Adult Health Risk Research Articles

Effect of therapeutic exercises on the progression of adolescent idiopathic scoliosis: a protocol of a systematic review

IntroductionAdolescent idiopathic scoliosis (AIS) affects an estimated 200 million adolescents globally and curvatures exceeding 30° at skeletal maturity are associated with increased health risks in adulthood. The International Society for...

The Impact of Exercise and Protein Intake on Inflammaging: A Meta-Analysis and Systematic Review of Randomized Controlled Trials.

Sarcopenia and cachexia lead to muscle wasting and increased health risks in older adults. Both sarcopenia and cachexia are associated with inflammaging, a chronic low-grade inflammatory state linked to aging. Strategies to preserve muscle mass and function are crucial for maintaining independence and quality of life among the elderly. This meta-analysis and systematic review was conducted to comprehensively assess the individual and combined effects of exercise training and protein supplementation on circulatory markers of inflammation in older adults. A systematic search of the PubMed, Scopus, Cochrane CENTRAL, and SPORTDiscus databases was conducted to identify relevant studies published until January 2024. The search focused on randomized controlled trials examining the impact of exercise training (Ex), protein consumption (Pro), or their combination (Ex-Pro) on inflammatory factors, including C-reactive protein (CRP), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α) compared with a control (Con). The meta-analysis revealed a significant decrease in CRP levels in the Ex vs Pro (P = .0003) and the Ex-Pro (P < .00001) group compared with the Ex group and in overall experimental (EXPL) subgroups (P = .0002) compared with the Con group. A similar reduction was found in IL-6 in the Ex group (P = .001), Ex-Pro group (P = .05), and EXPL (P = .0002) subgroup compared with the Pro group. However, for TNF-α levels, a significant reduction was noted only in the Ex-Pro group compared with the Ex group (P < .00001). Exercise training and protein supplementation, particularly when combined, show greater benefits in mitigating inflammaging. These findings highlight the importance of combined interventions against muscle wasting. Future studies and meta-analyses should further address the effects of Ex and Pro and Ex-Pro on inflammatory markers of older adults, considering specific conditions and larger sample sizes to identify optimal strategies for the aging population.

HPLC-MS/MS monitoring and health risk assessment of carbosulfan and its metabolites in date palm fruit (Phoenix dactylifera)

This study investigated residual levels of carbosulfan and its metabolites in date palm fruit in the UAE using HPLC-MS/MS and QuEChERS method. The method demonstrated excellent linearity (R2 > 0.998), low LOD (0.001–0.04 μg/kg) and LOQ (0.003-0.1 μg/kg), and high recoveries (92-103%) with low RSD values (1–9%). The matrix effect was negligible (-16.43–17.09%), and uncertainty measurements did not exceed the 50% limit. Carbosulfan was present in all samples, exceeding its MRL in 46% of the samples. Carbofuran and 3-hydroxycarbofuran exceeded their MRL in 4.87% and 40% of the samples, respectively, while 3-ketocarbofuran levels were below the MRL. Dibutylamine was found in 82% of the samples, with an average concentration of 9.01 µg/kg. The health risk assessment for children and adults showed that all HQ values were below the safety limit of 1.0, indicating that date consumption poses no adverse health risks for either adults or children.

Evaluation of cumulative exposures to multiple pesticide residues in three characteristic fruits in the Northwest of Iran: a risk assessment using Monte Carlo Simulation

This study was conducted to monitor and evaluate the health risks of multiple organophosphorus pesticide residues in three characteristic fruits of Maragheh district, East Azerbaijan province. The Monte Carlo method was used to quantify the possible non-carcinogenic health risks associated with pesticide residues in adults and children. The residues of 17 pesticides in 36 samples were analysed using the QuEChERS extraction method coupled with gas chromatography-mass spectrometry (GC/MS). Residues of 13 pesticides (76.47%) were detected in grape samples and 15 pesticides (88.23%) in apricot and plum samples. The maximum level found in grape samples was due to chlorpyrifos with 1.2 mg/kg, and in apricot and plum samples to diazinon with 1.6 and 1.3 mg/kg, respectively. All grape, apricot and plum samples contained at least ten pesticides with levels exceeding the Iranian and EU Maximum Residue Limits (MRLs). The processing factor for washing treatment in grape, apricot and plum samples was less than 1, ranging from 0.53 to 0.69. Chlorpyrifos with values of 0.064 and 0.256 in the grape samples and diazinon with values of 0.0443 and 0.177 in the apricot samples and values of 0.0263 and 0.105 in the plum samples contain the highest hazard quotients (HQ) for adults and children, respectively. The cumulative risk assessment due to exposure to several pesticide residues suggests that there is no significant health risk for adults (HI < 1). However, consumption of unwashed grapes may cause adverse effects in children (HI = 1.48). However, for further research, a comprehensive longitudinal study is suggested to assess the long-term effects of exposure to pesticides especially for children.

Geoenvironmental and Health Indices to Assess the Hazardousness of Heavy Metals in Urban Dust in Schoolyards in Murcia, Spain.

The aim of this study was to evaluate the possible contamination of urban dust in the schoolyards of 27 schools in an urban area of the city of Murcia (SE Spain). The color and degree of magnetism, as well as the heavy metal content (Cd, Cu, Cr, Ni, Pb, and Zn), were determined to establish the absence or the degree of contamination, if present, using environmental and health indices. It was established that the concentrations of heavy metals in the dust samples followed the order Zn (454 mg kg-1) > Cu (77 mg kg-1) > Cr (68 mg kg-1) > Pb (56 mg kg-1) > Ni (19 mg kg-1) > Cd (0.4 mg kg-1). Dark-colored dust showed the highest concentrations of contaminants associated with medium or high magnetism. An analysis of the magnetic and non-magnetic fractions indicated the highest concentrations of all heavy metals in the magnetic fraction. According to the geoenvironmental indices used, the ecological risk in these schoolyards is moderate overall. Based on the health indices, ingestion is the main route of entry of dust particles into the body, which poses the main health risk for adults and children for all heavy metals. Regarding the hazard index (HI) for all elements and the cancer risk (CR) for children and adults, the results indicate that there is no health risk.

Determination of Heavy Metals, Nitrate and Nitrite in Mineral and Drinking Bottled Water in Tehran, Iran: a Health Risk Assessment by Monte-Carlo Simulation Method

Heavy metals, nitrate, and nitrite pose significant risks to public health and have raised substantial concern worldwide. This study aimed to investigate the content of nitrate, nitrite, and heavy metals, including Ba, Be, Ca, Fe, K, Li, Mg, Mn, Mo, and Na, in 30 bottled water brands in winter and summer in Tehran, Iran. Heavy metal contents in the samples were analyzed using Inductively Coupled Plasma Optical Emission Spectroscopy (ICP-OES), and nitrate and nitrite contents were analyzed using Ion Chromatography (IC). Nitrate concentrations ranged from 0.28 to 38.87 mg/L, and nitrite contents ranged from 0.001 to 0.13 mg/L. The mean concentration of Ba, Ca, K, Li, Mg, Mn, and Na in the bottled drinking water brands were 11.30, 7874.40, 121.27, 2.52, 4960.49, 0.22, and 12321.70 μg/L; and in the bottled mineral water brands were 15.71, 12262.05, 166.38, 4.13, 3747.07, <LOD, and 3156.81 μg/L. The contents of Be and Mo in all brands were below the limit of detection. Nitrate and nitrite concentrations exceeded those specified on their labels in 50% of samples. Mg content in 4 brands and Na content in 10 brands were higher than the values listed on the labels. Furthermore, non-carcinogenic health risk assessment through bottled water consumption was estimated for Iranian children and adults. HQ values of nitrate, nitrite, Ba, Fe, Li, and Mn were less than one and acceptable. The results indicated that bottled water consumption cannot pose a significant health risk for Iranian adults and children.

Monitoring and Assessment of Toxicological Risks of Poultry Meat Contaminated with Heavy Metals.

This study aimed to investigate the heavy metal contamination in poultry meat of Kotli Sattian, Rawalpindi. The meat samples from ten sites were analyzed for lead, cadmium, chromium, copper, arsenic, nickel, zinc, iron, sodium, and calcium. The possible health risks of these metals were also observed. Mean lead, cadmium, chromium, arsenic, and nickel concentrations were higher than the permissible limits of the World Health Organization (WHO). Metals in meat samples showed the trend of Fe > Na > Zn > Ni > Ca > As > Cr > Pb > Cu > Cd. All the studied metals except lead were statistically significant (P ≤ 0.05). The hazard quotient (HQ) values of all the metals were below one, except iron. Iron showed chronic health risks in both adults (1.63) and children (3.64). Moreover, the cumulative hazard index (HI) of the metals indicated that meat consumption can pose a significant chronic toxic risk in both adults and children as the HI value was 2.06 for adults and 4.61 for children, which is greater than one. The carcinogenic risk (CR) of arsenic in meat for adults and children exceeded the acceptable range, making it a metal of concern. This means that the consumption of small concentrations of metal through meat may be the source of severe toxicological consequences. It can be concluded that meat is contaminated with metals; therefore, appropriate precautions should be taken to minimize this contamination.

Childhood obesity in South Asian population

IntroductionObesity is worldwide health concern, with its prevalence rising steeply specially in low and middle-income countries in the past decade. World Obesity Federation estimates that one in five women and one in seven men - will be obese by 2030.Obesity numbers are expected to double during same year in South and South Asian countries, with obesity in children over age of five estimated to be at forty-five million. MethodsRelevant articles, full text and abstract pertaining to childhood obesity, pediatric obesity, technology in childhood obesity and specifically articles on obesity in children in South Asian countries were obtained from search engines like PUBMED, Google Scholar and Cochrane data base. The full text relevant articles and abstracts and the cross references after verification suitable to the topic were used to draft this review. ResultsThe double burden of undernutrition and obesity poses a unique public health challenge in Southeast Asia. In recent decades, South and Southeast Asia have experienced a period of rapid nutrition and lifestyle transition, leading to a proportional rise in the burden of obesity and Type 2 diabetes. The traditional diets of whole grains and vegetables in this region are being replaced by highly processed fast food due to rapid urbanization and westernisation in this region.There is growing and unrelenting burden of health risks in adulthood like diabetes, heart disease, hypertension, dyslipidaemia and mental health issues due to childhood obesity. Therapy mainly focuses on lifestyle changes underpinned by underlying behaviour changes, addressing emotional stress and sleep issues, pharmacotherapy and metabolic surgery in certain situations. Personalisation of therapy remains corner stone of therapeutics in childhood obesity. ConclusionThis comprehensive review aims at addressing the risk factors, complications, treatment and highlights effective preventive strategies for childhood obesity in South Asia.

Nitrate Content in Root, Tuber, and Leafy Vegetables in Wet Markets in Hanoi: A Health Risk Assessment

Nitrate (NO3–) is a natural compound occurring in foods, especially plant produces, and are also used as additives in industrially processed foods. This study aims to assessing the nitrate contents and health risk in root, tuber, and leafy vegetables in several wet markets in Hanoi. The results showed that the mean nitrate concentration in root and tuber vegetables, herbs and leafy vegetables ranged from 59 to 1118 mg/kg, from 580 to 1204 mg/kg, and from 122 to 3600 mg/kg, respectively. NO3– content in some vegetables at the local market and supermarket were from 1.2 (green beans) to 2.4 times (cucumber) and from 1.4 (long wax gourd) to 3.7 times (radish) higher than World Health Organization (WHO) standards, respectively. The risk assessment of the Estimated Daily Intake (EDI) results shows that the vegetable samples was 23% and 61% in the acceptable value according to WHO for children and adults, respectively. The Hazard Index (HI) shows that, the HI values of nitrate for all samples except for celery were &lt; 1, indicating that health risks for adults associated with nitrate exposure were not significant. On the contrary, 70% of vegetable samples had HI &gt; 1, suggesting adverse effects on children health that consume these vegetables.

Health and Environmental Risk Assessment of Heavy Metals Contamination from Medical Wastes Ash of Baghdad Hospitals

Abstract One of the complex problems that many countries suffer from is how to deal with medical waste because of its harmful and devastating effects on humans and the environment. Hospitals around the world use and consume many different products. These products are composed of various materials, and many of them contain heavy metals in their production and manufacturing, which are ultimately emitted into the environment, posing a major danger and risk to human health. This work focused on assessing the contamination levels of medical waste ash after the incineration process. Ash samples were collected from major hospitals in the capital, Baghdad. The health risks resulting from heavy metal pollution were calculated. Medical waste ash was collected at different times from three major hospitals within the capital, Baghdad, and tested for contamination with heavy metals. To measure the bottom ash samples, X-ray spectroscopy (XRF) technology was used to determine heavy metal concentrations. The results showed the presence of more than twenty elements in the ash of medical waste, including the heavy metals found in Baghdad hospitals. Work was done on eight of these heavy metals due to their high concentrations. These selected elements are considered highly toxic and dangerous if exposed to them, including zinc (Zn), lead (Pb), arsenic (As), cobalt (Co), and copper. (Cu), nickel (Ni), chromium (Cr), and mercury (Hg). To evaluate the health risks of this pollution. All of these elements are a major problem if exposed to them. The amount of contamination was calculated using the contamination factor (CF). The results showed that the percentage of As, Cd, Hg, Zn, Pb, and Cu was very high. Meanwhile, the concentrations of Co and Ni were moderate values in medical waste ash. Adult health risks were calculated using the non-cancer health risk ratio (HL). The calculated values show values higher than the safe level in Imam Ali Central Hospital, indicating a potential high health risk. Meanwhile, other hospitals (Sheikh Zayed and Dhari Al Fayyad) recorded risk values below the safe level, indicating no health risks. The health risk assessment indicated that there are three main routes of human exposure: “ingestion, inhalation, and skin contact.” The cancer risk index (Risk) was also calculated. The values obtained were within the acceptable range. An analysis of the metal pollution index was also conducted, and it was found that heavy metals pose a non-cancerous risk. But the harmful effects of pollution from ash disposal have been particularly serious because they may contain high concentrations of heavy metals.

Impact of Indoor Air Pollutants on the Cardiovascular Health Outcomes of Older Adults: Systematic Review.

Indoor air pollution accounts for approximately 3.8 million inopportune deaths annually at global level. Due to spending more time indoors, children and older adults are especially susceptible to the health risks of indoor air pollution. This review seeks to summarise existing knowledge on the cardiovascular health effects of three common indoor air pollutants, namely carbon monoxide (CO), particulate matter (PM2.5 and PM10), and Nitrogen dioxide (NO2), focusing on older adults. We systematically reviewed the literature (PROSPERO CRD42024479220) on PubMed, Google Scholar, Scopus, Web of Science and Embase. The search yielded 20,914 records. Two independent reviewers screened the articles using titles, abstracts, and full-length articles written in English. Upon a detailed assessment of all the records, the review considered 38 full-length articles. Several studies reported mortality, myocardial infarction, stroke, increased hospitalisation and increased emergency room visits due to exposure to indoor air pollution. A few studies reported arrhythmias, hypertension and Ischaemic heart disease due to exposure to indoor air pollutants. The increased mortality, morbidity, hospitalization, and emergency rooms visits resulting from indoor air pollution associated CVDs makes indoor air pollution a health risk for older adults. There is, therefore, a need to synthesize information on studies relate d to how the selected indoor air pollutants affected the cardiovascular health of older adults.

Source-specific ecological and human health risk analysis of topsoil heavy metals in urban greenspace: a case study from Tianshui City, northwest China.

Soil contamination of heavy metals in urban greenspaces can exert detrimental impacts on ecological biodiversity and the health of inhabitants through cross-media migration-induced risks. Here, a total of 72 topsoil samples were collected from greenspaces in the popular tourist city of Tianshui, ranging from areas with parks, residential, road, industrial and educational soils. The study aimed to evaluate an integrated source-specific ecological and human health risk assessment of heavy metals. Among the analyzed heavy metals, except Cr (mean), all exceeded the local background values by 1.30-5.67-fold, and Hg, Cd, Pb and As were the metals with large CV values. The Igeo and CF results showed Hg, Cd, As and Pb exhibited significantly high pollution levels and were the primary pollution factors. The mean PLI values indicated moderate pollution in educational (2.21), industrial (2.07), and road (2.02) soils but slight pollution in park (1.84) and residential (1.39) greenspaces. The Igeo, CF, and PLI results also revealing that these heavy metals are more likely to be affected by human activity. Four primary source factors were identified based on PMF model: coal combustion (25.57%), agricultural sources (14.49%), atmospheric deposition (20.44%) and mixed sources (39.50%). In terms of ecological risk, the mean IRI values showed considerable risks in educational soils (287.52) and moderate risks in road (215.09), park (151.27) and residential (136.71) soils. And the contribution ratio of atmospheric deposition for park, residential, road, industrial and educational greenspaces were 57.72%, 65.41%, 67.69%, 59.60% and 75.76%, respectively. In terms of human health risk, the HI (below 1) and CR (below 1.00E-04) for adults from soils of all land use types was negligible. However, children have more significant non-carcinogenic and carcinogenic hazards especially in residential soils, the HI (above 1) and CR (above 1.00E-04) revealed the significance of regarding legacy As contamination from coal combustion when formulating risk mitigation strategies in this area. The proposed method for source and risk identification makes the multifaceted concerns of pollution and the different relevant risks into a concrete decision-making process, providing robust support for soil contamination control.

Comprehensive monitoring of contamination and ecological-health risk assessment of potentially harmful elements in surface water of Maroon-Jarahi sub-basin of the Persian Gulf, Iran.

The increase in heavy metal concentration in water bodies due to rapid industrial and socio-economic development significantly threatens ecological and human health. This study evaluated metal pollution and related risks to ecology and human health in the Maroon-Jarahi river sub-basin in the Persian Gulf and Oman Sea basin, southwest Iran, using various indicators. A total of 70 water samples were taken from the sampling sites in the Maroon, Allah, and Jarahi sub-basins and analyzed for nine heavy metals. According to the results, the mean concentration of metals in the sampling locations across the entire sub-basin of Maroon-Jarahi was observed as follows Iron (528.22µg/L), zinc (292.62µg/L), manganese (56.47µg/L), copper (36.23µg/L), chromium (11.78µg/L), arsenic (7.09µg/L), lead (3.43µg/L), nickel (3.23µg/L), and cadmium (1.38µg/L). Most of the metals were detected at the highest concentration in the sub-basin of the Jarahi River. The Water Quality Index (WQI) index in the basin varied from 18.74 to 22.88, indicating well to excellent quality. However, the investigation of the pollution status at the monitoring stations, based on the classification of Degree of Contamination (CD) and Heavy Metal Pollution Index (HPI) indices, revealed that they are in the category of relatively high pollution (16 < CD < 32) to very high (32 ≤ CD), and in the low pollution category (HPI < 15) to high pollution (HPI < 30), respectively. According to the three sub-basins, the highest amount of WQI, HPI, and Cd was observed in the stations located in the sub-basins of the Jarahi River. The calculation of Heavy Metal Evaluation Index (HEI) also indicated that only 10% of the monitoring stations are in moderate pollution (10 < HEI < 20), while in other monitoring stations the HEI level is less than 10. The Potential ecological risk factors ( ) of an individual metal was obtained as follows: Cd (173.70) > As (131.99) > Zn (57.52) > Cu (55.39) > Ni (48.98) > Cr (21.57) > Pb (0.71), revealing that Cd and As are the main elements responsible for creating ecological risk in the studied area. The Maroon-Jarahi watershed included areas with ecological risks that ranged from low (PERI ≤ 150) to very high (PERI ≥ 600). HI and ILCR health indicators indicated that consumption and long-term contact with river water in the study area can cause potential risks to human health, especially children. Moreover, the findings, the highest level of pollution and health risk for both children and adults, considering both exposure routes, occurred in the Jarahi River sub-basin, suggesting that those who live in the vicinity of the Jarahi River are likely to face more adverse health effects. In addition, the findings of the evaluation of the relationship between land use patterns and water quality in the studied basin showed that agricultural lands acts as a main source of pollutants, but forest lands play an important role in the deposition of pollutants and the protection of water quality at the basin scale. In general, the results of pollution indicators, risk assessment, and statistical techniques suggest that the lower sub-basin, the Jarahi area, and the Shadegan wetland are the most polluted areas in the investigated sub-basin due to excessive discharge of agricultural runoff, industrialization, and rapid urbanization. Thus, special measures should be considered to reduce the risks of HMs pollution in the sub-basin of the Maroon-Jarahi watershed, especially its downstream and the impact of agricultural land use on water quality should be taken into consideration in basin management plans.

Pollution evaluation and health risks assessment of naturally occurring toxic metals in shallow groundwater: A study in southwestern tidal delta of Bangladesh

Groundwater is the main source of potable water in rural regions of Bangladesh. Still, contamination with potentially harmful metals due to natural processes and anthropogenic activities leads to various health impacts. The focus of this research was to determine the extent of metal contamination in shallow groundwater from three southwestern districts of Bangladesh and the health hazards associated with it. A comprehensive analysis of metal, including metalloid, copper (Cu), aluminum (Al), chromium (Cr), Arsenic (As), Manganese (Mn), and boron (B) was performed on a set of 51 samples. Groundwater samples were analyzed for contamination using Atomic Absorption Spectroscopy and a UV–VIS Spectrophotometer, with pollution levels assessed via indices like the Metal Evaluation Index, Nemerow Pollution Index, and Contamination Index. Human health risks were evaluated through Chronic Daily Intake, Hazard Quotient, and Hazard Index calculations following USEPA guidelines. The results indicate that arsenic levels exceeded 25 samples and manganese levels exceeded 34 samples in accordance with WHO drinking water standards. Boron (B) concentrations exceeded the threshold in seven samples, whereas Al, Cu, and Cr exceeded limits in only two samples. The metal evaluation index (MEI), Nemerow pollution index (NI), and degree of contamination (Cd) revealed moderate to severe contamination in groundwater and unsuitability for drinking purposes. Out of the 51 analyzed samples, 48 samples exhibited potential non-carcinogenic health risks for adults, while all samples exceeded the hazard index (HI) threshold value (01) for children. Concentrations of As and Mn were identified as the main contributing factors to the higher HI values in both adults and children. However, the concentrations of Cu, Al, Cr, and B in groundwater were not individually found to be as risky. This study provided valuable insights to conduct a future comprehensive investigation of the designated region to delineate safe and hazardous zones for the installation of shallow tubewells. Furthermore, there's a need to enhance public awareness regarding the long-term ramifications of consuming contaminated water.

Nutritional Health Risk (Food Security) in Thai Older Adults and Related Factors.

The older adult population in Thailand has been steadily increasing in recent years, and urbanization has resulted in many older adults living independently, leaving many at nutritional risk. The purpose of this research is to explore food security among Thai older adults using a simple screening tool, the DETERMINE tool, as well as from three surveys which reflect seniors' health and ultimately food security including the mini-mental state examination (MMSE), the self-efficacy for physical activity scale (SEPAS), and the health literacy questionnaire. The DETERMINE tool was used in Thailand for the first time in this study. The findings revealed a moderate risk of food insecurity amongst participants, as most of them claimed to have underlying diseases, eat alone, eat a few nutrient-rich foods, and take medication. The MMSE, SEPAS, and health literacy questionnaire results suggested that food security was found to be negatively correlated with higher cognitive ability, higher physical activity, self-efficacy, and higher health literacy. In conclusion, there appears to be a high risk for malnutrition among older adults in Thailand, particularly in those with low income and underlying diseases.

Cumulative adversity and survival in the wild.

Protecting populations contending with co-occurring stressors requires a better understanding of how multiple early-life stressors affect the fitness of natural systems. However, the complexity of such research has limited its advancement and prevented us from answering new questions. In human studies, cumulative risk models predict adult health risk based on early adversity exposure. We apply a similar framework in wild yellow-bellied marmots (Marmota flaviventer). We tested cumulative adversity indices (CAIs) across different adversity types and time windows. All CAIs were associated with decreased pup survival and were well supported. Moderate and acute, but not standardized CAIs were associated with decreased lifespan, supporting the cumulative stress hypothesis and the endurance of early adversity. Multivariate models showed that differences in lifespan were driven by weaning date, precipitation, and maternal loss, but they performed poorly compared with CAI models. We highlight the development, utility, and insights of CAI approaches for ecology and conservation.

Profiling and health risk assessment of trace metal contents in bovine tissues: A case study in Gondar City, Ethiopia

This study aimed to determine six trace metal (Cu, Mn, Zn, Cd, Cr, and Pb) concentrations in three bovine tissues (kidney, liver and muscle) from Gondar City abattoir, Ethiopia, and assess associated health risks. Samples were digested with HNO3/HClO4, and metal concentrations were analyzed by Inductively Coupled Plasma Optical Emission Spectroscopy. Zn exhibited the highest concentration in muscle (52.1 mg/kg), whereas Cd was below the LOD (0.6 µg/kg) in all muscle samples. The levels of Cd, Cr, and Mn in liver and kidney tissues, as well as Zn in muscle, exceeded FAO/WHO safety thresholds. Principal component analysis revealed distinct metal accumulation patterns among the tissues where liver is the target organ for accumulation of Pb, Mn and Cu, while kidney appears to be the organ of preference for Cd and Cr accumulation. Zn had the highest chronic daily intake for both children and adults, followed by Cu. Hazard index values for both age groups were below one, indicating no non-carcinogenic risks. However, the incremental lifetime cancer risks and cumulative carcinogenic risks of Cr exceeded the tolerable limit for adults and children, indicating a high cancer likelihood from this trace metal. In contrast, the incremental lifetime cancer risks of Pb for both adults and children were within acceptable limits. In conclusion, cumulative carcinogenic risk values indicate that consuming muscle tissue poses health risks for both adults and children, highlighting the need for stricter cattle feed regulations in the study area to safeguard public health.

Toxic elements, sources and health risk assessment of PM2.5 in an industrial area of Surabaya, Indonesia

ABSTRACT A comprehensive study on air quality in the industrial area of Indonesia, which significantly impacts respiratory health and poses breathing hazards, is still lacking. This study aims to uncover the contents of toxic elements, identify potential sources of fine particles, and evaluate their contributions to health risks in Surabaya’s industrial area. The study focuses on identifying chemical composition, sources, and assessing health risks for both children and adults. The PM2.5 concentration from 2021 to 2022 ranged from 3.29 to 27.05 µg m−3, with an average value of 13.63 ± 4.54 µg m−3, exceeding the WHO’s annual standard of 5 µg m−3. Black carbon (BC) accounted for 27% of PM2.5 composition. A seasonal variation was found; the highest PM2.5 and BC were observed during the dry season, with the highest peak in June. The highest concentration of elements in PM2.5 was observed for S, followed by Si, K, Zn, Fe, and Pb, with maximum values of 3.53, 1.16, 1.01, 1.86, 0.29, and 0.37 µg m−3, respectively. Source apportionment using positive matrix factorisation (PMF) revealed eight sources: galvanising industry, ammonium chloride, secondary sulphate, biomass burning emission, soil, steel industry, vehicle emissions, and lead smelting, with metal industries accounting for 37.3%. Investigation into their potential source locations was conducted using the conditional bivariate probability function (CBPF) method. Human health assessment for adults and children indicates carcinogenic risks with a total risk of 9.50 × 10−5 and 2.38 × 10−5, respectively. The results emphasise the significance of managing sources linked to industry and transportation-related sources, crucial in decreasing high PM2.5 levels and several elevated elements and mitigating the health impact in Surabaya’s industrial area, Indonesia.

Quantitative Effects of Anthropogenic and Natural Factors on Heavy Metals Pollution and Spatial Distribution in Surface Drinking Water Sources in the Upper Huaihe River Basin in China.

The water quality of sources in the Huaihe River Basin significantly affects the lives and health of approximately 16.7% of China's population. Identifying and quantifying pollution sources and risks is essential for effective water resource management. This study utilized Monte Carlo simulations and Geodetector to assess water quality and eutrophication, as well as to evaluate the sources of heavy metals and the associated health risks for both adults and children. The results showed that eutrophication of water sources in Huaihe River was severe, with an overall EI value of 37.92; 67.8% of the water sources were classified as mesotrophic and 32.2% classified as eutrophic. Water quality and eutrophication levels in the southern mountainous regions were better than those in the densely populated northern areas. Adults were found to have a higher carcinogenic risk than children, whereas children faced a higher noncarcinogenic risk than adults. Cr presented the highest carcinogenic risk, affecting more than 99.8% of both adults and children at levels above 1 × 10-6 but not exceeding 1 × 10-4. The noncarcinogenic risk from metals did not surpass a level of 1, except for Pb. As was primarily influenced by agricultural activities and transportation, whereas Cd, Cr, and Pb were mainly affected by industrial activities, particularly in local textile industries such as knitting and clothing manufacturing. The analysis demonstrated that the influence of anthropogenic factors on heavy metal distribution was significantly enhanced by indirect natural factors. For example, the explanatory power of Precipitation and Road Network Density on As was 0.362 and 0.189, respectively, whereas their interaction had an explanatory power as high as 0.673. This study indicates that the geodetector method is effective in elucidating the factors influencing heavy metal distribution in water, thereby providing valuable insights into pollution sources in global drinking water.

Age-appropriate BMI cut-offs for malnutrition among older adults in India

With the increasing prevalence of obesity in India, body mass index (BMI) has garnered importance as a disease predictor. The current World Health Organization (WHO) body mass index (BMI) cut-offs may not accurately portray these health risks in older adults aged 60 years and above. This study aims to define age-appropriate cut-offs for older adults (60–74 years and 75 years and above) and compare the performance of these cut-offs with the WHO BMI cut-offs using cardio-metabolic conditions as outcomes. Using baseline data from the Longitudinal Ageing Study in India (LASI), classification and regression tree (CART) cross-sectional analysis was conducted to obtain age-appropriate BMI cut-offs based on cardio-metabolic conditions as outcomes. Logistic regression models were estimated to compare the association of the two sets of cut-offs with cardio-metabolic outcomes. The area under the receiver operating characteristic curve (AUC), sensitivity and specificity were estimated. Agreement with waist circumference, an alternate measure of adiposity, was conducted. For older adults aged 60–74 years and 75 years and above, the cut-off for underweight reduced from < 18.5 to < 17.4 and < 13.3 respectively. The thresholds for overweight and obese increased for older adults aged 60–74 years old from > = 25 to > 28.8 and > = 30 to > 33.7 respectively. For older adults aged 75 years and above, the thresholds decreased for both categories. The largest improvement in AUC was observed in older adults aged 75 years and above. The newly derived cut-offs also demonstrated higher sensitivity and specificity among all age-sex stratifications. There is a need to adopt greater rigidity in defining overweight/obesity among older adults aged 75 years and above, as opposed to older adults aged 60–74 years old among whom the thresholds need to be less conservative. Further stratification in the low risk category could also improve BMI classification among older adults. These age-specific thresholds may act as improved alternatives of the current WHO BMI thresholds and improve classification among older adults in India.