Dietary Exposure Assessment Research Articles

Results of the BfR MEAL Study: Acrylamide in foods from the German market with highest levels in vegetable crisps

Acrylamide (AA) is formed in foods due to thermal processes. AA was analysed in 230 foods in the first German Total Diet Study and the highest mean levels of AA were found in vegetable crisps (1430 μg/kg), followed by potato pancakes (558) μg/kg) and pan-fried potatoes (450 μg/kg). In various foods, e.g. French fries and sweet potatoes, AA was also tested for different browning degrees and cooking methods. French fries cooked to a browning degree of 3 in all cooking methods exceeded the benchmark level set by the European Union. French fries prepared in the oven and sweet potatoes in the air fryer had the lowest AA levels. In foods from the German market, AA was found also in foods such as popcorn (243 μg/kg), salty sticks (190 μg/kg), and dark chocolate (130 μg/kg). Levels of AA found in our study may support future dietary exposure and food safety assessments.

Dietary Exposure and Risk Assessment of Multi-Mycotoxins (AFB1, AFM1, OTA, OTB, DON, T-2 and HT-2) in the Lebanese Food Basket Consumed by Adults: Findings from the Updated Lebanese National Consumption Survey through a Total Diet Study Approach.

Mycotoxins have been linked to adverse health impacts, including liver cancer and kidney diseases. The objectives of the current study were to evaluate the dietary exposure of Lebanese adults to multi-mycotoxins (aflatoxin B1 (AFB1), aflatoxin M1 (AFM1), ochratoxin A (OTA), ochratoxin B (OTB), deoxynivalenol (DON), T-2 and HT-2) and to assess their associated health risks. Hence, a nationally representative sample of 449 participants aged 18-64 years old were interviewed to obtain their socio-demographic characteristics, food consumption data and exposure estimates. A food frequency questionnaire and 24 h-recall were used to collect data. The concentration of mycotoxins in all foods consumed by the participants was collected from previous national published studies. The estimated daily intake (EDI), the hazard quotient (HQ) and the margin of exposure (MOE) were calculated. The total exposure to AFB1, AFM1, OTA and DON was 1.26, 0.39, 4.10 and 411.18 ng/kg bw/day, respectively. The MOE to AFB1, AFM1, OTA and DON in the Lebanese food basket was 316, 1454, 3539 and 510, respectively, indicating high health-related risks. Per food items, the MOE to AFB1 was below 10,000 in cereals (466.5), mainly in rice (827.9) and Burgul (4868.5). Similarly, the MOE to OTA in cereals was 1439, in which bread (4022), rice (7589) and bulgur (7628) were considered unsafe. Moreover, the MOE to DON in cereals (605) is alarming, especially in bread (632) and manakesh (6879). The MOE to AFM1 in dairy products was 1454, indicating health-related risks with a focus on yogurt (9788) and labneh (8153). As for the herbs/spices group and traditional dishes, the MOE to AFB1 was relatively lower than 10,000 (3690 and 1625, respectively), with a focus on thyme (2624) and kishik (3297), respectively. It is noteworthy that the MOE to DON and the MOE to OTA in traditional foods and coffee were lower than 10,000 (8047 and 8867, respectively). All hazard quotient (HQ) values were below 1, except the HQ value of milk and dairy products (1.96). The intake of some food groups varied between age categories, corresponding to differences in EDI between them. Thus, it is essential to put control measures in place to decrease the contamination and exposure to mycotoxins by Lebanese consumers.

Germany's first Total Diet Study - Occurrence of non-dioxin-like polychlorinated biphenyls and polybrominated diphenyl ethers in foods

The occurrence of persistent organic pollutants like polychlorinated biphenyls (PCBs) and polybrominated diphenyl ethers (PBDEs) in food represents a public health concern. The BfR MEAL Study was initiated to generate a comprehensive data base of occurrence data for chemicals in the most consumed foods in Germany. Non-dioxin-like PCBs (NDL-PCBs) and PBDEs were analysed in 300 foods, purchased and prepared representatively for the eating behaviour of the population in Germany. Highest levels of NDL-PCBs and PBDEs were detected in spiny dogfish, cod liver, herring, and eel. High NDL-PCB and PBDE levels were observed in other oily fish, wild boar meat, sheep liver, and high-fat dairy products. The comparison of food from conventional and organic production revealed higher NDL-PCB values in the food group ‘meat and meat products’ if produced organically. Occurrence data of this study will improve future dietary exposure and risk assessments in Germany.

Dietary Exposure of Filipinos to Pesticide Residues in Rice (Oryza sativa) Using National Theoretical Maximum Daily Intake (NTMDI) Approach

Exposure to pesticides, at levels above the regulatory limits, is detrimental to health. Rice, being a staple food of Filipinos, is a significant vector of pesticide residues in the diet. The current study aimed to determine the exposure of Filipinos to different pesticide residues in well-milled rice using the National Theoretical Maximum Daily Intake (NTMDI) approach. The NTMDI of 71 permitted pesticide active ingredients (PAIs) was estimated using the 2013 national food consumption data, established maximum residue limits (MRL), and the estimated average weight of the population groups. Estimates were then compared with the acceptable daily intake (ADI) for each PAI. The top six PAIs were then subjected to probabilistic analysis of exceeding the ADI. Results showed that all Filipino population groups were at risk of exposure to thiram, isoprocarb, and carbofuran with a 100% probability of exceeding the ADI. Exposures of Filipinos to these PAIs across all population groups were up to 870, 435, and 348% ADI, respectively. Infants and children were the most at-risk populations due to their low body weight. The NTMDI estimates, therefore, recognize the need to conduct a more refined dietary exposure assessment on the identified PAIs.

Occurrence, dietary exposure and risk assessment to aflatoxins in red pepper flakes from Southeast of Türkiye

Aflatoxins contamination of foods is a global issue that severely threatens human health. This study aimed to measure total aflatoxin (AF) (aflatoxin B1 (AFB1), aflatoxin B2 (AFB2), aflatoxin G1 (AFG1), and aflatoxin G2 (AFG2)) levels in red pepper flakes samples and to evaluate the potential dietary exposure and cancer risk to aflatoxin in the southeast of Türkiye. A total of 90 red pepper flake samples were collected from local markets Gaziantep, Şanlıurfa, and Hatay provinces, Türkiye. Total AF in red pepper flakes was determined by high-performance liquid chromatography with a fluorescence detector (HPLC-FLD). Then, the margin of exposure (MOE) and cancer risk were calculated. AFB1 and total AF were detected in red pepper flake samples at 98.89% and 100%, respectively. The number of red pepper flake samples exceeded the legislation limits for AFB1 was four, and there was only one sample for total AF. It was determined that AFB1 exposure could pose a risk to public health for Turkish adults (MOE < 10,000). Although AF exposure seems to be higher due to the high consumption of red pepper flakes in some regions of Türkiye, the risk of exposure and cancer may decrease because of complying with the recommendations of the dietary guidelines. The findings provide new insights into exposure to total AF by consuming red pepper flakes.

Cumulative risk assessment of dietary exposure of the adult population in Serbia to pesticides that have chronic effects on the thyroid gland through fresh fruits and vegetables

In contrast to the traditional approach to risk assessment, which focuses on a single chemical, cumulative exposure and risk assessment considers the consequences of exposure to multiple chemical combinations. A cumulative risk assessment of dietary exposure of adult females and adult males to pesticides with chronic effects on the thyroid was conducted by estimation of the Total Margin of Exposure (MOET). Exposure to each active substance was estimated using a second-order Monte Carlo simulation. Input values for the simulation were based on over 2300 conventionally produced fruit and vegetable samples analysed from 2021 to 2023 and consumption data collected using the Food Frequency Questionnaire (FFQ) and 24h recall method. MOET values, for both populations assessed, did not exceed thresholds for regulatory consideration established by risk managers. Considering that MOETs values from consumption of fresh fruits and vegetables were relatively close to the threshold value, total exposure to the pesticides could likely reach risk-associated MOET levels, through the consumption of other food products that may be contaminated.

Dietary Exposure and Health Risk Assessment of Polycyclic Aromatic Hydrocarbons in Black Tea Consumed in Taiwan.

Polycyclic aromatic hydrocarbons (PAHs) are organic compounds found in many foods and drinks, and there have been some concerns over these compounds due to their carcinogenic nature. This study evaluated the concentrations of PAH4 (BaP, BaA, BbF, and CHR) in different black tea infusions and drinks based on the origin of the tea. The release of PAH4 from tea leaves to tea infusions was significantly low, with the highest transfer being 25.81%. The mean concentrations of BaP and PAH4 in tea infusions were used to conduct a risk assessment for the Taiwanese population, which showed that the 19-65 age group had the highest estimated intake of PAH4 and BaP among all age groups. These results, however, also showed margin of exposure (MOE) values well above the benchmark of 10,000. This indicated that PAH exposure from black tea consumption for the Taiwanese population constitutes a low-level health concern.

Singapore's Total Diet Study (2021-2023): Study Design, Methodology, and Relevance to Ensuring Food Safety.

A total diet study is often used to evaluate a population's baseline dietary exposure to chemical hazards from across the diet. In 2021-2023, Singapore carried out a TDS, and this article presents an overview of the study design and methodological selections in Singapore's TDS, as well as its relevance to ensuring food safety. A food consumption survey was conducted on Singapore citizens and permanent residents, where food consumption patterns of the Singapore population were identified. The selection of chemical hazards and foods for inclusion in Singapore's TDS, as well as principal considerations on sampling, food preparation, and analytical testing are discussed. Commonly consumed foods by the Singapore population in food categories such as grain and grain-based products, meat and meat products, fish and seafood, vegetables, fruits, milk and dairy products were included in this study, and mean concentrations of chemicals tested in each food category were reported, with food categories possessing higher levels identified. Future work will include dietary exposure assessments for the population and analysis of the contributions by food and cooking method.

Pesticide Residues in Greenhouse Leafy Vegetables in Cold Seasons and Dietary Exposure Assessment for Consumers in Liaoning Province, Northeast China

Excessive pesticide application in greenhouses leads to elevated levels of pesticide residues, especially in cold seasons, thereby posing a potential dietary exposure risk to the residents’ health. This study aimed to investigate 65 pesticides in 469 leafy vegetable samples collected from greenhouses in Liaoning province between October 2018 and May 2020. Overall, the pesticide levels in 96.4% (452/469) of the samples were below the MRLs established by the Codex Alimentarius Commission. The detection rate of 65 pesticides ranged from 0.2% to 11.9%. Multiple pesticide contamination was common, with dimethomorph being the most recurrent contaminant. The dietary risk assessment study revealed obvious differences in chronic and acute exposure risk values. The chronic risk quotients (RQcs) for leafy vegetable samples were 0.001%–3.993%, indicating an acceptable public health risk for the residents. As two leafy vegetables highly consumed in cold seasons in northeast China, the acute risk quotients (RQas) of Chinese cabbage samples were significantly lower than 100%; however, pakchoi samples exhibited RQa values ranging from 0.159% to 580.529%, showing an unacceptable acute dietary risk. This highlights that, compared to the chronic dietary risks, the potential acute dietary risks induced by the pesticides are higher in greenhouse-grown leafy vegetables during cold seasons.

Contamination Status and Acute Dietary Exposure Assessment of Paralytic Shellfish Toxins in Shellfish in the Dalian Area of the Yellow-Bohai Sea, China

The Yellow-Bohai Sea is an important semi-enclosed continental shelf marginal seas with an intensive aquaculture industry in China. The current study analyzed the contamination status and the time variations of paralytic shellfish toxins (PSTs) in shellfish between 2019 and 2020 from the Yellow-Bohai Sea in the Dalian area and estimated the acute health risks to consumers in China. A total of 199 shellfish samples (including 34 Pacific oysters, 25 Mediterranean blue mussels, 34 Manila clams, 36 bay scallops, 34 veined rapa whelks and 36 bloody clams) were analyzed from four representative aquaculture zones around the Yellow-Bohai Sea in Dalian. Among the samples, scallops and blood clams were the shellfish species with the highest detection rate of PSTs (94.4%), and the highest level of PSTs was detected in scallops with 3953.5 μg STX.2HCl eq./kg (μg STX.2HCL equivalents per kg shellfish tissue), followed by blood clams with 993.4 μg STX.2HCl eq./kg. The contents of PSTs in shellfish showed a time variation trend, and autumn was the season of concern for PST contamination in Dalian. For general Chinese consumers, the probability of acute health risks to shellfish consumers from dietary exposure to PSTs was around 13%. For typical consumers in coastal areas of China, especially those with higher shellfish intake, there was an acute health risk associated with exposure to PSTs through shellfish consumption during the occurrence of harmful algal blooms. It is suggested that the government continue to strengthen the monitoring of the source of PSTs and the monitoring of harmful algal blooms and give reasonable advice on shellfish consumption for consumers in coastal areas, such as not eating scallop viscera.

Lead, cadmium and mercury determination and human health risk assessement in foods from Cyprus

An accredited method using inductively coupled plasma mass spectrometry was applied for the determination of lead, cadmium and mercury in food. Up to 96% of the samples were contaminated with at least one of the three metals. Concentrations ranged between 0.003 and 0.045 mg kg–1, 0.0007 and 0.38 mg kg–1, 0.002 and 0.32 mg kg–1 for lead, cadmium and mercury respectively. No health risk was concluded from the dietary exposure assessment to lead. Less than 1% of the Cyprus population was found to exceed the health-based guidance value (Tolerable Weekly Intake, TWI), as regards to mercury. However, 9 to 15% of the younger population in Cyprus exceeded the TWI for cadmium intake. Dietary exposure to heavy metals was found to be independent of the geographical area in Cyprus and gender. Exposure to lead was a result of the consumption of several food categories. Molluscs (21%) and potatoes (18%) were the highest contributors to cadmium intake. In the case of mercury, fish (25%), meat (21%) and milk (12%) contributed the most to the total exposure of the population in Cyprus.

Dietary exposure assessment to food additives: a critical review of food consumption surveys

Dietary exposure assessment to food additives: a critical review of food consumption surveys

Dietary Intake and Exposure Assessment of Trace Elements in Infants' Diets: A Case Study in Kuwait.

Different types of infant foods categorized as formulas, cereals, and purees imported from seven different countries and available on the Kuwaiti retail market were collected to determine the elemental content, including essential trace elements namely chromium (Cr), manganese (Mn), iron (Fe), copper (Cu), zinc (Zn), selenium (Se), and molybdenum (Mo); potentially toxic trace elements such as aluminum (Al), nickel (Ni), tin (Sn), antimony (Sb), and uranium (U); and toxic trace elements including arsenic (As), lead (Pb), cadmium (Cd), and mercury (Hg). The samples were analyzed using ICP-MS. An extensive literature search illustrated the uniqueness of this study since seven different essential elements, five different potentially toxic elements, and four different toxic trace elements were measured in a variety of infant foods; in addition, the different trace etlemental levels measured in the investigated infant foods were compared to the ones associated with the different infant foods types reported in the literature. The essential trace element concentrations detected in this study were implemented to calculate their total daily intake, where the calculated daily intake values were compared to their recommended dietary allowance (RDA) to assess the percentage total daily intake for the essential trace elements. Further, the calculated potentially toxic and toxic trace elements daily intake values were used to assess the potential health risks to infants incurred by consuming different infant foods by calculating the hazard quotient (HQ), while the margin of exposure (MOE) was calculated for the toxic ones only. It was concluded that infant formulas and foods should be added to the infant diet in addition to breast milk to meet specific nutritional needs. This study confirms that infants are exposed to toxic trace elements via diet, warranting careful attention to diet choices both to limit this exposure and to avert potentially hazardous adverse health effects to the infants. However, based on the calculated hazard quotients (HQs) and margin of exposures (MOEs), consuming breast milk in addition to almost all different types of infant foods is considered safe and unlikely to contribute to infants' non-cancerous health hazards.

Risk assessment and spatial analysis of paralytic shellfish toxin (PST) concentrations and acute dietary exposure of commercially available shellfish in coastal areas in China

Paralytic shellfish toxins (PSTs) are produced by marine dinoflagellates and can be accumulated in filter feeding shellfish. In this study, we assessed acute dietary exposure to PSTs among residents of Chinese coastal provinces and cities, utilizing point and probabilistic estimates. Additionally, we performed global and local spatial autocorrelation analyses to evaluate PSTs contamination and dietary exposure levels in the coastal regions of China. The point estimate revealed that Hebei province exhibited the highest level of PSTs dietary exposure, measuring 39.57 μgSTXeq./kgbw. In all regions, except for Guangxi, Jiangsu, Shandong, and Shanghai, the ratio between acute dietary exposure and the acute reference dose (ARfD) exceeded 1. Probabilistic estimates indicated that P99.9 exceeded the ARfD value exclusively in Guangdong, Hainan, and Liaoning. In comparison, the point estimate was significantly higher than the P99.9 value of the probabilistic estimate. The spatial analysis results showed “low-high" aggregation of PSTs concentration and point estimate dietary exposure levels in Liaoning and Shandong, while probabilistic estimate dietary exposure level exhibited “low-high" aggregation in Guangxi. This implied the presence of regional variations in PSTs contamination and dietary exposure within the coastal regions of China, along with specific localized clustering features. Therefore, it is advisable to develop regionalized precision monitoring and dietary interventions to ensure the safety of shellfish consumption, particularly in response to the regional distribution characteristics of PSTs contamination and dietary exposure.

Dietary exposure assessment of perchlorate and chlorate in infant formulas marketed in Shanghai, China

Perchlorate and chlorate are ubiquitous pollutants that can adversely affect the thyroid function in humans. This study assessed the potential health risks associated with the dietary exposure of infants and young children to perchlorate and chlorate present in infant formulas available in Shanghai. The assessment was based on risk monitoring data from 150 samples of infant formulas in Shanghai between 2020 and 2022, along with the dietary consumption data of infants and young children. The detection rates of perchlorate and chlorate in infant formulas were 46.0% and 98.7%, with mean contents of 9.98 μg/kg and 112.01 μg/kg, and the maximum values of 151.00 μg/kg and 1475.00 μg/kg, respectively. The mean and 95th percentile (P95) values of daily perchlorate exposure of 0–36-month-old infant and young children via infant formulas were 0.07 and 0.17 μg/kg body weight (bw) per day, respectively, which were lower than the tolerable daily intake (TDI) of perchlorate (0.3 μg/kg bw per day). The mean and P95 values of chlorate exposure via infant formulas in 0–36-month-old infants and young children were 0.83 and 1.89 μg/kg bw per day, which were lower than the TDI of chlorate (3 μg/kg bw per day). The P95 exposure of different age groups (0–6 months, 7–12 months and 13–36 months) of infants and young children to perchlorate and chlorate in infant formulas was below the TDI. Therefore, the risk associated with the exposure of 0–36-month-old infants and young children to perchlorate and chlorate from infant formulas in Shanghai is considered acceptable. Prioritizing environmental pollution control efforts to reduce the levels of perchlorate and chlorate in food products is important to safeguard the health of the infants and children under the One Health concept.

Dietary exposure assessment of artificial food colours

Food colours are food additives that are added to foods after authorization for use by the European Commission and scientific safety assessment by the European Food Safety Authority. Each colour is added to foods to achieve a specific purpose, such as to compensate the loss of colours during food processing, to enhance natural colours, or to add colour to foods. They can be obtained via natural or synthetic pathway. Artificial (synthetic) colours are thought to increase hyperactivity in children. The current dietary exposure assessment of artificial food colours was performed using the Food Additives Chronic Exposure Assessment Tool (FAIM). The synthetic food colours used to assess the chronic exposure of children in Bulgaria are: Tartrazine, Quinoline Yellow, Sunset Yellow FCF, Azorubin, Ponceau 4R and Allura Red AC. The exposure was calculated for different food groups for which the relevant colours are authorized, according to Regulation (EC) No. 1333/2008 and the same was compared with the ADI for the respective colours. The obtained results of the exposure assessment of the considered artificial colours are below the corresponding ADI for mean and high consumers, considering that the assessment considered only those for which there is an established legislative level of use in the European legislation. However, the results cannot guarantee the actual exposure to colours of children in Bulgaria, due to the uncertainties described in the assessment.

A Review of PCDD/F and dl-PCB Contamination in Foods and Dietary Exposure Assessment

A Review of PCDD/F and dl-PCB Contamination in Foods and Dietary Exposure Assessment

Assessment of long-term dietary cadmium exposure in children in Germany: Does consideration of data from total diet studies reduce uncertainties from food monitoring programmes?

Total diet studies (TDS) and food monitoring programmes are different approaches for collecting occurrence data on substances in food. This case study evaluated the practical applicability of TDS data (BfR MEAL Study) and monitoring data for the assessment of long-term cadmium exposure in children in Germany. Cadmium data from both programmes were combined with food consumption data from the KiESEL study. Uncertainties associated with both assessments were systematically described. Using monitoring data resulted in cadmium intakes approximately 3 times higher than the use of BfR MEAL Study data. Incomplete data and neglect of market shares and consumption weights were considered by conservative data adjustments to the monitoring data and mainly explain the higher estimates. Fewer data adjustments were necessary for BfR MEAL Study data, which covered almost the entire diet and considered consumer behaviour during sample collection and sample preparation. In sum, the use of the BfR MEAL Study data resulted in less uncertainty and more reliable exposure estimates for chronic assessments over the entire diet. However, description of variability and upper tails of substance distributions in food remain essential features of monitoring data. The integration of both programmes into a complementary system further improves food safety.

Assessment of dietary exposure and levels of mycotoxins in sorghum from Niger State of Nigeria

This study reports levels of mycotoxins in sorghum from Niger State, Nigeria, and provides a comprehensive assessment of their potential health risks by combining mycotoxin levels and dietary exposure assessment. A total of 240 samples of red and white sorghum were collected from both stores and markets across four microclimatic zones. Fungal species were identified using a dilution plate method. Aflatoxins (AFs), deoxynivalenol, nivalenol, and ochratoxin (OTA) were quantified using HPLC, whereas cyclopiazonic acid, fumonisins (FUMs) and zearalenone were quantified using ELISA. A. flavus and A. fumigatus were dominant fungal species followed by F. verticilloides, A. oryzae and P. verrucosum. Aflatoxins (mean: 29.97 µg/kg) were detected in all samples, whereas OTA (mean: 37.5 µg/kg) and FUMs (mean: 3269.8 µg/kg) were detected in 72% and 50% of the samples, respectively. Mycotoxins frequently co-occurred in binary mixtures of AFs + OTA and AFs + FUMs. Dietary exposure estimates were highest for FUMs at 230% of TDI and margin of exposures (MOEs) for both AFs and OTA (<10,000) indicating a potential risk associated with combined exposure to AFs and OTA. The Risk of hepatocellular carcinoma cases (HCC/year) attributable to AFs and OTA exposure from sorghum was estimated to be 5.99 × 105 and 0.24 × 105 cases for HBsAg + individuals based on 13.6% HBV incidence. Similarly, the HCC/year for AFs and OTA were assessed to be 3.59 × 105 and 0.14 × 105 at an 8.1% prevalence rate. Therefore, the results of this study demonstrate the high prevalence and dietary exposure to mycotoxins through sorghum consumption, raising public health and trade concerns.

Total aflatoxin and ochratoxin A levels, dietary exposure and cancer risk assessment in dried fruits in Türkiye

This study aimed to measure total aflatoxin (AF) (AFB1, AFB2, AFG1, and AFG2) and ochratoxin A (OTA) levels in dried fruit samples and to evaluate the potential dietary exposure and cancer risk to these mycotoxins in Kayseri/Türkiye. Dried fruit samples were collected between April–May 2021. A total of 11 dried grapes and apricot samples, 7 dried fig and plum samples were collected. Total aflatoxins and OTA in dried fruits were determined by ELISA method. Then, the margin of exposure (MOE) and cancer risk were calculated. Total AF was detected in dried fruit samples between 42.86%, and 100%. Between 18.18% and 57.14% of samples exceeded the European Commission (EC) limits for total AF. Moreover, OTA was detected in all samples. Between 71.43% and 100% of samples exceeded the EC limits for OTA. Cancer risk due to OTA exposure was higher than total AF and it was determined that OTA exposure could pose a risk for public health (MOE < 10,000). Although mycotoxin exposure seems to be low due to the low consumption of dried fruit in Türkiye, the risk of exposure and cancer may increase because of complying with the recommendations of the dietary guidelines. The findings provide new insights into exposure to total AF and OTA through the consumption of dried fruit.