatrics, King Faisal Specialist Hospital and Research Centre, P.O. Box: 3354, Riyadh 11211, Saudi Arabia
| | - Fahad Alhazzani
- Neonatal Critical Care Section, Department of Pediatrics, King Faisal Specialist Hospital and Research Centre, P.O. Box: 3354, Riyadh 11211, Saudi Arabia
| | - Mohammad Bin Jabr
- Neonatal Critical Care Section, Department of Pediatrics, King Faisal Specialist Hospital and Research Centre, P.O. Box: 3354, Riyadh 11211, Saudi Arabia
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de Azevedo SM, do Nascimento LS, de Oliveira Silva L, de Almeida MG, Azevedo LS, Constantino WD, Bastos WR, Pestana IA. Flood pulse as a driving force of Pb variation in four fish guilds from Puruzinho Lake (western Amazon). ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:38728-38737. [PMID: 36585592 DOI: 10.1007/s11356-022-25015-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Accepted: 12/23/2022] [Indexed: 06/17/2023]
Abstract
The Brazilian Amazon is heavily impacted by mining activities, especially by gold and cassiterite mining. Pb is a contaminant released during cassiterite extraction, and it stands out for its high toxicity. The present study aimed to evaluate the effect of flood pulse on Pb dynamics in four fish species with different feeding habits (Cichlapleiozona: carnivorous, Mylossomaduriventre: herbivorous, Prochilodus nigricans: detritivorous, and Serrasalmus rhombeus: piscivorous) over four hydrological periods in Puruzinho Lake (Brazilian Amazon), which receives water from the Madeira River. The risk assessment for daily Pb intake through the consumption of these fish by the local riverside population was also carried out. Fish species were sampled during four Amazonian hydrological periods: rising water, high water, falling water, and low water. Pb and stable isotopes (δ15N and δ13C) measurements were carried out on fish muscle. The flood pulse had the same effect on Pb concentrations of all the fish species regardless of their feeding habits, as we found a nonsignificant interaction between these variables. The Pb in fish muscle increased in the flood season (rising and high water) and decreased in the dry season (falling and low water). The Pb concentration in fish increased significantly with their trophic level (δ15N), evidencing the occurrence of biomagnification of the element along the trophic chain (R2 = 0.24). The main food source of the herbivorous fish (δ13C) was very distinct from that of the others, which had a large overlap in their values. Regarding risk assessment, the daily Pb intake through consumption of the herbivorous species during high water (17.82 ± 19.68 µg∙day-1) exceeded the limit determined by the Food and Drug Administration (FDA) of 12.5 µg∙day-1, representing a health risk to the riverside population of Puruzinho Lake.
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Affiliation(s)
- Sophia Menezes de Azevedo
- Laboratório de Ciências Ambientais, Centro de Biociências E Biotecnologia, Universidade Estadual Do Norte Fluminense Darcy Ribeiro, Av. Alberto Lamego, 2000-Parque Califórnia-CEP, Rio de Janeiro, Campos Dos Goytacazes, 28013-602, Brazil
| | - Luiza Silva do Nascimento
- Laboratório de Ciências Ambientais, Centro de Biociências E Biotecnologia, Universidade Estadual Do Norte Fluminense Darcy Ribeiro, Av. Alberto Lamego, 2000-Parque Califórnia-CEP, Rio de Janeiro, Campos Dos Goytacazes, 28013-602, Brazil
| | - Layra de Oliveira Silva
- Laboratório de Ciências Ambientais, Centro de Biociências E Biotecnologia, Universidade Estadual Do Norte Fluminense Darcy Ribeiro, Av. Alberto Lamego, 2000-Parque Califórnia-CEP, Rio de Janeiro, Campos Dos Goytacazes, 28013-602, Brazil
| | - Marcelo Gomes de Almeida
- Laboratório de Ciências Ambientais, Centro de Biociências E Biotecnologia, Universidade Estadual Do Norte Fluminense Darcy Ribeiro, Av. Alberto Lamego, 2000-Parque Califórnia-CEP, Rio de Janeiro, Campos Dos Goytacazes, 28013-602, Brazil
| | - Lucas Silva Azevedo
- Divisão de Fauna E Flora, Gerência de Licenciamento, Diretoria de Licenciamento E Outorga, Instituto Água E Terra, Street Engenheiro Rebouças, 1206-Rebouças-CEP, Curitiba, Paraná, 80215-000, Brazil
| | - Wendel Dias Constantino
- Laboratório de Ciências Ambientais, Centro de Biociências E Biotecnologia, Universidade Estadual Do Norte Fluminense Darcy Ribeiro, Av. Alberto Lamego, 2000-Parque Califórnia-CEP, Rio de Janeiro, Campos Dos Goytacazes, 28013-602, Brazil
| | - Wanderley Rodrigues Bastos
- Laboratório de Biogeoquímica Ambiental Wolfgang C. Pfeiffer, Universidade Federal de Rondônia, Av. Pres. Dutra, 2967-Olaria-CEP, Porto Velho, Rondônia, 76801-059, Brazil
| | - Inácio Abreu Pestana
- Laboratório de Ciências Ambientais, Centro de Biociências E Biotecnologia, Universidade Estadual Do Norte Fluminense Darcy Ribeiro, Av. Alberto Lamego, 2000-Parque Califórnia-CEP, Rio de Janeiro, Campos Dos Goytacazes, 28013-602, Brazil.
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12
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Chagonda S, Chitungo IJB, Musarurwa C, Nyamayaro T. Blood lead levels in children residing in a 115-year old urban settlement in Harare, Zimbabwe: a cross sectional study. BMC Pediatr 2023; 23:72. [PMID: 36765303 PMCID: PMC9912585 DOI: 10.1186/s12887-023-03886-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 02/03/2023] [Indexed: 02/12/2023] Open
Abstract
BACKGROUND Elemental lead (Pb) toxicity in children, irreversibly affects their growth and development. We assessed the prevalence of high blood Pb levels (BLL) in children living in a potentially high risk residential area and also assessed Pb levels in environmental specimens. METHODS This cross sectional study measured blood lead levels (BLL) in 86children living in Mbare, a densely populated suburb in Harare, Zimbabwe, characterised by dwellings progressively constructed from 1907 through to the 1940s, before the ban of leaded paint. Study participants of both genders were under 6 years of age. Potential risk factors of Pb poisoning were assessed. Pb levels were also assessed in soil, water and paint chip specimens from the study area. RESULTS The mean (standard deviation) BLL was 4.3 ± 0.75 g/dL. Twelve (13.95%) participants had BLL of > 5.0ug/dL. Our results showed no significant association between BLL and household income, participant behaviour/habits/activities, sources of drinking water, and the types of cookware used to prepare meals in their households. CONCLUSION Mean BLL observed in the current study were higher compared to those of children of similar age groups in the United States, suggesting that Pb contamination may be more ubiquitous in the Mbare flats area, potentially predisposing these children to impaired development.
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Affiliation(s)
- Svitsai Chagonda
- grid.13001.330000 0004 0572 0760Department of Laboratory Diagnostic and Investigative Sciences, Faculty of Medicine and Health Sciences, Chemical Pathology Unit, University of Zimbabwe, Harare, Zimbabwe
| | - Itai James Blessing Chitungo
- grid.13001.330000 0004 0572 0760Department of Laboratory Diagnostic and Investigative Sciences, Faculty of Medicine and Health Sciences, Chemical Pathology Unit, University of Zimbabwe, Harare, Zimbabwe
| | - Cuthbert Musarurwa
- Department of Biomedical Laboratory Sciences, School of Health Sciences, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
| | - Terence Nyamayaro
- grid.13001.330000 0004 0572 0760Department of Laboratory Diagnostic and Investigative Sciences, Faculty of Medicine and Health Sciences, Chemical Pathology Unit, University of Zimbabwe, Harare, Zimbabwe
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Chaikhan P, Udnan Y, Ampiah-Bonney RJ, Chaiyasith WC. Deep eutectic solvent-based electromembrane hollow fiber liquid phase microextraction for determining Pb in water and food samples. J Food Compost Anal 2023. [DOI: 10.1016/j.jfca.2023.105214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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14
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Angelon-Gaetz KA, Segule MN, Wilson M. Lead Levels in Spices From Market Basket and Home Lead Investigation Samples in North Carolina. Public Health Rep 2023; 138:91-96. [PMID: 35060792 PMCID: PMC9730183 DOI: 10.1177/00333549211066152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVES Lead investigators in North Carolina found evidence that contaminated spices may contribute to children's elevated blood lead levels. We compared lead levels in samples of spices and other consumable products by country of purchase to inform consumer safety interventions and regulations. METHODS From February 1, 2011, through October 22, 2020, North Carolina lead investigators sampled spices and other consumable products from 103 homes of children with confirmed elevated blood lead levels. In 2017, the study team purchased 50 products frequently sampled during lead investigations, as a "market basket" sample, from local stores in or near Raleigh, North Carolina. The State Laboratory of Public Health analyzed 423 product samples using mass spectrometry. We extracted environmental sample results from lead investigations from the North Carolina Electronic Lead Surveillance System. RESULTS The median market basket lead result was 0.07 mg/kg (SD = 0.17); the maximum lead result was 0.88 mg/kg. The median home lead investigation sample result was 0.26 mg/kg (SD = 489.44); the maximum lead result was 6504.00 mg/kg in turmeric purchased in India. Among all samples, products purchased in India had more than triple the median lead levels (0.71 mg/kg) of those purchased in the United States (0.19 mg/kg). CONCLUSIONS Purchasing spices in the United States is an action that consumers can take that may reduce their lead poisoning risk. Regulatory agencies should consider a lead limit of <1 mg/kg as attainable for spices sold in US stores and for ingredients of any foods that may be consumed by children.
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Affiliation(s)
- Kim A. Angelon-Gaetz
- Occupational and Environmental Epidemiology Branch, Epidemiology Section, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh, NC, USA
| | - Marjorie N. Segule
- Occupational and Environmental Epidemiology Branch, Epidemiology Section, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh, NC, USA
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Cambridge, MA, USA
| | - Molly Wilson
- Occupational and Environmental Epidemiology Branch, Epidemiology Section, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh, NC, USA
- Public Health & Biology Program, Meredith College, Raleigh, NC, USA
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15
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Egendorf SP, Li E, He E, Cheng Z, Spliethoff HM, Shayler HA, Russell-Anelli J, King T, McBride MB. Effectiveness of washing in reducing lead concentrations of lettuce grown in urban garden soils. JOURNAL OF ENVIRONMENTAL QUALITY 2022; 51:755-764. [PMID: 35512790 DOI: 10.1002/jeq2.20357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 03/29/2022] [Indexed: 06/14/2023]
Abstract
Urban gardeners contribute to sustainable cities and often take great care to limit exposure to soil contaminants like lead (Pb). Although best management practices (BMPs) like mulching to reduce soil splash can limit crop contamination, they may not eliminate all contamination for leafy greens, which trap soil particles. How effective is washing at removing Pb contamination from leafy greens when using BMPs? Are certain washing techniques more effective than others? We present results from two experiments addressing these questions. We grew lettuce (Lactuca sativa L.) in homogenized high-Pb (∼1,150 mg kg-1 ) and low-Pb (∼90 mg kg-1 ) soils in Brooklyn, NY, and Ithaca, NY. Our results show that washing can remove 75-94% of Pb from lettuce, including that remaining after the use of contamination-reducing BMPs. It was estimated that washing removed 97% of Pb deposited by splash, which is the dominant source of Pb, and removed 91% deposited by downward deposition. All washing techniques were effective at reducing Pb levels, with differences in effectiveness ranked as: commercial soak > vinegar soak > water soak (and water rinse not significantly different from vinegar or water soak). Washing crops grown in low-Pb soils is also important. Without washing, lettuce grown in low-Pb soil may still have Pb levels above the European Commission comparison value. We offer these empirical findings and recommendations in support of urban growers.
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Affiliation(s)
- Sara Perl Egendorf
- Dep. of Earth and Environmental Sciences, Brooklyn College of the City Univ. of New York, Brooklyn, NY, 11210, USA
- Dep. of Earth and Environmental Sciences, The Graduate Center of the City Univ. of New York, New York, NY, 10016, USA
- Environmental Sciences Initiative, The Advanced Science Research Center at the Graduate Center of the City Univ. of New York, New York, NY, 10031, USA
- Cornell Atkinson Center for Sustainability, Cornell Univ., Ithaca, NY, 14853, USA
| | - Emily Li
- Macaulay Honors College at Hunter College, City Univ. of New York, New York, NY, USA
| | - Elise He
- Dep. of Earth and Environmental Sciences, Brooklyn College of the City Univ. of New York, Brooklyn, NY, 11210, USA
| | - Zhongqi Cheng
- Dep. of Earth and Environmental Sciences, Brooklyn College of the City Univ. of New York, Brooklyn, NY, 11210, USA
- Dep. of Earth and Environmental Sciences, The Graduate Center of the City Univ. of New York, New York, NY, 10016, USA
| | - Henry M Spliethoff
- Center for Environmental Health, New York State Dep. of Health, Corning Tower Room 1743, Empire State Plaza, Albany, NY, 12237, USA
| | - Hannah A Shayler
- Soil and Crop Sciences Section, School of Integrative Plant Science, Cornell Univ., Ithaca, NY, 14850, USA
| | - Jonathan Russell-Anelli
- Soil and Crop Sciences Section, School of Integrative Plant Science, Cornell Univ., Ithaca, NY, 14850, USA
| | - Thomas King
- New York State Dep. of Agriculture and Markets, 6 Harriman Campus Rd., Albany, NY, 11206, USA
| | - Murray B McBride
- Soil and Crop Sciences Section, School of Integrative Plant Science, Cornell Univ., Ithaca, NY, 14850, USA
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Lead and Cadmium Bioaccumulation in Fresh Cow's Milk in an Intermediate Area of the Central Andes of Peru and Risk to Human Health. TOXICS 2022; 10:toxics10060317. [PMID: 35736925 PMCID: PMC9227626 DOI: 10.3390/toxics10060317] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Revised: 06/04/2022] [Accepted: 06/05/2022] [Indexed: 02/01/2023]
Abstract
The dairy basin of the Mantaro River located in the centre of Peru faces serious anthropogenic disturbances as it receives emissions and discharges from the metallurgical mining activity located in the headwaters of the basin and milk contaminated with lead (Pb) and cadmium (Cd) endangers the environmental and human health, especially children. To measure the concentrations of Pb and Cd in milk and the dangers of their consumption in the Peruvian population, 40 milk samples were collected and quantified by atomic absorption spectrometry. The mean concentration of Pb in milk was 15 ± 2.6 µg/kg, which represented 75% of the Maximum Limit (ML), and that of Cd was 505 ± 123 µg/kg, which exceeded the ML by more than 194 times. The estimated weekly intake of Pb for people aged 2−85 years was below the Provisional Tolerable Weekly Intake (PTWI) references, determining risk coefficients (CRD) < 1. Weekly Cd intake was much higher than the PTWIs and CRDs were between 14 and 34, indicating that consumers would experience carcinogenic health effects, with children being at higher risk than adults, therefore, milk from the area is not safe for consumption. Cd would be transferred mainly through the soil (water)-grass-milk pathway, due to its presence in irrigation water and in fertilizers that contain Cd. The main pathway for Pb entry would be air-soil (water)-milk grass, from the fine particles emitted into the air by the mining-metallurgical activity, developed approximately 90 km from the study area.
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17
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Fellows KM, Samy S, Rodriguez Y, Whittaker SG. Investigating aluminum cookpots as a source of lead exposure in Afghan refugee children resettled in the United States. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2022; 32:451-460. [PMID: 35501355 PMCID: PMC9119854 DOI: 10.1038/s41370-022-00431-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 03/11/2022] [Accepted: 03/15/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Afghan refugee children resettled in Washington State have the highest prevalence of elevated blood lead levels (BLLs) of any other refugee or immigrant population. Resettled families brought several lead-containing items with them from Afghanistan, including aluminum cookpots. OBJECTIVES To evaluate the potential contribution of lead-containing cookpots to elevated BLLs in Afghan children and determine whether safer alternative cookware is available. METHODS We screened 40 aluminum cookpots for lead content using an X-ray fluorescence (XRF) analyzer and used a leachate method to estimate the amount of lead that migrates into food. We also tested five stainless steel cookpots to determine whether they would be safer alternatives. RESULTS Many aluminum cookpots contained lead in excess of 100 parts per million (ppm), with a highest detected concentration of 66,374 ppm. Many also leached sufficient lead under simulated cooking and storage conditions to exceed recommended dietary limits. One pressure cooker leached sufficient lead to exceed the childhood limit by 650-fold. In contrast, stainless steel cookpots leached much lower levels of lead. SIGNIFICANCE Aluminum cookpots used by refugee families are likely associated with elevated BLLs in local Afghan children. However, this investigation revealed that other U.S. residents, including adults and children, are also at risk of poisoning by lead and other toxic metals from some imported aluminum cookpots. IMPACT STATEMENT Some aluminum cookware brought from Afghanistan by resettled families as well as cookpots available for purchase in the United States represent a previously unrecognized source of lead exposure.
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Affiliation(s)
- Katie M Fellows
- Hazardous Waste Management Program in King County, Seattle, WA, USA
| | - Shar Samy
- Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, USA
| | - Yoni Rodriguez
- Hazardous Waste Management Program in King County, Seattle, WA, USA
- Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, USA
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18
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Effects of Environmental Exposure to Cadmium and Lead on the Risks of Diabetes and Kidney Dysfunction. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042259. [PMID: 35206446 PMCID: PMC8871722 DOI: 10.3390/ijerph19042259] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Revised: 02/14/2022] [Accepted: 02/15/2022] [Indexed: 02/01/2023]
Abstract
Environmental exposure to cadmium (Cd) or lead (Pb) is independently associated with increased risks of type 2 diabetes, and chronic kidney disease. The aim of this study was to examine the effects of concurrent exposure to these toxic metals on the risks of diabetes and kidney functional impairment. The Cd and Pb exposure levels among study subjects were low to moderate, evident from the means for blood concentrations of Cd and Pb ([Cd]b and [Pb]b) of 0.59 µg/L and 4.67 µg/dL, respectively. Of 176 study subjects (mean age 60), 71 (40.3%) had abnormally high fasting plasma glucose levels. Based on their [Cd]b and [Pb]b, 53, 71, and 52 subjects were assigned to Cd and Pb exposure profiles 1, 2, and 3, respectively. The diagnosis of diabetes was increased by 4.2-fold in those with an exposure profile 3 (p = 0.002), and by 2.9-fold in those with the estimated glomerular filtration (eGFR) ≤ 60 mL/min/1.73 m2 (p = 0.029). The prevalence odds ratio (POR) for albuminuria was increased by 5-fold in those with plasma glucose levels above kidney threshold of 180 mg/dL (p = 0.014), and by 3.1-fold in those with low eGFR) (p = 0.050). Collectively, these findings suggest that the Cd and Pb exposure profiles equally impact kidney function and diabetes risk.
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19
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Jiang X, Zhao Y, Tang C, Appelbaum M, Rao Q. Aquatic food animals in the United States: Status quo and challenges. Compr Rev Food Sci Food Saf 2022; 21:1336-1382. [PMID: 35150203 DOI: 10.1111/1541-4337.12923] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 01/03/2022] [Accepted: 01/06/2022] [Indexed: 12/29/2022]
Abstract
This review summarizes (1) the U.S. status quo for aquatic food animal production and marketing; (2) major food safety and quality issues/concerns for aquatic food animals in the United States, including fish misbranding, finfish/shellfish allergies, pathogens, toxins and harmful residues, microplastics, and genetically engineered salmon; and (3) various U.S. regulations, guidances, and detection methods for the surveillance of fishery products. Overall, fish misbranding is the biggest challenge in the United States due to the relatively low inspection rate. In addition, due to the regulatory differences among countries, illegal animal drugs and/or pesticide residues might also be identified in imported aquatic food animals. Future regulatory and research directions could focus on further strengthening international cooperation, enhancing aquatic food animal inspection, and developing reliable, sensitive, and highly efficient detection methods.
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Affiliation(s)
- Xingyi Jiang
- Department of Nutrition and Integrative Physiology, Florida State University, Tallahassee, Florida, USA
| | - Yaqi Zhao
- Department of Nutrition and Integrative Physiology, Florida State University, Tallahassee, Florida, USA
| | - Chunya Tang
- Department of Nutrition and Integrative Physiology, Florida State University, Tallahassee, Florida, USA
| | - Megan Appelbaum
- Department of Nutrition and Integrative Physiology, Florida State University, Tallahassee, Florida, USA
| | - Qinchun Rao
- Department of Nutrition and Integrative Physiology, Florida State University, Tallahassee, Florida, USA
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20
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Parker GH, Gillie CE, Miller JV, Badger DE, Kreider ML. Human Health Risk Assessment of Arsenic, Cadmium, Lead, and Mercury Ingestion from Baby Foods. Toxicol Rep 2022; 9:238-249. [PMID: 35198407 PMCID: PMC8850323 DOI: 10.1016/j.toxrep.2022.02.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Revised: 01/28/2022] [Accepted: 02/02/2022] [Indexed: 12/07/2022] Open
Abstract
As, Cd and Pb detected in baby foods containing fruit, grain, and root vegetables. Select product HIs exceeded 1 for As and Pb using conservative assumptions. Cancer risks exceeded 10−6 and were driven by As from grain products. Analysis revealed minimal risk under most scenarios using conservative assumptions.
Recently, the U.S. House of Representatives reported on the presence of heavy metals in raw ingredients used in baby foods and in finished baby food products themselves. In light of these concerns, this study aimed to evaluate potential risks associated with the presence of heavy metals in baby food products. We analyzed 36 baby food samples representing four ingredient categories (fruit; leguminous vegetable; root vegetable; or grain) for arsenic (As), cadmium (Cd), mercury (Hg), and lead (Pb). We assessed the potential lifetime cancer and non-cancer health risks posed to infants and toddlers following daily consumption of these chemicals in each food type, based on established daily food-specific ingestion rates. Daily doses were compared against selected reference values and oral slope factors to determine non-cancer hazard indices (HIs) and lifetime cancer risks. Hazard indices indicated a potential for non-cancer risk (e.g., HIs > 1.0) under only a few exposure scenarios, including for As and Pb under selected product type and age/concentration assumptions. Increases in lifetime cancer risks for all analytes across the ingredient categories evaluated ranged from 3.75 × 10−5 to 5.54 × 10−5; cancer risks were primarily driven by As from grain products. Though a limited set of exposure scenarios indicated a potential for health risk, the exposure assumptions in this assessment were conservative, and the heavy metal concentrations we found in baby foods are similar to those observed in similar whole foods. Based on these findings and the limited scenarios under which risks were identified, this study indicates that an infant’s typical intake of baby food is unlikely to pose health risks from heavy metals above accepted tolerable risk levels under most exposure scenarios.
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Affiliation(s)
| | | | | | - Deanna E. Badger
- Department of Chemical Engineering, Carnegie Mellon University, Pittsburgh, PA, USA
| | - Marisa L. Kreider
- Cardno ChemRisk now Stantec, Pittsburgh, PA, USA
- Corresponding author at: 20 Stanwix Street, Suite 505, Pittsburgh, PA, 15222, USA.
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21
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Niemeier RT, Maier A, Reichard JF. Rapid Review of Dermal Penetration and Absorption of Inorganic Lead Compounds for Occupational Risk Assessment. Ann Work Expo Health 2021; 66:291-311. [PMID: 35051994 DOI: 10.1093/annweh/wxab097] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Revised: 09/28/2021] [Accepted: 10/18/2021] [Indexed: 11/13/2022] Open
Abstract
Lead (Pb) exposure continues to be a significant public health issue in both occupational and non-occupational settings. The vast majority of exposure and toxicological studies have focused on effects related to inhalation and gastrointestinal exposure routes. Exposure to inorganic Pb compounds through dermal absorption has been less well studied, perhaps due to the assumption that the dermal pathway is a minor contributor to aggregate exposures to Pb compounds. The aim of this rapid review was to identify and evaluate published literature on dermal exposures to support the estimation of key percutaneous absorption parameters (Kp, flux, diffusion rate) for use in occupational risk assessment. Eleven articles were identified containing information from both in vitro and in vivo systems relevant to percutaneous absorption kinetics. These articles provided 24 individual study summaries and information for seven inorganic Pb compounds. The vast majority of study summaries evaluated (n = 22, 92%) reported detectable amounts of dermal absorption of inorganic Pb. Data were identified for four Pb compounds (Pb acetate, Pb nitrate, Pb oxide, and Pb metal) that may be sufficient to use in evaluating physiologically based pharmacokinetic models. Average calculated diffusion rates for the pool of animal and human skin data ranged from 10-7 to 10-4 mg cm-2 h-1, and Kp values ranged from 10-7 to 10-5 cm h-1. Study design and documentation were highly variable, and only one of the studies identified was conducted using standard test guideline-compliant methodologies. Two studies provided quality estimates on the impacts of dermal absorption from water-insoluble Pb compounds on blood Pb levels. These two studies reported that exposures via dermal routes could elevate blood Pb by over 6 µg dl-1. This estimation could represent over 100% of 5 µg dl-1, the blood Pb associated with adverse health effects in adults. The utility of these estimates to occupational dermal exposures is limited, because the confidence in the estimates is not high. The literature, while of limited quality, overall strongly suggests inorganic Pb has the potential for dermal uptake in meaningful amounts associated with negative health outcomes based on upper bound diffusion rate estimates. Future standard test guideline-compliant studies are needed to provide high-confidence estimates of dermal uptake. Such data are needed to allow for improved evaluation of Pb exposures in an occupational risk assessment context.
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Affiliation(s)
- Richard Todd Niemeier
- Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Office of the Director, Taft Laboratory, Cincinnati, OH, USA
| | | | - John F Reichard
- College of Medicine, Department of Environmental and Public Health Sciences, University of Cincinnati, Cincinnati, OH, USA
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22
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Xiao C, Zhu L, Zhang X, Gao R, He S, Lv Z, Hu C. Elemental Impurities in Pediatric Calcium Carbonate Preparations-High Throughput Quantification and Risk Assessment. Front Chem 2021; 9:682798. [PMID: 34095087 PMCID: PMC8173443 DOI: 10.3389/fchem.2021.682798] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Accepted: 04/26/2021] [Indexed: 11/22/2022] Open
Abstract
Calcium carbonate which is extracted from the Earth in combination with other mineral impurities, is largely used in preparations for pediatric supplements. Elemental impurities in drug products pose toxicological concerns without therapeutic benefits. Thus, it is very urgent to assess the safety of chronic exposure to elements that may be present in trace amounts. In the present study, we developed high throughput ICP-MS method for the quantitative determination of 62 elemental impurities in high matric calcium carbonate samples and validated according to USP 233. Calcium carbonate preparations which state clearly used for child (including neonates, infants, toddlers and children) from 9 manufactures and two types of raw materials (light calcium carbonate and ground calcium carbonate) were investigated in terms of the content and variability of 62 elemental impurities. According to the results, ground calcium carbonate was more suitable to be used in pediatric preparations concerning elemental impurities. Parts of elemental impurities in CaCO3 preparations which are derived from the raw materials and the preparation process, may cause potential risks for children. These results indicate that it is necessary to establish a modern instrumental analysis method to evaluate and control elemental impurities in CaCO3 raw materials and preparations.
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Affiliation(s)
- Chaoqiang Xiao
- Key Laboratory of Marine Drugs, Chinese Ministry of Education, School of Medicine and Pharmacy, Ocean University of China, Qingdao, China.,Dyne High-Tech Pediatric Pharmaceutical R&D Institute, Beijing, China
| | - Li Zhu
- Key Laboratory for Quality Research and Evaluation of Chemical Drugs, National Institutes for Food and drug Control, Beijing, China
| | - Xia Zhang
- Key Laboratory for Quality Research and Evaluation of Chemical Drugs, National Institutes for Food and drug Control, Beijing, China
| | - Rumeng Gao
- Dyne High-Tech Pediatric Pharmaceutical R&D Institute, Beijing, China
| | - Shuwang He
- Dyne High-Tech Pediatric Pharmaceutical R&D Institute, Beijing, China
| | - Zhihua Lv
- Key Laboratory of Marine Drugs, Chinese Ministry of Education, School of Medicine and Pharmacy, Ocean University of China, Qingdao, China
| | - Changqin Hu
- Key Laboratory for Quality Research and Evaluation of Chemical Drugs, National Institutes for Food and drug Control, Beijing, China
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23
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White CM. Lead in Mineral or Multivitamin-Multimineral Products. Ann Pharmacother 2021; 56:339-345. [PMID: 34096339 DOI: 10.1177/10600280211023328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVE Assess the current daily interim reference level of lead and the amount contained in current mineral and multivitamin-multimineral (MVM) products. DATA SOURCES PubMed search from 1980 to May 15, 2021, limited to the English language, via the search strategy ((mineral OR multivitamin OR calcium OR iron OR magnesium OR copper OR zinc OR chromium OR selenium) AND (heavy metals OR Pb OR lead)). STUDY SELECTION AND DATA EXTRACTION Narrative review of studies assessing lead content in mineral or MVM products. DATA SYNTHESIS Products containing different calcium forms (dolomite, bone meal, natural carbonate) have historically had higher lead levels than others (refined carbonate, lactate, gluconate, acetate, sevelamer), but the gap has closed considerably since the year 2000. Although only limited assessments of magnesium and zinc supplements have been conducted, no alarming average lead amounts were found. MVM products assessed since 2007 had low median or mean lead concentrations. However, large interproduct differences exist, with many products having very little lead and some products having concerning amounts. RELEVANCE TO PATIENT CARE AND CLINICAL PRACTICE It is difficult for pharmacists and consumers to know the amount of lead in an actual product unless it is tested in an independent third-party lab. The United States Pharmacopeia and NSF International will provide a seal on the products stating that the products have a low level of lead, but even so, children could receive more lead than the Food and Drug Administration's Interim Reference Level. CONCLUSIONS The threat from lead exposure in mineral and MVM products have diminsihed considerably over time but some products can still have excessive amounts. Without third-party testing, it is difficult for clinicians and consumers to know which outlier products to avoid.
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Affiliation(s)
- C Michael White
- University of Connecticut School of Pharmacy, Storrs, CT, USA
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24
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Dubrow GA, Pawar RS, Srigley C, Fong Sam J, Talavera C, Parker CH, Noonan GO. A survey of cannabinoids and toxic elements in hemp-derived products from the United States marketplace. J Food Compost Anal 2021; 97. [PMID: 35547641 DOI: 10.1016/j.jfca.2020.103800] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The 2018 Agricultural Improvement Act removed hemp from Schedule I control, creating a market for hemp products, including cannabidiol-containing products. Due to the market's rapid growth, little is known about the presence and concentration of cannabinoids in commercial products. Herein, 11 cannabinoids were quantified using liquid chromatography with diode-array detection in a non-representative sampling of 147 products labeled as containing hemp or cannabidiol. A subset of 133 products were analyzed for toxic elements using inductively coupled plasma-mass spectrometry. Cannabinoid content ranged from < LOD - 143 mg/serving, with a median of 16.7 mg/serving. Fewer than half of products surveyed contained cannabidiol concentrations within 20 % of their label declarations. The estimated exposure to lead was below the Interim Reference Level of 12.5 μg/day Pb for women of childbearing age, and most products presented concentrations of Δ9-tetrahydrocannabinol below LOQ. These findings emphasize the need for further testing and representative investigation of the cannabidiol marketplace.
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Affiliation(s)
- Geoffrey A Dubrow
- Center for Food Safety and Applied Nutrition, United States Food and Drug Administration, 5001 Campus Drive, College Park, MD, 20740, United States
| | - Rahul S Pawar
- Center for Food Safety and Applied Nutrition, United States Food and Drug Administration, 5001 Campus Drive, College Park, MD, 20740, United States
| | - Cynthia Srigley
- Center for Food Safety and Applied Nutrition, United States Food and Drug Administration, 5001 Campus Drive, College Park, MD, 20740, United States
| | - Jennifer Fong Sam
- Center for Food Safety and Applied Nutrition, United States Food and Drug Administration, 5001 Campus Drive, College Park, MD, 20740, United States
| | - Christian Talavera
- Center for Food Safety and Applied Nutrition, United States Food and Drug Administration, 5001 Campus Drive, College Park, MD, 20740, United States
| | - Christine H Parker
- Center for Food Safety and Applied Nutrition, United States Food and Drug Administration, 5001 Campus Drive, College Park, MD, 20740, United States
| | - Gregory O Noonan
- Center for Food Safety and Applied Nutrition, United States Food and Drug Administration, 5001 Campus Drive, College Park, MD, 20740, United States
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25
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Cadmium and Lead Exposure, Nephrotoxicity, and Mortality. TOXICS 2020; 8:toxics8040086. [PMID: 33066165 PMCID: PMC7711868 DOI: 10.3390/toxics8040086] [Citation(s) in RCA: 82] [Impact Index Per Article: 20.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 10/07/2020] [Accepted: 10/11/2020] [Indexed: 12/11/2022]
Abstract
The present review aims to provide an update on health risks associated with the low-to-moderate levels of environmental cadmium (Cd) and lead (Pb) to which most populations are exposed. Epidemiological studies examining the adverse effects of coexposure to Cd and Pb have shown that Pb may enhance the nephrotoxicity of Cd and vice versa. Herein, the existing tolerable intake levels of Cd and Pb are discussed together with the conventional urinary Cd threshold limit of 5.24 μg/g creatinine. Dietary sources of Cd and Pb and the intake levels reported for average consumers in the U.S., Spain, Korea, Germany and China are summarized. The utility of urine, whole blood, plasma/serum, and erythrocytes to quantify exposure levels of Cd and Pb are discussed. Epidemiological studies that linked one of these measurements to risks of chronic kidney disease (CKD) and mortality from common ailments are reviewed. A Cd intake level of 23.2 μg/day, which is less than half the safe intake stated by the guidelines, may increase the risk of CKD by 73%, and urinary Cd levels one-tenth of the threshold limit, defined by excessive ß2-microglobulin excretion, were associated with increased risk of CKD, mortality from heart disease, cancer of any site and Alzheimer's disease. These findings indicate that the current tolerable intake of Cd and the conventional urinary Cd threshold limit do not provide adequate health protection. Any excessive Cd excretion is probably indicative of tubular injury. In light of the evolving realization of the interaction between Cd and Pb, actions to minimize environmental exposure to these toxic metals are imperative.
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26
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Al-Saleh I, Moncari L, Jomaa A, Elkhatib R, Al-Rouqi R, Eltabache C, Al-Rajudi T, Alnuwaysir H, Nester M, Aldhalaan H. Effects of early and recent mercury and lead exposure on the neurodevelopment of children with elevated mercury and/or developmental delays during lactation: A follow-up study. Int J Hyg Environ Health 2020; 230:113629. [PMID: 32956901 DOI: 10.1016/j.ijheh.2020.113629] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 09/09/2020] [Accepted: 09/10/2020] [Indexed: 02/07/2023]
Abstract
This follow-up study of 82 children investigated the potential impact of early and recent exposure to mercury and lead on their neurodevelopmental performance at 5-8 years of age (2017-2018). Early exposure of these children to mercury, methylmercury, and lead was assessed during lactation at 3-12 months old, as well as their mother's exposure using measurements from a cross-sectional study (2011-2013). Only infants who failed to pass the neurodevelopment screening tools and/or had elevated mercury were included in this study. Urine and hair were sampled during the follow-up study to assess the children's recent exposure to mercury, methylmercury, and lead. Their cognitive performance and visual-motor integration were also measured using the Test of Non-Verbal Intelligence (TONI) and the Beery-Visual-Motor Integration (Beery VMI), respectively. The association between alterations in urinary porphyrins excretion and exposure to metals was analyzed and their influence on the children's neurodevelopment was explored. Linear regression models revealed a significant negative association between the infants' mercury exposure during lactation and the TONI Quotient (β = -0.298, 95%CI = -4.677, -0.414) and Beery VMI Age Equivalent scores at age 5-8 (β = -0.437, 95%CI = -6.383, -1.844). The mothers' blood methylmercury was inversely and significantly associated with their children's TONI Quotient (β = -0.231, 95%CI = -8.184, -0.331). In contrast, the children's Beery VMI Age Equivalent scores were positively and significantly associated with the hair methylmercury of the mothers (β = 0.214, 95%CI = 0.088, 3.899) and their infants (β = 0.256, 95%CI = 0.396, 4.488). These relationships suggest the presence of negative confounding that we did not take into account. Unlike mercury, there was some evidence that lead in breast milk had an inverse relationship with the children's visual-motor coordination skills. Our study did not show a clear association between children's recent exposure to metals and neurodevelopment. However, a significant inverse association was observed between the TONI Quotient and the interaction of hair methylmercury × ∑porphyrins (ß = -0.224, 95%CI = -0.86, -0.049), implying that porphyrins are a sensitive measure of low body-mercury burden. Although lead induced higher ∑porphyrins excretion in urine (β = 0.347, 95%CI = 0.107, 0.525), their interaction did not influence children's neurodevelopmental scores. The interactions between metals and porphyrins might provide insights into their potential contributory role in the pathogenesis associated with neurological disorders or other diseases. Despite the small sample size of the present study, its findings about the association between toxic metal exposure and the high risk of poor neurodevelopmental performance are worrying, particularly at an early age, and additional research is needed using larger sample sizes.
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Affiliation(s)
| | | | - Ahmed Jomaa
- Center for Autism Research, King Faisal Specialist Hospital and Research Centre, P.O. Box: 3354, Riyadh, 11211, Saudi Arabia
| | | | | | | | | | | | | | - Hesham Aldhalaan
- Center for Autism Research, King Faisal Specialist Hospital and Research Centre, P.O. Box: 3354, Riyadh, 11211, Saudi Arabia
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