Adipose tissue: another target organ for lead accumulation? A study on Sardinian children (Italy).

OBJECTIVES: This study analyzes the relationship between lead levels and adipose tissue in Sardinian children. As an environmental pollutant, lead occurs in two different chemical forms: inorganic and organic lead; organic lead is present in the environment mainly as lead-alkyls (tetramethyl and tetraethyl lead). The lead-alkyls are characterized by their liposolubility; because of this characteristic, the behavior of organic Pb in the organism is similar to that of persistent organic pollutants (POPs). In fact, the high liposolubility of POPs, synthetic chemical substances highly resistant to biodegradation in both the environment and the human body, gives them a preferential tendency to accumulate in adipose tissue. METHODS: The study sample consisted of 759 children between 11 and 15 years resident in various municipalities of Sardinia. Hair lead levels (PbH) were used as the biomarker of exposure, while several anthropometric indexes were adopted to evaluate the adipose tissue: weight, body mass index, waist circumference, waist to hip circumference ratio, and sum of skinfolds (Σskf). RESULTS: The results of the multivariate ridge regression analysis, controlling for sex and age, show a significant positive relationship between logPbH and logΣskf but not the other adiposity indicators. CONCLUSIONS: This results suggests that organic lead tends to accumulate in adipose tissue, although it would be appropriate to measure lead levels in the adipose tissue itself in order to verify the results. Hence this tissue could be considered a possible new biological matrix for the evaluation of environmental lead exposure.

Growth charts of head length and breadth for regional areas? A study in Sardinia (Italy).

There exist few standards of head length and breadth from childhood to adulthood in Europoid populations. Moreover, such standards are based on samples that cannot be used as references for all populations since they were taken from different ethnic groups and from different periods. The aims of this study were: (1) to test whether standards derived from North Americans of European extraction can be used to assess the Sardinian population; and (2) to produce growth charts for head length and breadth for Sardinian males and females from 3 to 22 years of age. The cross sectional sample consisted of 9,721 subjects of Sardinian origin (4,884 males and 4,837 females), aged 3-22 years, measured from 1998 to 2008. Growth percentiles were produced with the LMS method. The mean values for each sex in each age class (3-18 years) are almost always significantly lower for both head length and breadth than the corresponding North American values. The exceptions are the head length of boys of 14 years and girls of 16-18 years where values for Sardinians are lower, but not significantly so. The results show that the North American standards are not appropriate for the assessment of Sardinian children. For the Sardinian population, specific regional growth charts should be used to correctly evaluate the normal range and the cut-off points of the extreme percentiles.

Hair lead levels to evaluate the subclinical impact of lead on growth in Sardinian children (Italy).

OBJECTIVES: The aim of this study was to determine if there are significant relationships between lead concentrations in children's hair and height, sitting height, and estimated leg length. METHODS: We analyzed three samples collected at different times: 1998, 2002, 2007. The total sample consisted of 825 children between 11 and 14 years of age living in different municipalities of Sardinia (Italy). Inductively coupled plasma atomic emission spectrometry (1998), inductively coupled plasma atomic absorption spectrometry (2002), and inductively coupled mass spectrometry (2007) were used to measure the lead concentration in hair (PbH). Some AAS measurements were also performed on the 1998 and 2007 samples to check the reliability of the data. RESULTS: The mean PbH is much higher in 1998 (5.84 µg/g) than in 2002 (1.49 µg/g) and 2007 (0.78 µg/g). Multivariate regression analysis of the three samples, controlling for age and sex, indicates a subclinical impact of lead on growth that differs according to the mean lead concentration in the hair. In fact, for 1998, the relationships between all three anthropometric variables and logPbH are significantly negative. For 2002, there are significant negative associations between height and estimated leg length and logPbH but not between sitting height and logPbH. For 2007, there are not significant associations between logPbH and anthropometric variables. CONCLUSIONS: Our results support the use of hair lead levels as a biomarker to assess the impact of subclinical lead on the physical growth of children, especially when the study area presents medium and/or high levels of lead pollution.

Evaluation of association between biomarkers of lead exposure in Sardinian children (Italy).

The aim of this work is to verify whether there are statistically significant correlations between the concentrations of lead in blood, urine, and hair in children. The sample collected in 2007 consists of 163 children of both sexes from 11-14-year-olds, living in three municipalities of Sardinia (Italy). Inductively coupled plasma atomic mass spectrometry has been used in the determination of lead concentration in biological material. For the overall sample, there is a non-significant partial correlation among the three matrices. However, for subjects with blood lead levels ≥5 µg/dL, there is a significant positive partial correlation between the lead levels in blood and hair, but not between blood and urine or between urine and hair. The results suggest that blood is the preferred biomarker to ascertain lead exposure in human populations, whereas hair can be used as a tool screening when an area is exposed to medium or high lead pollution.

Town and gender effects on hair lead levels in children from three Sardinian towns (Italy) with different environmental backgrounds.

This study reports hair lead (PbH) levels measured in 2002 in 193 children from three Sardinian towns: Carbonia, Gonnesa, and Sinnai. Carbonia and Gonnesa are in a polluted area of Sardinia due to their vicinity to the industrial zone of Portovesme. As a consequence of its economy and location, Sinnai is not exposed to lead pollution. PbH concentrations were determined by inductively coupled plasma atomic absorption spectrometry. The aim of this study was to evaluate if hair is a reliable biomarker to determine different degrees of exposure of populations to lead pollution and if there is a tendency to higher accumulation by males or females. The girls of Carbonia had the highest mean PbH value (2.21 microg/g), followed by the Gonnesa girls (2.03 microg/g), Carbonia boys (1.86 microg/g), Gonnesa boys (0.91 microg/g), and finally the Sinnai boys (0.68 microg/g) and girls (0.50 microg/g). Two-way analysis of covariance, with age as covariate, revealed a significant effect of town and sex on log PbH. Spearman's rank correlation coefficient indicated a significant positive concordance between PbH levels and gender (score for males=1, females=2). The results suggest that hair is a reliable biomarker to determine different levels of exposure of populations to lead pollution, and they indicate that females tend to accumulate lead in the hair more than males of the same age.

Quantitative digital and palmar dermatoglyphics among Sardinian linguistic groups.

Discriminant analyses of 23 digital and 15 palmar quantitative dermatoglyphic variables of 1364 Sardinians, 689 males and 675 females, were performed to identify biological relationships among five Sardinian linguistic groups of both sexes. By various subsets of dermatoglyphic variables (23 and 20 digital, 15 and 14 palmar, 4 summary traits) MANOVA revealed high intergroup heterogeneity among the groups of both sexes and within each sex. In the latter case the males are an exception when 15 and 14 (MLI removed) palmar variables are used. Standard discriminant analysis of the 23 digital variables, i.e. the radial and ulnar ridge counts on each of the 10 fingers plus total finger ridge count (TFRC), absolute finger ridge count (AFRC) and pattern intensity (PI), resulted in imperfect separation of males and females and an unclear picture of the biological relationships among the groups. In contrast, standard discriminant analysis of 20 digital variables (TFRC, AFRC and PI were removed from the analysis) resulted in separation of the sexes and a pattern of relationships among the populations consistent with their ethno-historical backgrounds. Standard discriminant analysis of 15 palmar dermatoglyphic variables failed to provide separation of the sexes and produced a pattern of relationships in disagreement with both the linguistic and ethno-historical backgrounds, even removing MLI (Main Line Index). Standard discriminant analysis of 4 summary dermatoglyphic variables (TFRC, AFRC, PI and MLI) yielded imperfect separation of males and females and an unclear pattern of relationships. By stepwise discriminant analysis with p < or = 0.01 as F-to-enter and p < or = 0.05 as F-to-remove, only 4 of the 38 digital and palmar variables were in the model (URC R5, RRC L5, RRC R5, URC R4). The pattern of inter-population biological relationships was conceptually similar to the one produced by the 20 digital variables. It showed a clear separation of the Gallurian group (both males and females), which speaks an Italian dialect. The properly Sardinian linguistic groups (Campidanian and Logudorian), the Sassarian group (which speaks an Italian dialect) and the Alghero group (which speaks Catalan) were close to one another. This picture agrees with the ethno-historical background rather than with the linguistic one.