Estimation of calcium, magnesium, cadmium, and lead in biological samples from paralyzed quality control and production steel mill workers.

The determination of trace and toxic metals in the biological samples of human beings is an important clinical screening procedure. The aim of the present study was to compare the level of essential trace and toxic elements cadmium (Cd), calcium (Ca), lead (Pb), and magnesium (Mg) in biological samples (whole blood, urine, and scalp hair) of male paralyzed production (PPW) and quality control workers (PQW) of a steel mill, age ranged (35-55 years). For comparison purposes, healthy age-matched exposed referent subjects (EC), working in steel mill and control subjects (NEC), who were not working in industries and lived far away from the industrial areas, were selected as control subjects. The concentrations of electrolytes and toxic elements in biological samples were measured by atomic absorption spectrometry after microwave-assisted acid digestion. The validity and accuracy of the methodology were checked using certified reference materials. The results of this study showed that the mean values of Cd and Pb were significantly higher in scalp hair, blood, and urine samples of PPW and PQW as compared to NEC and EC (p < 0.001), whereas the concentrations of Ca and Mg were found to be lower in the scalp hair and blood but higher in the urine samples of PPW and PQW. The results show the need for immediate improvements in workplace, ventilation, and industrial hygiene practices.

Distribution of potassium, calcium, magnesium, and sodium levels in biological samples of Pakistani hypertensive patients and control subjects.

BACKGROUND: The abnormal metabolism of metal ions plays an important role in health and disease conditions, and studies about them have been attracting significant interest. The aim of our study was to assess the essential minerals (calcium (Ca), magnesium (Mg), potassium (K), and sodium (Na)) in biological samples (scalp hair, blood, urine) of 387 hypertensive males and females, age 30-60 years, in an urban population together with 439 non-hypertensive subjects of same age group and residential areas. METHODS: The element concentrations were measured by means of an atomic absorption spectrophotometer after microwave-induced acid digestion. The validity and accuracy was checked by conventional wet acid digestion method and using certified reference materials. The overall recoveries of all elements were found in the range of 99.1-99.9% of certified values. RESULTS: The results indicated significantly lower levels of Ca, Mg, and K in the biological samples (blood and scalp hair) of hypertensive patients, when compared to controls of both genders. The level of Na was found to be high in biological samples of hypertensive patients as compared to controls. CONCLUSIONS: The deficiency of Ca, Mg, and K may be synergistic with risk factors associated with hypertension. These data present guidance to clinicians and other professionals who will be investigating the deficiency of essential micronutrients in biological samples (scalp hair and blood) of hypertensive patients.

Distribution of arsenic, cadmium, lead, and nickel levels in biological samples of Pakistani hypertensive patients and control subjects.

BACKGROUND: The abnormal metabolism of metal ions plays an important role in health and disease conditions, and studies about them have been attracting significant interest. The aim of our study was to assess the toxic elements arsenic (As), cadmium (Cd), nickel (Ni), and lead (Pb) in biological samples (scalp hair, blood, urine) of 387 hypertensive males and females, aged between 30 and 60 years, from an urban population together with 439 non-hypertensive subjects, of the same age group and residential areas. METHODS: The element concentrations were measured by means of an electrothermal atomic absorption spectrophotometer after microwave-induced acid digestion. The validity and accuracy was checked by conventional wet acid digestion method and using certified reference materials. The overall recoveries of all elements were found in the range of 96.8 - 99.4% of certified values. RESULTS: The results indicated significantly higher levels of As, Cd, Ni, and Pb in the biological samples (scalp hair, blood and urine) of hypertensive patients, when related to controls of both genders. CONCLUSIONS: The high exposure of toxic elements may be synergistic with risk factors associated with hypertension. These data present guidance to clinicians and other professionals who will be investigating the toxicity of heavy elements in biological samples (scalp hair and blood) of hypertensive patients.

Evaluation of chromium and manganese in biological samples (scalp hair, blood and urine) of tuberculosis and diarrhea male human immunodeficiency virus patients.

BACKGROUND: The consequence of trace elements deficiency has been associated with an increased risk of human immunodeficiency virus type 1 (HIV-1) disease progression and mortality. This study examined the association between high concentrations of chromium (Cr) and manganese (Mn) in scalp hair, blood, and urine and opportunistic infections in hospitalized patients with the acquired immune deficiency syndrome (AIDS). METHODS: The study was performed on 62 male HIV+ patients (HIV-1) from different cities of Pakistan. The patients were divided in two groups according to secondary infections (tuberculosis, diarrhea, or high fever). The biological samples (scalp hair, blood and urine) were collected from AIDS patients, and for comparative study 120 healthy subjects (males) of same age group (31 - 45 years), socio-economic status, localities, and dietary habits were also included. The elements in the biological samples were analyzed by electrothermal atomic absorption spectrophotometry after microwave-assisted acid digestion. The validity and accuracy of the methodology was checked by using certified reference materials (CRMs) and with the values obtained by conventional wet acid digestion method on the same CRMs. RESULTS: The results indicated significantly lower concentrations of Cr and Mn in the biological samples (scalp hair, blood, and urine) of male HIV-1 patients, compared with control subjects. It was observed that the lower levels of these trace elements may be predictors for secondary infections in HIV-1 patients. There was a significant decrease in mean values of Cr and Mn in whole blood and scalp hair, whilst higher concentrations were observed in urine samples of the three groups of AIDS patients as compared to a controlled healthy male group (p < 0.001). CONCLUSIONS: Low Cr and Mn levels may be due to increased Cr and Mn losses. These data present guidance to clinicians and other professional investigating deficiencies of Cr and Mn in biological samples of AIDS patients.

Evaluation of status of arsenic, cadmium, lead and zinc levels in biological samples of normal and arthritis patients of age groups (46 - 60) and (61 - 75) years.

BACKGROUND: Arthritis is a chronic inflammatory disease resulting in inflammation of diarthrodial joints (particularly joints of hands, wrists, feet, knees, ankles, and shoulders), manifested by swelling and functional impairment. This study was designed to evaluate the levels of the toxic elements arsenic (As), cadmium (Cd), and lead (Pb) and correlate those with the essential trace element zinc (Zn) in biological samples (scalp hair, blood, and urine) of arthritis patients, in two age groups (46 - 60 and 61 - 75) of both genders. For comparison purposes all three biological samples were collected from gender- and age-matched non-arthritic subjects as referents. METHODS: The As, Cd, and Pb in biological samples were analysed by electrothermal atomic absorption spectrometry, prior to microwave assisted acid digestion. The level of Zn was determined by flame atomic absorption spectrometry. The validity and accuracy of the methodology was checked by using Certified Reference Materials (CRM) from the Community Bureau of Reference (BCR) of the Commission of the European Community and with those values obtained by conventional wet acid digestion method on the same CRMs. RESULTS: The results of this study showed that the mean values of As, Cd, and Pb were higher in blood, scalp hair, and urine samples of arthritis patients as compared to those values obtained in age-matched referent subjects. The concentration of Zn was lower in the biological samples of rheumatoid arthritis patients of both genders with respect to non-arthritic subjects. The urinary levels of the elements studied were found to be higher in the arthritis patients than in the age-matched healthy referents (p < 0.001). CONCLUSIONS: An inverse correlation was observed between Zn and toxic elements in biological samples of arthritis patients (r = 0.612 - 0.754). Intake of certain antioxidant micronutrients, particularly a zinc supplement, may protect against the development of rheumatoid arthritis.

Evaluation of calcium, magnesium, potassium and sodium in biological samples of male human immunodeficiency virus patients with tuberculosis and diarrhea compared to healthy control subjects in Pakistan.

BACKGROUND: Electrolyte deficiency has been associated with an increased risk of human immunodeficiency virus type 1 (HIV-1) disease progression and mortality. This study examined the association between low electrolyte concentrations in blood and scalp hair and the presence of opportunistic infections in patients with acquired immune deficiency syndrome (AIDS). METHODS: Sixty-two male HIV positive patients (HIV-1) from various cities in Pakistan were recruited to the study. These Patients were divided into two groups according to secondary infections (tuberculosis and high fever with diarrhea), and biological samples (scalp hair, serum, blood and urine) were collected from them. As a comparative control group, 120 healthy subjects (males) of the same age group (31 - 45 years), socio-economic status, localities and dietary habits were also included in the study. The elements in the biological samples were analyzed by flame atomic absorption spectrophotometry after microwave-assisted acid digestion. Validity and accuracy of the methodology were checked using certified reference materials (CRMs) and against values obtained by a conventional wet acid digestion method on the same CRMs. RESULTS: The results indicated significantly lower levels of calcium, potassium, magnesium and natrium in all analyzed biological samples (blood, serum and scalp hair) of male patients with Acquired Immune Deficiency Syndrome (AIDS) in comparison to healthy controls (p < 0.01), while the levels of these elements were found to be higher in urine samples of the AIDS patients than in those of the control group. CONCLUSIONS: These data offer guidance to clinicians and other professionals investigating the deficiency of electrolytes in biological samples (scalp hair, serum and blood) of AIDS patients in relation to healthy subjects.

Evaluation of chromium, cobalt and manganese in biological samples (scalp hair, blood, and urine) of Pakistani viral hepatitis (A-E) patients and controls.

BACKGROUND: The aim of the present study was to compare the level of chromium (Cr), cobalt (Co), and manganese (Mn) in biological samples (blood, urine, and scalp hair) of patients suffering from different types of viral hepatitis (A, B, C, D, and E; n = 521) of both genders, ages ranging from 31 - 45 years. For comparative study, 255 age-matched control subjects of both genders residing in the same city were selected as referents. METHODS: The digests of all biological samples were analysed for Cr, Co, and Mn by electrothermal atomic absorption spectrometry (ETAAS). The validity and accuracy of the methodology was checked by using certified reference materials (CRMs) and compared with those values obtained by conventional wet acid digestion method on same CRMs. RESULTS: The results of this study showed that the mean values of Cr, Co, and Mn were higher in blood and scalp hair samples of hepatitis patients than in age-matched control subjects. The urinary levels of these elements were found to be higher in the hepatitis patients than in the age-matched healthy controls (p <0.001). CONCLUSIONS: These results are consistent with literature-reported data, confirming that the overload of these trace elements can directly cause lipid peroxidation and eventually hepatic damage.

Distribution of copper, iron, and zinc in biological samples of Pakistani hypertensive patients and referent subjects of different age groups.

BACKGROUND: The abnormal metabolism of metal ions plays an important role in health and disease conditions, and studies about them have been attracting significant interest. The aim of our study was to assess the trace metals (copper (Cu), iron (Fe), and zinc (Zn)) in biological samples (scalp hair, blood, urine) of 387 hypertensive males and females, age range 30 - 60 years, from an urban population and 439 non-hypertensive subjects of same age group and residential areas. METHODS: The element concentrations were measured by means of an atomic absorption spectrophotometer after microwave-induced acid digestion. The validity and accuracy was checked by conventional wet acid digestion method, using certified reference materials. The overall recoveries of all elements were found in the range of 95.2 - 98.7 % of certified values. RESULTS: The results indicated significantly lower levels of Cu, Fe, and Zn in the biological samples (blood and scalp hair) of hypertensive patients when compared to referents of both genders while the levels of these elements was found to be high in urine samples of hypertensive patients as compared to referents. CONCLUSIONS: The deficiency of Cu, Fe, and Zn may be synergistic with risk factors associated with hypertension. These data present guidance to clinicians and other professionals who will be investigating the deficiency of essential micronutrients in biological samples (scalp hair, serum, and blood) of hypertensive patients.

Evaluation of status of zinc, copper, and iron levels in biological samples of normal and arthritis patients in age groups 46-60 and 61-75 years.

BACKGROUND: A great number of studies have investigated the possible role of trace elements in the etiology and pathogenesis of rheumatoid arthritis (RA). METHODS: The aim of the study was to evaluate copper (Cu), iron (Fe), and zinc (Zn) levels in three biological samples (scalp hair, blood, and urine) in patients with rheumatoid arthritis (RA) in two groups, age ranges 46 - 60 and 61-75 years, of both genders compared to age-matched healthy individuals. A microwave assisted wet acid digestion procedure was developed as a sample pretreatment for the determination of Cu, Fe, and Zn in biological samples. The digests of all biological samples were analysed for Cu, Fe, and Zn by flame atomic absorption spectrometry (FAAS) using an air/acetylene flame. The proposed method was validated by analyzing certified reference samples of hair, blood, and urine. RESULTS: The results indicated significantly lower levels of Fe, Cu, and Zn in the biological samples (blood and scalp hair) of male and female rheumatoid arthritis patients as compared to control subjects of both genders (p < 0.01). CONCLUSIONS: These data present guidance to clinicians and other professional investigating deficiency of essential trace metals in biological samples (scalp hair and blood) of RA patients.

Evaluation of calcium, magnesium, potassium, and sodium in biological samples (scalp hair, serum, blood, and urine) of Pakistani referents and arthritis patients of different age groups.

BACKGROUND: Rheumatoid Arthritis is a chronic inflammatory disease resulting in joint inflammation (particularly joints of hands, wrists, feet, knees, ankles, and shoulder) that is manifested by swelling and functional impairment. METHODS: This study was designed to compare the levels of calcium (Ca), magnesium (mg), potassium (K), and sodium (Na) in four biological samples (scalp hair, serum, blood, and urine) of patients with rheumatoid arthritis (RA) as compared to referent subjects of both genders who do have not arthritis problems. All patients and referents were divided in two age groups, (46-60) and (61-75) years. A microwave assisted wet acid digestion procedure was used for acid digestion of biological samples. The digests of all biological samples were analysed for Ca, Mg, K, and Na by flame atomic absorption spectrometry (FAAS). The proposed method was validated by using conventional wet digestion of the same sub samples and certified reference samples of hair, serum, blood, and urine. RESULTS: The results indicated significantly lower levels of Ca, Mg, and K in the biological samples (blood, serum, and scalp hair) of male and female rheumatoid arthritis patients when compared to referents of both genders, whereas the levels of Na were found to be high in blood and urine samples of patients as compared to nonrheumatic referents. CONCLUSIONS: These data represent a guide for clinicians and other professionals who will be investigating the deficiency of essential micronutrients in biological samples (scalp hair, serum, and blood) of rheumatoid arthritis patients.

Interaction between selenium and arsenic in biological samples of psoriasis patients.

BACKGROUND: Psoriasis is a noncontagious, chronic skin disease affecting 1 in 50 people worldwide. METHODS: The aim of present study was to compare the levels of arsenic (As) and selenium (Se) in samples of whole blood, urine, and scalp hair of 418 psoriasis patients of both genders aged 25 - 55 years. All psoriatic patients lived in the vicinity of a cement factory, and were categorized as mild, moderate, and severe. For comparison purposes, 395 healthy age-matched referent/control subjects, residents of industrial and non-industrial areas, were selected. The concentrations of essential trace and toxic elements were measured by electrothermal atomic absorption spectroscopy after microwave-assisted acid digestion. The validity and accuracy of methodology was checked by using certified reference materials (CRMs) and the conventional wet acid digestion method on the same CRMs and real samples. RESULTS: The observed mean values of As were significantly higher in scalp hair, blood, and urine samples of patients with mild and severe psoriasis as compared to the controls (p = 0.01 - 0.001), while the concentrations of Se were lower in the scalp hair and blood, but higher in the urine samples of psoriasis patients of all categories. CONCLUSIONS: The deficiency of Se in psoriatic patients may undoubtedly be caused by the toxic element exposures via dust produced by the cement factory.

Evaluation of arsenic, cadmium, lead, nickel, and zinc in biological samples (scalp hair, blood, and urine) of tuberculosis and diarrhea male human immunodeficiency virus patients.

BACKGROUND: The consequence of a deficiency in trace elements has been associated with an increased risk of human immunodeficiency virus type 1 (HIV-1) disease progression and mortality. This study examined the association between high scalp hair and blood arsenic, cadmium, lead, and nickel concentrations and opportunistic infections in hospitalized patients with the acquired immune deficiency syndrome (AIDS). METHODS: The study was performed on sixty two male HIV+ patients (HIV-1) from different cities of Pakistan. The patients were divided in two groups according to secondary infections (tuberculosis, diarrhea, and high fever). The biological samples (scalp hair, blood, and urine) were collected from AIDS patients, and for comparative study 120 healthy subjects (males) of same age group (31 - 45 years), socio-economic status, localities, and dietary habits were also included. The elements in the biological samples were analyzed by electrothermal atomic absorption spectrophotometry, prior to microwave-assisted acid digestion. The validity and accuracy of the methodology was checked using certified reference materials (CRMs) and with values obtained by conventional wet acid digestion method on same CRMs. RESULTS: The results indicated significantly higher levels of As, Cd, Ni, and Pb in the biological samples (scalp hair, blood, and urine) of male HIV-1 patients, compared with control subjects. It was observed that the high levels of these toxic elements may be predictors for secondary infections in HIV-1 patients. There was a significant increase in mean values of As, Cd, Ni, and Pb in whole blood, scalp hair, and urine samples of three groups of AIDS patients as compared to a controlled healthy male group (p < 0.001). CONCLUSIONS: These data present guidance to clinicians and other professionals investigating toxicity of As, Cd, Ni, and Pb in biological samples of AIDS patients.

Evaluation of zinc in scalp hair and blood samples of tuberculosis and diarrhea male human immunodeficiency virus patients.

BACKGROUND: The consequence of zinc (Zn) deficiency has been associated with an increased risk of human immunodeficiency virus type 1 (HIV-1) disease progression and mortality. METHODS: This study examined the association between low scalp hair and blood Zn concentrations and opportunistic infections in hospitalized patients with the acquired immune deficiency syndrome (AIDS). The study was performed on sixty two male HIV+ patients (HIV-1) from different cities in Pakistan. The patients were divided in two groups according to secondary infections (tuberculosis, diarrhea, and high fever). The biological samples (scalp hair and blood) were collected from AIDS patients, and for comparative study, 120 healthy subjects (males) of same age group (31 - 45 years), socio-economic status, localities, and dietary habits were also included. RESULTS: The Zn in biological samples was determined by flame atomic absorption spectrometry prior to microwave assisted acid digestion. The proposed method was validated by a certified sample of human hair BCR 397 and Clincheck control-lyophilized human whole blood. It was observed that the low levels of Zn may be predictors for secondary infections in HIV-1 patients. There was a significant decrease in mean values of Zn in whole blood and scalp hair samples in both groups of AIDS patients as compared to a controlled healthy male group (p < 0.001). CONCLUSIONS: Deficiency of zinc might play a role in the development of AIDS in the subjects of this study.

Effects of selenium supplementation on iodine and thyroid hormone status in a selected population with goitre in Pakistan.

BACKGROUND: Selenium (Se) has an essential role in thyroid hormone metabolism. It has the potential to play a major part in the outcome of iodine (I) deficiency The aim of the present study was to evaluate the Se and I status of biological samples (serum and urine) of 160 goitrous male (GMPs) and 195 female patients (GFPs). The supplemental effects of Se (200 microg/day) and I (100 - 125 microg/day) were evaluated after 6 months. For comparison purposes, non-goitrous subjects of both genders (n = 440) with same age group and socioeconomic status were also selected. METHODS: Hydride generation atomic absorption spectrometry (HGAAS) was used to investigate the Se concentration in the biological samples, prior to microwave assisted acid digestion. Quality control for the methodology was established by comparing the results obtained with certified samples with those obtained by conventional wet acid digestion method on the same CRMs and real samples. RESULTS: The mean serum Se concentration was significantly lower, while urinary Se was higher in GMPs and GFPs as compared to control subjects (p < 0.005 and < 0.007, respectively). The levels of I, free tri-iodothyronine, and thyroxin were found in goitrous patients of both genders were low compared to age matched healthy controls (p < 0.015, < 0.006, and < 0.002, respectively). On the other hand, high levels of thyroid stimulating hormone were observed in GMPs and GFPs (p < 0.009). CONCLUSIONS: It was observed that Se in biological samples of hypothyroid patients can play an important role in determining the severity of the hypothyroidism associated with iodine deficiency. A wide-scale epidemiological study is recommended together with the examination of the potential preventive role of Se supplementation in endemic goiter regions.

Evaluation of status of calcium, magnesium, potassium, and sodium levels in biological samples in children of different age groups with normal vision and night blindness.

BACKGROUND: The most common cause of blindness in developing countries is vitamin A deficiency. The World Health Organization (WHO) estimates 13.8 million children have some degree of visual loss related to vitamin A deficiency. The causes of night blindness in children are multifactorial and particular consideration has been given to childhood nutritional deficiency, which is the most common problem found in underdeveloped countries. Such deficiency can result in physiological and pathological processes that in turn influence biological sample composition. Vitamin and mineral deficiency prevents more than two billion people from achieving their full intellectual and physical potential. METHODS: This study was designed to compare the levels of magnesium (Mg), calcium (Ca), potassium (K), and sodium (Na) in scalp hair, serum, blood, and urine of night blindness children in two age groups, (1-5) and (6-10) years, of both genders comparing them to sex- and age-matched controls. A microwave assisted wet acid digestion procedure was developed as a sample pretreatment for the determination of Mg, Ca, K, and Na in biological samples of children with night blindness. The proposed method was validated by using conventional wet digestion and certified reference samples of hair, serum, blood, and urine. The digests of all biological samples were analysed for Mg, Ca, K, and Na by flame atomic absorption spectrometry (FAAS) using an air/acetylene flame. RESULTS: The results indicated significantly lower levels of Mg, Ca, and K in the biological samples (blood, serum, and scalp hair) of male and female children with night blindness and higher values of Na compared with control subjects of both genders. CONCLUSIONS: These data present guidance to clinicians and other professionals investigating deficiency of essential mineral elements in biological samples (scalp hair, serum, and blood) of children with night blindness.

Evaluation of zinc, copper and iron in biological samples (scalp hair, blood and urine) of tuberculosis and diarrhea male human immunodeficiency virus patients.

BACKGROUND: The consequence of a deficiency in trace elements has been associated with an increased risk of human immunodeficiency virus type 1 (HIV-1) disease progression and mortality. This study examined the association between low scalp hair and blood zinc, copper, and iron concentrations and opportunistic infections in hospitalized patients with the acquired immune deficiency syndrome (AIDS). METHODS: The study was performed on sixty two male HIV+ patients (HIV-1) from different cities in Pakistan. The patients were divided in two groups according to secondary infections (tuberculosis, diarrhea and high fever). The biological samples (scalp hair, blood, and urine) were collected from AIDS patients. For comparative study, 120 healthy subjects (males) of the same age group (31 - 45 years), socio-economic status, localities, and dietary habits were also included. The elements in the biological samples were analyzed by flame atomic absorption spectrophotometry prior to microwave-assisted acid digestion. The validity and accuracy of the methodology was checked using certified reference materials (CRMs) and values obtained by conventional wet acid digestion method of the same CRMs. RESULTS: The results indicated significantly lower levels of Fe and Zn and high levels of Cu in the biological samples (blood and scalp hair) of male HIV-1 patients compared with control subjects. It was observed that the low levels of zinc and iron may be predictors for secondary infections in HIV-1 patients. There was a significant decrease in mean values of Fe and Zn in whole blood and scalp hair samples of three groups of AIDS patients as compared to a control healthy male group (p < 0.001). CONCLUSIONS: Deficiency of Zn and Fe might play a role in the development of AIDS in the subjects of this study.

Evaluation of calcium, magnesium, potassium, and sodium in biological samples of Pakistani viral hepatitis (A-E) patients and controls.

BACKGROUND: The aim of the present study was to compare the level of calcium (Ca), magnesium (Mg), potassium (K), and sodium (Na) in biological samples (serum, blood, urine, and scalp hair) of patients suffering from different types of viral hepatitis (A, B, C, D, and E; n = 521) of both genders, ages ranged between 31-45 years. For comparative study, 255 age-matched subjects of both genders, residing in the same city, were selected as controls. METHOD: The elements in the biological samples were analyzed by flame atomic absorption spectrophotometry prior to microwave-assisted acid digestion. The validity and accuracy of the methodology was checked by using certified reference materials (CRMs) and values obtained by conventional wet acid digestion method on the same CRMs. RESULT: The results of this study showed that the mean value of Na was higher in blood, sera, and scalp hair samples of hepatitis patients, while Ca, Mg and K levels were found to be lower than age-matched control subjects. The urinary levels of these elements were found to be higher in the hepatitis patients than in the age-matched healthy controls (p < 0.05). CONCLUSIONS: These results are consistent with data reported in literature, confirming that the deficiency of essential mineral elements and sodium overload can directly cause lipid peroxidation and eventually hepatic damage.

Potassium, calcium, magnesium, and sodium levels in biological samples of Pakistani myocardial infarction patients at different stages as related to controls.

BACKGROUND: Many studies have examined the association between cardiovascular disease (CVD) mortality and the intake of essential micronutrients (potassium (K+), calcium (Ca(2+)), magnesium (Mg(2+)), and sodium (Na+)). They may separately reduce the CVD incidence to a small degree over the short term levels. The aim of the present study was to compare the levels of micronutrients in biological samples (whole blood, urine, and scalp hair) of myocardial infarction (MI) patients of both genders where ages ranged from 45 to 60 years at first, second and third heart attack (n = 232). For comparison purposes, healthy age-matched referent subjects (n = 103) and patients with cardiovascular without MI, of both genders were also selected. METHODS: The elemental concentrations in scalp hair and whole blood were measured by flame atomic absorption spectrophotometer prior to microwave-induced acid digestion. The validity and accuracy was checked by means of certified reference materials. RESULTS: The results of this study showed that the mean values of K+ and Mg(2+) were significantly reduced, while the Na+ level was higher in blood and scalp hair samples of MI patients as com-pared to control subjects of both genders (p < 0.05). The levels of Ca(2+) in the biological samples of MI patients were found to be higher than in referents, but the difference was not significant (p > 0.05). The urinary levels of these elements were found to be higher in MI patients than in the age-matched healthy controls. CONCLUSIONS: Although these data do not prove a causal relationship, these results are consistent with the hypothesis that deficiency and efficiency of some essential micronutrients may play a role in the development of heart disease. The micronutrient supplements containing K+ and Mg(2+) may be beneficial, but because of potential risks, use should be carefully monitored and restricted to men taking potassium-losing diuretics.

Status of essential trace metals in biological samples of diabetic mother and their neonates.

OBJECTIVE: There is accumulating facts that the metabolism of essential trace elements is altered in diabetic patients. The aim of present study was to compare the status of essential trace elements, chromium (Cr), manganese (Mn), and zinc (Zn) in biological samples (whole blood, urine and scalp hair) of insulin dependent diabetic mothers (age ranged 30-40) and their newly born infants (n = 76). An age matched 68 non-diabetic mothers and their infants, residing in the same locality, were selected as referents. For a comparative study, the biological samples of non-diabetic and diabetic pregnant and non pregnant of same age group and socio-economics status were also analysed. METHODOLOGY: The biological samples (scalp hair, blood and urine) were collected from study and referent groups. The Cr, Mn and Zn concentrations in all three biological samples were determined by a flame/electrothermal atomic absorption spectrometer, prior to microwave assisted acid digestion. The validity and accuracy of the methodology was checked by certified reference materials (CRMs) and using conventional wet acid digestion method on same CRMs. RESULTS: The mean values of Cr, Mn and Zn in scalp hair and blood samples of diabetic mothers and their infants were significantly lower as compared to the referent mothers-infants pairs (p < 0.01), while urinary excretion of all these elements were high in diabetic mother-infant pair samples. CONCLUSION: The deficiencies of essential trace elements, Cr, Mn and Zn in biological samples of diabetic women, may play role in the pathogenesis of diabetes mellitus and impacts on their neonates.

Distribution of zinc, copper and iron in biological samples of Pakistani myocardial infarction (1st, 2nd and 3rd heart attack) patients and controls.

BACKGROUND: The pathogenesis of some heart diseases has been associated with changes in the balance of certain trace elements. We examined the association of iron, copper and zinc between biological samples (scalp hair, whole blood and urine) and mortality from myocardial infarction (MI) patients of (first, second and third heart attack). METHODS: The biological samples were from 130 MI patients (77 male and 53 female, age range 45-60 years) and 61 healthy age-matched controls (33 male and 28 female). The metals in the biological samples were measured by the flame atomic absorption spectrophotometry, prior to microwave assisted acid digestion. The validity of the methodology was checked by the biological certified reference materials. RESULTS: During this study, 78% of the 32 patients aged >50 years, registered after the third MI attack died. In these subjects the concentration of Fe and Cu were increased by 0.83% and 3.12% in the scalp hair while in blood samples 9.7% and 22.5% were enhanced respectively, as compared to those who tolerated 3rd MI attack (p=0.072). The concentrations of Zn in whole blood and scalp hair samples were lower in MI patients as compared to normal subjects. CONCLUSION: Deficiency of zinc and high concentration of copper and iron may play a role in the development of heart disease.