Assessment of strontium and calcium levels in Pakistani diet

Exposure to heavy metal contamination and probabilistic health risk assessment using Monte Carlo simulation: a study in the Southeast Iran

The rice contamination to heavy metals and its associated health risks have been less addressed in the southeast of Iran. In the present study, in the mentioned region, we assessed the concentration of nine elements in rice, and the health risk related to the measured elements was determined using the data which were gathered by a questionnaire. For this purpose, 36 samples of the 12 most widely consumed rice brands were collected. Using ICP-MS, the concentrations of Ni, Cr, Hg, Sr, Mn, Fe, Se, Ba, and Zn were measured in the studied samples as 0.599 ± 0.124, 0.483 ± 0.28, 0.0157 ± 0.005, 0.85 ± 1.307, 11.5 ± 1.97, 178.46 ± 67.27, 0.212 ± 0.083, 0.845 ± 0.62, and 8.416 ± 1.611 mg/kg, respectively. We found that, regarding the other studies, the levels of Ni, Cr, Hg, Fe, and Ba were higher. Besides, using 258 distributed questionnaires among citizens, the daily rice consumption was determined to be 295.66 ± 171.005 g/person/ day. Based on this consumption rate and Monto Carlo uncertainty simulation, Fe (0.741 ± 0.54 mg/kg/day) and Se (8.95E-04 ± 6.33E-04 mg/kg/day) showed the highest and lowest daily intake, respectively. Also, using Hazard Quotient (HQ), the non-carcinogenic risk effects of the surveyed elements were estimated. The obtained results of HQ revealed that Fe (2.48) and Mn (1.06) could pose non-carcinogenic health risks to consumers. Moreover, the calculated hazard Index showed that the overall health risk of the surveyed elements is in an unsafe range.

Maternal nutritional status during pregnancy and surma use determine cord lead levels in Karachi, Pakistan

OBJECTIVES

To estimate the umbilical cord blood lead levels (BLLs) of Pakistani neonates and to identify determinants for umbilical BLLs.

METHODS

We conducted a cross-sectional study of mothers and infants at one of the two obstetric units of two tertiary care hospitals in Karachi during January-August 2005. Information from 540 mothers selected randomly from those registered for delivery was obtained about their pregnancy, diet, and current and past lead exposures. We collected umbilical cord blood for lead levels analyzed using graphite furnace atomic absorption spectrophotometry. We computed geometric and arithmetic means. We performed multiple linear regression analysis to identify factors associated with log-transformed umbilical cord BLLs. We also performed logistic regression analysis to identify determinants of high lead cord BLLs (10 microg/dl).

RESULTS

The geometric mean cord BLL of the neonates was 9.6 microg/dl; arithmetic mean (S.D.) was 10.8 microg/dl (5.7) with a median of 9.7 microg/dl and a range of 1.8-48.9 microg/dl. Women who reported intake of less than 58.5mg of elemental iron supplement per day during pregnancy had cord BLL of 10.0 microg/dl; in comparison those women who had higher iron intake had lower cord BLL (8.4 microg/dl). Those who used surma (an eye cosmetic) daily had higher cord BLL (11.5 microg/dl) as compared to those who used it less frequently (9.4 microg/dl). In multivariable linear regression model, higher iron intake, owning a car, and being in 2nd quartile of mid-arm circumference were associated with low lead levels while father's occupation in lead-based industry was associated with significantly higher umbilical cord BLLs. There was interaction of daily surma use and ethnicity. Geometric mean BLLs were varied among surma users by ethnicity.

CONCLUSIONS

Umbilical cord BLLs are high in Karachi, Pakistan, in comparison to those in developed countries such as United States. Measures are needed to reduce fetal lead exposure to prevent adverse affect on neurocognitive development. Association of low iron (below RDA of 60 mg per day) with high umbilical cord has implications for strengthening iron supplement intake during pregnancy. Umbilical cord BLLs differed among surma users by ethnicity.