Metals contamination and trace element level in breast milk samples of mothers in Kenitra, Morocco

Abstract

ABSTRACT The current study aimed to examine the quality of breast milk in Kenitra city (Morocco), regarding its levels of essential elements Iron (Fe), Copper (Cu), and Zinc (Zn) and heavy metals chromium (Cr), lead (Pb), and cadmium (Cd), besides carried out the inter-element correlation and investigated their association with some sociodemographic parameters of lactating women. For this, a total of 95 (n = 95) samples of breast milk were collected, at the second postpartum month from mothers in five governmental health care centres in Kenitra. After total mineralisation, human milk sample analysis was conducted by using flame atomic absorption spectrophotometry (AAS) for the essential elements detection, and heavy metal quantification was performed by using the atomic absorption spectrophotometer with a graphite furnace. Mean levels of Fe, Cu and Zn were 0.43, 0.26 and 6.11 mg/L, while the main concentrations of Cr, Pb and Cd were 8.84, 3.20 and 0.60 µg/L, respectively. Statistical analysis had proved a highly significant correlation between surveyed elements, especially between Cu and Zn, Pb and Cd, besides the strong relationship between the essential elements mentioned before and the heavy metals. Moreover, breast milk elements are most affected by sociodemographic parameters, principally the body mass index (BMI) of mothers, dietary habits and newborn gender. Moreover, 6.46% and 27.37% of samples are exceeded the recommended limits for Cd and Pb, respectively, which verify the low contamination of surveyed breast milk samples. Whereas, the mean values of Cr and Zn were above the limits recommended by the word human organisation, but so far there are no reports of adverse effects on newborns at those reported doses. These data justify the requirement to set surveillance policies by health organisations with the purpose of limit maternal and foetal exposure to heavy metals and strengthen health education.