Single blood-Hg samples can result in exposure misclassification: temporal monitoring within the Japanese community (United States)

Ami Tsuchiya,Jim W White,Elaine M Faustman,Koenraad Mariën,Finn Krogstad,Rob Duff,Thomas M Burbacher,Alan H Stern

doi:10.1186/1476-069x-11-37

Abstract

BackgroundThe most prominent non-occupational source of exposure to methylmercury is the consumption of fish. In this study we examine a fish consuming population to determine the extent of temporal exposure and investigate the extent to which single time estimates of methylmercury exposure based on blood-Hg concentration can provide reliable estimates of longer-term average exposure.MethodsBlood-mercury levels were obtained from a portion of the Arsenic Mercury Intake Biometric Study (AMIBS) cohort. Specifically, 56 Japanese women residing in the Puget Sound area of Washington State, US were sampled on three occasions across a one-year period.ResultsAn average of 135 days separated samples, with mean blood-mercury levels for the visits being 5.1, 6.6 and 5.0 μg/l and geometric means being 2.7, 4.5 and 3.1 μg/l. The blood-mercury levels in this group exceed national averages with geometric means for two of the visits being between the 90th and 95th percentiles of nationally observed levels and the lowest geometric mean being between the 75th and 90th percentile. Group means were not significantly different across sampling periods suggesting that exposure of combined subjects remained relatively constant. Comparing intra-individual results over time did not reveal a strong correlation among visits (r = 0.19, 0.50, 0.63 between 1st and 2nd, 2nd and 3rd, and 1st and 3rd sample results, respectively). In comparing blood-mercury levels across two sampling interval combinations (1st and 2nd, 2nd and 3rd, and 1st and 3rd visits, respectively), 58% (n = 34), 53% (n = 31) and 29% (n = 17) of the individuals had at least a 100% difference in blood-Hg levels.ConclusionsPoint estimates of blood-mercury, when compared with three sample averages, may not reflect temporal variability and individual exposures estimated on the basis of single blood samples should be treated with caution as indicators of long-term exposure. Reliance on single blood samples can make predicting ongoing methylmercury exposure highly speculative due to the large intra-individual variability.

Highlights

The most prominent non-occupational source of exposure to methylmercury is the consumption of fish
As part of the Arsenic Mercury Intake Biometric Study (AMIBS), we examined longitudinal data for blood-Hg levels within the population of Japanese women living in the Puget Sound area of Washington State (US) at three time points
The blood-Hg levels of these Japanese fish consumers were compared with the 2003–2006 National Health and Nutrition Examination Survey (NHANES) blood-Hg data which reflect the United States (US) as a whole (Table 1) [13]

Summary

Introduction

The most prominent non-occupational source of exposure to methylmercury is the consumption of fish. In this study we examine a fish consuming population to determine the extent of temporal exposure and investigate the extent to which single time estimates of methylmercury exposure based on blood-Hg concentration can provide reliable estimates of longer-term average exposure. The main goals of this work were two-fold: to examine temporal blood-Hg levels within this group and to quantify intra-individual blood-Hg concentration variability across a period of approximately one year. This information will allow for a better understanding of potential misclassification of exposure resulting from intra-individual variability in temporal blood-Hg levels

Objectives

Methods

Results

Conclusion