Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, PR China.
National Food Safety Risk Assessment Center, Key Laboratory of Food Safety Risk Assessment, Ministry of Health, Beijing 10022, PR China.
Ecotoxicol Environ Saf. 2022 Jun 15;238:113551. doi: 10.1016/j.ecoenv.2022.113551. Epub 2022 Apr 27.
Acrylamide is widely found in food as a side-product of high-temperature heating of starch-rich food. It has attracted much attention because of its neurotoxicity and carcinogenicity. However, the cancer risk and disease burden of dietary acrylamide exposure have not been quantified in China.
To estimate the cancer risk and the disease burden attributable to dietary acrylamide exposure and quantify its health hazards.
We first performed an exposure assessment of acrylamide in food, based on which the incremental excess lifetime cancer risk (ELCR) was calculated for cancer risk assessment. The DisMod Ⅱ software and the DALY calculator in R were used to calculate the disease burden due to dietary acrylamide exposure.
Average dietary acrylamide exposure in males was 0.1531 μg·kg·d and that in females was 0.1554 μg·kg·d, resulting in an ELCR of 7.81 × 10 for males and 7.92 × 10 for females in China. The dietary acrylamide exposure resulted in about 23,688.09 DALYs of cancers among the Chinese population in 2016, including 1331.93 DALYs of breast cancer, 243.32 DALYs of endometrial cancer, 248.91 DALYs of ovarian cancer, and 176.28 DALYs of kidney cancer, respectively.
The health hazards of dietary acrylamide exposure deserve attention. The burden of disease assessment could quantify the health hazards of food contaminants for prioritizing policies.
丙烯酰胺是一种在高温加热富含淀粉的食物过程中产生的副产品,广泛存在于食物中。由于其神经毒性和致癌性,它引起了广泛关注。然而,在中国,饮食中丙烯酰胺暴露的癌症风险和疾病负担尚未得到量化。
评估饮食中丙烯酰胺暴露的癌症风险和疾病负担,量化其健康危害。
我们首先对食品中的丙烯酰胺进行了暴露评估,在此基础上计算了癌症风险评估的增量超额终生癌症风险(ELCR)。使用 DisMod Ⅱ软件和 R 中的 DALY 计算器来计算饮食中丙烯酰胺暴露导致的疾病负担。
男性的平均饮食丙烯酰胺暴露量为 0.1531μg·kg·d,女性为 0.1554μg·kg·d,导致中国男性的 ELCR 为 7.81×10,女性为 7.92×10。饮食丙烯酰胺暴露导致 2016 年中国人群约 23688.09 个癌症伤残调整寿命年(DALY),其中乳腺癌 1331.93 个 DALY,子宫内膜癌 243.32 个 DALY,卵巢癌 248.91 个 DALY,肾癌 176.28 个 DALY。
饮食中丙烯酰胺暴露的健康危害值得关注。疾病负担评估可以量化食品污染物对政策制定的健康危害,为其提供优先排序。