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加纳沃尔特地区霍村孕妇异食黏土(食土癖)中有毒金属污染的潜在健康风险评估。

Potential health risk assessment of toxic metals contamination in clay eaten as pica (geophagia) among pregnant women of Ho in the Volta Region of Ghana.

机构信息

Department of Nutrition and Dietetics, School of Allied Health Sciences, University of Health and Allied Sciences, PMB 31, Ho, Ghana.

Department of Food Processing and Engineering, CSIR- Food Research Institute, P.O. Box M20, Accra, Ghana.

出版信息

BMC Pregnancy Childbirth. 2020 Mar 14;20(1):160. doi: 10.1186/s12884-020-02857-4.

Abstract

INTRODUCTION

Geophagia although pleasurable and somewhat a necessity among pregnant women, also comes along with its own attendant problems such as exposure to potentially hazardous substances like bacteria, fungi, helminthes and ova, radioactive materials, and toxic elemental minerals in the soil depending on the geographical location.

METHODOLOGY

This study evaluated the potential health risk involved during the exposure of pregnant women to toxic elemental minerals via the consumption of clay as pica (geophagia). Elemental mineral analysis was carried out using Buck Scientific 210VGP Flame Atomic Absorption Spectrophotometer (Buck Scientific, Inc. East Norwalk, USA). Risk assessment methods were also used to ascertain the various risks factors and the overall risk level.

RESULTS

Concentrations of the macro elements investigated were 1.38 ± 1.5, 2.40 ± 1.5, 7.74 ± 1.5, 4.01 ± 1.0, 13.24 ± 2.2 and 13.76 ± 2.1 mg/Kg for iron (Fe), copper (Cu), zinc (Zn), potassium (K), magnesium (Mg) and sodium (Na) respectively. While that for the micro elements were 1.63 ± 0.03 μg/Kg, 4.72 ± 0.8, 0.53 ± 0.02 and 1.85 ± 0.3 mg/kg respectively for arsenic (As), manganese (Mn), lead (Pb) and nickel (Ni). Estimated Daily Intake (EDI), Hazard Quotient (HQ), Target Hazard Quotient (THQ) and Total Target Hazard Quotient (TTHQ) values ranged 0.611-5.44 (mg/kg Bw/day), 6.26 × 10 - 106.5, 0.067-10.34 and 15 respectively.

CONCLUSION

There is the likelihood of posing adverse health problems when clay samples obtained from Anfoega which is sited in the Volta region of Ghana is consumed due to the fact that the HQ's of these elemental minerals were > 1 which points to high content of Manganese (Mn) and Nickel (Ni). It is also likely to cause adverse health problems in an individual's life time since THQ for Arsenic, Lead and Nickel were above 1. Ultimately, the cumulative effect of these toxicants were exceedingly great (≤ 15) which implied a high level of unsafety associated with this clay. Per the results from this study, it is not safe for pregnant women to consume clay as pica since these toxic elements may cause detrimental effects on the foetus of the unborn child.

摘要

简介

尽管食土癖(Geophagia)在孕妇中是一种愉悦且有些许必要性的行为,但它也伴随着一些问题,例如接触到潜在的有害物质,如细菌、真菌、寄生虫和卵、放射性物质以及土壤中的有毒元素矿物质,具体取决于地理位置。

方法

本研究通过评估孕妇在食用粘土(作为异食癖)时暴露于有毒元素矿物质的潜在健康风险。使用 Buck Scientific 210VGP 火焰原子吸收分光光度计(Buck Scientific,Inc.,美国东诺沃克)进行元素矿物质分析。还使用风险评估方法来确定各种风险因素和总体风险水平。

结果

所研究的常量元素浓度分别为 1.38±1.5、2.40±1.5、7.74±1.5、4.01±1.0、13.24±2.2 和 13.76±2.1mg/Kg,分别为铁(Fe)、铜(Cu)、锌(Zn)、钾(K)、镁(Mg)和钠(Na)。而微量元素的浓度分别为 1.63±0.03μg/Kg、4.72±0.8、0.53±0.02 和 1.85±0.3mg/kg,分别为砷(As)、锰(Mn)、铅(Pb)和镍(Ni)。估计每日摄入量(EDI)、危害商数(HQ)、目标危害商数(THQ)和总目标危害商数(TTHQ)的值范围为 0.611-5.44(mg/kg Bw/day)、6.26×10 -106.5、0.067-10.34 和 15。

结论

从加纳沃尔特地区的 Anfoega 获得的粘土样本如果被食用,可能会对健康造成不良影响,因为这些元素矿物质的 HQ 大于 1,这表明锰(Mn)和镍(Ni)的含量很高。由于砷、铅和镍的 THQ 均高于 1,这也可能导致个体生命中的健康问题。最终,这些有毒物质的累积效应非常大(≤15),这意味着与这种粘土相关的不安全水平很高。根据这项研究的结果,孕妇食用粘土作为异食癖并不安全,因为这些有毒元素可能会对未出生婴儿的胎儿造成有害影响。

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