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中国广州居民膳食镉暴露的概率风险评估——幼儿健康风险值得关注。

Probabilistic Risk Assessment of Dietary Exposure to Cadmium in Residents of Guangzhou, China-Young Children Potentially at a Health Risk.

机构信息

Guangdong Provincial Key Laboratory of Tropical Disease Research, Department of Toxicology, School of Public Health, Southern Medical University, Guangzhou 510515, China.

Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China.

出版信息

Int J Environ Res Public Health. 2022 Aug 4;19(15):9572. doi: 10.3390/ijerph19159572.

Abstract

Cadmium (Cd) and its compounds are hazardous environmental pollutants with renal toxicity and human carcinogenicity, with ingestion of contaminated foods representing the major mode of exposure. There have been a number of reports evaluating the Cd content in various foods; however, regarding the actual risk posed by dietary cadmium exposure, only a few reports are available in which single point evaluation (less accurate than multiple point evaluation) was employed. In this study, we used a margin of exposure (MOE) model and @RISK software (for multiple evaluation) to evaluate Cd-related health risk in the local Guangzhou residents at varying ages, through a comparison between the estimated monthly exposures and the provisional tolerable monthly intake (0.025 mg/kg body weight (b.w.)), based on the Cd contents in various food categories available locally (a total of 3964 food samples were collected from each of the 13 districts of Guangzhou between 2015 and 2019), which were determined by using inductively coupled plasma mass spectrometry. In this study, Cd was detected in 69.6% of the samples (averaged 0.120 mg/kg), and rice and its products, leafy vegetables, bivalves, and shrimp and crabs contributed most to Cd exposure (8.63, 3.18, 2.79, and 1.48 ng/kg b.w./day, respectively). The MOE values demonstrated the following tendency: the younger age group, the lower MOE, and its 95% confidence range for the (youngest) 3~6 year old group started from 0.92, indicating a health risk of young children, while that for the other age groups were all above 1.0. Our preliminary findings warrant further clarification using biomarker assays in the relevant population.

摘要

镉(Cd)及其化合物是具有肾毒性和人类致癌性的危险环境污染物,摄入受污染的食物是主要的暴露途径。已经有许多报告评估了各种食物中的镉含量;然而,关于饮食中镉暴露所带来的实际风险,只有少数报告采用了单点评估(不如多点评估准确)。在这项研究中,我们使用了暴露边际模型(MOE)和@RISK 软件(用于多点评估),通过比较估计的每月暴露量和暂定可耐受每月摄入量(0.025 毫克/公斤体重(b.w.)),评估不同年龄段广州当地居民的镉相关健康风险,这是基于当地各种食品类别中的镉含量(2015 年至 2019 年期间从广州的 13 个区每个区共采集了 3964 个食品样本),这些镉含量是通过电感耦合等离子体质谱法确定的。在这项研究中,我们在 69.6%的样本中检测到镉(平均为 0.120 毫克/公斤),大米及其制品、叶菜类、双壳贝类和虾蟹类对镉暴露的贡献最大(分别为 8.63、3.18、2.79 和 1.48 纳克/公斤体重/天)。MOE 值呈现出以下趋势:年龄越小,MOE 越低,3 至 6 岁年龄组(最小)的 MOE 及其 95%置信区间从 0.92 开始,表明幼儿存在健康风险,而其他年龄组的 MOE 均高于 1.0。我们的初步发现需要在相关人群中使用生物标志物检测进一步澄清。

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