Trace element intake and status of Italian subjects living in the Gubbio area

Gap analysis of nickel bioaccessibility and bioavailability in different food matrices and its impact on the nickel exposure assessment

The metal nickel is well known to cause nickel allergy in sensitive humans by prolonged dermal contact to materials releasing (high) amounts of nickel. Oral nickel exposure via water and food intake is of potential concern. Nickel is essential to plants and animals and can be naturally found in food products or contamination may occur across the agro-food chain. This gap analysis is an evaluation of nickel as a potential food safety hazard causing a risk for human health. In the first step, the available data regarding the occurrence of nickel and its contamination in food and drinks have been collected through literature review. Subsequently, a discussion is held on the potential risks associated with this contamination. Elevated nickel concentrations were mostly found in plant-based foods, e.g. legumes and nuts in which nickel of natural origin is expected. However, it was observed that dedicated and systematic screening of foodstuffs for the presence of nickel is currently still lacking. In a next step, published studies on exposure of humans to nickel via foods and drinks were critically evaluated. Not including bioaccessibility and/or bioavailability of the metal may lead to an overestimation of the exposure of the body to nickel via food and drinks. This overestimation may be problematic when the measured nickel level in foods is high and bioaccessibility and/or bioavailability of nickel in these products is low. Therefore, this paper analyzes the outcomes of the existing dietary intake and bioaccessibility/bioavailability studies conducted for nickel. Besides, the available gaps in nickel bioaccessibility and/or bioavailability studies have been clarified in this paper. The reported bioaccessibility and bioavailability percentages for different food and drinks were found to vary between <LOD and 83% and between 0 and 30% respectively. This indicates that of the total nickel contained in the foodstuffs only a fraction can be absorbed by the intestinal epithelium cells. This paper provides a unique critical overview on nickel in the human diet starting from factors affecting its occurrence in food until its absorption by the body.

Lead in duplicate diet samples from an academic community

Lead is a naturally occurring element that with the advent of the industrial era became a serious environmental and public health issue. Leaded gasoline, lead based paints, use of lead in plumbing and water pipes, ceramics with lead-containing glazes and tobacco smoke are potential sources of lead exposure for humans. Despite these multiple sources, food is still considered the most important one for the general non-smoking population. Hence, in the present study, the dietary intake of lead was determined in duplicate diet samples provided by 30 participants working or studying at University of Aveiro, Portugal. Pb was detected in all the analysed samples with values ranging between 0.009 and 0.10mgkg^-1 ww which correspond to estimated daily intakes between 0.22 and 3.5μgkg-bw^-1day^-1. Risk estimations disclose that at least 3.3% and 26.7% of the participants might suffer cardiovascular and nephrotoxic effects, respectively.

Dietary intake of metals by the young adult population of Eastern Poland: Results from a market basket study

Dietary intake of macro-, trace and toxic elements was determined among the young adult population of Eastern Poland. The study was performed in 2011-2013 and involved 583 participants living in Lublin and its province. Dietary intakes of metals were determined using a 24h dietary recall technique and a market basket method. The analytical quantification of As, Ca, Cd, Cu, Fe, K, Mg, Mn, Mo, Na, Ni, Pb, Se and Zn was performed using ICP-MS technique, whereas the content of mercury was determined using the Mercury Analyzer. Performed investigations revealed that daily dietary intakes of the majority of the study elements (macro- and trace) and toxic elements such as As, Pb or Hg are within the range of reference values. However, high consumption of Na and improper Na/K ratio combined with low intake of Mg may be harmful to the health of the population. Moreover, obtained data suggest that the risk of developing diseases among population in Eastern Poland related to high exposure to Ni and Cd absorbed from foodstuffs was high.

A pilot duplicate diet study on manganese, selenium and chromium intakes in institutionalised children and adolescents from Guatemala

Hidden hunger occurs in the presence of an otherwise nutritionally or energetically appropriate diet that is deficient in essential vitamins and minerals. Guatemala has the highest rate of child malnutrition in Latin America and the prevalence of hidden hunger is high. The aim of this study was to determine the Mn, Se and Cr dietary intakes in Guatemalan institutionalised children (4-14 years), a population group at high risk of mineral deficiency. For this purpose, the contents of Mn, Se and Cr were analysed in a duplicate diet (for 7 consecutive days) by electrothermal atomisation-atomic absorption spectrophotometry following acid digestion. Mn, Se and Cr intakes from the duplicate diets were in the range of 1·3-2·31 mg/d, 58·7-69·6 µg/d and 6·32-27·57 µg/d, respectively. Mn and Cr values were below current recommended daily intakes. A cereal- and legumes-based diet is habitually consumed by this population. Local vegetables, fruits and nutritional supplements are included daily, but the consumption of fish, meat, eggs and dairy products is very infrequent or negligible. Mean daily energy intake from the 7-d diet was 8418·2 kJ (2012 kcal), with a macronutrient energy distribution of carbohydrates 69·4 %, proteins 12·3 % and fats 18·3 %. Correlations between Mn, Se and Cr intakes and energy and other nutrient intakes were also evaluated. The present findings will help establish new nutritional strategies for this and similar population groups.

Cadmium, lead, and chromium in large game: a local-scale exposure assessment for hunters consuming meat and liver of wild boar

Heavy metals are ubiquitous in soil, water, and air. Their entrance into the food chain is an important environmental issue that entails risks to humans. Several reports indicate that game meat can be an important source of heavy metals, particularly because of the increasing consumption of game meat, mainly by hunters. We performed an exposure assessment of hunters and members of their households, both adults and children, who consumed wild boar (WB) meat and offal. We estimated the amount of cadmium, lead, and chromium in the tissues of WB hunted in six areas within Viterbo Province (Italy) and gathered data on WB meat and offal consumption by conducting specific diet surveys in the same areas. The exposure to cadmium, lead, and chromium was simulated with specifically developed Monte Carlo simulation models. Cadmium and lead levels in WB liver and meat harvested in Viterbo Province (Italy) were similar to or lower than the values reported in other studies. However, some samples contained these metals at levels greater then the EU limits set for domestic animals. The chromium content of meat or liver cannot be evaluated against any regulatory limit, but our results suggest that the amounts of this metal found in WB products may reflect a moderate environmental load. Our survey of the hunter population confirmed that their consumption of WB meat and liver was greater than that of the general Italian population. This level of consumption was comparable with other European studies. Consumption of WB products contributes significantly to cadmium and lead exposure of both adults and children. More specifically, consumption of the WB liver contributed significantly to total cadmium and lead exposure of members of the households of WB hunters. As a general rule, liver consumption should be kept to a minimum, especially for children living in these hunter households. The exposure to chromium estimated for this population of hunters may be considered to be safe. However, a specific and complete assessment of chromium speciation in relevant dietary and environmental situations should be conducted.

Dietary intake of metals by the population of Tarragona County (Catalonia, Spain): results from a duplicate diet study

The daily intakes of arsenic (As), beryllium, cadmium (Cd), cobalt, chromium, copper, mercury (Hg), manganese, nickel, lead (Pb), antimony, tin, thallium, uranium, vanadium, and zinc by an adult population living in Tarragona County (Catalonia, Spain) were determined by the duplicate diet method with a 10-day sampling period. Duplicate diet samples, prepared as per consumption, were collected during September 2010 in 20 restaurants offering a variety of daily menus (breakfast, lunch, and dinner). A total of 200 composite samples, corresponding to 600 individual samples, were prepared for trace elements analyses, which were carried out by inductively coupled plasma mass spectrometry. The results were compared with data from previous total diet studies (TDS) recently performed in the same geographical area. Notable differences in the intake of the toxic elements As, Cd, Hg, and Pb were found depending on the method used. It is concluded that both the duplicate diet method and the TDS may provide important and useful information to estimate human exposure to metals through the diet and their derived health risks. However, for comparison between surveys or for establishing temporal trends in the intake of metals, it seems to be recommendable to use always the same method. Notwithstanding, if the interest is only to know whether the intake of a certain element is below the tolerable intake, both methods are useful.

Assessment of indirect human exposure to environmental sources of nickel: oral exposure and risk characterization for systemic effects

This paper describes the indirect human exposure to Ni via the oral route for the regional scale in the EU, together with a method to assess additional local exposure from industrial emissions. The approach fills a gap in the generic REACH guidance which is inadequate for assessing indirect environmental exposure of metals. Estimates of regional scale Ni dietary intake were derived from Ni dietary studies performed in the EU. Typical and Reasonable Worst Case dietary Ni intakes for the general population in the EU were below the oral Derived No Effect Level (DNEL) of Ni sulfate for systemic effects. Estimates for the Ni dietary intake at the local scale take into account the influence of aerial Ni deposition and transfer from soil to crops grown near industrial plants emitting Ni. The additional dietary exposure via this local contribution was small. Despite the use of conservative parameters for these processes, this method may underestimate dietary exposure around older industrial sites because REACH guidance does not account for historical soil contamination. Nevertheless, the method developed here can also be used as a screening tool for community-based risk assessment, as it accounts for historical soil pollution. Nickel exposure via drinking water was derived from databases on Ni tap water quality. A small proportion of the EU population (<5%) is likely to be exposed to tap water exceeding the EU standard (20 μg Ni/l). Taking into account the relative gastrointestinal absorption of Ni from water (30%) versus from solid matrices (5%), water intake constitutes, after dietary intake, the second most important pathway for oral Ni intake. Incidental ingestion of Ni from soil/dust at the regional scale, and also at the local scale, was low in comparison with dietary intake.

Internal exposure to trace elements in non-smoking residents living in a northern Taiwan industrial city

A total of 94 (54 males, 40 females) healthy adult residents living in an industrial city in northern Taiwan were recruited to study their exposure to industrial metals by measuring their blood levels of V, Cr, Mn, Ni, Co, As, Se, Mo, Cd, Pb, and W. All participants were non-smokers without obvious direct occupational exposure to these elements, although by working in administrative sectors in industrial facilities their indirect or potential exposure was increased. The average concentrations of V, Cr, Mn, Ni, Co, As, Se, Mo, Cd, Pb, and W in blood were 0.30, 1.49, 15.1, 3.84, 2.73, 21.1, 204, 3.2, 0.76, 51.1, and 0.40 ng/mL, respectively. These values were significantly higher than reference values reported for the general population, in some cases exceeding those of occupationally exposed workers. The principal component and correlation analyses among blood element levels suggested that the predominant sources of exposure were glass manufacturing and traffic-related sources. Despite of some limitations, the study demonstrates that the residents in this industrial area may suffer adverse chronic health effects attributable to exposures to these elements.

Assessment of trace elements in animal tissues from Turkey

In this study, trace element contents of animal tissues were determined by atomic absorption spectrometry after microwave digestion method. The accuracy of the method was confirmed by analysis of standard reference material (NIST SRM 1577b Bovine Liver). Trace element contents in animal tissue samples were found in the range of 98.3-18.2 μg/g (Fe), 2.89-0.26 μg/g (Mn), 23.9-4.54 μg/g (Zn), 0.08-0.01 μg/g (Pb), 32.9-1.66 μg/g (Cu), and 0.32-0.01 μg/g (Cd). The results were compared with literature values. The results obtained for toxic and trace elements in analyzed animal tissue samples were acceptable to human consumption at nutritional and toxic levels.

Metal bioavailability and risk assessment from edible brown alga Laminaria japonica, using biomimetic digestion and absorption system and determination by ICP-MS

A new biomimetic digestion and absorption system, including in vitro bionic digestion and biomimetic membrane extraction, was used for the first time for the pretreatment of edible Laminaria japonica . After bionic digestion, 11 species of trace metals (V, Cr, Mn, Fe, Ni, Cu, Zn, Se, As, Cd, and Pb) in the resulting chyme were transformed into their final coordinated complexes and then absorbed by the biomembrane. Similar to the biomembrane between gastrointestinal tract and blood vessels, monolayer liposome was used for the first time as a biomembrane model. Affinity-monolayer liposome metals (AMLMs) were separated, determined by ICP-MS, and then used for the metal bioavailability assessment as the bioassimilated part. The action of gastrointestinal acidity and components (including digestive enzymes) was assessed on the basis of the concentration of AMLMs; the safe dosage and tolerable upper intake level of L. japonica for adults were proposed as 33.3 and 230.8 g/day, respectively.

The relation between amyotrophic lateral sclerosis and inorganic selenium in drinking water: a population-based case-control study

BACKGROUND

A community in northern Italy was previously reported to have an excess incidence of amyotrophic lateral sclerosis among residents exposed to high levels of inorganic selenium in their drinking water.

METHODS

To assess the extent to which such association persisted in the decade following its initial observation, we conducted a population-based case-control study encompassing forty-one newly-diagnosed cases of amyotrophic lateral sclerosis and eighty-two age- and sex-matched controls. We measured long-term intake of inorganic selenium along with other potentially neurotoxic trace elements.

RESULTS

We found that consumption of drinking water containing ≥ 1 μg/l of inorganic selenium was associated with a relative risk for amyotrophic lateral sclerosis of 5.4 (95% confidence interval 1.1-26) after adjustment for confounding factors. Greater amounts of cumulative inorganic selenium intake were associated with progressively increasing effects, with a relative risk of 2.1 (95% confidence interval 0.5-9.1) for intermediate levels of cumulative intake and 6.4 (95% confidence interval 1.3-31) for high intake.

CONCLUSION

Based on these results, coupled with other epidemiologic data and with findings from animal studies that show specific toxicity of the trace element on motor neurons, we hypothesize that dietary intake of inorganic selenium through drinking water increases the risk for amyotrophic lateral sclerosis.

Dietary exposure estimates of twenty-one trace elements from a Total Diet Study carried out in Pavia, Northern Italy

The significant role of trace elements in human health is well documented. Trace elements are those compounds that need to be present in the human diet to maintain normal physiological functions. However, some microelements may become harmful at high levels of exposure, or, on the other hand, may give rise to malnutrition, when their exposure is too low. The aim of the present study was to provide a reliable estimate of the dietary exposure of twenty-one trace elements in a Northern Italian area. For this purpose, trace element analyses were undertaken on total diet samples collected from a university cafeteria in Pavia, Northern Italy. The average daily exposure for the adult people was calculated on the basis of food consumption frequency, portion size and trace element levels in foodstuffs. The mean exposure values satisfy the Italian RDA for all the essential trace elements, except for Fe exposure in females, and are well below the Provisional Tolerable Daily Intake for all the toxic compounds, showing that the probability of dietary exposure to health risks is overall small. As far as Fe exposure is concerned, a potential risk of anaemia in the female adult population should be considered, then studies aimed at evaluating the Fe nutritional status of adult Italian women should be addressed. In conclusion, while not excluding the possibility that the daily exposure determined in the present study may not be representative of the population as a whole, this study provides a good estimate of the Italian adult consumer exposure to twenty-one trace elements.

Monitoring heavy metal contents in food and hair in a sample of young Spanish subjects

For most people the main route of exposure to the toxic elements is through the diet. Consequently, information concerning dietary intake is of the utmost importance in being able to assess risks to human health. The goal of this study was to intend to assess the usefulness of hair as a biomonitor of the mineral status in young adults. Daily intakes of selected toxic and essential mineral elements were evaluated using a food frequency questionnaire. In addition, the levels of these same elements in hair samples were measured by inductively coupled plasma mass spectrometry and inductively coupled plasma atomic emission spectrometry. The contents of the essential elements in the study population were all well above Spanish recommendations for adult males and females. The estimated intakes of toxic elements were appreciably below the respective PTWIs, indicating that these intake levels do not pose a health concern for this group. Significant differences in hair metal levels were observed between the men and the women, who were in the same age group. Interestingly, no correlation was found between trace element intakes and the corresponding levels in the hair. In conclusion, hair is only limited usefulness as a means of estimating the nutritional status of the essential and toxic elements considered.

Metal levels in fodder, milk, dairy products, and tissues sampled in ovine farms of Southern Italy

We measured Cd, Cr, Hg, Mn, and Pb levels in samples of fodder, milk, dairy products, and tissues collected from 12 ovine farms in the regions of Campania and Calabria (Southern Italy). The areas in which the farms are located show different levels of anthropogenic pressure. The main purpose of this study is the identification and the analysis of relationships among metal concentrations observed in samples representative of different links in the food chain. Particularly, we apply univariate, bivariate, and multivariate statistical techniques to identify the correlation structure of our data set and to evaluate the influence of anthropogenic activity. We discuss the results, focusing the analysis on the spatial and the temporal patterns of metal concentrations.

Lead dietary intake in a Spanish population (Canary Islands)

For most people diet is the main route of exposure to trace metals, so information about dietary intake is also important to assess risks to human health for these elements. The purpose of this study was to determine the levels of Pb in the foods and drinks of highest consumption in the authors' our community to estimate daily intakes of Pb for each of the seven Canary Islands. Four hundred and twenty samples were analyzed using GFAAS. The total Pb intake of the Canarian population is 72.8 microg/day, 29.12% (for a person of 70 kg body weight) of the provisional tolerable weekly intake limit of 25 microg/kg fixed by the FAO/WHO. The island that presents the highest lead intake is La Gomera, followed by Lanzarote, Tenerife, and Gran Canaria islands. These four islands present a lead dietary intake over the mean Pb intake for the whole archipelago. The islands with lower Pb intakes are La Palma and Fuerteventura, with intakes under 70 microg/day. These results have also been compared with the values found for other national and international communities.

Persistent organic pollutants and heavy metals in typical seafoods consumed in Singapore

In this study, the levels of several heavy metals and persistent organic pollutants (POPs) were measured in the edible portions of 20 different seafood types consumed in Singapore (2 < n < 12). The mean heavy metal concentrations among the seafood types ranged from below detection limits (BLD) to 14.2 microg/g wet weight (ww) for As (shark), to 0.50 microg/g ww for Cd (kunning), to 25.5 microg/g ww for Cu (gray prawn), to 0.58 microg/g ww for Hg (eel), and to 1.21 microg/g ww for Pb (salmon). Chlordane, polychlorinated biphenyls (PCBs), and p, p'-DDT [2,2-bis(p-chlorophenyl)-1,1,1-trichloroethane] and its related metabolites (sum noted as DDTs) were the main POPs found among the seafood types, with highest concentrations in salmon fillets and green mussels. Polybrominated diphenyl ether (PBDE) concentrations in salmon fillets (2.75 ng/g ww) were one order of magnitude lower than the highest concentration of PCBs (28.5 ng/g ww). The mean daily intake of contaminants from seafood was calculated for the general population of Singapore. Daily intakes of heavy metals and POPs from seafood are below the oral reference dose set by the U.S. Food and Drug Administration (FDA), except for As, although our study did not characterize the species of As present. Daily intake of As, DDTs, heptachlor, and PCBs in seafood exceeded the conservative cancer benchmark concentrations set by the U.S. Environmental Protection Agency (EPA), suggesting that a significant number of people are potentially at risk in Singapore over a lifetime from seafood consumption.