Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, SE-22185 Lund, Sweden.
Division of Occupational and Environmental Medicine, Department of Laboratory Medicine, Lund University, SE-22185 Lund, Sweden; Unit of Metals and Health, Institute of Environmental Medicine, Karolinska Institutet, Nobels väg 13, SE-171 77 Stockholm, Sweden.
Environ Res. 2016 Oct;150:600-605. doi: 10.1016/j.envres.2016.02.016. Epub 2016 Feb 24.
Knowledge about changes in exposure to toxic metals over time remains very sparse, in particular for children, the most vulnerable group. Here, we assessed whether a reduction in environmental pollution with cadmium (Cd) and mercury (Hg) caused a change in exposure over time. In total, 1257 children (age 4-9) in two towns in Sweden were sampled once in 1986-2013. Blood concentrations of Cd (b-Cd; n=1120) and Hg (b-Hg; n=560) were determined.
The median b-Cd was 0.10 (geometric mean 0.10; range 0.010-0.61) μg/L and b-Hg was 0.91 (geometric mean 0.83; range 0.021-8.2) μg/L. Children living close to a smelter had higher b-Cd and b-Hg than those in urban and rural areas. There was no sex difference in b-Cd or b-Hg, and b-Cd and b-Hg showed no significant accumulation by age. b-Cd decreased only slightly (0.7% per year, p<0.001) over the study period. In contrast, b-Hg did show a clear decrease over the study period (3% per year, p<0.001).
The exposure to Cd was very low but still might increase the risk of disease later in life. Moreover, b-Cd only showed a minor decrease, indicating that Cd pollution should be further restricted. b-Hg was relatively low and decreasing, probably because of reduced use of dental amalgam and lower Hg intake from fish. The b-Cd and b-Hg levels decreased much less than the levels of lead in the blood as previously found in the same children.
关于有毒金属暴露随时间变化的知识仍然非常匮乏,尤其是对于儿童这一最脆弱的群体。在这里,我们评估了镉 (Cd) 和汞 (Hg) 污染减少是否会导致暴露随时间的变化。总共有 1257 名瑞典两个城镇的 4-9 岁儿童在 1986 年至 2013 年期间进行了一次采样。测定了血液中 Cd(b-Cd;n=1120)和 Hg(b-Hg;n=560)的浓度。
b-Cd 的中位数为 0.10(几何均数 0.10;范围 0.010-0.61)μg/L,b-Hg 的中位数为 0.91(几何均数 0.83;范围 0.021-8.2)μg/L。居住在冶炼厂附近的儿童的 b-Cd 和 b-Hg 高于城市和农村地区的儿童。b-Cd 或 b-Hg 与性别无关,且随年龄的增长无明显积累。在研究期间,b-Cd 仅略有下降(每年 0.7%,p<0.001)。相比之下,b-Hg 在研究期间确实明显下降(每年 3%,p<0.001)。
Cd 的暴露水平非常低,但仍可能增加日后患病的风险。此外,b-Cd 仅略有下降,表明应进一步限制 Cd 污染。b-Hg 水平较低且呈下降趋势,可能是由于牙科汞合金的使用减少以及鱼类中 Hg 摄入减少所致。b-Cd 和 b-Hg 的下降幅度远小于以前在同一批儿童中发现的血液中铅的下降幅度。