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      Breast milk contamination with lead and cadmium and its related factors in Kerman, Iran

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          Abstract

          Background

          Heavy metals may be carcinogenic and have serious health effects in humans. In this study, levels of lead (Pb) and cadmium (Cd) in human milk samples from Kerman, Iran were evaluated.

          Methods

          One-hundred breast milk samples were collected from mothers visiting 20 maternal and child care centers. Demographic, diet and smoking data was collected for each mother. Samples were analyzed by Graphite Furnace Atomic Absorption Spectrometry. Statistical analysis was done in Minitab15, through non-parametric methods, Spearman’s correlation and chi-square.

          Results

          The mean ± sd of Pb and Cd was 53.6 ± 64.9 and 8.01 ± 15.5 μg/L respectively. The median (25–75 percentiles) of Pb and Cd was 34.00 (4.00–81.75) and 5.00 (4.00–7.00) μg/L; 6 and 17% of infants were receiving higher than recommended levels of lead and cadmium respectively. Mothers who took fat off their meat before eating and mothers who had a vaginal delivery had higher levels of Cd than others ( p value = 0.04, 0.002). Non-primiparous mothers and those who consumed more yogurt had higher levels of Pb (p value = 0.011, 0.025).

          Conclusion

          Lead and cadmium contamination was considerable among mothers’ in Kerman, Iran. There is a need for decreasing the current levels in food, air, water and other consumer products such as cosmetics.

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          Most cited references39

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          Early-Life Cadmium Exposure and Child Development in 5-Year-Old Girls and Boys: A Cohort Study in Rural Bangladesh

          Background: Cadmium is a commonly occurring toxic food contaminant, but health consequences of early-life exposure are poorly understood. Objectives: We evaluated the associations between cadmium exposure and neurobehavioral development in preschool children. Methods: In our population-based mother–child cohort study in rural Bangladesh, we assessed cadmium exposure in 1,305 women in early pregnancy and their children at 5 years of age by measuring concentrations in urine (U-Cd), using inductively coupled plasma mass spectrometry. Children’s IQ at 5 years of age, including Verbal (VIQ), Performance (PIQ), and Full-Scale IQ (FSIQ), were measured by Wechsler Preschool and Primary Scale of Intelligence. Behavior was assessed by the Strengths and Difficulties Questionnaire (SDQ). Results: In multiple linear regression models, adjusted for sex, home stimulation, socioeconomic status (SES), and maternal and child characteristics, a doubling of maternal U-Cd was inversely associated with VIQ (–0.84 points; 95% confidence interval: –1.3, –0.40), PIQ (–0.64 points; –1.1, –0.18), and FSIQ (–0.80 points; –1.2, –0.39). Concurrent child U-Cd showed somewhat weaker association with VIQ and FSIQ, but not PIQ. Stratification by sex and SES indicated slightly stronger associations with PIQ and FSIQ in girls than in boys and in higher-income compared with lower-income families. Concurrent U-Cd was inversely associated with SDQ-prosocial behavior and positively associated with SDQ-difficult behavior, but associations were close to the null after adjustment. Quantile regression analysis showed similar associations across the whole range of each developmental outcome. Conclusion: Early-life low-level cadmium exposure was associated with lower child intelligence scores in our study cohort. Further research in this area is warranted.
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            Chemical contaminants in breast milk: time trends and regional variability.

            Research on environmentally related chemical contaminants in breast milk spans several decades and dozens of countries. The ability to use this research as an environmental indicator is limited because of a lack of consistent protocols. Data on xenobiotics in breast milk are influenced by choices in sample selection, sample pooling, analysis, and reporting. In addition, most studies have focused only on a small panel of persistent organic pollutants, despite indications that a wide range of additional chemical contaminants may also enter breast milk. Despite these limitations, however, it is possible to draw some generalizations. In this paper we review available data on levels of organochlorine pesticides, polychlorinated biphenyls (PCBs), polychlorinated dibenzodioxins (PCDDs), polybrominated diphenyl ethers (PBDEs), metals, and solvents in breast milk. Examples drawn from around the world illustrate the available data and the patterns that have appeared in various areas over time. Over the past few decades, levels of the organochlorine pesticides, PCBs, and dioxins have declined in breast milk in countries where these chemicals have been banned or otherwise regulated. In contrast, the levels of PBDEs are rising. Regional differences in levels of xenobiotics in breast milk are related to historical and current local use patterns. Diet is a major factor that influences breast milk levels of persistent organic pollutants, with patterns in fish consumption playing a particularly significant role. Improved global breast milk monitoring programs would allow for more consistent data on trends over time, detection of new xenobiotics in breast milk, and identification of disproportionately exposed populations.
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              Effect of Calcium Supplementation on Blood Lead Levels in Pregnancy: A Randomized Placebo-Controlled Trial

              Background Prenatal lead exposure is associated with deficits in fetal growth and neurodevelopment. Calcium supplementation may attenuate fetal exposure by inhibiting mobilization of maternal bone lead and/or intestinal absorption of ingested lead. Objective Our goal was to evaluate the effect of 1,200 mg dietary calcium supplementation on maternal blood lead levels during pregnancy. Methods In a double-blind, randomized, placebo-controlled trial conducted from 2001 through 2003 in Mexico City, we randomly assigned 670 women in their first trimester of pregnancy to ingest calcium (n = 334) or placebo (n = 336). We followed subjects through pregnancy and evaluated the effect of supplementation on maternal blood lead, using an intent-to-treat analysis by a mixed-effects regression model with random intercept, in 557 participants (83%) who completed follow-up. We then conducted as-treated analyses using similar models stratified by treatment compliance. Results Adjusting for baseline lead level, age, trimester of pregnancy, and dietary energy and calcium intake, calcium was associated with an average 11% reduction (0.4 μg/dL) in blood lead level relative to placebo (p = 0.004). This reduction was more evident in the second trimester (−14%, p 5 μg/dL (−17%, p < 0.01), or reported use of lead-glazed ceramics and high bone lead (−31%, p < 0.01). Conclusion Calcium supplementation was associated with modest reductions in blood lead when administered during pregnancy and may constitute an important secondary prevention effort to reduce circulating maternal lead and, consequently, fetal exposure.
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                Author and article information

                Contributors
                034-3132-5102 , n_khanjani@kmu.ac.ir
                majidehj@gmail.com
                effatmousavi@yahoo.com
                Journal
                J Environ Health Sci Eng
                J Environ Health Sci Eng
                Journal of Environmental Health Science and Engineering
                Springer International Publishing (Cham )
                2052-336X
                25 October 2018
                December 2018
                : 16
                : 2
                : 323-335
                Affiliations
                [1 ]ISNI 0000 0001 2092 9755, GRID grid.412105.3, Environmental Health Engineering Research Center, , Kerman University of Medical Sciences, ; Kerman, Iran
                [2 ]ISNI 0000 0004 1936 7857, GRID grid.1002.3, Monash Centre for Occupational & Environmental Health, School of Public Health and Preventive Medicine, , Monash University, ; Melbourne, Australia
                [3 ]ISNI 0000 0001 2092 9755, GRID grid.412105.3, Department of Epidemiology and Biostatistics, School of Public Health, , Kerman University of Medical Sciences, ; Kerman, Iran
                [4 ]ISNI 0000 0001 2092 9755, GRID grid.412105.3, Department of Health Education, School of Public Health, , Kerman University of Medical Sciences, ; Kerman, Iran
                [5 ]ISNI 0000 0000 9826 9569, GRID grid.412503.1, Department of Biology, School of Science, , Shahid Bahonar University, ; Kerman, Iran
                [6 ]School of Science, International Center of Science, High Technology and Environmental Sciences, Mahan, Kerman, Iran
                Author information
                http://orcid.org/0000-0002-7235-9253
                Article
                320
                10.1007/s40201-018-0320-8
                6277342
                30729003
                25ddbef5-718c-4887-8628-58f0593250c3
                © Springer Nature Switzerland AG 2018
                History
                : 18 July 2018
                : 30 September 2018
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100004621, Kerman University of Medical Sciences;
                Award ID: 167-89
                Award Recipient :
                Categories
                Research Article
                Custom metadata
                © Springer Nature Switzerland AG 2018

                breast milk,lead,cadmium,infant intake,iran
                breast milk, lead, cadmium, infant intake, iran

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