Probabilistic modelling techniques in dietary exposure assessment: application on the risk assessment of cadmium for Austrian adults.

Probabilistic exposure and risk assessment of chemical hazards in the diet have increasingly gained ground in recent years as a pragmatic approach for the approximation of reality. This work presents the outcomes of a project which aimed at applying probabilistic techniques for basic modelling of chronic dietary exposure to food contaminants following EFSA guidance. These techniques, based on Monte Carlo Risk Assessment (MCRA) software and on the programming language R, were employed for the risk assessment of cadmium for Austrian adults, enabling the validation and the critical comparison of the two approaches. Harmonisation and optimisation of procedures, refinement of exposure assessment skills and confidence in the results were the main benefits. Data amount and validity were identified as critical parameters, influencing the precision of the results. Cadmium was selected as a case study due to its toxicological properties, its ubiquitous presence in food and the availability of Austrian occurrence data. Similar exposure and risk estimates were generated through MCRA and R in alternative optimistic and pessimistic exposure scenarios, suggesting low levels of concern, except for vegetarians, whose upper tail exposures are close to the established Tolerable Weekly Intake. However, as occurrence data gaps have been identified as the major element of uncertainty, the estimated exposure and risk levels are characterised as underestimated. Grains and grain-based products, potatoes and leafy vegetables are the main contributors to the intake. The results will contribute to risk management and to a future refinement of the assessment.

Dietary soybean oil aggravates the adverse effects of low salinity on intestinal health in juvenile mud crab Scylla paramamosain.

Salinity is one of the important factors affecting the physiological state of crustaceans in marine environments. Lipid plays major roles in energy supply and is main sources of essential fatty acids for membrane integrity, which is critical in adaptations to changes in salinity. Here we evaluated the effects of salinity (medium, 23 ppt and low, 4 ppt) and dietary lipid source (fish oil, FO and soybean oil, SO) on intestinal health of the marine crustacean mud crab Scylla paramamosain. The results indicated that low salinity and dietary SO (LSO group) significantly affected intestinal histomorphology, with a significant decrease of intestinal fold height and width as well as down-regulation of intestinal mRNA levels of tight junction genes compared to crab reared at medium salinity and fed FO diets (MFO group). Crabs reared at low salinity and fed SO showed an increased inflammatory response in intestine, which stimulated a physiological detoxification response together with apoptosis compared to crab in the MFO group. Low salinity and SO diets also could be responsible for multiply the pathogenic bacteria of Photobacterium and inhibit the beneficial bacteria of Firmicutes and Rhodobacteraceae in intestine, and act on a crucial impact on the development of intestinal microbial barrier disorders. The results of microbial function predictive analysis also support these inferences. The findings of the present study demonstrated that soybean oil as the main dietary lipid source could exacerbate the adverse effects of low salinity on intestinal health of mud crab, and provided evidence suggesting that dietary lipid source and fatty acid composition may play vital roles in intestinal health and the process of adaptation to environmental salinity in marine crustaceans.

Opioid exposure associated with poppy consumption reported to poison control centers and the U.S. Food and Drug Administration.

OBJECTIVE: To assess characteristics of exposures to contaminated poppy and identify trends in exposure and poppy-related deaths. METHODS: Cross-sectional analysis of adverse events associated with exposure to poppy products (primarily poppy seeds) from the American Association of Poison Control Centers' National Poison Data System (NPDS), 2000-2018, supplemented with analysis of overdoses and deaths related to poppy from the U.S. Food and Drug Administration (FDA) Center for Food Safety and Applied Nutrition's Adverse Event Reporting System (CAERS) (2004-2018), and the FDA Adverse Event Reporting System (FAERS) (1968-2018). RESULTS: There were 591 NPDS exposure cases involving poppy between 2000 and 2018 including 392 in persons aged 13+. Rates of intentional exposures in NPDS increased among the age 13+ group over the study period. Most intentional exposures occurred in males in their teens and twenties. NPDS included 18 overdoses and three deaths likely attributable to poppy, most involving poppy seed tea. CAERS and FAERS included five additional deaths likely attributable to opioids in poppy. CONCLUSIONS: Including previously reported cases, there are now at least 19 U.S. deaths associated with poppy seeds in the literature. We recommend that practitioners working in opioid treatment and recovery be alert to use of poppy to treat pain and symptoms of withdrawal.

Selenium dietary intake, urinary excretion, and toxicity symptoms among children from a coal mining area in Brazil.

Selenium (Se) is necessary for several physiological functions in the human body; however, high concentrations of this element in coal mining areas raise the possibility of Se-related health risks. Children are much more vulnerable and at risk to environmental hazards than adults. The largest coal mining area of Brazil is located in the city of Candiota, where previous studies point to significant urinary Se concentrations among children. Food intake is the main Se source. The study aimed to evaluate dietary Se intake, as well as urinary Se excretion and classic symptoms of Se intoxication among children from Candiota and a control city in the same region. A cross-sectional study was carried out, with participation from 242 children between 6 and 12 years old in two cities in Rio Grande do Sul state, Brazil. Socioeconomic variables, dietary intake, and Se toxicity symptoms were evaluated through a structured questionnaire, and urinary Se levels were measured. Children from both cities had normal levels of Se intake and urinary excretion; however, children from Candiota had significantly higher levels of Se in both parameters in relation to the control city, especially for Se urinary excretion. There was low prevalence of Se toxicity symptoms. We conclude that coal mining activities may increase Se intake in children and consequently its urinary excretion.

Correlation of Mortality Burdens of Cerebrovascular Disease and Diabetes Mellitus with Domestic Consumption of Soya and Palm Oils.

BACKGROUND: Cerebrovascular diseases (CBVDs) and diabetes mellitus (DM) are interrelated and cumbersome global health burdens. However, the relationship between edible oils consumption and mortality burdens of CBVDs and DM has not yet been evaluated. This review aims to explore correlations between per capita mortality burdens of CBVDs and DM, as well as food consumption of palm or soya oils in 11 randomly selected countries in 2005, 2010, and 2016. METHODS: After obtaining data on food consumption of palm and soya oils and mortality burdens of CBVDs and DM, correlations between the consumption of oils and mortality burdens of diseases were explored. RESULTS: There was a positive correlation between the consumption of soya oil with the mortality burden of CBVDs in Australia, Switzerland, and Indonesia, as well as the mortality burden of DM in the USA. The consumption of palm oil had a positive correlation with the mortality burden of DM in Jordan only. CONCLUSIONS: Food consumption of soya oil in several countries possibly contributes to the mortality burden of CBVDs or DM more than food consumption of palm oil, which could be a possible risk factor in the mortality burdens of CBVDs and DM.

Bioaccumulation of mercury and selenium in tissues of the mesopelagic fish Pacific hake (Merluccius productus) from the northern Gulf of California and the risk assessment on human health.

With the aim of evaluating health risk to hake consumers, mercury and selenium were measured in muscle, liver, gonads, kidney, and gills of 62 specimens of Merluccius productus from northern Gulf of California. Means ± confidence interval (95% confidence level) concentrations (mg kg-1 wet weight) of Hg in tissues were: gonads (1.01 ± 0.25) > muscle (0.44 ± 0.06) > gills (0.29 ± 0.04) > kidneys (0.20 ± 0.07) > liver (0.02 ± 0.004). No significant differences between sexes were found for Hg. The distribution of mean concentrations of Se (mg kg-1 wet weight) were: kidneys (4.61 ± 1.27) > liver (1.66 ± 0.22) > gonads (1.66 ± 0.75) > gills (0.86 ± 0.04) > muscle (0.40 ± 0.09). Se in gonads showed a significant difference between sex (females > males). Positive significant correlations with total length (p < 0.05) and total weight (p < 0.05) were found in the same tissue for both morphological variables: Hg in muscle, Se in muscle and Se in liver. An excess of Se over Hg (molar ratio Se:Hg > 1) was found in all tissues. The Hazard Quotient health risk index was evaluated for humans that consume muscle and gonads. The recommended Hg safe intake for adults and children were 110.0 and 33.0 g week-1, respectively for muscle; for gonads weekly consumption portions of 35.0 and 14.0 g for adults and children represent no Hg risk. There was no risk of exposure to Se.

Uranium (234U, 238U) and thorium (230Th, 232Th) in mushrooms of genus Leccinum and Leccinellum and the potential effective ionizing radiation dose assessment for human.

Evaluated has been bioconcentration potential by fungi and risk to human consumers from exposure to natural long-lived radioactive uranium (234U, 238U) and thorium (230Th, 232Th) sequestered in stems, caps and the whole fruiting bodies by mushrooms of the genus Leccinum and Leccinellum. Edible species in the study were collected from boreal forests in the northern regions of Poland and investigated: red-capped scaber (Leccinum aurantiacum), orange oak bolete (Leccinum aurantiacum var. quercinum), foxy bolete (Leccinum vulpinum), slate bolete (Leccinum aurantiacum var. duriusculum) and hazel bolete (Leccinellum pseudoscabrum). The study showed the species accumulated uranium (234U, 238U) and thorium (230Th, 232Th) form soil to some degree but the calculated values of the bioconcentration factor were below 1. The evaluation showed that Leccinum and Leccinellum mushrooms can contribute to annual effective radiation dose maximally at about 0.9 µSv. Hence, consumption of these mushrooms might increase the annual effective ionizing radiation dose received by a human, while the exposure is considered low from the toxicological point of view even if eaten at elevated amounts.

Need to update human health risk assessment protocols for polycyclic aromatic hydrocarbons in seafood after oil spills.

The need to include alkylated polycyclic aromatic hydrocarbons in human health risks assessments for oil contaminated seafood after crude oil spills is set forth. This is placed within the context of a brief review of the literature for PAHs and human health risk assessments after oil spills. The example of human health risk assessments for oil contaminated seafood after the Deepwater Horizon oil spill is reviewed with the conclusion that PAHs such as alkylated chrysenes/triphenylenes/benzanthracenes should have been included in the human health risk assessment and not dismissed as present in very low concentrations relative to their parent PAHs.

Activity concentrations of 137Cs, 40K, and 210Pb radionuclides in selected medicinal herbs from Central Serbia and their effective dose due to ingestion.

Specific activity of 137Cs, 40K, and 210Pb radionuclides in fifteen selected medicinal herbs from three locations in Central Serbia (two mountains, Kopaonik and Zlatar, and a valley, Sokobanja) was measured using two semiconductor HPGe spectrometer systems. The obtained values are in intervals (<0.3 ÷ 9.7) Bq/kg, (<0.2 ÷ 24.7) Bq/kg, and (<0.2 ÷ 5.7) Bq/kg for 137Cs; in intervals (125 ÷ 1100) Bq/kg, (104 ÷ 872) Bq/kg, and (103 ÷ 954) Bq/kg for 40K, and in intervals (3.6 ÷ 49.0) Bq/kg, (3.9 ÷ 57.9) Bq/kg, and (2.8 ÷ 103) Bq/kg for 210Pb, for herbs from Kopaonik, Sokobanja and Zlatar, respectively. The highest activity measured in individual herbs was: 24.7 Bq/kg for 137Cs (Sokobanja valley), 1100 Bq/kg for 40K (Mt. Kopaonik) and 103 Bq/kg for 210Pb (Mt. Zlatar). The corresponding individual annual effective doses due to ingestion calculated from the measured activity concentrations, of the radionuclides are: in intervals (<1.7 ÷ 82.9) nSv, (<1.4 ÷ 211) nSv, and (<1.1 ÷ 48.7) nSv for 137Cs; in intervals (0.76 ÷ 4.5) µSv, (0.64 ÷ 4.4) µSv, and (0.63 ÷ 4.9) µSv for 40K, and in intervals (1.1 ÷ 18.2) µSv, (1.3 ÷ 21.6) µSv, (0.9 ÷ 38.3) µSv for 210Pb, respectively. The specific activity concentration values of 137Cs and 40K obtained for the investigated herbs are similar to the literature data, while no information was found in literature about specific activity concentration of 210Pb. The all values obtained for individual annual effective dose due to ingestion are less than 100 µSv, which means that the daily use of 200 mL of herbal infusion during a year made from the investigated herbs does not represent a radiological risk for health. However, a high individual annual effective dose of ingestion of 210Pb obtained for some herbs indicate that their consumption in larger amounts 2-3 cups of infusion daily over a year could make the dose to exceed the recommended level, and points to necessity for extensive investigation of 210Pb activity concentration worldwide.

Metal(loid)s (As, Hg, Se, Pb and Cd) in paddy soil: Bioavailability and potential risk to human health.

Rice is one of the principal staple foods, essential for safeguarding the global food and nutritional security, but due to different natural and anthropogenic sources, it also acts as one of the biggest reservoirs of potentially toxic metal(loids) like As, Hg, Se, Pb and Cd. This review summarizes mobilization, translocation and speciation mechanism of these metal(loids) in soil-plant continuum as well as available cost-effective remediation measures and future research needs to eliminate the long-term risk to human health. High concentrations of these elements not only cause toxicity problems in plants, but also in animals that consume them and gradual deposition of these elements leads to the risk of bioaccumulation. The extensive occurrence of contaminated rice grains globally poses substantial public health risk and merits immediate action. People living in hotspots of contamination are exposed to higher health risks, however, rice import/export among different countries make the problem of global concern. Accumulation of As, Hg, Se, Pb and Cd in rice grains can be reduced by reducing their bioavailability, and controlling their uptake by rice plants. The contaminated soils can be reclaimed by phytoremediation, bioremediation, chemical amendments and mechanical measures; however these methods are either too expensive and/or too slow. Integration of innovative agronomic practices like crop establishment methods and improved irrigation and nutrient management practices are important steps to help mitigate the accumulation in soil as well as plant parts. Adoption of transgenic techniques for development of rice cultivars with low accumulation in edible plant parts could be a realistic option that would permit rice cultivation in soils with high bioavailability of these metal(loid)s.

Traditional Sheep Consumption by Navajo People in Cameron, Arizona.

Over 500 abandoned uranium mines are located on the Navajo Reservation. Different pathways of environmental uranium exposure have been studied with respect to the Navajo people including water, soil, and plants; however, uranium exposure from traditional Navajo food, specifically mutton (sheep), has not been reported. This study focuses on mutton consumption in the small community of Cameron, Arizona, located in the southwestern region of the Navajo Nation and initiated after community members expressed concern with the uranium exposure of their sheep. Preliminary investigation into the presence of uranium in sheep raised near Cameron showed elevated uranium levels in the kidneys the sheep tested. The goal of this study is to investigate mutton consumption among the Navajo living in Cameron. Mutton is a traditional food of the Navajo, but consumption practices are not well documented. An important aspect of determining the extent of exposure through food consumption is to assess the frequency of consumption. The results of this study indicate the Cameron participants consume mutton most commonly at family gatherings or celebrations. The survey suggests that less mutton is consumed now compared to the past, and there is concern that contaminated mutton may change traditional ceremonies.

Selenium intake from tuna in Galicia (Spain): Health risk assessment and protective role against exposure to mercury and inorganic arsenic.

This study aims to quantify the selenium contribution from tuna to the Spanish diet and evidence the Se protective role against mercury and inorganic arsenic toxicity. Selenium concentrations in tuna were determined by ICP-MS spectrometry (expressed as mg kg-1), and the risk assessment was evaluated joined to Hg and iAs contrasting criteria of regulatory agencies with those that consider the Se protective role. Differences between Se average concentrations in fresh (1.24) and preserved (1.17) tuna were not statistically significant. In canned tuna species, Se presented higher mean levels in Thunnus albacares (1.28) than Thunnus alalunga (1.01) with statistically significant differences (p = 0.002), and among canned preparations a decreasing sequence was observed in different preparation-packaging media: oil (1.42) > natural (1.01) > pickled (0.92). Statistical study showed Hg-iAs as the only pair significantly correlated in all samples. The HI (sum of individual target hazard quotients -THQs-) on the consumption of tuna in Spain, due to exposure to Se, Hg and iAs, revealed the possibility of risk of adverse chronic effects in the six-year-old children group (1.09). According to the maximum allowable tuna consumption rate in meals/week (CRmw) and the THQs obtained, tuna intake, especially in children, should be moderated. The health benefit values (HBVSe) were positive in all samples, 14.53 and 15.65 in fresh and preserved tuna, respectively, which allows tuna to be considered safe. The benefit-risk value (BRV) evidenced the Se molar excess with respect to Hg that reached a surplus of 14.32% on Se AI in adults. Since iAs reduces the Se bioavailability, applying a new BRV criterion, the aforementioned percentage decreased to 13.49% of Se AI. In conclusion, tuna offers high levels of selenium to counteract adverse effects by the presence of Hg and iAs, and to provide consumers an important source of this essential element safely.

Amyotrophic lateral sclerosis incidence following exposure to inorganic selenium in drinking water: A long-term follow-up.

Some studies have reported an association between overexposure to selenium and risk of amyotrophic lateral sclerosis (ALS), a rare degenerative disease of motor neurons. From 1986 through 2015, we followed a cohort in Northern Italy that had been inadvertently consuming tap water with unusually high concentrations of inorganic hexavalent selenium from 1974 to 1985. We had previously documented an excess incidence of ALS in this cohort during 1986-1994. Here, we report extended follow-up of the cohort for an additional 21 years, encompassing 50,100 person-years of the exposed cohort and 2,233,963 person-years of the unexposed municipal cohort. We identified 7 and 112 incident ALS cases in the exposed and unexposed cohorts, respectively, yielding crude incidence rates of 14 and 5 cases per 100,000 person-years. A Poisson regression analysis, adjusting for age, sex and calendar year, produced an overall incidence rate ratio (IRR) for ALS of 2.8 (95% confidence interval (CI) 1.3, 6), with a substantially stronger IRR in 1986-1994 (8.2, 95% CI 2.7, 24.7) than in 1995-2015 (1.5, 95% CI 0.5, 4.7), and among women (5.1, 95% CI 1.8, 14.3) than men (1.7, 95% CI 0.5, 5.4). Overall, these results indicate an association between high exposure to inorganic selenium, a recognized neurotoxicant, and ALS incidence, with declining rates after cessation of exposure and stronger effects among women.

Essential and non-essential trace elements in fish consumed by indigenous peoples of the European Russian Arctic.

In present study, the analyses of essential [copper (Cu), cobalt (Co), selenium (Se) and zinc (Zn)] and non-essential elements [mercury (Hg), lead (Pb), cadmium (Cd) and arsenic (As)] in 7 fish species consumed by the indigenous people of the European Russia Arctic were conducted. The Nenets Autonomous Region, which is located in the north-eastern part of European Russia, was chosen as a Region of interest. Within it, the Nenets indigenous group (n = 6000) constitutes approximately 10% of the total population. Nearly all of the Nenets live a traditional life with fish caught in the local waters as a subsistence resource. We found that northern pike contained twice the amount of Hg compared with roach, and 3-4 times more than other fish species commonly consumed in the Russian Arctic (namely, Arctic char, pink salmon, navaga, humpback whitefish and inconnu). Fish Hg concentrations were relatively low, but comparable to those reported in other investigations that illustrate a decreasing south-to-north trend in fish Hg concentrations. In the current study, northern pike is the only species for which Hg bioaccumulated significantly. In all fish species, both Cd and Pb were present in considerably lower concentrations than Hg. The total As concentrations observed are similar to those previously published, and it is assumed to be present primarily in non-toxic organic forms. All fish tissues were rich in the essential elements Se, Cu and Zn and, dependent on the amount fish consumed, may contribute significantly to the nutritional intake by indigenous Arctic peoples. We observed large significant differences in the molar Se/Hg ratios, which ranged from 2.3 for northern pike to 71.1 for pink salmon. Values of the latter <1 may increase the toxic potential of Hg, while those >1 appear to enhance the protection against Hg toxicity.

Honeybee dietary neonicotinoid exposure is associated with pollen collection from agricultural weeds.

Neonicotinoid insecticides have been linked to bee declines. However, tracking the primary exposure route for bees in the field has proven to be a major logistical challenge, impeding efforts to restore pollinator health in agricultural landscapes. We quantified neonicotinoid concentrations and botanical species composition in 357 pollen samples collected from 114 commercial honeybee colonies placed along a gradient of agricultural intensity between June and September. Neonicotinoid concentrations increased through the season, peaking at the end of August. As a result, concentrations in pollen were negatively associated with collection from woody and crop plants that flower early-mid season, and positively associated with collection from herbaceous plants that flower mid-late season. Higher clothianidin and thiamethoxam residues were correlated with samples containing a greater proportion of pollen collected from agricultural weeds. The percentage of agricultural land within 1500 m was positively correlated with thiamethoxam concentration; however, this spatial relationship was far weaker than the relationship with the proportion of pollen collected from herbaceous plants. These results indicate that both plant species identity and agricultural dominance are important in determining honeybee neonicotinoid exposure through the pollen diet, but that uncultivated plants associated with agriculture are the source of the greatest acute exposure.

Aggregate exposure modelling of vitamin A from cosmetic products, diet and food supplements.

Realism is important in estimating consumer exposure to a substance, especially when accounting for exposure from multiple sources. Humans are exposed to vitamin A from food, dietary supplements and cosmetics products. A probabilistic aggregate exposure model was developed for estimating exposure distributions to vitamin A (as retinol equivalents) in pre-/post-menopausal, and menopausal women in European and US populations. Data from large dietary surveys were used, together with realistic and extreme case scenarios of cosmetics product use (including occurrence data for vitamin A presence in 17 cosmetic products). Results of absorbed exposure estimates were expressed as µg/kg bw/day by incorporating dermal and oral bioavailability data. The mean and 95th percentile (P95) aggregate exposures were below the EU Tolerable Upper Intake Limit (3000 µg/day; 45 µg/kg/day internal exposure dose (IED)), providing positive assurances of safety. The major source of vitamin A exposure is the diet, with cosmetics providing only a small fraction of total exposure (2-5% at P95). In addition to providing a realistic assessment of total vitamin A exposure, this work provides a case study on how to approach future complex aggregate exposure questions.

Cancer incidence following long-term consumption of drinking water with high inorganic selenium content.

Selenium, a trace element to which humans are exposed mainly through diet, has been involved in the etiology of human cancer. We investigated the long-term effects of selenium exposure on cancer incidence using data from a natural experiment in Northern Italy. During the 1970s-1980s, in a part of the Italian municipality of Reggio Emilia, residents were inadvertently exposed to unusually high levels of inorganic hexavalent selenium (selenate) through drinking water. We followed the exposed residents for 28years, generating data on incidence (when available) and mortality rates for selected cancer sites; the remaining municipal residents comprised the unexposed (reference) group. We observed no substantial difference in overall cancer incidence comparing exposed and unexposed cohorts. We detected, however, a higher incidence of cancer at some sites, and for a few of them, namely cancers of the buccal cavity and pharynx, melanoma, urinary tract and lymphoid tissue, the excess incidence was particularly evident in the first period of follow-up but decreased over time. Overall, these results suggest that consumption of water with levels of selenium in its inorganic hexavalent form close to the European standard, 10µg/L, may have unfavourable effects on cancer incidence.

Metal concentrations in traditional and herbal teas and their potential risks to human health.

Food and beverage consumption is an important route for human exposure to metals. Traditional tea (Camellia sinensis) is a widely-consumed beverage, which may contain toxic metals. This study determined total and infusion concentrations of 5 metals including Al, As, Cd, Cr, and Pb in 47 traditional and herbal teas from 13 countries and assessed their potential risks to human health. The data showed that herbal teas exhibited higher As (0.26mgkg-1), Cd (0.19mgkg-1) and Pb (2.32mgkg-1) than traditional teas. Black tea from India had high Cr at 31mgkg-1 while white tea from China had low Cr at 0.39mgkg-1. Arsenic, Cd and Pb did not exceed the WHO limit for medicinal plants excluding one herbal tea with 1.1mgkg-1 As and 26.4mgkg-1 Pb. However, Cr in 47% herbal teas and 73% traditional teas exceeded the Canada limit of 2mgkg-1. Metal concentrations in tea infusions were below the MCL for drinking water except for Al. Total Al and its infusion was lower in herbal teas (47-1745mgkg-1 and 0.09-3.95mgL-1) than traditional teas (50.3-2517mgkg-1 and 0.02-7.51mgL-1), with 0.9-22% and 4-49% of the Al being soluble in infusion. The Al concentrations in infusion in all black tea and 83, 75 and 25% of the green, oolong and herbal teas exceeded the secondary MCL for drinking water at 0.2mgL-1. However, the weekly intake of Al from drinking tea (0.001-0.39 and 0.003-0.56mgkg-1 for children and adults) was lower than the provisional tolerable weekly intake for Al at 1.0mgkg-1. Our data showed that it is important to consider metal intake from tea consumptions, especially for Cr and Al in heavy tea drinkers.

Dietary intake and urinary metals among pregnant women in the Pacific Northwest.

Pregnancy is a period when the mother and her offspring are susceptible to the toxic effects of metals. We investigated associations of intake of frequently consumed foods with urinary metals concentrations among pregnant women in the Pacific Northwest. We measured urinary cadmium (U-Cd), arsenic (U-As) and molybdenum (U-Mo) concentrations from spot urine samples in early pregnancy (15 weeks of gestation, on average) among 558 women from Seattle and Tacoma, Washington. We assessed periconceptional dietary intake using a semi-quantitative food frequency questionnaire (FFQ). We also determined early pregnancy zinc concentrations in serum. Statistical analyses involved multivariable linear regression models, adjusted for smoking status, age, race/ethnicity, multivitamin and supplement use, education, estimated total energy intake, and gravidity. The geometric mean and range in µg/g creatinine for U-Cd, U-As and U-Mo were 0.29 (0.1-8.2), 18.95 (3-550), and 72.1 (15-467), respectively. U-Cd was positively associated with dietary zinc intake (P-value = 0.004) and serum zinc (P-value<0.001) while it was negatively associated with coffee intake (P-value = 0.03). U-As was positively associated with dietary fish [(Lean fish, fatty fish, shellfish and non-fried fish) (P-values<0.01)], selenium (P-value = 0.004), zinc (P-value = 0.017), vegetables (P-value = 0.004), and low-fat yogurt (P-value = 0.03). Women who reported higher intake of dietary magnesium (Mg)(P-value = 0.04), insoluble fiber (P-value = 0.03), and low-fat yogurt (P-value = 0.04) had higher U-Mo concentrations. Our study suggests that vegetables, fish, fiber and yogurt might be significant dietary sources of metals. Future studies aimed at investigating the risk of exposure to metals from other various food sources among reproductive-age and pregnant women are needed.

Dioxin concentrations in dietary supplements containing animal oil on the Japanese market between 2007 and 2014.

We determined the concentrations of dioxins (polychlorinated dibenzo-p-dioxins, dibenzofurans and dioxin-like polychlorinated biphenyls) in 46 dietary supplement products, containing the oil of fish, marine mammals, or egg yolk, on the Japanese market between 2007 and 2014. Dioxins were detected in 43 of the 46 products tested at concentrations from 0.00015 to 67 pg TEQ/g. The highest concentration of dioxins was found in a shark liver oil product which varied insignificantly in five batches collected over a two-year period. The dioxin intakes from these five batches reached 2.3-2.8 pg TEQ/kg bw/day, or 58%-70%, respectively, of the Japanese tolerable daily intake (TDI) of 4 pg TEQ/kg bw/day. However, the dioxin intakes from most of the other products tested were less than 5% of the TDI. Although rare, supplements based on animal oils may contain relatively high concentrations of dioxins, leading to a substantial increase in dioxin intakes.