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Odubo TC, Izah SC. Safety Considerations of Trace Metals in Locally Produced Nutritive Food-Drinks Consumed in Yenagoa Metropolis, Nigeria. Biol Trace Elem Res 2025; 203:4408-4419. [PMID: 39729242 DOI: 10.1007/s12011-024-04488-8] [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: 09/14/2024] [Accepted: 12/08/2024] [Indexed: 12/28/2024]
Abstract
This study assessed the safety of trace metal concentrations in locally produced nutritive food-drinks consumed in Yenagoa metropolis, Bayelsa State, Nigeria. Three different drink types (viz, tiger nut juice, a mixture of tiger nut and soya bean juice and soya bean juice) were purchased from various locations in Yenagoa metropolis, Bayelsa State, Nigeria, between January and February 2024. Thirty samples were analyzed for trace metals using atomic absorption spectrophotometry. Detected metal concentrations ranged from 0.077 to 0.458 mg/L for iron, 0.159 to 1.251 mg/L for copper, 0.000 to 0.070 mg/L for zinc, 0.000 to 0.080 mg/L for cadmium, and 0.000 to 0.068 mg/L for manganese. Three (zinc, manganese, and copper) of the five detected metals had concentrations below the World Health Organization (WHO) and/or Standard Organization of Nigeria (SON) permissible limits using drinking water guidelines. Pearson correlation analysis indicated diverse metal sources, while principal component analysis (PCA) revealed significant variance driven by essential and trace metals. At the same time, crucial metals like zinc and iron dominate, and the presence of cadmium raises health concerns. The results suggest that while iron, zinc, and manganese generally pose minimal health risks, elevated copper and cadmium levels present potential non-carcinogenic risks in some samples. Hazard Index (HI) values (0.673-5.349) highlight the need for regulatory attention due to the cumulative effects of multiple trace metals. Although the calculated cancer risk (CR) values suggest no significant carcinogenic threat, continuous monitoring and mitigation are crucial, particularly for vulnerable populations who may experience prolonged exposure.
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Affiliation(s)
| | - Sylvester Chibueze Izah
- Department of Microbiology, Faculty of Science, Bayelsa Medical University, Yenagoa, Bayelsa State, Nigeria.
- Department of Community Medicine, Faculty of Clinical Sciences, Bayelsa Medical University, Yenagoa, Bayelsa State, Nigeria.
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Tasnim F, Hasan M, Sakib MN, Zahid A, Rahman M, Islam MS, Muktadir MG. An assessment of the spatial and temporal distribution of nitrate and trace element concentrations in groundwater in coastal districts of Bangladesh. THE SCIENCE OF THE TOTAL ENVIRONMENT 2025; 970:178988. [PMID: 40054241 DOI: 10.1016/j.scitotenv.2025.178988] [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: 09/27/2024] [Revised: 02/07/2025] [Accepted: 02/24/2025] [Indexed: 03/17/2025]
Abstract
Groundwater is considered a significant source of drinking water around the world. However, the naturally occurring trace elements, mostly As, B, Fe, Mn, Cu, and Zn are proven to deteriorate the groundwater quality. This study aimed to evaluate the seasonal distribution of trace metals and NO3- in groundwater and the associated risk to human health in the coastal region of Bangladesh. The result indicated that As exceeded the WHO and BDWS limits during wet and dry seasons in several coastal districts. Despite the abundant presence of Fe throughout the entire study area, it does not present any significant health risk. But alarming conditions of Mn have been observed all over the coastal area in both seasons. Aquifers with shallow depths showed to be more contaminated than deeper ones. The spatial distribution maps showed that NO3- and Cr were found in high concentration in some similar areas during the dry season. The studied elements showed a pattern in exceeding of WHO permissible limits such as Fe > Mn > As > Cr > NO3- in wet season and Mn > Fe > As > Cr > NO3- in dry season. Therefore, high non-carcinogenic and carcinogenic risk was found among adult and children population via oral exposure. Most of the samples showed cancer risk at medium to very high. The principal component analysis observed the pollution sources, revealing that groundwater contamination in this region was mostly due to geogenic sources. This study clearly showed that the groundwater in coastal districts is heavily contaminated, which is a concerning issue. The aforementioned findings have given some clarity on the coastal region's groundwater quality state, which can be beneficial in formulating a plan safe water supply.
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Affiliation(s)
- Fairose Tasnim
- Department of Environmental Science, Bangladesh University of Professionals (BUP), Dhaka 1216, Bangladesh
| | - Mahmudul Hasan
- Department of Oceanography, University of Dhaka, Dhaka 1000, Bangladesh
| | - Md Nazmus Sakib
- Directorate of Ground Water Hydrology, Bangladesh Water Development Board (BWDB), Dhaka 1205, Bangladesh
| | - Anwar Zahid
- Directorate of Ground Water Hydrology, Bangladesh Water Development Board (BWDB), Dhaka 1205, Bangladesh
| | - Mahfujur Rahman
- Department of Geology, University of Dhaka, Dhaka 1000, Bangladesh
| | - Md Saiful Islam
- Department of Soil Science, Patuakhali Science and Technology University, Patuakhali 8602, Bangladesh
| | - Md Golam Muktadir
- Department of Environmental Science, Bangladesh University of Professionals (BUP), Dhaka 1216, Bangladesh.
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Guo X, Ji X, Liu Z, Feng Z, Zhang Z, Du S, Li X, Ma J, Sun Z. Complex impact of metals on the fate of disinfection by-products in drinking water pipelines: A systematic review. WATER RESEARCH 2024; 261:121991. [PMID: 38941679 DOI: 10.1016/j.watres.2024.121991] [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: 04/16/2024] [Revised: 06/14/2024] [Accepted: 06/21/2024] [Indexed: 06/30/2024]
Abstract
Metals in the drinking water distribution system (DWDS) play an important role on the fate of disinfection by-products (DBPs). They can increase the formation of DBPs through several mechanisms, such as enhancing the proportion of reactive halogen species (RHS), catalysing the reaction between natural organic matter (NOM) and RHS through complexation, or by increasing the conversion of NOM into DBP precursors. This review comprehensively summarizes these complex processes, focusing on the most important metals (copper, iron, manganese) in DWDS and their impact on various DBPs. It organizes the dispersed 'metals-DBPs' experimental results into an easily accessible content structure and presents their underlying common or unique mechanisms. Furthermore, the practically valuable application directions of these research findings were analysed, including the toxicity changes of DBPs in DWDS under the influence of metals and the potential enhancement of generalization in DBP model research by the introduction of metals. Overall, this review revealed that the metal environment within DWDS is a crucial factor influencing DBP levels in tap water.
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Affiliation(s)
- Xinming Guo
- State Key Laboratory of Urban Water Resource and Environment, Harbin Institute of Technology, Harbin 150096, China
| | - Xiaoyue Ji
- State Key Laboratory of Urban Water Resource and Environment, Harbin Institute of Technology, Harbin 150096, China
| | - Zihan Liu
- State Key Laboratory of Urban Water Resource and Environment, Harbin Institute of Technology, Harbin 150096, China
| | - Zhuoran Feng
- State Key Laboratory of Urban Water Resource and Environment, Harbin Institute of Technology, Harbin 150096, China
| | - ZiFeng Zhang
- International Joint Research Center for Persistent Toxic Substances (IJRC-PTS), State Key Laboratory of Urban Water Resource and Environment, Harbin Institute of Technology, Harbin 150090, China
| | - Shuang Du
- Institute of NBC Defense. PLA Army, P.O.Box1048, Beijing 102205 China
| | - Xueyan Li
- Suzhou University Science & Technology, School of Environmental Science & Engineering, Suzhou 215009, China
| | - Jun Ma
- State Key Laboratory of Urban Water Resource and Environment, Harbin Institute of Technology, Harbin 150096, China
| | - Zhiqiang Sun
- State Key Laboratory of Urban Water Resource and Environment, Harbin Institute of Technology, Harbin 150096, China.
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Friedman A, Boselli E, Ogneva-Himmelberger Y, Heiger-Bernays W, Brochu P, Burgess M, Schildroth S, Denehy A, Downs T, Papautsky I, Clauss Henn B. Manganese in residential drinking water from a community-initiated case study in Massachusetts. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2024; 34:58-67. [PMID: 37301899 PMCID: PMC10727146 DOI: 10.1038/s41370-023-00563-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 06/01/2023] [Accepted: 06/01/2023] [Indexed: 06/12/2023]
Abstract
BACKGROUND Manganese (Mn) is a metal commonly found in drinking water, but the level that is safe for consumption is unknown. In the United States (U.S.), Mn is not regulated in drinking water and data on water Mn concentrations are temporally and spatially sparse. OBJECTIVE Examine temporal and spatial variability of Mn concentrations in repeated tap water samples in a case study of Holliston, Massachusetts (MA), U.S., where drinking water is pumped from shallow aquifers that are vulnerable to Mn contamination. METHODS We collected 79 residential tap water samples from 21 households between September 2018 and December 2019. Mn concentrations were measured using inductively coupled plasma mass spectrometry. We calculated descriptive statistics and percent of samples exceeding aesthetic (secondary maximum containment level; SMCL) and lifetime health advisory (LHA) guidelines of 50 µg/L and 300 µg/L, respectively. We compared these concentrations to concurrent and historic water Mn concentrations from publicly available data across MA. RESULTS The median Mn concentration in Holliston residential tap water was 2.3 µg/L and levels were highly variable (range: 0.03-5,301.8 µg/L). Mn concentrations exceeded the SMCL and LHA in 14% and 12% of samples, respectively. Based on publicly available data across MA from 1994-2022, median Mn concentration was 17.0 µg/L (N = 37,210; range: 1-159,000 µg/L). On average 40% of samples each year exceeded the SMCL and 9% exceeded the LHA. Samples from publicly available data were not evenly distributed between MA towns or across sampling years. IMPACT STATEMENT This study is one of the first to examine Mn concentrations in drinking water both spatially and temporally in the U.S. Findings suggest that concentrations of Mn in drinking water frequently exceed current guidelines and occur at concentrations shown to be associated with adverse health outcomes, especially for vulnerable and susceptible subpopulations like children. Future studies that comprehensively examine exposure to Mn in drinking water and its associations with children's health are needed to protect public health.
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Affiliation(s)
- Alexa Friedman
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA.
| | - Elena Boselli
- Department of Biomedical Engineering, University of Illinois Chicago, Chicago, IL, USA
| | - Yelena Ogneva-Himmelberger
- Department of International Development, Community, and Environment, Clark University, Worcester, MA, USA
| | - Wendy Heiger-Bernays
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA
| | - Paige Brochu
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA
| | - Mayah Burgess
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA
| | - Samantha Schildroth
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA
| | | | - Timothy Downs
- Department of International Development, Community, and Environment, Clark University, Worcester, MA, USA
| | - Ian Papautsky
- Department of Biomedical Engineering, University of Illinois Chicago, Chicago, IL, USA
| | - Birgit Clauss Henn
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA
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Cheng H, Villahoz BF, Ponzio RD, Aschner M, Chen P. Signaling Pathways Involved in Manganese-Induced Neurotoxicity. Cells 2023; 12:2842. [PMID: 38132161 PMCID: PMC10742340 DOI: 10.3390/cells12242842] [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] [Received: 11/01/2023] [Revised: 12/07/2023] [Accepted: 12/08/2023] [Indexed: 12/23/2023] Open
Abstract
Manganese (Mn) is an essential trace element, but insufficient or excessive bodily amounts can induce neurotoxicity. Mn can directly increase neuronal insulin and activate insulin-like growth factor (IGF) receptors. As an important cofactor, Mn regulates signaling pathways involved in various enzymes. The IGF signaling pathway plays a protective role in the neurotoxicity of Mn, reducing apoptosis in neurons and motor deficits by regulating its downstream protein kinase B (Akt), mitogen-activated protein kinase (MAPK), and mammalian target of rapamycin (mTOR). In recent years, some new mechanisms related to neuroinflammation have been shown to also play an important role in Mn-induced neurotoxicity. For example, DNA-sensing receptor cyclic GMP-AMP synthase (cCAS) and its downstream signal efficient interferon gene stimulator (STING), NOD-like receptor family pyrin domain containing 3(NLRP3)-pro-caspase1, cleaves to the active form capase1 (CASP1), nuclear factor κB (NF-κB), sirtuin (SIRT), and Janus kinase (JAK) and signal transducers and activators of the transcription (STAT) signaling pathway. Moreover, autophagy, as an important downstream protein degradation pathway, determines the fate of neurons and is regulated by these upstream signals. Interestingly, the role of autophagy in Mn-induced neurotoxicity is bidirectional. This review summarizes the molecular signaling pathways of Mn-induced neurotoxicity, providing insight for further understanding of the mechanisms of Mn.
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Affiliation(s)
| | | | | | | | - Pan Chen
- Department of Molecular Pharmacology, Albert Einstein College of Medicine, Bronx, NY 10461, USA; (H.C.); (B.F.V.); (R.D.P.); (M.A.)
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Lermi A, Sunkari ED. Pollution and probabilistic human health risk assessment of potentially toxic elements in the soil-water-plant system in the Bolkar mining district, Niğde, south-central Turkey. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:25080-25092. [PMID: 34291409 DOI: 10.1007/s11356-021-15398-w] [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: 04/22/2021] [Accepted: 07/07/2021] [Indexed: 06/13/2023]
Abstract
Globally, potentially toxic elements (PTEs) are regarded as an important group of pollutants for the wider environment because of their intrinsic toxicity and probable accumulation in the soil-water-plant system. In this regard, this study assessed the pollution levels and probable human health risks of PTEs in the soil-water-plant system in the Bolkar mining district of the Niğde Province in south-central Turkey. Pollution assessment using contamination factor, enrichment factor, index of geoaccumulation, and soil pollution index reveals moderate to extremely high pollution of PTEs in the soil, exposing the soils to extreme toxicity levels. The areas that fall under the toxic to extremely toxic categories are in proximity to the ore slags and agricultural lands towards the central and southern domains of the study area. The water hazard index (WHI) values indicate that 100% of the samples collected in both winter and fall seasons are of extreme toxicity (WHI > 15). Arsenic is the dominant contaminant among the PTEs in the soil and water samples. The bioconcentration factor values of the PTEs in most of the fruit plants are > 1, indicating very high levels of element transfer from the soil and water to the plants. The probabilistic human health risk assessment involved exposure to arsenic in groundwater (a major pathway to humans) since it is the only carcinogenic element in this study. The estimated daily intake of arsenic-contaminated water exceeds the safe limit of 5 × 10-8 mg/kg/day. About 33.3% and 55.6% of the groundwater samples have higher hazard quotient and carcinogenic risk values of arsenic in the winter and fall seasons, respectively. This implies that the people are more exposed to the carcinogenic effects of drinking arsenic-contaminated water.
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Affiliation(s)
- Abdurrahman Lermi
- Department of Geological Engineering, Niğde Ömer Halisdemir University, Main Campus, 51240, Niğde, Turkey.
| | - Emmanuel Daanoba Sunkari
- Department of Geological Engineering, Niğde Ömer Halisdemir University, Main Campus, 51240, Niğde, Turkey
- Department of Geological Engineering, Faculty of Mineral Resources Technology, University of Mines and Technology, P.O. Box 237, Tarkwa, Ghana
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Insights into Bacterial Communities and Diversity of Mangrove Forest Soils along the Upper Gulf of Thailand in Response to Environmental Factors. BIOLOGY 2022; 11:biology11121787. [PMID: 36552296 PMCID: PMC9775068 DOI: 10.3390/biology11121787] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 11/29/2022] [Accepted: 11/30/2022] [Indexed: 12/13/2022]
Abstract
The comprehensive data for the dynamic adaptation of bacterial community structure in response to environmental factors is important for the maintenance of the mangrove ecosystem. This aspect was investigated with soils and surface water from six mangrove forests in six provinces along the Upper Gulf of Thailand shoreline. Mangrove soils were variable with respect to pH (acidic to slightly alkaline) and had low amounts of organic matter (OM). Illumina next-generation sequencing attested that the number of observed species as well as the bacterial diversity and richness among all sites were not significantly different. The gamma-, alpha-Proteobacteria, Desulfobacteria, Bacteroidia, Anaerolineae, Bathyarchaeia, Acidobacteriae, Nitrososphaeria, Clostridia, and Thermoplasmata were more abundant bacterial classes present in all sites. Soil OM was the major factor that mostly modulated the bacterial community structure, while salinity influenced the number of observed species and bacterial richness. These results provide informative data on the bacterial community, in response to both environmental factors and heavy metal pollutants, that is prominent for sustainable development and management of mangrove forests.
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Wang Y, Rume T, Islam SMDU, Fan W, Wu J, Li X. Water Quality Criteria and Ecological Risk Assessment of Typical Transition Metals in South Asia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16125. [PMID: 36498198 PMCID: PMC9739192 DOI: 10.3390/ijerph192316125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 11/29/2022] [Accepted: 11/30/2022] [Indexed: 06/17/2023]
Abstract
Transition metal pollution in rivers in South Asia is more serious than in other regions because of the lack of adequate freshwater management measures. Water quality criteria (WQC) for South Asia is urgently needed to protect regional aquatic environments because of the occurrence of transboundary rivers. The present study established non-parametric kernel density estimation species sensitivity distribution (NPKDE-SSD) models and then derived the acceptable hazardous concentration for protection of 95% of all aquatic species (HC5) and WQC of six typical transition metals in South Asia. The results showed that the order of acute and chronic WQC was Mn > Fe > Cd > Zn > Cu > Hg and Cu > Fe > Cd, respectively. A risk assessment of these metals in the Indus River, the Ganges River, the Brahmaputra River, the Meghna River, and the Bagmati River was also carried out. Based on the results, these major rivers in South Asia were highly polluted with transition metals, with significant ecological risks for a large number of aquatic species. This study can contribute to a better understanding of ecological risks in South Asia and provide a scientific basis for the updating of water quality standards and the increase in overall water quality.
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Affiliation(s)
- Ying Wang
- School of Space and Environment, Beihang University, Beijing 100191, China
| | - Tanjena Rume
- School of Space and Environment, Beihang University, Beijing 100191, China
| | - S. M. Didar-Ul Islam
- School of Civil Engineering and Geosciences, Newcastle University, Newcastle upon Tyne NE1 7RU, UK
| | - Wenhong Fan
- School of Space and Environment, Beihang University, Beijing 100191, China
- Beijing Advanced Innovation Center for Big Data-Based Precision Medicine, Beihang University, Beijing 100191, China
| | - Jiangyue Wu
- National Marine Hazard Mitigation Service, Ministry of Natural Resource of the People’s Republic of China, Beijing 100194, China
| | - Xiaomin Li
- School of Space and Environment, Beihang University, Beijing 100191, China
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Haldar K, Kujawa-Roeleveld K, Hofstra N, Datta DK, Rijnaarts H. Microbial contamination in surface water and potential health risks for peri-urban farmers of the Bengal delta. Int J Hyg Environ Health 2022; 244:114002. [PMID: 35759864 DOI: 10.1016/j.ijheh.2022.114002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2022] [Revised: 06/08/2022] [Accepted: 06/11/2022] [Indexed: 11/18/2022]
Abstract
Ensuring safe irrigation practices is vital to sustaining food production in water-scarce delta areas. Bangladesh and many other developing countries discharge untreated wastewater into their surrounding surface water bodies, serving as the primary irrigation source. This indirect irrigation of wastewater is believed to pose threats to the farmers, consumers and market vendors and may also affect crop and soil quality. To assess the risk, peri-urban farmers who use surrounding water bodies of Khulna city, Bangladesh, for crop irrigation were selected for the study. The microbial and heavy metal concentrations were measured in water samples collected from various locations over different seasons. For heavy metals As, Co, Ni, Cd, Cr, Cu and Pb, concentrations were below the detection limit, whereas Al, Fe, Mn, Ti and Zn were present but below the FAO recommendation limit for safe irrigation. The mean concentrations of microbial parameters were above the thresholds of WHO guidelines for crop irrigation intended for human consumption. Significant temporal variations in Faecal Coliform, E. coli and Enterococcus concentrations in the water samples were observed. The annual risk of infection for farmers was determined using the screening-level Quantitative Microbial Risk Assessment (QMRA). The results indicated that the annual probability of infection with pathogenic E. coli in different seasons ranges between 5 × 10-3 to 5 × 10-2, above the WHO's acceptable threshold for annual risk of infection for safe water reuse in agriculture. During the farmers' survey, around 45% reported health-related issues and more than 26% reported suffering from water-borne diseases after getting in contact with polluted surface water. This illustrates the actuality of the risks in practice. To ensure safe irrigation, the health risks need to be reduced below the acceptable limits. Suggested technical measures include adequate treatment of wastewater before disposal into rivers and access to protective equipment for farmers. This should be complemented by raising awareness through education programs among farmers to reduce accidental ingestion.
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Affiliation(s)
- Kamonashish Haldar
- Environmental Technology, Wageningen University and Research, P.O. Box 17, 6700AA, Wageningen, the Netherlands.
| | - Katarzyna Kujawa-Roeleveld
- Environmental Technology, Wageningen University and Research, P.O. Box 17, 6700AA, Wageningen, the Netherlands
| | - Nynke Hofstra
- Water Systems and Global Change, Wageningen University and Research, P.O. Box 47, 6700AA, Wageningen, the Netherlands
| | - Dilip Kumar Datta
- Environmental Science Discipline, Khulna University, Khulna, 9208, Bangladesh
| | - Huub Rijnaarts
- Environmental Technology, Wageningen University and Research, P.O. Box 17, 6700AA, Wageningen, the Netherlands
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Liu X, Shen H, Chen M, Shao J. Clinical relevance of environmental manganese exposure with liver stiffness and steatosis detected by transient elastography in adults. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:16624-16632. [PMID: 34651275 DOI: 10.1007/s11356-021-17012-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 10/08/2021] [Indexed: 06/13/2023]
Abstract
Global manganese pollution to air and water is a significant threat to human health. The associations between manganese and liver stiffness and steatosis have not been reported in epidemiological studies. This study aimed to explore the clinical relevance of blood manganese with liver stiffness and steatosis in adults from the 2017-2018 National Health and Nutrition Examination Survey (N = 4,192). Subjects with excessive alcohol consumption and hepatitis B or C infection were excluded. Liver stiffness and steatosis were detected by transient elastography. Logistic regression and restricted cubic splines were adopted to explore the non-linear dose-response relationships. In multivariate analysis, while higher blood manganese concentrations were not associated with liver stiffness in the total sample and in males, an increased odds of significant liver fibrosis was found with higher blood manganese concentrations (tertile 3 vs. tertile 1) in females [odds ratios (95% confidence intervals): 2.34 (1.32-4.14), P trend < 0.01] and in other races [1.47 (1.05-2.05), P trend = 0.03]. Higher blood manganese concentrations were associated with liver steatosis in the total sample [1.33 (1.04-1.70), P trend = 0.03], in females [1.58 (1.02-2.44), P trend = 0.04], in other races [1.91 (1.50-2.43), P trend < 0.01], and in obese subjects [2.29 (1.13-4.65), P trend = 0.02]. Dose-response analysis showed that the departures from non-linear relationships between blood manganese concentrations and significant liver fibrosis (Pnon-linearity = 0.30) and steatosis (Pnon-linearity = 0.47) were not significant, suggesting that the observed associations were linear. In conclusion, higher blood manganese concentrations were positively associated with liver stiffness and steatosis, and the associations were mainly observed in females, in races other than Non-Hispanic White, and in obese subjects.
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Affiliation(s)
- Xiaohui Liu
- Department of Ultrasound Diagnosis, The First People's Hospital of Kunshan, Affiliated Kunshan Hospital of Jiangsu University, No.91, West Qianjin Road, Kunshan, 215300, Jiangsu, China
| | - Hong Shen
- Department of Ultrasound Diagnosis, The First People's Hospital of Kunshan, Affiliated Kunshan Hospital of Jiangsu University, No.91, West Qianjin Road, Kunshan, 215300, Jiangsu, China
| | - Mingfeng Chen
- Department of Ultrasound Diagnosis, The First People's Hospital of Kunshan, Affiliated Kunshan Hospital of Jiangsu University, No.91, West Qianjin Road, Kunshan, 215300, Jiangsu, China
| | - Jun Shao
- Department of Ultrasound Diagnosis, The First People's Hospital of Kunshan, Affiliated Kunshan Hospital of Jiangsu University, No.91, West Qianjin Road, Kunshan, 215300, Jiangsu, China.
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