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评价伊朗西部克尔曼沙阿地区母乳样本中的一些有毒金属与饮食和社会人口学特征的关系:一项案例研究。

Evaluation of some toxic metals in breast milk samples with dietary and sociodemographic characteristics: a case study of Kermanshah, Western Iran.

机构信息

Substance Abuse Prevention Research Center, Research Institute for Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Medical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, Iran.

出版信息

Environ Sci Pollut Res Int. 2023 Jan;30(2):4502-4509. doi: 10.1007/s11356-022-22495-x. Epub 2022 Aug 15.

DOI:10.1007/s11356-022-22495-x
PMID:35969343
Abstract

This study aimed to investigate the concentration of some toxic metals (gold (Au), cadmium (Cd), chromium (Cr), mercury (Hg), nickel (Ni), lead (Pb), tin (Sn), and vanadium (V)) and arsenic (As) in breast milk based on demographic characteristics and the diet of mothers. In this cross-sectional study, 100 lactating mothers from Kermanshah, Western Iran, were included. The mean age of the participants was 29.5 (ranging from 16 to 43 years) with a mean BMI of 26.9 (± 3.81) kg (range: 17.0-39.1). The results of the pairwise correlation coefficient of trace elements illustrated that correlation was mostly positive and weak to moderate. A few exceptions of strong correlations were Cr-Ni (r = 0.82), Au-As (r = 0.64), Cr-V (r = 0.64), and Ni-V (r = 0.58). Moreover, results indicated that BMI (p = 0.008), cooking oil (0.042), and potato intake (p = 0.010) affected the trace element levels significantly. The concentrations of V (p = 0.044), Sn (p = 0.036), Au (p < 0.001), and As (p < 0.001) in the breast milk of women was affected by the BMI. The results of univariate linear regression analysis showed that the concentration of Pb in the milk of mothers who use cosmetics was significant (p < 0.05). Since the lifestyle of lactating women, such as cosmetics usage can impact the content of some elements in breast milk, they should be educated in this part.

摘要

本研究旨在调查哺乳期妇女母乳中一些有毒金属(金(Au)、镉(Cd)、铬(Cr)、汞(Hg)、镍(Ni)、铅(Pb)、锡(Sn)和钒(V))和砷(As)的浓度,并分析其与母亲的人口统计学特征和饮食之间的关系。在这项横断面研究中,我们纳入了来自伊朗西部克尔曼沙阿的 100 名哺乳期妇女。参与者的平均年龄为 29.5 岁(16-43 岁),平均 BMI 为 26.9(±3.81)kg(范围:17.0-39.1)。微量元素的两两相关系数结果表明,相关性大多为正相关,且强度为弱至中度。只有少数例外是强相关,如 Cr-Ni(r=0.82)、Au-As(r=0.64)、Cr-V(r=0.64)和 Ni-V(r=0.58)。此外,结果表明 BMI(p=0.008)、食用油(0.042)和土豆摄入量(p=0.010)显著影响微量元素水平。母乳中 V(p=0.044)、Sn(p=0.036)、Au(p<0.001)和 As(p<0.001)的浓度受到母亲 BMI 的影响。单变量线性回归分析结果表明,使用化妆品的母亲母乳中 Pb 浓度显著(p<0.05)。由于哺乳期妇女的生活方式,如使用化妆品,会影响母乳中某些元素的含量,因此应在这方面对其进行教育。

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