J Nutr Health.  2017 Aug;50(4):350-360. 10.4163/jnh.2017.50.4.350.

Association of iron status and food intake with blood heavy metal concentrations in Korean adolescent girls and women: Based on the 2010~2011 Korea National Health and Nutrition Examination Survey

Affiliations
  • 1Department of Food and Nutrition, Dongduk Women's University, Seoul 02748, Korea. yjyang@dongduk.ac.kr
  • 2Department of Clinical Nutrition, Dongduk Women's University, Seoul 02748, Korea.

Abstract

PURPOSE
This study examined and compared the associations of the iron status and food intake with the blood lead, mercury, and cadmium concentrations among Korean adolescent girls, premenopausal women, and postmenopausal women.
METHODS
The data from the 2010~2011 Korea National Health and Nutrition Examination Survey (KNHANES) was used. The subjects were classified into three groups: adolescent girls (n = 268), premenopausal women (n = 1,157), and postmenopausal women (n = 446). The iron status was assessed by hemoglobin, hematocrit, serum ferritin, and iron concentrations, as well as the total iron binding capacity (TIBC). The food intake was estimated by a food frequency questionnaire.
RESULTS
The blood heavy metal concentrations and poisoning rate in postmenopausal women were higher than in the other groups. The iron status in the adolescent girls and postmenopausal women was higher than that in the premenopausal women. In the adolescent girls, the iron status was inversely associated with the blood cadmium concentration. The dairy food intake was inversely related to the blood lead and cadmium concentrations. In premenopausal women, the iron status was inversely associated with the cadmium concentrations. The fish and shellfish food intakes were positively associated with the mercury concentrations. In postmenopausal women, the iron status was positively associated with the mercury and cadmium concentrations. Fast foods and fried foods were inversely associated with the lead concentration.
CONCLUSION
The premenopausal women showed a lower iron status than the adolescent girls and postmenopausal women. The associations of the iron status with the blood heavy metal concentrations were different among the adolescent girls, premenopausal women, and postmenopausal women. In addition, the relationships of the food intakes with the blood heavy metal concentrations differed among adolescent girls, premenopausal women, and postmenopausal women. Further studies will be needed to confirm these findings.

Keyword

iron status; lead; mercury; cadmium; food intake

MeSH Terms

Adolescent*
Cadmium
Eating*
Fast Foods
Female*
Ferritins
Hematocrit
Humans
Iron*
Korea*
Nutrition Surveys*
Poisoning
Shellfish
Cadmium
Ferritins
Iron

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Reference

References

1. Järup L. Hazards of heavy metal contamination. Br Med Bull. 2003; 68(1):167–182.
Article
2. Korea Food & Drug Administration. Dietary intake and risk assessment of contaminants in Korean foods. Seoul: Korea Food & Drug Administration;2004.
3. Korea Centers for Disease Control and Prevention. Survey •research of heavy metal concentration in blood [Internet]. Seoul: Ministry of Environment;2005. [cited 2017 Feb 12]. Available from:. http://webbook.me.go.kr/DLi-File/F005/000/151341.pdf. from:. http://webbook.me.go.kr/DLi-File/F005/000/151341.pdf.
4. Shin HR, Kim JY. A study on the normal values of lead exposure indices. Korean J Prev Med. 1986; 19(2):167–176.
5. Ministry of Environment (KR). Development of management of the products containing mercury. Seoul: Ministry of Environment;2005.
6. Agency for Toxic Substances and Disease Registry (US). Toxicological profile for cadmium. Washington, D.C.: U.S. Department of Health and Human Services, Public Health Service;2008.
7. Kim Y, Lobdell DT, Wright CW, Gocheva VV, Hudgens E, Bowler RM. Blood metal concentrations of manganese, lead, and cadmium in relation to serum ferritin levels in Ohio residents. Biol Trace Elem Res. 2015; 165(1):1–9.
Article
8. Lee BK, Kim Y. Iron deficiency is associated with increased levels of blood cadmium in the Korean general population: analysis of 2008–2009 Korean National Health and Nutrition Examination Survey data. Environ Res. 2012; 112:155–163.
Article
9. Suh YJ, Lee JE, Lee DH, Yi HG, Lee MH, Kim CS, Nah JW, Kim SK. Prevalence and relationships of iron deficiency anemia with blood cadmium and vitamin D levels in Korean women. J Korean Med Sci. 2016; 31(1):25–32.
Article
10. Agency for Toxic Substances and Disease Registry (US). Public health statement mercury, CAS #: 7439–97–6. Washington, D.C.:Department of Health and Human Services, Public Health Service;1999.
11. Vupputuri S, Longnecker MP, Daniels JL, Guo X, Sandler DP. Blood mercury level and blood pressure among US women: results from the National Health and Nutrition Examination Survey 1999–2000. Environ Res. 2005; 97(2):195–200.
Article
12. Watanabe T, Zhang ZW, Moon CS, ShimboS , Nakatsuka H, Matsuda-Inoguchi N, Higashikawa K, Ikeda M. Cadmium exposure of women in general populations in Japan during 1991–1997 compared with 1977–1981. Int Arch Occup Environ Health. 2000; 73(1):26–34.
Article
13. Ilich-Ernst JZ, McKenna AA, Badenhop NE, Clairmont AC, Andon MB, Nahhas RW, Goel P, Matkovic V. Iron status, menarche, and calcium supplementation in adolescent girls. Am J Clin Nutr. 1998; 68(4):880–887.
Article
14. The Korean Nutrition Society. Dietary reference intakes for Koreans. 1st revision. Seoul: The Korean Nutrition Society;2010.
15. World Health Organization; Centers for Disease Control and Prevention (US). Assesing the ironstatus of populations. second edition [Internet]. Geneva: World Health Organization;2004. [cited 2017 Mar 12]. Available from:. http://www.who.int/nutrition/pub-lications/micronutrients/anaemia_iron_deficiency/9789241596107.pdf.
16. Sim CS, Kim Y, Lee H, Park CY, Ham JO, Lee BK. Iron deficiency increases blood lead levels in boys and pre-menarche girls surveyed in KNHANES 2010–2011. Environ Res. 2014; 130:1–6.
Article
17. Nagata C, Konishi K, Goto Y, Tamura T, Wada K, Hayashi M, Takeda N, Yasuda K. Associations of urinary cadmium with circulating sex hormone levels in pre- and postmenopausal Japanese women. Environ Res. 2016; 150:82–87.
Article
18. Centers for Disease Control and Prevention (US). Fourth national report on human exposure to environmental chemicals. Atlanta (GA): Centers for Disease Control and Prevention;2009.
19. Schulz C, Wilhelm M, Heudorf U, Kolossa-Gehring M. Reprint of "Update of the reference and HBM values derived by the German Human Biomonitoring Commission". Int J Hyg Environ Health. 2012; 215(2):150–158.
Article
20. UNICEF; United Nations University; World Health Organization. Iron deficiency anaemia: assessment, prevention and control: a guide for programme managers. Geneva: World Health Organization;2011.
21. Gibson RS. Principles of nutritional assessment.2nd edition. Oxford: Oxford University Press;2005.
22. Yeo E. Menopause, aging and obesity. J Korean Soc Study Obes. 2002; 11(3):289–298.
23. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2013: Korea National Health and Nutrition Examination Survey (KNHANES VI-1). Cheongju: Korea Centers for Disease Control and Prevention;2014.
24. Walker BL, Tiong JW, Jefferies WA. Iron metabolism in mammalian cells. Int Rev Cytol. 2001; 211:241–278.
Article
25. Choi YJ, Kim SY, Jung KA, Chang YK. The analysis of the factors related to diet quality in the postmenopausal women. Korean J Nutr. 2002; 35(1):102–114.
26. Muntner P, Menke A, DeSalvo KB, RabitoFA , Batuman V. Continued decline in blood lead levels among adults in the United States: the National Health and Nutrition Examination Surveys. Arch Intern Med. 2005; 165(18):2155–2161.
27. Environmental Protection Agency (US). EPA's report on the environment (ROE): blood lead level [Internet]. Washington, D.C.: Environmental Protection Agency;2014. [cited 2017 Feb 12]. Available from:. https://cfpub.epa.gov/roe/indicator.cfm?i=63. Available from:. https://cfpub.epa.gov/roe/indicator.cfm?i=63.
28. Kurihara I, Kobayashi E, Suwazono Y, Uetani M, Inaba T, Oishiz M, Kido T, Nakagawa H, Nogawa K. Association between exposure to cadmium and blood pressure in Japanese peoples. Arch Environ Health. 2004; 59(12):711–716.
Article
29. Centers for Disease Control and Prevention (US). National Health and Nutrition Examination Survey (2009–2010). Atlanta (GA): Centers for Disease Control and Prevention;2010.
30. Beaton GH, Corey PN. SteeleC. Conceptual and methodological issues regarding the epidemiology of iron deficiency and their implications for studies of the functional consequences of iron deficiency. Am J Clin Nutr. 1989; 50(3 Suppl):575–585.
31. Cook JD, Skikne BS. Serum ferritin: a possible model for the assessment of nutrient stores. Am J Clin Nutr. 1982; 35(5 Suppl):1180–1185.
Article
32. Morck TA, Lynch SR, Cook JD. Inhibition of food iron absorption by coffee. Am J Clin Nutr. 1983; 37(3):416–420.
Article
33. Bothwell TH. Overview and mechanisms of iron regulation. Nutr Rev. 1995; 53(9):237–245.
Article
34. Hercberg S, Galan P. Nutritional anaemias. Baillieres Clin Haematol. 1992; 5(1):143–168.
Article
35. Kim SJ. Relationship between the blood cadmium concentration and urinary N-acetyl-beta-D-glucosaminidase activity [dissertation]. Cheongju: Chungbuk National Uniersity;2008.
36. Ryu DY, Lee SJ, Park DW, Choi BS, Klaassen CD, Park JD. Dietary iron regulates intestinal cadmium absorption through iron transporters in rats. Toxicol Lett. 2004; 152(1):19–25.
Article
37. Choi B, Yeum KJ, Park SJ, Kim KN, Joo NS. Elevated serum ferritin and mercury concentrations are associated with hypertension; analysis of the fourth and fifth Korea national health and nutrition examination survey (KNHANES IV-2, 3, 2008–2009 and V-1, 2010). Environ Toxicol. 2015; 30(1):101–108.
Article
38. Pounds JG, Long GJ, Rosen JF. Cellular and molecular toxicity of lead in bone. Environ Health Perspect. 1991; 91:17–32.
Article
39. Kang MH, Park SM, Oh DN, Kim MH, Choi MK. Dietary nutrient and food intake and their relations with serum heavy metals in osteopenic and osteoporotic patients. Clin Nutr Res. 2013; 2(1):26–33.
Article
40. Korea Centers for Disease Control and Prevention. Major food sources of Na and Ca in Korea: Korea National Health and Nutrition Examination Survey [Internet]. Cheongwon: Korea Centers for Disease Control and Prevention;2010. [cited 2017 Feb 12]. Available from:. http://cdc.go.kr/CDC/cms/cmsFileDownload.jsp?fid=31&cid=12407&fieldName=attach1&index=1.
41. Reeves PG, Chaney RL. Bioavailability as an issue in risk assessment and management of food cadmium: a review. Sci Total Environ. 2008; 398(1–3):13–19.
Article
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