The Association of Maternal Food Intake and Blood Lead Levels in Pregnant and Their Newborns

  • Lee, Ah-Young (Department of Nutritional Sciences, Ewha Womans University) ;
  • Kim, Hye-Sook (Department of Nutritional Sciences, Ewha Womans University) ;
  • Kim, Ki-Nam (Department of Nutritional Sciences, Ewha Womans University) ;
  • Ha, Eun-Hee (Department of preventive Medicine, College of Medicine, Ewha Womans University) ;
  • Park, Hye-Sook (Department of preventive Medicine, College of Medicine, Ewha Womans University) ;
  • Ha, Mi-Na (Department of preventive Medicine, Dankook University College of Medicine) ;
  • Kim, Yang-Ho (Department of Occupational and Environment Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Hong, Yun-Chul (Department of Preventive Medicine, Seoul National University College of Medicine) ;
  • Chang, Nam-Soo (Department of Nutritional Sciences, Ewha Womans University)
  • Published : 2008.03.31

Abstract

Although dietary intake of pregnant is supposed to have beneficial effects on development of infants, it may be harmful for fetal growth and development since specific food is a common source of toxicants including heavy metal. The purpose of this study was to investigate the association of maternal food intake and mid-pregnancy and their newborns blood lead levels. Pregnant women of 18-20 weeks of gestation were recruited from prenatal clinic in Seoul, Cheonan and Ulsan. In 422 pregnant women, dietary intake during pregnancy was assessed by a 24-hour recall method. Blood sample from pregnant (18-20 wks) and their cord blood at delivery were collected. Blood leas levels were analyzed by atomic-absorption spectrometry methods. Pregnant blood lead levels whose meat and meat products intake were in the highest quartile was significantly higher compared to the lowest quartile. Maternal meat and meat products intake was positively correlated maternal blood lead level (r=0.120, P=0.014). After adjusting for age, maternal blood lead level was positively correlated with their newborn blood lead level (r=0.303, P=0.030). As maternal food intake effects on blood lead levels of pregnant, careful regulation of food intake during pregnancy is perceives to be important in order to bring about desirable pregnancy outcomes.

Keywords

References

  1. Bolger, P. et al. Identification and reduction of sources of dietary lead in the United States. Food Addit Contam 13:53-60 (1996) https://doi.org/10.1080/02652039609374380
  2. Hu, H. & Hernandez-Avila, M. Invited commentary: lead, bones, women, and pregnancy-the poison within Am J Epidemio 156:1079-1087 (2002) https://doi.org/10.1093/aje/kwf163
  3. Lagerkvist, B. et al. Increased blood lead and decreased calcium levels during pregnancy: a prospective study of Swedish women living near a smelter. Am J Public Health 86:1247-1252 (1996) https://doi.org/10.2105/AJPH.86.9.1247
  4. Bonithon-Kopp, C. et al. Effects of pregnancy on the inter-individual variations in blood levels of lead, cadmium and mercury. Biol Res Pregnancy Perinatol 7:37-42 (1986)
  5. Rothenberg, S. et al. Changes in serial blood lead levels during pregnancy. Environ Health Perspect 102:876-880 (1994) https://doi.org/10.2307/3432121
  6. Magri, J. et al. Lead and other metals in gestational hypertension. J Gynaecol Obstet 83:29-36 (2003)
  7. Borja-Aburto, V. et al. Blood lead levels measured prospectively and risk of spontaneous abortion. Am J Epidemiol 150:590-597 (1999) https://doi.org/10.1093/oxfordjournals.aje.a010057
  8. Reichlmayr-Lais, A. et al. Handbook of nutritionally essential mineral elements. New York, NY: Marcel Dekker Inc 479-492 (1997)
  9. Goyer, R. Transplacental transport of lead. Environ. Health Perspect 89:101-105 (1990) https://doi.org/10.2307/3430905
  10. Bander, L. et al. Dietary lead intake of preschool children. Am J Public Health 73:789-794 (1983) https://doi.org/10.2105/AJPH.73.7.789
  11. Gulson, B. et al. Pregnancy increases mobilization of lead from maternal skeleton. J Lab Clin Med 130:51-62 (1997) https://doi.org/10.1016/S0022-2143(97)90058-5
  12. Bonithon-Kopp, C. et al. Effects of pregnancy on the inter-individual variations in blood levels of lead, cadmium and mercury. Biol Res Pregnancy Perinatol 7:37-42 (1986)
  13. World Health Organisation (WHO) Lead. Fifty-third meeting of the Joint FAO/WHO Expert Committee on Food Additives (JECFA) WHO pp. 273-312. WHO, Geneva-Food Additives Series 44 (2000)
  14. Garber, B. T. & Wei, E. Influence of dietary factors on the gastrointestinal absorption of lead. Toxicol Appl Pharmacol 27:685-691 (1974) https://doi.org/10.1016/0041-008X(74)90048-9
  15. DeLuca, H. et al. The effects of dietary fat and lead ingestion on blood lead levels in mice. J Toxicol Environ Health 10:441-447 (1982) https://doi.org/10.1080/15287398209530266
  16. Cuadrado, C. et al. Lead, cadmium and mercury contents in average Spanish market basket diets from Galicia, Valencia, Andaluca and Madrid. Food Additives and Contaminants 12:107-118 (1995) https://doi.org/10.1080/02652039509374285
  17. ENCA. Encuesta Nutricional de Canarias 1997-1998. Servicio Canario de Salud. Consejera de Sanidad y Consumo Gobierno de Canarias (2000)
  18. World Health Organisation (WHO) Evaluation of certain foods additives and contaminants. Forty-first report of the joint FAO/WHO Expert Committee on Foods Additives (JECFA) WHO p. 53. WHO, Geneva-Technical Report Series 837 (1993)
  19. Moon, C. et al. Lead and cadmium levels in daily foods, blood and urine in children and their mothers in Korea. Int Arch Occup Environ Health 76:282-288 (2003)
  20. Iyengar, G. et al. Content of minor and trace elements and organic nutrients in representative mixed total diet composites from the USA. Sci Total Environ 256:215-226 (2000) https://doi.org/10.1016/S0048-9697(00)00494-0
  21. Moreiras, O. & Cuadrado, C. Theoretical study of the intake of trace elements (nutrients and contaminants) via total diet in come geographical areas of Spain. Biol Trace Elem Res 32:93-103 (1992) https://doi.org/10.1007/BF02784592
  22. Wang, C. et al. Blood lead levels of both mothers and their newborn infants in the middle part of China. J Hyg Environ Health 207:431-436 (2004) https://doi.org/10.1078/1438-4639-00311
  23. Liu, J. et al. Dynamic study on blood lead levels of pregnant women and infants in a district of Beijing. J Hygiene Research (in Chinese) 26:24-26 (1997)