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哺乳期前3个月母乳中的砷。

Arsenic in breast milk during the first 3 months of lactation.

作者信息

Sternowsky Hans-J, Moser Barbara, Szadkowsky Dieter

机构信息

Department of Paediatrics, Heidekreisklinikum Krankenhaus Soltau, Germany.

出版信息

Int J Hyg Environ Health. 2002 Jul;205(5):405-9. doi: 10.1078/1438-4639-00161.

DOI:10.1078/1438-4639-00161
PMID:12173541
Abstract

Increased concentrations of arsenic were found in soil and ground water from a military training area in Munster, Lower Saxony, Germany, where chemical weapons were dumped after World War II. In order to assess the possible impact of this contamination for nursing new-borns and infants, samples from breast milk of 36 women were analysed with respect to arsenic content. Study participants came from three different regions: the city of Hamburg, the rural area of Soltau, Lower Saxony, and from Munster, the potentially contaminated area. Breast milk samples were collected immediately before and after nursing on days 2, 5, 15, 30, 45, 60, 75, and 90 post partum. At least 10 ml were required for measurements of arsenic, and 187 samples were of that volume. Samples were analysed with a Perkin-Elmer Type 403 hydride-generation atomic absorption spectrometer, equipped with an arsenic EDL-lamp. Arsenic was not detectable, i.e. below 0.3 microgram/l, in 154 of 187 samples. The highest concentration of 2.8 micrograms/l was measured in a sample from the rural area of Soltau. Geometric means of arsenic concentrations were comparable in the three regions. Concentrations did neither differ in samples obtained before and after nursing nor with respect to age of the infant. The calculated daily intake of arsenic was in the range of 0.02 to 0.06 microgram per kg body weight, which is far below the lower limit of daily permissible intake for adults (WHO/JECFA recommendation 1993) of 15 micrograms/kg/wk. In conclusion, we found concentrations of arsenic in breast milk within the reported safety limits. This was also true for samples from women living in a region which has previously been shown to be contaminated with arsenic from chemical weapons.

摘要

在德国下萨克森州明斯特的一个军事训练区的土壤和地下水中,发现砷浓度有所增加,该地区在第二次世界大战后曾被用于倾倒化学武器。为了评估这种污染对哺乳期新生儿和婴儿可能产生的影响,对36名女性的母乳样本进行了砷含量分析。研究参与者来自三个不同地区:汉堡市、下萨克森州索尔陶的农村地区以及潜在受污染地区明斯特。在产后第2、5、15、30、45、60、75和90天,分别在喂奶前后立即采集母乳样本。测量砷含量至少需要10毫升样本,共获得187个符合该体积要求的样本。使用配备砷无极放电灯的珀金埃尔默403型氢化物发生原子吸收光谱仪对样本进行分析。在187个样本中,有154个样本的砷含量未检测到,即低于0.3微克/升。在索尔陶农村地区的一个样本中测得的最高浓度为2.8微克/升。三个地区砷浓度的几何平均值相当。喂奶前后采集的样本中的浓度没有差异,与婴儿年龄也无关。计算得出的每日砷摄入量在每千克体重0.02至0.06微克之间,远低于成人每日允许摄入量的下限(1993年世界卫生组织/食品添加剂联合专家委员会建议),即15微克/千克/周。总之,我们发现母乳中的砷浓度在报告的安全限值范围内。对于生活在先前已被证明受到化学武器砷污染地区的女性的样本,情况也是如此。

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