Lead Levels Research Articles

Effects of Cadmium and Lead Co-exposure on Sleep Status in Rural Areas Northwestern China.

In this study, we explored how cadmium and lead co-exposure affects sleep status among residents of a polluted area and nature reserve in rural northwestern China. Cadmium and lead levels were measured using blood samples, and sleep status was evaluated using sleep questionnaires, with the main sleep indicators including sleep duration, sleep quality, bedtime, and staying up. Furthermore, cadmium-lead co-exposure levels were divided into three groups: high exposure, medium exposure, and low exposure. Subjects in the contaminated area had significantly higher exposure levels (p < 0.001) and more negative sleep indicators (p < 0.01). Significant differences were found for all four sleep indicators in the high exposure group compared to the low exposure group (p < 0.01). Moreover, the overall evaluation of sleep status with high cadmium-lead co-exposure had a negative impact. Our data suggest that cadmium-lead co-exposure has a negative effect on sleep status and may have a synergistic effect on sleep.

The negative effects of lead paint on different physiological systems

Lead (Pb) in paints is a serious public health hazard that has piqued the international community’s interest. Lead concentrations in lead-based paints have been assessed in several research conducted across the world. As a result, the goal of this article was to describe the findings of these research, give some knowledge of their human health consequences for law enforcement, and promote public awareness. The most notable gaps found have been highlighted in order to open the door for additional research efforts aimed at producing thorough data on this subject. Some of the evaluated studies found considerable amounts of lead in paints that were considerably over the allowable limits, despite the many regulatory controls on lead content in paints that exist worldwide. There have been reports of children cases of lead poisoning in a number of nations, including South Africa, France, Morocco, and the US. Lead levels in South Africa (145,000 ppm), China (860,000 ppm), and the US (22,550 ppm) have all been found to be high. 4,485.11 ppm in Thailand. India (104 ppm) and Palestine (6036 ppm). As a result, tight law enforcement measures pertaining to the progressive removal of paints containing lead and the management of lead content are required throughout the globe.

The association between childhood blood lead levels and proximity to airports in Colorado

BackgroundIn October 2023, the U.S. Environmental Protection Agency announced a final endangerment finding that leaded aviation gasoline (avgas) contributes to air pollution that is harmful to public health. This study evaluates the evidence for a link between living in proximity to airports and children’s blood lead levels in Colorado.MethodsWe analyzed the association between childhood blood lead levels (BLLs) and proximity to airport point locations in children tested for lead in Colorado over a 10-year study period (2011–2020) using a correlated random effects model with bootstrapped standard errors (N = 56,002 observations, 47,322 individuals). Along with distance from airport point locations, we identified the number of days sampled children lived downwind of their nearest airport during the 60 days prior to their test date. We also adjusted the model for age, sex, detection limit, test type, sample order, seasonality, time, proximity to lead-releasing facilities, estimated monthly aircraft traffic, and demographic characteristics of the surrounding neighborhood.ResultsOur primary model estimates that living one mile (1.6 km) further from airport point locations decreases mean blood lead levels by 0.068 µg/dL. Additional analysis estimates that living one mile further from airport point locations decreases the odds of having a blood lead level ≥ 3.5 µg/dL by 13.2%.ConclusionOur results suggest that lead emissions from aircraft using leaded avgas have a small but statistically significant effect on the BLLs of children living near airport point locations in Colorado. While the risk from proximity to airports is likely less than the risks associated with deteriorating lead paint and dust, our findings highlight the value of lead testing in children who may be at risk of exposure from all sources, including those who live near airports.

Impact of Heavy Metal Pollution on Oxidized Low-density Lipoprotein Levels among Car Maintenance Workshop Workers

This study aimed to evaluate the relationship between heavy metal pollution and oxidized low-density lipoprotein (OxLDL) among workers in car maintenance workshops in Baghdad, Iraq. Blood samples were collected from 70 male workers, including car maintenance and vehicle painting workers, along with a control group of healthy males. The levels of heavy metals, specifically cadmium (Cd) and lead (Pb), as well as OxLDL and the marker of lipid peroxidation, malondialdehyde (MDA), were measured. The results revealed a significant increase in the level of Pb in the blood of workers compared to the control group, whereas Cd levels did not exhibit a significant difference. Furthermore, both groups of workers exhibited significantly elevated levels of OxLDL compared to the control group. Additionally, the MDA level was significantly increased across all the study groups. Correlation analysis demonstrated positive associations between OxLDL levels and the extent of Pb and Cd pollution in the car maintenance worker group. These findings indicate an increased risk of developing cardiovascular diseases (CVDs) among workers in car maintenance workshops due to exposure to heavy metals. The observed elevation in the levels of OxLDL and lipid peroxidation markers underscores the potential health issues associated with occupational exposure to these polluted environments.

Evaluating metal cookware as a source of lead exposure.

We previously demonstrated that aluminum cookware brought from Afghanistan by resettled families as well as some aluminum cookware available for purchase in the United States represent a previously unrecognized source of lead exposure. However, the extent to which this cookware represents a source of lead exposure to other United States residents is unclear. To test additional cookware for lead content and its propensity to leach lead and other toxic metals. This will further our understanding of the extent to which this cookware represents a lead poisoning risk in the United States and elsewhere. We screened an additional 28 pieces of aluminum cookware and 5 brass items for lead content using an X-ray fluorescence (XRF) analyzer and used our leachate method to estimate the amount of lead that migrates into food. We also tested 17 additional stainless steel items to determine whether they would be safer alternatives. Many aluminum cookware products contained in excess of 100 parts per million (ppm) of lead. Many also leached enough lead under simulated cooking and storage conditions to exceed recommended dietary limits. One hindalium appam pan (an Indian frying pan/wok) leached sufficient lead to exceed the childhood limit by 1400-fold. Brass cookpots from India also yielded high lead levels, with one exceeding the childhood limit by over 1200-fold. In contrast, stainless steel cookware leached much lower levels of lead. Aluminum and brass cookware available for purchase in the United States represents a previously unrecognized source of lead exposure.

Designing healthy edible cities: investigating the environmental and spatial factors affecting urban fruit safety

ABSTRACT This study aims to investigate the factors affecting lead and cadmium levels in urban fruits, a topic that has received little attention despite potential health risks. Tehran’s Tarasht neighborhood was chosen due to heavy traffic and the presence of numerous urban gardens with fruit trees. Specifically, this study explored how barriers (defined as artificial structures like walls), urban fruit tree height, distance from the sampling site to the street, and fruit type influence the content of lead and cadmium in these urban fruits. The results revealed that sites taller than 10 meters exhibited the highest cadmium levels, while sites without barriers or with 4-meter barriers demonstrated the highest lead content. Barrier width also had a significant influence, with unobstructed sites showing the highest lead content, and sites with 41-50-meter width barriers displaying the highest cadmium levels. Urban fruit tree height affected lead content, while cadmium levels remained unaffected. Additionally, heavy metal absorption was influenced by the distance to the street and the type of fruit. These findings can be used in the future for the development of guidelines for healthy and edible green infrastructure to reduce pollutants and promote safer urban horticultural practices.

Measurement of lead, mercury, and cadmium in blood donors in Canada.

Fetal and neonatal exposure to lead is associated with irreversible adverse effects on neural development. There is no reliable threshold for lead effect, so limiting exposure is recommended. A significant correlation has been reported between post-transfusion blood lead level (BLL) in infants and lead levels in transfused RBC units. We measured levels of lead, mercury, and cadmium, in Canadian donor blood to investigate if concerning levels for neonatal transfusion exist. Whole blood samples from blood donors (n = 2529) were shipped cold within 7 days of donation. All permanent blood donation clinics across Canada were sampled. Twelve of these permanent clinics and 8 mobile clinics with a greater potential for having higher lead or mercury levels were oversampled. Heavy metals were measured by inductively coupled plasma mass spectrometry. Of all donations, 2.2% (lead) and 0.4% (mercury) had levels higher than the recommended thresholds for safe neonatal transfusion. BLLs were higher in males but there was no significant difference in the blood mercury levels of males versus females. Cadmium levels were higher in females. There was a positive correlation between donor age and levels of heavy metals, with lead having the strongest correlation (r = 0.47, p < .0001). Three clinics in close proximity to two lead-producing mines were among the clinics with the highest BLLs. Significantly higher blood mercury levels were observed in coastal clinics. Our data on donor blood heavy metal levels supports considering blood transfusion as an exposure source to heavy metals and encourages informed selection of blood units for transfusion to vulnerable groups.

Associations among global long interspersed nuclear element-1 DNA methylation, metal exposure, and chronic kidney disease.

Long interspersed nuclear element-1 (LINE-1) methylation serves as an indicator of global DNA methylation. This study explored the correlation between LINE-1 methylation and chronic kidney disease (CKD). We also evaluated whether LINE-1 methylation could modify the association between CKD and metal exposure. A total of 213 patients with clinically defined CKD, without hemodialysis and 416 age and sex matched controls were recruited. Levels of LINE-1 methylation, total urinary arsenic, blood lead, blood cadmium, and plasma selenium were assessed. The results reveal a positive association between LINE-1 methylation and CKD, with an odds ratio (OR) of 5.30 (95% confidence interval: 2.81 to 9.99). Total urinary arsenic and blood cadmium concentrations were positively related with LINE-1 methylation. This study was the first to observe that low plasma selenium, high blood cadmium, and high blood lead levels significantly and additively interact with increased LINE-1 methylation to increase the OR of CKD. Additionally, high LINE-1 methylation interacted multiplicatively with low plasma selenium to increase the OR of CKD (p < 0.001). This study highlighted the significant association between LINE-1 hypermethylation and CKD. Furthermore, the results demonstrate that LINE-1 methylation can interact with high blood cadmium or low plasma selenium to affect CKD risk.

Lead Speciation, Bioaccessibility, and Sources for a Contaminated Subset of House Dust and Soils Collected from Similar United States Residences.

Residential lead (Pb) exposure is of critical concern to families globally as Pb promotes severe neurological effects in children, especially those less than 5 years old, and no blood lead level is deemed safe by the US Center for Disease Control. House dust and soils are commonly thought to be important sources of Pb exposure. Probing the relationship between house dust and soil Pb is critical to understanding residential exposure, as Pb bioavailability is highly influenced by Pb sources and/or species. We investigated paired house dust and soil collected from homes built before 1978 to determine Pb speciation, source, and bioaccessibility with the primary goal of assessing chemical factors driving Pb exposure in residential media. House dust was predominately found to contain (hydro)cerussite (i.e., Pb (hydroxy)carbonate) phases commonly used in Pb-based paint that, in-turn, promoted elevated bioaccessibility (>60%). Pb X-ray absorption spectroscopy, μ-XRF mapping, and Pb isotope ratio analysis for house dust and soils support house dust Pb as chemically unique compared to exterior soils, although paint Pb is expected to be a major source for both. Soil pedogenesis and increased protection from environmental conditions (e.g., weathering) in households is expected to greatly impact Pb phase differences between house dust and soils, subsequently dictating differences in Pb exposure.

Do heavy metals have a role in extrahepatic portal vein obstruction in children: A pilot case-control study

ObjectiveExtrahepatic portal venous obstruction (EHPVO) is a common cause of portal hypertension in Southeast Asia as compared to the western world, where chronic liver disease is the most common cause. Pollution and inadvertent exposure to heavy metals in poor socio-economic status in this part of the world are quite common. Therefore, this study was proposed to determine the association between heavy metal levels and oxidative stress in children with EHPVO. MethodsThis pilot case-control study was conducted in the department of Pediatrics, of a tertiary health care centre from January 2020 to October 2021. Children between 1 and 14 years, diagnosed with EHPVO were included. Controls were the healthy volunteers from OPD and near discharge indoor pediatrics patients. Metal analysis for Copper, Lead, Zinc, and Manganese, & Antioxidant activity for superoxide dismutase (SOD), Glutathione reductase (GR) and Lipid peroxidase (LPO) in form of malondialdehyde (MDA) was measured in both the groups. ResultsA total of 80 subjects were enrolled (40 EHPVO cases and 40 controls) mean age for cases was 8.15 ± 3.53, and for control, was 7.69 ± 3.55 years (p = 0.560). Lead values were found to be significantly higher (p = 0.003) in EHPVO cases (5.39 ± 3.13) in comparison to controls (3.30 ± 2.91). Mean superoxide dismutase (SOD) and Glutathione reductase (GR) values were decreased (p = 0.035- GR) and the malondialdehyde (MDA) value was increased in the EHPVO cases as compared to controls. ConclusionChildren with high blood levels of lead might be at risk of portal vein thrombosis resulting in EHPVO, and lead-induced oxidative stress.

Arsenic, Cadmium, and Lead Levels in School Meals and Their Risk Assessment in Municipalities in Bahia, Brazil.

School meals represent a significant supply of nutrients for children in Brazil, especially those in conditions of social vulnerability. This study aimed to assess the levels of arsenic (As), cadmium (Cd), and lead (Pb) in meals served in public elementary schools in four municipalities in the state of Bahia, Brazil, and assess the risk posed to children's health. Ninety-six samples were collected from 16 schools, freeze-dried, and subjected to microwave-assisted digestion. The As, Cd, and Pb levels were determined by graphite furnace atomic absorption spectrometry. The risk assessment was based on calculating each element's hazard quotient (HQ). None of the samples reached or exceeded the tolerable levels for the elements analyzed. Pb was the metal that obtained the most significant result, reaching maximum levels of 39-157 µg·kg-1. No element exceeded the PTWI proposed by JECFA; thus, the toxic metal content in school meals poses a negligible risk to children's health.

Contamination Status of Residential and Farmland Surface Soils Within the Sunyani Municipality of Ghana

Exposure to heavy metals poses serious human health and ecological threats, especially in developing countries where ecological risk assessment and remediation are often ignored. While many studies have reported heavy metal toxicities in rapidly urbanizing cities with increased anthropogenic activities, limited information exists on metal toxicities and their ecological risks in soils within the Sunyani Municipality. Top soils were sampled from residential and farmland surface soils and analyzed for the concentration and potential risks for nine heavy metals within Sunyani Municipality. Apart from As and Mn, the two study sites generally recorded elevated levels of all metals than the pristine soil samples from the University of Energy and Natural Resources botanical garden. Levels of chromium, copper, lead, and zinc were however marginally higher in residential surface soils than in the farmlands. The soil contamination factor and geoaccumulation index both revealed moderate As, Hg, and Mn contamination at the two study locations. Furthermore, the soil enrichment factor showed significant enrichment for arsenic and moderate enrichment for cadmium in residential soils, while the farmland soils revealed moderate enrichment of As, Hg, and Mn. The potential ecological risk indices also showed considerable risk at both study locations, while the pollution load index revealed higher cumulative pollution in residential areas (PLI = 0.48) compared to the farmland surface soil (PLI = 0.40). The study therefore recommends the regulation of human activities and the use of chemicals that are possible sources of metal contamination to maintain the metals’ baseline levels in the soil, and reduce their health and environmental impacts.

Unique hepatic maternal transfer pattern of trace metals and perfluoroalkyl substances (PFAS) in a bluntnose sixgill shark (Hexanchus griseus)

The fate and distribution of environmental contaminants includes bioaccumulation within marine organisms. A deceased 4-m long adult female bluntnose sixgill shark, pregnant with 72 pups, was recovered from Coles Bay on Vancouver Island, BC, Canada in 2019. This specimen provided a unique opportunity to examine maternal transfer of contaminants in a yolk-sac viviparous shark species. Liver subsamples of the adult and offspring were analyzed for 18 targeted inorganic elements by inductively coupled plasma optical emission spectroscopy (ICP-OES) and 21 targeted perfluoroalkyl substances (PFAS) by liquid chromatography-electrospray ionization-high resolution mass spectrometry (LC-ESI-Orbitrap MS). The maternal-offspring transfer efficiencies in liver tissue were subsequently examined for both contaminant classes. Concentrations of all detectable metals apart from calcium and magnesium were found to be higher in the mother compared to the offspring, including substantial levels of toxic cadmium (6 ± 2 mg kg−1 dw) and lead (7 ± 3 mg kg−1 dw). Conversely, high maternal transfer efficiencies were observed for PFAS (i.e., ΣPFAS = 71 ± 9 ng g−1 ww in offspring compared to 13 ± 9 ng g−1 ww in the mother). This study highlighted the unique maternal transfer characteristics of PFAS in bluntnose sixgill sharks depending on the structure of the polar head group, with greater liver-to-liver transfer efficiencies observed for perfluorocarboxylic acids (PFCAs) than perfluorosulfonic acids (PFSAs) of the same fluorocarbon chain length.

Influence of Carbons on Metal Stabilization and the Reduction in Soil Phytotoxicity with the Assessment of Health Risks

Despite notable achievements in the development and application of the remediation of metal-contaminated soils, the search for and study of promising immobilizing agents continues. This article presents a new approach to using brown coal and activated carbon and their application for metal stabilization. An experiment was conducted to test Medicago falcata L. on soils from industrial areas contaminated with varying levels of lead (Pb), cadmium (Cd), chromium (Cr), zinc (Zn), copper (Cu), and nickel (Ni) with the addition of carbons. This plant is a stress-tolerant leguminous species. In this study, the total content of metals in soil and the available forms to plants (single extractions with 0.02 M ethylenediaminetetraacetic acid, EDTA) were determined, along with metal contents in the plant. The use of carbons lowered the phytoavailable forms of metals for plants and thus, resulted in a reduction in the phytotoxicity of the soils. The contents of the tested metals in the roots and shoots were lower than in the combinations of soils with no carbon added. The activated carbon had a stronger effect on limiting the availability of metals than brown coal in relation to plants growing on soils without added carbon; the percentage of reduction for the shoots was Cr (18.2%) &gt; Zn (11.5%) &gt; Ni (10.7%) &gt; Cu (10.3%) &gt; Cd (8.9%) &gt; Pb (2.4%) and Cu (13.3%) &gt; Cr (12.5%) &gt; Zn (10.5%) &gt; Pb (9.0%) &gt; Ni (5.7%) &gt; Cd (4.6%) for roots. Metals reduced the growth of Medicago falcata L. roots from 44 to 21%, while the growth of shoots was reduced from 25 to 2%. Adding carbons to soils in all combinations resulted in a decrease in the following pollution indices: pollution index (PI), pollution load index (PLI), and non-carcinogenic (HQ) and carcinogenic risk factors (ILCR).

Serum Cadmium and Lead Levels in Thalassemic Patients of Najaf Governorate, Iraq.

Thematological is a class of hereditary hematologic illnesses resulting from abnormalities in the production of one or more hemoglobin chains. Patients with β-Thematological may have a reduction in heavy metal levels as a result of iron chelate medication. The aim is to study the levels of heavy metals (toxic) in the blood of beta-Thematological patients and compare them to healthy people for the purpose of arriving at indicators through which it is possible to assist in early diagnosis of this disease or reduce symptoms. The study included 80 patients in comparison with age- and gender-matched 40 healthy individuals as controls. Samples were gathered between July 1, 2023, and September 1, 2023. The patients were interviewed for socio-demographic variables, and their medical histories were obtained from the hospital files. Cadmium and lead concentrations were determined using flame atomic absorption spectrometry (FAAS). All samples from Thematological patients were taken after the chelating therapy. Cadmium levels in Thematological patients were found to be lower in both genders in the control group. Lead levels were found to be greater in male Thematological patients and lower in female Thematological patients than those in the control group of female Thematological patients. Additionally, it was observed that patients from areas outside of Najaf's city center had greater levels of lead and cadmium than patients from the city center. Cadmium and lead levels in the serum were often low in Thematological patients. Heavy metals are eliminated when deferasirox chelate is taken.

Creativity in Health Communication to Promote Blood Lead Testing in Children.

Low rates of blood lead level screening among young children persist as a public health issue in the United States, including in Texas where levels remain below the national average. This article describes a multiyear, multipartner initiative aimed at increasing screening rates through a creative, community-informed social media campaign. Interviews with parents, providers, and state health department staff revealed a common perception that lead poisoning was a relic of the past. Using these insights, the team developed humorous social media messaging comparing extinct animals to lead poisoning to capture attention and change attitudes about lead's current relevance. The "#GetLeadCheckedTexas" campaign ran on state health department channels during National Lead Poisoning Prevention Week in October 2020. Colorful graphics depicted extinct creatures like dinosaurs along with their babies, playing on childhood enthusiasm for such animals while evoking protective feelings in parents. Messaging highlighted lead's dangers for young children and encouraged viewers to discuss testing with providers. Website analytics showed the campaign drove substantial increases in page views for lead screening resources, particularly among providers. While originally designed with a parent audience in mind, the campaign seemed to resonate more with providers, likely due to timing during an awareness week and use of official health department channels. The initiative demonstrates the value of creative communications approaches employed in traditional advertising to raise awareness and promote public health priorities. Audience research, thoughtful use of humor, and designing human-focused messaging helped cut through information clutter and drive engagement with an important childhood health issue.

Probabilistic risk assessment of dietary exposure to lead in residents of Guangzhou, China

Lead and its compounds can have cumulative harmful effects on the nervous, cardiovascular, and other systems, and especially affect the brain development of children. We collected 4918 samples from 15 food categories in 11 districts of Guangzhou, China, from 2017 to 2022, to investigate the extent of lead contamination in commercial foods and assess the health risk from dietary lead intake of the residents. Lead was measured in the samples using inductively coupled plasma mass spectrometry. Dietary exposure to lead was calculated based on the food consumption survey of Guangzhou residents in 2011, and the health risk of the population was evaluated using the margin of exposure (MOE) method. Lead was detected in 76.5% of the overall samples, with an average lead content of 29.4 µg kg−1. The highest lead level was found in bivalves. The mean daily dietary lead intakes were as follows: 0.44, 0.34, 0.25, and 0.28 µg kg−1 body weight (bw) day−1 for groups aged 3–6, 7–17, 18–59, and ≥ 60 years, respectively. Rice and rice products, leafy vegetables, and wheat flour and wheat products were identified as the primary sources of dietary lead exposure, accounting for 73.1%. The MOE values demonstrated the following tendency: younger age groups had lower MOEs, and 95% confidence ranges for the groups aged 3–6 and 7–17 began at 0.6 and 0.7, respectively, indicating the potential health risk of children, while those for other age groups were all above 1.0. Continued efforts are needed to reduce dietary lead exposure in Guangzhou.

Neurological Presentation of Lead Toxicity: A Case Report

Acute encephalopathy, caused by infectious agents, metabolic or mitochondrial dysfunction, brain tumor, or prolonged exposure to toxic elements, is a significant cause of morbidity and mortality in young children. Lead encephalopathy that occurs due to prolonged lead ingestion or exposure in children is not uncommon, and many such cases have been reported in the past. This report shares the authors’ experience of the missed diagnosis of lead encephalopathy, its red flags, and its relation to pica as a root cause. A 14-month-old boy, resident of Delhi, India, was admitted with vomiting, irritability, and two episodes of abnormal limb movements, with the first symptom starting when he was 11 months old. His case was initially treated as acute disseminated encephalomyelitis, but he showed no improvement. The child was then referred to the Sir Ganga Ram Hospital, New Delhi, India. The boy presented with severe anemia, along with basophilic stippling on the peripheral smear during routine investigations. Suspecting lead poisoning, blood lead levels were checked, and were found to be grossly elevated. The child was then started on chelation therapy. Multiple doses of chelation (dimercaprol and D-penicillamine) were given, and sequential blood lead levels were monitored, which showed a marked decrement. The child was discharged, and is being monitored routinely. Lead poisoning remains a neglected public health issue, especially in children, and delay in identification can cause significant morbidity and mortality. Pediatricians and general practitioners must be aware of this risk, especially in children with iron deficiency anemia exhibiting pica.

Association between breakfast skipping and blood levels of lead and cadmium in children and adolescents aged 6–17 years: Results from the National Health and Nutrition Examination Survey 2013–2018

IntroductionPrevious research suggests that fasting increases lead absorption in the gastrointestinal tract, and that regularly eating meals may reduce blood lead. However, there is insufficient evidence linking breakfast status and blood-metal levels in children. We assessed the cross-sectional association between breakfast consumption status and children and adolescent’s blood levels of lead and cadmium. We also explored blood hemoglobin, serum ferritin, and age group as potential effect modifiers of these associations. MethodsThis analysis included children and adolescents aged 6–17 years who participated in the National Health and Nutrition Examination Survey (NHANES) cycles 2013–2018 with complete data on breakfast consumption status (consumers vs. skippers), blood metals, and covariates (N=3722). Blood metal variables were log-transformed. Crude and covariate-adjusted, survey-weighted linear regression models were conducted for each blood metal outcome. Potential effect modification was explored using stratification. ResultsOverall fewer participants reported skipping breakfast (n=719) than eating breakfast (n=3003). Mean (SE) concentrations of blood lead and cadmium (µg/L) were 0.63 (0.01) µg/dL and 0.13 (0.00) µg/L, respectively. Children and adolescents who skipped breakfast were more likely to be female (51.2%), older (mean 12.2 years, SE = 0.1), have a higher body mass index (mean 22.8 kg/m2, SE = 0.2), and a lower income-poverty ratio (mean 1.7, SE = 0.1) than breakfast consumers. No associations between breakfast consumption and any of the blood metals were found. When stratified by age (≤ 10, 11–13, and 14–17 years), children aged 11–13 years who consumed breakfast had lower log-transformed blood lead levels [β = −0.14 µg/L; 95% CI: (-0.25, −0.03)] compared to children of the same age who skipped breakfast. ConclusionChildren 11–13 years-old who were breakfast consumers had lower blood lead levels compared to children of the same age who skipped breakfast. Our results support that encouraging breakfast consumption among school-age children may contribute to lower blood lead levels.

Prevalence of Elevated Blood Lead Levels and Gender Differences Among School Children in Banda Aceh, Indonesia

Lead toxicity is a major health problem in developing countries as lead exposure is widely scattered in the environment. Children are particularly vulnerable to the neurotoxicity of low-level, prolonged exposure to lead. Long-term effects of lead accumulation in children can damage them physically and mentally. We evaluated Blood Lead Levels (BLLs) among school children in Banda Aceh Municipality, Indonesia. A cross-sectional study with randomly selected participants was conducted in 2 junior high schools to determine the prevalence of elevated BLLs and gender differences. Among 130 children, aged 12-15, 32 (24,6%) of them had elevated BLLs based on CDC reference ≥3,5 µg/dl with a mean of BLLs 3,01 ±1.14, and 27 out of 32 (84.4%) with elevated BLLs were males. Male students had 5.62 times higher risk (CI:2.00-15.81) with elevated BLLs compared to female students (p=&lt; 0.001). We concluded that the prevalence of elevated BLLs is high in both schools and there was a statistically significant difference in blood lead levels between male and female students. Other risk factors may affect the difference in blood lead levels among school children.