Abstract
In a total of 395 subjects with varying fish consumption habits, mercury levels in whole blood (BHg), and selenium levels in plasma (PSe) were studied. Also, in subcohorts, mercury levels in blood cells (EryHg; n = 79), plasma (PHg; n = 158) and urine (UHg; n = 125) were analysed. There were statistically significant associations between fish intake on the one hand, and BHg, EryHg and PHg, on the other, but not so with UHg. In subjects who never had fish, the average BHg was 1.8 ng/g, in subjects who had at least two fish meals each week, 6.7 ng/g. EryHg, and to a less extent PHg, were associated with levels of marine n-3 polyunsaturated fatty acids (PUFA) in serum phosphatidylcholine. PHg and UHg were associated with numbers of teeth with amalgam fillings. PSe also correlated with fish intake. In subjects who never had fish, PSe averaged 80 μg/l, in subjects who had at least two fish meals per week, 91 μg/l. There was an association between PUFA and PSe. Further, there were statistically significant associations between PSe on the one hand, and BHg, EryHg and PHg on the other. The data clearly demonstrate the importance of fish for the exposure to methylmercury and selenium in the Swedish diet, and the impact of amalgam as a source of exposure to inorganic mercury.
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