Association between mediterranean diet and metal(loid) exposure in 4-5-year-old children living in Spain

Even relatively low levels of metals exposure may impact health, particularly among vulnerable populations such as infants and young children. However, little is known about the interplay between simultaneous metal exposures, common in real-life scenarios, and their association with specific dietary...

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Autores: Notario Barandiaran, Leyre, Irizar, Amaia, Begoña Zubero, Miren, Soler Blasco, Raquel, Riutort-Mayol, Gabriel, Fernández-Somoano, Ana, Tardón, Adonina, Casas Sanahuja, Maribel, Vrijheid, Martine, Meharg, Andrew A., Carey, Manus, Meharg, Caroline, Ralphs, Kathryn, McCreanor, Coalain, Grimalt Obrador, Joan, Vioque, Jesus, Signes-Pastor, Antonio J.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/58253
Acceso en línea:http://hdl.handle.net/10230/58253
http://dx.doi.org/10.1016/j.envres.2023.116508
Access Level:acceso abierto
Palabra clave:Arsenic speciation
Children
Mediterranean diet
Metals
aMED
rMED
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network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Association between mediterranean diet and metal(loid) exposure in 4-5-year-old children living in Spain
title Association between mediterranean diet and metal(loid) exposure in 4-5-year-old children living in Spain
spellingShingle Association between mediterranean diet and metal(loid) exposure in 4-5-year-old children living in Spain
Notario Barandiaran, Leyre
Arsenic speciation
Children
Mediterranean diet
Metals
aMED
rMED
title_short Association between mediterranean diet and metal(loid) exposure in 4-5-year-old children living in Spain
title_full Association between mediterranean diet and metal(loid) exposure in 4-5-year-old children living in Spain
title_fullStr Association between mediterranean diet and metal(loid) exposure in 4-5-year-old children living in Spain
title_full_unstemmed Association between mediterranean diet and metal(loid) exposure in 4-5-year-old children living in Spain
title_sort Association between mediterranean diet and metal(loid) exposure in 4-5-year-old children living in Spain
dc.creator.none.fl_str_mv Notario Barandiaran, Leyre
Irizar, Amaia
Begoña Zubero, Miren
Soler Blasco, Raquel
Riutort-Mayol, Gabriel
Fernández-Somoano, Ana
Tardón, Adonina
Casas Sanahuja, Maribel
Vrijheid, Martine
Meharg, Andrew A.
Carey, Manus
Meharg, Caroline
Ralphs, Kathryn
McCreanor, Coalain
Grimalt Obrador, Joan
Vioque, Jesus
Signes-Pastor, Antonio J.
author Notario Barandiaran, Leyre
author_facet Notario Barandiaran, Leyre
Irizar, Amaia
Begoña Zubero, Miren
Soler Blasco, Raquel
Riutort-Mayol, Gabriel
Fernández-Somoano, Ana
Tardón, Adonina
Casas Sanahuja, Maribel
Vrijheid, Martine
Meharg, Andrew A.
Carey, Manus
Meharg, Caroline
Ralphs, Kathryn
McCreanor, Coalain
Grimalt Obrador, Joan
Vioque, Jesus
Signes-Pastor, Antonio J.
author_role author
author2 Irizar, Amaia
Begoña Zubero, Miren
Soler Blasco, Raquel
Riutort-Mayol, Gabriel
Fernández-Somoano, Ana
Tardón, Adonina
Casas Sanahuja, Maribel
Vrijheid, Martine
Meharg, Andrew A.
Carey, Manus
Meharg, Caroline
Ralphs, Kathryn
McCreanor, Coalain
Grimalt Obrador, Joan
Vioque, Jesus
Signes-Pastor, Antonio J.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Arsenic speciation
Children
Mediterranean diet
Metals
aMED
rMED
topic Arsenic speciation
Children
Mediterranean diet
Metals
aMED
rMED
description Even relatively low levels of metals exposure may impact health, particularly among vulnerable populations such as infants and young children. However, little is known about the interplay between simultaneous metal exposures, common in real-life scenarios, and their association with specific dietary patterns. In this study, we have evaluated the association between adherence to Mediterranean diet (MD) and urinary metal concentrations individually and as an exposure mixture in 713 children aged 4-5-years from the INMA cohort study. We used a validated food frequency questionnaire to calculate two MD indexes scores: aMED and rMED. These indexes gather information on various food groups within the MD and score differently. To measure urinary concentrations of cobalt, copper, zinc, molybdenum, selenium, lead, and cadmium as exposure biomarkers, we used inductively coupled plasma mass spectrometry (ICP-MS), coupled with an ion chromatography (IC) equipment for arsenic speciation analysis. We applied linear regression and quantile g-computation, adjusted for confounders, to analyse the association between MD adherence and exposure to the metal mixture. High adherence to MD such as the quintile (Q) 5 MD was associated with higher urinary arsenobetaine (AsB) levels than Q1, with β values of 0.55 (confidence interval - CI 95% 0.01; 1.09) for aMED and 0.73 (CI 95% 0.13; 1.33) for rMED. Consumption of fish was associated with increased urinary AsB but reduced inorganic arsenic concentrations. In contrast, the aMED vegetables consumption increased urinary inorganic arsenic content. A moderate level of adherence to MD (Q2 and Q3) was associated with lower copper urinary concentrations than Q1, with β values of -0.42 (CI 95% -0.72; -0.11) for Q2 and -0.33 (CI 95% -0.63; -0.02) for Q3, but only with aMED. Our study, conducted in Spain, revealed that adhering to the MD reduces exposure to certain metals while increasing exposure to others. Specifically, we observed increase in exposure to non-toxic AsB, highlighting the significance of consuming fish/seafood. However, it is crucial to emphasize the necessity for additional efforts in reducing early-life exposure to toxic metals, even when adhering to certain food components of the MD.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/58253
http://dx.doi.org/10.1016/j.envres.2023.116508
url http://hdl.handle.net/10230/58253
http://dx.doi.org/10.1016/j.envres.2023.116508
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Environ Res. 2023 Sep 15;233:116508
info:eu-repo/grantAgreement/EC/FP7/282957
info:eu-repo/grantAgreement/ES/2PE/CEX2018-000806-S
info:eu-repo/grantAgreement/EC/H2020/874583
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/bync-nd/4.0/
info:eu-repo/semantics/openAccess
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eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
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spelling Association between mediterranean diet and metal(loid) exposure in 4-5-year-old children living in SpainNotario Barandiaran, LeyreIrizar, AmaiaBegoña Zubero, MirenSoler Blasco, RaquelRiutort-Mayol, GabrielFernández-Somoano, AnaTardón, AdoninaCasas Sanahuja, MaribelVrijheid, MartineMeharg, Andrew A.Carey, ManusMeharg, CarolineRalphs, KathrynMcCreanor, CoalainGrimalt Obrador, JoanVioque, JesusSignes-Pastor, Antonio J.Arsenic speciationChildrenMediterranean dietMetalsaMEDrMEDEven relatively low levels of metals exposure may impact health, particularly among vulnerable populations such as infants and young children. However, little is known about the interplay between simultaneous metal exposures, common in real-life scenarios, and their association with specific dietary patterns. In this study, we have evaluated the association between adherence to Mediterranean diet (MD) and urinary metal concentrations individually and as an exposure mixture in 713 children aged 4-5-years from the INMA cohort study. We used a validated food frequency questionnaire to calculate two MD indexes scores: aMED and rMED. These indexes gather information on various food groups within the MD and score differently. To measure urinary concentrations of cobalt, copper, zinc, molybdenum, selenium, lead, and cadmium as exposure biomarkers, we used inductively coupled plasma mass spectrometry (ICP-MS), coupled with an ion chromatography (IC) equipment for arsenic speciation analysis. We applied linear regression and quantile g-computation, adjusted for confounders, to analyse the association between MD adherence and exposure to the metal mixture. High adherence to MD such as the quintile (Q) 5 MD was associated with higher urinary arsenobetaine (AsB) levels than Q1, with β values of 0.55 (confidence interval - CI 95% 0.01; 1.09) for aMED and 0.73 (CI 95% 0.13; 1.33) for rMED. Consumption of fish was associated with increased urinary AsB but reduced inorganic arsenic concentrations. In contrast, the aMED vegetables consumption increased urinary inorganic arsenic content. A moderate level of adherence to MD (Q2 and Q3) was associated with lower copper urinary concentrations than Q1, with β values of -0.42 (CI 95% -0.72; -0.11) for Q2 and -0.33 (CI 95% -0.63; -0.02) for Q3, but only with aMED. Our study, conducted in Spain, revealed that adhering to the MD reduces exposure to certain metals while increasing exposure to others. Specifically, we observed increase in exposure to non-toxic AsB, highlighting the significance of consuming fish/seafood. However, it is crucial to emphasize the necessity for additional efforts in reducing early-life exposure to toxic metals, even when adhering to certain food components of the MD.This study was funded by CIDEGENT/2020/050 and grants from Spanish Institute of Health Carlos III, ISCIII-FEDER: PI07/0314, PI11/01007, PI16/1288, PI19/1338, PI04/2018, PI09/02311, PI13/02429, PI18/00909, PIS06/0867, PI09/00090, PI13/02187, PI04/1436; PI08/1151, PI18/01142, PI03/1615, PI04/1509, PI04/1112, PI04/1931, PI05/1079, PI05/1052, PI06/1213, PI07/0314, PI09/02647, PI11/02591, PI11/02038, PI13/1944, PI13/2032, PI14/00891, PI14/01687 and PI17/00663. FIS-FSEE: 7/00260, Red INMA G03/176; CB06/02/0041 incl. FEDER funds. Grants from UE (FP7-ENV-2011 cod 282957 and HEALTH.2010.2.4.5–1). - Generalitat de Catalunya CIRIT 1999SGR 00241, Fundació La marató de TV3 (090430). We acknowledge support from the Spanish Ministry of Science and Innovation and the State Research Agency through the “Centro de Excelencia Severo Ochoa 2019–2023” Program (CEX2018-000806-S), and support from the Generalitat de Catalunya through the CERCA Program. Obra Social Cajastur/Fundación Liberbank and Universidad de Oviedo Miguel Servet fellowship (CP16/00128, CP11/00178, CP15/00025, and CPII16/00051) funded by Instituto de Salud Carlos III and cofounded by European Social Fund “Investing in your future”. CIBERESP, Department of Health of the Basque Government (2005111093, 2009111069, 2013111089, 2015111065 and 2018111086), and the Provincial Government of Gipuzkoa (DFG06/002, DFG08/001 and DFG15/221 and DFG 89/17) and annual agreements with the municipalities of the study area (Zumarraga, Urretxu, Legazpi, Azkoitia y Azpeitia y Beasain). Generalitat Valenciana: FISABIO (UGP 15–230, UGP-15-244, and UGP-15-249), and Alicia Koplowitz Foundation 2017. Institute of Health Carlos III(Grant CD21/00186- Sara Borell Postdoctoral Fellowship) and co-funded by the European Union. Spanish Ministry of Universities (Margarita Salas Grant MS21-133) and co-funded by European Union- Next Generation EU. H2020 No 874583, the ATHLETE project. Generalitat Valenciana (CIAICO/2021/132).Elsevier202320232023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/58253http://dx.doi.org/10.1016/j.envres.2023.116508reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésEnviron Res. 2023 Sep 15;233:116508info:eu-repo/grantAgreement/EC/FP7/282957info:eu-repo/grantAgreement/ES/2PE/CEX2018-000806-Sinfo:eu-repo/grantAgreement/EC/H2020/874583© 2023 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/).http://creativecommons.org/licenses/bync-nd/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/582532026-06-12T07:21:37Z
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