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Casey EMD, Mojarrabi M, Hannan-Jones MT, Bogard JR. Measuring dietary intake in low-and middle-income countries: a systematic review of the methods and tools for estimating fish and seafood intake. Nutr Rev 2024; 82:453-466. [PMID: 37335872 PMCID: PMC10925904 DOI: 10.1093/nutrit/nuad067] [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: 06/21/2023] Open
Abstract
CONTEXT Fish and seafood consumption makes an important but often under-recognized contribution to dietary patterns and nutrition, particularly in low- and middle-income countries (LMICs). Therefore, valid, and reliable dietary assessment tools (DATs) and methods to measure seafood consumption in resource-poor settings are needed. OBJECTIVE To review the available DATs that have been used to measure fish and seafood consumption in LMICs and to assess their quality. DATA SOURCES A systematic search of the electronic databases Scopus, Embase, and Medline was conducted, identifying 1541 initial articles, of which 122 eligible full-text articles were reviewed. DATA EXTRACTION Data extraction focused on the purpose of dietary assessment, setting, target population group, DAT type, administration mode, type of fish and seafood assessed, specific measure of food intake, use of a portion-size-estimation aid, and details of validity, reliability, and pilot testing of the DATs. DATA ANALYSIS The most common DATs used were food frequency questionnaires (n = 80; 58%), of which 36 (25%) were semi-quantitative. The majority of tools (n = 107; 78%) included measurement of consumption frequency; only 41 studies (30%) measured frequency, quantity, and type of seafood consumed. Only 41 DATs (30%) solely focused on fish or seafood intake. Most DATs were interviewer administered (n = 80; 58%), 23 (16%) mentioned the use of a portion-size-estimation aid, and validity was tested for only 13% of DATs (n = 18). CONCLUSION This systematic review reveals a lack of sufficient detail in the use of standard DATs to fully capture the contribution of fish and seafood to diets in LMICs. Consequently, the need to develop or adapt existing DATs to capture frequency, quantity, and type of fish and seafood intake with consideration of cultural eating practices has been highlighted. This is essential for informing appropriate interventions to leverage the nutritional benefits of seafood consumption in LMICs. SYSTEMATIC REVIEW REGISTRATION PROSPERO registration no. CRD42021253607.
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Affiliation(s)
- Elodie M D Casey
- Queensland University of Technology, School of Exercise and Nutrition Sciences, Brisbane, Queensland, Australia
| | - Misa Mojarrabi
- Queensland University of Technology, School of Exercise and Nutrition Sciences, Brisbane, Queensland, Australia
| | - Mary T Hannan-Jones
- Queensland University of Technology, School of Exercise and Nutrition Sciences, Brisbane, Queensland, Australia
| | - Jessica R Bogard
- Commonwealth Scientific and Industrial Research Organisation (CSIRO), Agriculture and Food, Brisbane, Queensland, Australia
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de Vasconcellos ACS, Ferreira SRB, de Sousa CC, de Oliveira MW, de Oliveira Lima M, Basta PC. Health Risk Assessment Attributed to Consumption of Fish Contaminated with Mercury in the Rio Branco Basin, Roraima, Amazon, Brazil. TOXICS 2022; 10:516. [PMID: 36136481 PMCID: PMC9504189 DOI: 10.3390/toxics10090516] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 08/19/2022] [Accepted: 08/25/2022] [Indexed: 06/16/2023]
Abstract
The aim of this study was to assess the health risk attributable to the consumption of mercury-contaminated fish for the urban and non-urban populations living in the Roraima state, Amazon, Brazil. Seventy-five fish specimens distributed across twenty different species, comprising four trophic levels (i.e., herbivore, omnivore, detritivore, and carnivore), were collected at four locations in the Branco River Basin. The fish samples were sent to the Toxicology Laboratory at Evandro Chagas Institute to determine the total-Hg levels by using the cold vapor atomic system (CVAAS). The total-Hg levels ranged from 0 to 3.159 µg/g. The average concentration in non-carnivorous species (n = 32) was 0.116 µg/g, and among carnivorous fish (n = 43), it was 0.869 µg/g. The weighted average of contamination levels for all samples was 0.545 µg/g. The health risk assessment was conducted according to the methodology proposed by the World Health Organization and different scenarios of human exposure were considered, based on three levels of fish consumption (low: 50 g/day; moderate: 100 g/day and high: 200 g/day). Women of childbearing age ingest 5 to 21 times more mercury than the dose considered safe by the U.S. EPA and intake a dose from 2 to 9 times higher than the safe dose proposed by FAO/WHO. Children under 5 years of age ingest from 18 to 75 times the dose proposed by the U.S. EPA and from 8 to 32 more mercury than the limit proposed by FAO/WHO. In summary, regardless of the level of fish consumption, type of residency (urban or non-urban), and the subset of the population analyzed, anyone who consumes fish from the locations sampled is at high risk attributable to mercury ingestion, with the only exception of adult men, who consume an average of 50 g of fish per day.
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Affiliation(s)
- Ana Claudia Santiago de Vasconcellos
- Laboratory of Professional Education on Health Surveillance, Joaquim Venâncio Polytechnic School of Health, Oswaldo Cruz Foundation, Rio de Janeiro 21040-900, RJ, Brazil
| | - Sylvio Romério Briglia Ferreira
- Postgraduate Program in Natural Resources (Pronat), Federal University of Roraima, Campus Paricarana, Boa Vista 69310-000, RR, Brazil
| | | | | | - Marcelo de Oliveira Lima
- Environmental Section, Evandro Chagas Institute, Secretariat of Science, Technology and Strategic Products, Ministry of Health of Brazil, Belém 70723-040, PA, Brazil
| | - Paulo Cesar Basta
- Department of Endemic Diseases Samuel Pessoa, National School of Public Health Sergio Arouca, Oswaldo Cruz Foundation, Rio de Janeiro 21041-210, RJ, Brazil
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Mendes VA, de Carvalho DP, de Almeida R, do N Recktenvald MCN, Pedrosa OP, de Sousa-Filho IF, Dórea JG, Bastos WR. Mercury in blood, hair, and feces from subsistence fish-eating riverines of the Madeira River Basin (Western Amazon). J Trace Elem Med Biol 2021; 67:126773. [PMID: 33993005 DOI: 10.1016/j.jtemb.2021.126773] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 04/04/2021] [Accepted: 05/04/2021] [Indexed: 11/17/2022]
Abstract
BACKGROUND The Madeira River (Amazon Basin) has been impacted by activities related to artisanal and small-scale gold mining (ASGM), deforestation and burning (for timber, agriculture, and hydroelectric dam projects). All these activities contribute to environmental mercury (Hg) release and cycling into the Amazon ecosystem and thus to changing lifestyles. METHOD We assessed exposure to total and MeHg in two small riverine communities of the Madeira River (Amazon): Lago Puruzinho (LP, n = 26 families) and São Sebastião do Tapurú (SST, n = 31 families). Samples of human hair (n = 137), blood (n = 39), and feces (n = 41) were collected from adults and children (0-15 years of age). RESULTS In women of childbearing age from LP village, the mean blood total-Hg (THg) (45.54 ± 24.76 μg.L-1) and MeHg (10.79 ± 4.36 μg.L-1) concentrations were significantly (p = 0.0024; p < 0.0001, respectively) higher than in women from SST village (THg: 25.32 ± 16.75 μg.L-1; MeHg: 2.32 ± 1.56 μg.L-1) village; the trend in hair-Hg persisted but was statistically significant (p < 0.0145) only for THg (LP, 11.34 ± 5.03 μg. g-1; SST, 7.97 ± 3.51 μg. g-1). In women, the median hair:blood ratio of total Hg was 269. In children, the mean hair THg concentrations were 6.07 ± 3.60 μg. g-1 and 6.47 ± 4.16 μg. g-1 in LP and SST; thus, not significantly different (p = 0.8006). There was a significant association (p < 0.001) between hair-Hg concentrations of mothers and their respective children. The excretion of Hg in feces of women (0.52 μg. g-1 dw) was not significantly different from children (0.49 μg. g-1 dw). The only statistically significant correlation between Hg in feces and in hair was found in children, (n = 16, rs = 0.38, p = 0.005). Significant relationship was seen between the levels of THg in blood and hair of women from LP and SST. Based on hair-Hg concentrations, fish consumption rate ranged from 94.5 to 212.3 g.day-1. CONCLUSION Women and children excrete THg in feces in comparable concentrations. However, the mean fish consumption rate and blood MeHg are higher in the most remote villagers. Mother`s hair-Hg concentration is a good predictor of children's hair-Hg.
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Affiliation(s)
- Vanessa A Mendes
- Laboratório de Biogeoquímica Ambiental Wolfgang C. Pfeiffer, Fundação Universidade Federal de Rondônia, Porto Velho, Brazil; Departamento de Enfermagem, Fundação Universidade Federal de Rondônia, Brazil
| | | | - Ronaldo de Almeida
- Laboratório de Biogeoquímica Ambiental Wolfgang C. Pfeiffer, Fundação Universidade Federal de Rondônia, Porto Velho, Brazil; Departamento Acadêmico de Ciências Sociais e Ambientais, Fundação Universidade Federal de Rondônia, Guajará-Mirim, Brazil
| | | | - Olakson P Pedrosa
- Departamento de Educação Física, Instituto Federal do Estado de Rondônia, Porto Velho, Brazil
| | - Izidro F de Sousa-Filho
- Laboratório de Biogeoquímica Ambiental Wolfgang C. Pfeiffer, Fundação Universidade Federal de Rondônia, Porto Velho, Brazil
| | - José G Dórea
- Faculdade de Ciências da Saúde, Universidade de Brasília, Brazil
| | - Wanderley R Bastos
- Laboratório de Biogeoquímica Ambiental Wolfgang C. Pfeiffer, Fundação Universidade Federal de Rondônia, Porto Velho, Brazil.
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Araujo WRM, Santos IS, Menezes Filho NA, Souza MTCCD, Cunha AJLAD, Matijasevich A. Brazilian cohorts with potential for life-course studies: a scoping review. Rev Saude Publica 2020; 54:48. [PMID: 32491093 PMCID: PMC7234216 DOI: 10.11606/s1518-8787.2020054001825] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2019] [Accepted: 08/19/2019] [Indexed: 12/22/2022] Open
Abstract
OBJECTIVE To identify the Brazilian cohorts that started either in the prenatal period or at birth, to describe their characteristics and the explored variables, and to map the cohorts with potential for studies on early determinants on health and the risk of falling ill on later stages of the life cycle. METHODS A scoping review was carried out. The articles were searched in the electronic databases PubMed and Virtual Health Library (VHL). The descriptors used were [((("Child" OR "Child, Preschool" OR "Infant" OR "Infant, Newborn") AND (Cohort Studies" OR "Longitudinal Studies")) AND "Brazil")]. The inclusion criteria were Brazilian cohorts that started the baseline in the prenatal period or at birth and with at least two follow-ups with the participants. In order to meet the concept of LCE, we excluded those cohorts whose follow-ups were restricted to the first year of life, as well as those that did not address biological, behavioral and psychosocial aspects, and cohorts with data collection of a single stage of the life cycle. RESULTS The search step identified 5,010 articles. Eighteen cohorts were selected for descriptive synthesis. The median number of baseline participants was 2,000 individuals and the median age at the last follow-up was 9 years. Sample loss at the last follow-up ranged from 9.2 to 87.5%. Most cohorts monitored two phases of the life cycle (the perinatal period and childhood). The Southern region had the highest number of cohorts. The main variables collected were sociodemographic and environmental aspects of the family, morbidity aspects, nutritional practices and lifestyle. CONCLUSIONS We recommend the continuity of these cohorts, the approach to different social contexts and the performance of follow-ups with participants in different phases of the life cycle for the strengthening and expansion of life course epidemiology analyses in Brazil.
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Affiliation(s)
- Waleska Regina Machado Araujo
- Programa de Pós-Graduação em Saúde Coletiva, Universidade de São Paulo. Faculdade de Medicina, São Paulo, SP, Brasil
| | - Iná S Santos
- Programa de Pós-Graduação em Pediatria e Saúde da Criança, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brasil
| | - Naercio Aquino Menezes Filho
- Departamento de Economia., Faculdade de Economia e Administração, Universidade de São Paulo, São Paulo, SP, Brasil
| | - Maria Thereza Costa Coelho de Souza
- Departamento de Psicologia da aprendizagem, do desenvolvimento e da personalidade, Instituto de Psicologia, Universidade de São Paulo, São Paulo, SP, Brasil
| | | | - Alicia Matijasevich
- Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
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Vega CM, Orellana JDY, Oliveira MW, Hacon SS, Basta PC. Human Mercury Exposure in Yanomami Indigenous Villages from the Brazilian Amazon. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E1051. [PMID: 29789499 PMCID: PMC6028914 DOI: 10.3390/ijerph15061051] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Revised: 05/08/2018] [Accepted: 05/10/2018] [Indexed: 12/16/2022]
Abstract
In the Brazilian Amazon, where the majority of Yanomami villages are settled, mercury (Hg) exposure due to artisanal small-scale gold mining (ASGM) has been reported since the 1980s. This study assessed mercury exposure in the Yanomami reserve and whether the level of contamination was related to the ASGM geographical location. It was conducted using a cross-sectional study of 19 villages. Direct interviews were performed and hair samples were used as a bioindicator of Hg exposure. The Prevalence-Ratio (PR) was estimated as an indicator of association between ASGM geographical locations and human exposure to mercury. Mercury levels (239 hair samples) ranged between 0.4 and 22.1 μg·g-1 and presented substantial differences amongst the villages. In the Waikas-Aracaça region, where current ASGM was reported, we observed the highest Hg concentrations (median = 15.5 μg·g-1). Almost all participants presented with hair-Hg levels >6 μg·g-1 (prevalence = 92.3%). In the Paapiu region, we observed the lowest concentrations (median = 3.2 μg·g-1; prevalence = 6.7%). Our findings showed that the Waikas Ye'kuana and Waikas Aracaca villages presented with 4.4 (PR = 4.4; Confidence Interval (CI) 95% = 2.2⁻9.0) and 14.0 (PR = 14.0; CI 95% = 7.9⁻24.9) times higher prevalence of hair-Hg concentration, respectively, compared with Paapiu. Considering seasonal variation of Hg-exposure, the lowest concentrations were observed during the wet season (June⁻September) and the highest in the dry season (December⁻April). Our study suggests that there is an association between mercury exposure and ASGM geographical locations.
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Affiliation(s)
- Claudia M Vega
- Center for Amazonian Scientific Innovation, Wake Forest University, 1834 Wake Forest Road P.O. Box 7306, Winston-Salem, NC 27106, USA.
| | - Jesem D Y Orellana
- Instituto Leônidas e Maria Deane, Fundação Oswaldo Cruz, Rua Teresina, 476, Adrianópolis, Manaus CEP: 69057-070, Brazil.
| | - Marcos W Oliveira
- Instituto Socioambiental-ISA, Av. Higienópolis, 901, Higienópolis, São Paulo CEP: 01238-001, Brazil.
| | - Sandra S Hacon
- Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rua Leopoldo Bulhões, 1480, Manguinhos, Rio de Janeiro CEP: 21041-210, Brazil.
| | - Paulo C Basta
- Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rua Leopoldo Bulhões, 1480, Manguinhos, Rio de Janeiro CEP: 21041-210, Brazil.
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Hair as a Biomarker of Long Term Mercury Exposure in Brazilian Amazon: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018. [PMID: 29534534 PMCID: PMC5877045 DOI: 10.3390/ijerph15030500] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Many studies have assessed mercury (Hg) exposure in the Amazonian population. This article performs a literature search of the studies that used hair as a biomarker of Hg exposure in the Brazilian Amazonian population. The search covered the period from 1996 to 2016 and included articles which matched the following criteria: (1) articles related to Hg exposure into Brazilian Amazon; (2) articles that used hair as a biomarker of Hg exposure; (3) articles that used analytical tools to measure the Hg content on hair and (4) articles that presented arithmetic mean and/or minimum and maximum values of Hg. 36 studies were selected. The findings show that most of the studies were performed along margins of important rivers, such as Negro, Tapajós and Madeira. All the population presented mean levels of Hg on hair above 6 µg g-1 and general population, adults, not determined and men presented levels of Hg on hair above 10 µg g-1. The results show that most of the studies were performed by Brazilian institutions/researchers and the majority was performed in the State of Pará. The present study identified that Amazonian population has long-term been exposed to Hg. In terms of future perspectives, this study suggests the implementation of a strategic plan for environmental health surveillance in the region in order to promote health and benefit Amazonian population.
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Froes Asmus CIR, Camara VM, Landrigan PJ, Claudio L. A Systematic Review of Children's Environmental Health in Brazil. Ann Glob Health 2018; 82:132-48. [PMID: 27325071 DOI: 10.1016/j.aogh.2016.02.007] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
In the region of the Americas, approximately 100,000 children under the age of 5 years die each year due to environmental hazards. Brazil, due to its large size and wide range of environmental challenges, presents numerous hazards to children's health. The aim of this study was to systematically review the scientific literature that describes children's exposures to environmental pollutants in Brazil and their effects on Brazilian children's health. A systematic review of the scientific literature was performed without language restrictions and time of publication (years). The literature search was conducted in the following key resources: PubMed (MEDLINE), Scopus and Web of Science with the MeSH Terms: Environmental exposure AND Brazil (filters: Human, Child [birth to 18 years] and Affiliation Author). The Virtual Health Library was also employed to access the databases Scielo and Lilacs. The search strategy was [DeCS Terms]: Child OR adolescent AND Environmental exposure AND Brazil. Health effects in children associated with exposure to environmental pollutants in Brazil were reported in 74 studies, during the period between 1995 and 2015. The most frequently cited effect was hospital admission for respiratory causes including wheezing, asthma, and pneumonia among children living in areas with high concentrations of air pollutants. A broad spectrum of other health effects possibly linked to pollutants also was found such as prematurity, low birth weight, congenital abnormality (cryptorchidism, hypospadia, micropenis), poor performance in tests of psychomotor and mental development, and behavioral problems. Exposure to pesticides in utero and postnatally was associated with a high risk for leukemia in children <2 years old. These results show that there is a need in Brazil for stricter monitoring of pollutant emissions and for health surveillance programs especially among vulnerable populations such as pregnant women and young children.
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Affiliation(s)
- Carmen I R Froes Asmus
- Public Health Institute, School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil; Preventive Medicine Department, Icahn School of Medicine of Mount Sinai, New York, NY.
| | - Volney M Camara
- Public Health Institute, School of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Philip J Landrigan
- Preventive Medicine Department, Icahn School of Medicine of Mount Sinai, New York, NY; Arnhold Global Health Institute, Icahn School of Medicine of Mount Sinai, New York, NY
| | - Luz Claudio
- Preventive Medicine Department, Icahn School of Medicine of Mount Sinai, New York, NY
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Rangel-Méndez JA, Arcega-Cabrera FE, Fargher LF, Moo-Puc RE. Mercury levels assessment and its relationship with oxidative stress biomarkers in children from three localities in Yucatan, Mexico. THE SCIENCE OF THE TOTAL ENVIRONMENT 2016; 543:187-196. [PMID: 26580741 DOI: 10.1016/j.scitotenv.2015.10.152] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2015] [Revised: 10/26/2015] [Accepted: 10/29/2015] [Indexed: 06/05/2023]
Abstract
Mercury (Hg) is a global pollutant that is released into the environment from geologic and anthropogenic sources. Once it enters an organism, it generates several toxicity mechanisms and oxidative stress has been proposed as the main one. Metal susceptibility is greater in children, which is a result of their physiology and behavior. In Yucatan, Mexico, burning of unregulated garbage dumps and household trash, ingestion of top marine predators, and pottery manufacturing are among the conditions that could promote Hg exposure. However, for Yucatan, there are no published studies that report Hg levels and associated oxidative stress status in children. Therefore, this study aimed to assess Hg levels in blood and urine and oxidative stress biomarkers levels in a sample of 107 healthy children from three localities in Yucatan, Mexico, as well as investigate the relationship between these parameters. Hg was detected in 11 (10.28%) of blood samples and 38 (35.51%) of urine samples collected from the participating children. Fourteen subjects showed Hg above recommended levels. The oxidative stress biomarkers were slightly elevated in comparison with other studies and were statistically different between the sampling sites. No linear correlation between Hg levels and oxidative stress biomarkers was found. Nevertheless, exploratory univariate and multivariate analysis showed non-linear relations among the measured variables. Globally, the study provides, for the first time, information regarding Hg levels and their relationship with oxidative stress biomarkers in a juvenile population from Mexico's southeast (Yucatan) region. In agreement with worldwide concern about Hg, this study should stimulate studies on metal monitoring in humans (especially children) among scientists working in Mexico, the establishment of polices for its regulation, and the reduction of human health risks.
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Affiliation(s)
- Jorge A Rangel-Méndez
- Unidad de Investigación Médica Yucatán, Unidad Médica de Alta Especialidad, Centro Médico Ignacio García Téllez, Instituto Mexicano del Seguro Social, Calle 41 No. 439, Col. Industrial, Mérida, Yucatán 97150, Mexico; Unidad de Química Sisal, Facultad de Química, Universidad Nacional Autónoma de México, Puerto de Abrigo S/N, Sisal 97355, Yucatán, Mexico
| | - Flor E Arcega-Cabrera
- Unidad de Química Sisal, Facultad de Química, Universidad Nacional Autónoma de México, Puerto de Abrigo S/N, Sisal 97355, Yucatán, Mexico
| | - Lane F Fargher
- Ecología Humana, Centro de Investigación y de Estudios Avanzados del IPN-Unidad Mérida, Km 6 antigua carretera a Progreso, Mérida, Yucatán 97310, Mexico
| | - Rosa E Moo-Puc
- Unidad de Investigación Médica Yucatán, Unidad Médica de Alta Especialidad, Centro Médico Ignacio García Téllez, Instituto Mexicano del Seguro Social, Calle 41 No. 439, Col. Industrial, Mérida, Yucatán 97150, Mexico.
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Llop S, Murcia M, Aguinagalde X, Vioque J, Rebagliato M, Cases A, Iñiguez C, Lopez-Espinosa MJ, Amurrio A, Navarrete-Muñoz EM, Ballester F. Exposure to mercury among Spanish preschool children: trend from birth to age four. ENVIRONMENTAL RESEARCH 2014; 132:83-92. [PMID: 24747554 DOI: 10.1016/j.envres.2014.03.023] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2013] [Revised: 03/06/2014] [Accepted: 03/19/2014] [Indexed: 06/03/2023]
Abstract
The purpose of this study is to describe the total hair mercury concentrations and their determinants in preschool Spanish children, as well as to explore the trend in mercury exposure from birth to the age four. This evolution has been scarcely studied in other birth cohort studies. The study population was 580 four year old children participating in the INMA (i.e. Childhood and Environment) birth cohort study in Valencia (2008-2009). Total mercury concentration at age four was measured in hair samples by atomic absorption spectrometry. Fish consumption and other covariates were obtained by questionnaire. Multivariate linear regression models were conducted in order to explore the association between mercury exposure and fish consumption, socio-demographic characteristics and prenatal exposure to mercury. The geometric mean was 1.10 µg/g (95%CI: 1.02, 1.19). Nineteen percent of children had mercury concentrations above the equivalent to the Provisional Tolerable Weekly Intake proposed by WHO. Mercury concentration was associated with increasing maternal age, fish consumption and cord blood mercury levels, as well as decreasing parity. Children whose mothers worked had higher mercury levels than those with non working mothers. Swordfish, lean fish and canned fish were the fish categories most associated with hair mercury concentrations. We observed a decreasing trend in mercury concentrations between birth and age four. In conclusion, the children participating in this study had high hair mercury concentrations compared to reported studies on children from other European countries and similar to other countries with high fish consumption. The INMA study design allows the evaluation of the exposure to mercury longitudinally and enables this information to be used for biomonitoring purposes and dietary recommendations.
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Affiliation(s)
- Sabrina Llop
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region, FISABIO-Public Health, Av. Catalunya 21, 46020 Valencia, Spain; Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain.
| | - Mario Murcia
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain; Foundation for the Promotion of Health and Biomedical Research in the Valencian Region, FISABIO-Public Health, Av. Catalunya 21, 46020 Valencia, Spain
| | - Xabier Aguinagalde
- Laboratorio de Salud Pública de Alava, Santiago 11, 01002 Vitoria Gasteiz, Spain
| | - Jesus Vioque
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain; Universidad Miguel Hernandez, Avenida de Alicante KM 87, 03550 Sant Joan d´Alacant, Spain
| | - Marisa Rebagliato
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain; Medicine Department, Jaume I University, Av. Vicent Sos Baynat, s/n, 12071 Castelló de la Plana, Spain
| | - Amparo Cases
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region, FISABIO-Public Health, Av. Catalunya 21, 46020 Valencia, Spain
| | - Carmen Iñiguez
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region, FISABIO-Public Health, Av. Catalunya 21, 46020 Valencia, Spain; Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
| | - Maria-Jose Lopez-Espinosa
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region, FISABIO-Public Health, Av. Catalunya 21, 46020 Valencia, Spain; Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
| | - Ascensión Amurrio
- Laboratorio de Salud Pública de Alava, Santiago 11, 01002 Vitoria Gasteiz, Spain
| | - Eva María Navarrete-Muñoz
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain; Universidad Miguel Hernandez, Avenida de Alicante KM 87, 03550 Sant Joan d´Alacant, Spain
| | - Ferran Ballester
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region, FISABIO-Public Health, Av. Catalunya 21, 46020 Valencia, Spain; Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain; Faculty of Nursing, University of Valencia, Jaume Roig s/n, 46010 Valencia, Spain
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The risk of mercury exposure to the people consuming fish from Lake Phewa, Nepal. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2014; 11:6771-9. [PMID: 24978881 PMCID: PMC4113843 DOI: 10.3390/ijerph110706771] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/06/2014] [Revised: 05/29/2014] [Accepted: 06/06/2014] [Indexed: 12/02/2022]
Abstract
The risk of mercury exposure through consumption of fish from Lake Phewa, Nepal was investigated. A total of 170 people were surveyed to know their fish consumption levels. The weekly mercury (Hg) intake in the form of methylmercury (MeHg) through fish was calculated by using the data on average MeHg concentrations in fish, the average consumption of fish per week, and an average body weight of the people. Hotel owners were consuming significantly high amounts of fish, followed by fishermen, in comparison to the government staff, army/police, locals and others (visitors). Some individuals exceeded the Provisional Tolerable Weekly Intake (PTWI) of 1.6 µg per kg body weight of MeHg (FAO/WHO). The minimum intake of MeHg (0.05 µg/kg/week) was found in the visitors (others) category, whereas the hotel owners had the maximum intake (3.71 µg/kg/week). In general, it was found that a person of 60 kg can consume at least 2 kg of fish per week without exceeding PTWI such that it does not pose any health risk associated with Hg poisoning at the present contamination level. Hg based PTWI values for Nepal has not been proposed yet in fishery resources so as to reduce health risk of the people.
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Fonseca MDF, De Souza Hacon S, Grandjean P, Choi AL, Bastos WR. Iron status as a covariate in methylmercury-associated neurotoxicity risk. CHEMOSPHERE 2014; 100:89-96. [PMID: 24411835 DOI: 10.1016/j.chemosphere.2013.12.053] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/19/2013] [Revised: 12/16/2013] [Accepted: 12/19/2013] [Indexed: 06/03/2023]
Abstract
Intrauterine methylmercury exposure and prenatal iron deficiency negatively affect offspring's brain development. Since fish is a major source of both methylmercury and iron, occurrence of negative confounding may affect the interpretation of studies concerning cognition. We assessed relationships between methylmercury exposure and iron-status in childbearing females from a population naturally exposed to methylmercury through fish intake (Amazon). We concluded a census (refuse <20%) collecting samples from 274 healthy females (12-49 years) for hair-mercury determination and assessed iron-status through red cell tests and determination of serum ferritin and iron. Reactive C protein and thyroid hormones was used for excluding inflammation and severe thyroid dysfunctions that could affect results. We assessed the association between iron-status and hair-mercury by bivariate correlation analysis and also by different multivariate models: linear regression (to check trends); hierarchical agglomerative clustering method (groups of variables correlated with each other); and factor analysis (to examine redundancy or duplication from a set of correlated variables). Hair-mercury correlated weakly with mean corpuscular volume (r=.141; P=.020) and corpuscular hemoglobin (r=.132; .029), but not with the best biomarker of iron-status, ferritin (r=.037; P=.545). In the linear regression analysis, methylmercury exposure showed weak association with age-adjusted ferritin; age had a significant coefficient (Beta=.015; 95% CI: .003-.027; P=.016) but ferritin did not (Beta=.034; 95% CI: -.147 to .216; P=.711). In the hierarchical agglomerative clustering method, hair-mercury and iron-status showed the smallest similarities. Regarding factor analysis, iron-status and hair-mercury loaded different uncorrelated components. We concluded that iron-status and methylmercury exposure probably occur in an independent way.
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Affiliation(s)
- Márlon de Freitas Fonseca
- Instituto Fernandes Figueira, Fundação Oswaldo Cruz, Av. Rui Barbosa 716, Flamengo, Rio de Janeiro, RJ 22250-020, Brazil; Department of Environmental Health, Harvard School of Public Health, 401 Park Drive, Landmark Center Room 3-110 East, Boston, MA 02215, USA.
| | - Sandra De Souza Hacon
- Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Av. Brasil 4365, Manguinhos, Rio de Janeiro, RJ 21040-900, Brazil.
| | - Philippe Grandjean
- Department of Environmental Health, Harvard School of Public Health, 401 Park Drive, Landmark Center Room 3-110 East, Boston, MA 02215, USA; Institute of Public Health, University of Southern Denmark, J.B. Winsløws Vej 17A/2, DK-5000 Odense C, Denmark.
| | - Anna Lai Choi
- Department of Environmental Health, Harvard School of Public Health, 401 Park Drive, Landmark Center Room 3-110 East, Boston, MA 02215, USA
| | - Wanderley Rodrigues Bastos
- Laboratório de Biogeoquímica Ambiental Wolfgang Christian Pfeiffer, Universidade Federal de Rondônia, Rodovia BR 364 Km 9,5 Sentido Acre, Zona Rural, Porto Velho, RO 76801-974, Brazil.
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