Urinary Chromium Excretion Research Articles

Occupational exposure to chromium--an assessment of environmental pollution levels and biological monitoring of exposed workers.

In an aircraft construction factory where adhesives containing Cr(VI) compounds were used, the risk of chromium exposure was studied by assessing airborne chromium levels and urinary levels of chromium excretion. Chromium exposure was evaluated by personal sampling over a period of 4 hr in a group of 16 occupational workers selected from a group of 55. Chromium absorption was determined by collecting urine samples from all subjects (n = 55) at 3 different times: prior to the work-shift at the beginning of the working week and prior to and after the workshift at the end of the working week. Each urine sample was tested for chromium and creatinine concentration. Results showed very low exposure to airborne chromium, since values obtained (0.02-1.5 micrograms/m3, GM: 0.17, GSD: 5.34 micrograms/m3) were significantly lower than the ACGIH Hygiene Standard (50 micrograms/m3). Likewise, urinary chromium excretion (0.16-7.74 micrograms/g creat.) was higher than excretion in the general population (0.07-0.17 microgram/g creat.) but lower than BEI-ACGIH (30 micrograms/g creat.). The greatest difference between excretion levels measured before and after the workshift was 2.44 micrograms/g creat, i.e. 4 times lower than the difference proposed by ACGIH (10 micrograms/g creat.).

Acute and Chronic Resistive Exercise Increase Urinary Chromium Excretion in Men as Measured with an Enriched Chromium Stable Isotope ,

Both exercise and chromium exert beneficial effects on insulin function. The mechanism by which exercise improves insulin response may involve an alteration in Cr metabolism. To determine the effects of acute and chronic resistive exercise on urinary Cr losses, we measured the effects of acute resistive exercise and 16 wk of resistive exercise training on urinary Cr losses of 10 men 53–63 y of age. Subjects consumed diets in compliance with the American Heart Association Phase I diet with a Cr content of 30 ± 4 μg/d. Sixteen weeks of resistive exercise training led to ∼40% increases in upper and lower body strength, increases in fat-free mass and decreases in the percentage of body fat. An enriched stable isotope of Cr, 53Cr, was employed to differentiate the exogenously administered Cr from the native endogenous Cr. Both acute and chronic resistive exercise increased 53Cr losses. These data demonstrate that the improvements in body composition due to resistive exercise are associated with increased urinary Cr losses that are consistent with increased absorption.

Estimation of individual dust exposure by magnetopneumography in stainless steel production

The objectives of the study were to measure the magnetic dust lung burden of workers in stainless steel production by magnetopneumography (MPG) and to investigate the relationship of the results with air-borne concentrations of dust, total and hexavalent chromium as well as urinary excretion of chromium. There were 128 workers from the chromite mine, sintering plant, ferrochrome smelter, stainless steel smelting shop, cold rolling mill and welding shop in the exposed groups and five persons from the office staff in the control group. The remanent magnetic field (RMF) in the lungs was slightly elevated among workers in the ferrochromium and steel smelting shops; the levels were, however, lower than those reported for welders earlier and those observed in the welding/repair shop. Workers in the mine, concentrator and sintering plants and in the cold rolling mill exhibited remanent magnetic fields comparable to the referents. There was a relationship between the RMF and the actual urinary chromium concentration. Miners and concentrator and sintering plant workers showed retarded relaxation rate (ReR) of the remanent magnetic field. However, the RMF of the first two of these groups were low (< 0.1 nT) and this made it difficult to measure the ReR accurately. The duration of exposure correlated weakly but significantly with the relaxation rate, while smoking was not related to it.

INGESTION OF CHROMIUM(VI) IN DRINKING WATER BY HUMAN VOLUNTEERS: ABSORPTION, DISTRIBUTION, AND EXCRETION OF SINGLE AND REPEATED DOSES

This study examines the magnitude of hexavalent chromium [Cr(VI)] absorption, distribution, and excretion following oral exposure to 5 and 10 mg Cr(VI)/L in drinking water administered as a single bolus dose (0.5 L swallowed in 2 min) or for 3 d at a dosage of 1 L/d (3 doses of 0.33 L each day, at 6-h intervals). Adult male volunteers ingested deionized water containing various concentrations of potassium chromate, and samples of urine, plasma, and red blood cells (RBCs) were collected and analyzed for total chromium throughout the studies. In the bolus dose studies, a fairly consistent pattern of urinary chromium excretion was observed, with an average half life of about 39 h. However, 4-d total urinary chromium excretion and peak concentrations in urine and blood varied considerably among the 5 volunteers. Studies of repeated exposure to smaller volumes ingested at a more gradual rate (i.e., 0.33 L over 5-15 min) showed similar urinary chromium excretion patterns but generally lower chromium uptake/excretion. Given that sustained elevations in RBC chromium levels provide a specific indication of chromium absorption in the hexavalent state, these data suggest that virtually all (>99.7%) of the ingested Cr(VI) at 5 and 10 mg Cr(VI)/L was reduced to Cr(III) before entering the bloodstream. The interindividual differences in total chromium uptake and excretion are plausibly explained by ingestion of appreciable doses on an empty stomach, which likely results in the formation of well-absorbed Cr(III) organic complexes in gastrointestinal tissues and possibly the blood. The lack of any clinical indications of toxicity in the volunteers and the patterns of blood uptake and urinary excretion of chromium are consistent with a predominant uptake of Cr(III) organic complexes [derived from Cr(VI)]that are excreted more slowly than inorganic forms of Cr(III). Therefore, it appears that the endogenous reducing agents within the upper gastrointestinal tract and the blood provide sufficient reducing potential to prevent any substantial systemic uptake of Cr(VI) following drinking-water exposures at 5-10 mg Cr(VI)/L. Based on these data, the chemical environment in the gastrointestinal tract and the blood is effective even under relative fasting conditions in reducing Cr(VI) to one or more forms of Cr(III).

Human Ingestion of Chromium (VI) in Drinking Water: Pharmacokinetics Following Repeated Exposure

Regulatory agencies have established safe drinking water concentrations for hexavalent chromium [Cr(VI)] based in part on the presumed capability of human gastric juices to rapidly reduce Cr(VI) to nontoxic trivalent chromium [Cr(III)] prior to systemic absorption. This study examines dose-related pharmacokinetics in humans following repeated oral exposure to Cr(VI) in drinking water. In particular, we sought to examine whether plausible drinking water exposures to Cr(VI) caused a sustained increase in red blood cell chromium levels, a specific marker for systemic uptake of Cr(VI). Adult male volunteers ingested a liter (in three volumes of 333 ml, at approximate 6-hr intervals) of deionized water containing Cr(VI) concentrations ranging from 0.1 to 10.0 mg/liter. Samples of urine, plasma, and red blood cells were collected and analyzed for chromium. A dose-related increase in urinary chromium excretion was observed in all volunteers. Red blood cell and plasma chromium concentrations became elevated in certain individuals at the highest doses. The RBC chromium profiles suggest that the ingested Cr(VI) was reduced to Cr(III) before entering the bloodstream, since the chromium concentration in the RBCs dropped rapidly postexposure. These findings suggest that the human gastrointestinal tract has the capacity to reduce ingested Cr(VI) following ingestion of up to 1 liter of water containing 10.0 mg/liter of Cr(VI), which is consistent with USEPA's position that the Cr(VI) drinking water standard of 0.10 mg Cr(VI)/liter is below the reductive capacity of the stomach.

Response to Letter to the Editor Written by Stern et al. Regarding the Paper, “Urinary Excretion of Chromium Following Ingestion of Chromite‐Ore Processing Residues in Humans: Implications for Biomonitoring”

Risk AnalysisVolume 16, Issue 5 p. 609-612 Response to Letter to the Editor Written by Stern et al. Regarding the Paper, “Urinary Excretion of Chromium Following Ingestion of Chromite-Ore Processing Residues in Humans: Implications for Biomonitoring” Michael L. Gargas, Michael L. Gargas ChemRisk The Courtland East Building 29225 Chagrin Boulevard Cleveland, Ohio 44122Search for more papers by this authorDennis J. Paustenbach, Dennis J. Paustenbach ChemRisk The Courtland East Building 29225 Chagrin Boulevard Cleveland, Ohio 44122Search for more papers by this authorBrent L. Finley, Brent L. Finley ChemRisk The Courtland East Building 29225 Chagrin Boulevard Cleveland, Ohio 44122Search for more papers by this authorMark A. Harris, Mark A. Harris Chemical Land Holdings 1015 Belleville Turnpike Kearny, New Jersey 07032Search for more papers by this author Michael L. Gargas, Michael L. Gargas ChemRisk The Courtland East Building 29225 Chagrin Boulevard Cleveland, Ohio 44122Search for more papers by this authorDennis J. Paustenbach, Dennis J. Paustenbach ChemRisk The Courtland East Building 29225 Chagrin Boulevard Cleveland, Ohio 44122Search for more papers by this authorBrent L. Finley, Brent L. Finley ChemRisk The Courtland East Building 29225 Chagrin Boulevard Cleveland, Ohio 44122Search for more papers by this authorMark A. Harris, Mark A. Harris Chemical Land Holdings 1015 Belleville Turnpike Kearny, New Jersey 07032Search for more papers by this author First published: October 1996 https://doi.org/10.1111/j.1539-6924.1996.tb00809.xCitations: 1AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Citing Literature Volume16, Issue5October 1996Pages 609-612 RelatedInformation

Chromium supplementation and resistance training: effects on body composition, strength, and trace element status of men

The effects of 8 wk of daily chromium supplementation (3.3-3.5 mumol as chromium chloride or chromium picolinate) or placebo (0.1 mumol Cr) and weight training were examined in 36 men in a double-blind design. Strength, mesomorphy, fat-free mass, and muscle mass increased with resistance training independently of chromium supplementation (P < 0.0001). Protein, magnesium, zinc, copper, and iron intakes equalled or exceeded the recommended dietary allowance (RDA) or estimated safe and adequate daily dietary intake (ESADDI) during training and did not change significantly from pretraining intakes (P > 0.05). Chromium supplementation increased the serum chromium concentration and urinary chromium excretion without a difference as a result of the chemical form of chromium (P < 0.05). Resistance training was associated with a significant decrease (P < 0.05) in serum ferritin, total-iron-binding capacity, transferrin saturation, the ratio of enzymatic to immunoreactive ceruloplasmin, and plasma copper, independently of chromium supplementation. However, transferrin saturation was decreased more with chromium picolinate supplementation (24%) than with chromium chloride or placebo (10-13%). Compared with pretraining values, urinary magnesium excretion increased (P < 0.05) and urinary zinc output tended to decrease during the first 4 wk of resistance training and then returned to baseline values for the final 4 wk, which suggests an adaptation in mineral excretion in response to weight training. These findings suggest that routine chromium supplementation has no beneficial effects on body- composition change or strength gain in men. Whether chromium supplementation of individuals with diminished chromium nutriture facilitates propitious changes in body structure and function remains to be determined.

Urinary Excretion of Chromium as an Indicator of Exposure to Various Chromium Forms in MMA/SS Welders

Increased levels of Cr discharged with urine after working shift, Cr-U (arithmetic mean 15.8 mu g/g creatinine), and Cr buildup during working shift, DeltaCr-U (arithmetic mean 3.8 mu g/g creatinine), were observed in 15 MMA/SS welders exposed during the working week to welding fumes containing Cr VI (33-56%) - mainly soluble (87%) and Cr III (44-67%) - mainly insoluble (72%). The highest correlation coefficients were obtained for DeltaCr-U vs. Cr total (r = 0.58), Cr VI (r = 0.56) and soluble Cr III in the air. Increased DeltaCr-U value for exposures at MAC Cr VI (16.8 mu g/g creatinine) was demonstrated in welders employed longer than 7 years and exposed to Cr VI below MAC level, which might suggest that the duration of employment affects that value within the low range of concentration of Cr VI in the air (< 0.03 mg/m3). Nevertheless, linear relationship between DeltaCr-U for exposures to Cr VI at MAC levels and duration of employment was not confirmed for wide range of air Cr VI (0.005-0.4 mg/m3). Similar DeltaCr-U values at MAC for Cr VI (6.4 and 6.6 mu g/g creatinine) were obtained for all welders, and those employed over 7 years, respectively, which may suggest that this parameter can be misleading.

Urinary excretion of chromium as an indicator of exposure to various chromium forms in MMA/SS welders

Human welder's experiences and skills are critical for producing quality welds in manual GTAW process. Learning human welder's behavior can help develop next generation intelligent welding machines and train welders faster. In this tutorial paper, various aspects of mechanizing the welder's intelligence are surveyed, including sensing of the weld pool, modeling of the welder's adjustments and this model-based control approach. Specifically, different sensing methods of the weld pool are reviewed and a novel 3D vision-based sensing system developed at University of Kentucky is introduced. Characterization of the weld pool is performed and human intelligent model is constructed, including an extensive survey on modeling human dynamics and neuro-fuzzy techniques. Closed-loop control experiment results are presented to illustrate the robustness of the model-based intelligent controller despite welding speed disturbance. A foundation is thus established to explore the mechanism and transformation of human welder's intelligence into robotic welding system. Finally future research directions in this field are presented.

Urinary Excretion of Chromium Following Ingestion of Chromite-Ore Processing Residues in Humans: Implications for Biomonitoring

Biomonitoring programs for urinary chromium (Cr) typically attempt to evaluate occupational exposure via the inhalation route. This study investigated whether Cr can be detected in the urine of people following the ingestion of soils that contain relatively high concentrations of chromium in chromite ore processing residue (COPR). To evaluate the reasonableness of using urinary monitoring to assess environmental exposure, six volunteers ingested 400 mg of soil/day (low-dose group), two others ingested 2.0 g of soil/day (high-dose group) for 3 consecutive days, and one person ingested a placebo on each of 3 days. The soil and COPR mixture contained concentrations of total chromium (Cr) and hexavalent chromium [Cr(VI)] of 103 +/- 20 and 9.3 +/- 3.8 mg/kg, respectively. Therefore, the low-dose group ingested 41 micrograms Cr/day [including 3.7 micrograms Cr(VI)] and the high-dose group ingested 206 micrograms Cr/day [including 18.6 micrograms Cr(VI)] on each of 3 consecutive days. All urine samples were collected and analyzed individually for total Cr on the day prior to dosing, during the 3 days of dosing, and up to the first void 48 h after the last dose. No significant increases in urinary Cr excretion were found when background excretion data were compared with data following each of the 3 days of dosing or in daily mean urine concentrations of the high- vs the low-dose groups. It appears that Cr present in a soil and COPR mixture at Cr doses up to 200 micrograms/day is not sufficiently bioavailable for biomonitoring of urine to be informative.(ABSTRACT TRUNCATED AT 250 WORDS)

Urinary excretion of microelements in endurance-trained volunteers during restriction of muscular activity and chronic rehydration.

The objective of this investigation was to determine the effect of daily intake of fluid and salt supplementation (FSS) on increased urinary losses of microelements that developed during hypokinesia (decreased number of walking steps/d). The studies were performed on 30 endurance-trained male volunteers aged 23-26 yr, with an averaged maximum oxygen uptake of 65 mL/kg/min during 364 d of hypokinesia (HK). All volunteers were divided into three equal groups: Ten volunteers were placed continuously under an average of 10,000 running steps/d (14.2 km/d) (control subjects), ten volunteers subjected continuously to HK without the use of FSS (hypokinetic subjects), and ten volunteers were continuously submitted to HK and consumed daily FSS (hyperhydrated subjects). For the simulation of the hypokinetic effect the hypokinetic and hyperhydrated volunteers were kept under an average of 3,000 walking steps/d (2.7 km/d) for 364 d. Prior to their exposure to HK the volunteers were on an average of 10,000 running steps/d (14.2 km/d). During the prehypokinetic period of 60 d and during the hypokinetic period of 364 d were determined renal excretion of microelements responses of endurance-trained volunteers. In the hyperhydrated volunteers urinary excretion of iron, zinc, copper, manganese, cobalt, nickel, lead, tin, chromium, aluminum, molybdenum, and vanadium decreased, whereas in the hypokinetic volunteers it increased significantly. It was concluded that chronic hyperhydration may be used to attenuate urinary excretion of microelements in endurance-trained volunteers during prolonged restriction of muscular activity.

Protective effects of thiol compounds on chromate-induced toxicity in vitro and in vivo.

The effects of thiol compounds (L-cysteine ethyl ester, 2,3-dimercaptosuccinic acid, or 2,3-dimercapto-1-propanesulfonic acid) on the toxicity induced by chromate (potassium dichromate) were investigated in HeLa cells and mice. Chromate-induced cytotoxicity evaluated by inhibition of cell growth and chromium content of the cells was diminished by all of the thiol compounds tested when the cells were incubated in the medium with both chromate and one of the thiol compounds. In mice injected ip with a thiol compound immediately after injection of chromate, mortality, ornithine carbamyl transferase activity in the serum, and chromium content in the liver were diminished remarkably compared with mice injected with chromate alone. These thiol compounds also caused an increase of urinary chromium excretion. These results suggest that the thiol compounds tested are useful for treating chromate-induced toxicity when they are given immediately after intake of the metal.

Trace Mineral Requirements for Athletes

This paper reviews information pertaining to zinc, copper, chromium, and selenium requirements of athletes. Exercise increases zinc loss from the body, and dietary intake for some athletes, especially females, may be inadequate. Blood copper levels are altered by exercise, but there is no information to suggest that copper ingestion or status is compromised in athletes. Studies have shown that urinary chromium excretion is increased by exercise, but whether this leads to an increased requirement is still unknown. There is concern that athletes may not ingest sufficient quantities of chromium; however, there are inadequate data to confirm this. The limited data that exist show that athletes do not have altered selenium status. There is no conclusive evidence that supplementation with any of these trace minerals will enhance performance. A diet containing foods rich in micronutrients is recommended. However, for those athletes concerned that their diets may not be sufficient, a multivitamin/mineral supplement containing no more than the RDA may be advised.

Breast milk chromium and its association with chromium intake, chromium excretion, and serum chromium

Chromium metabolism of lactating women was evaluated by measuring diet, breast milk, urine, and serum chromium in 17 subjects 60 d postpartum. Breast milk chromium concentration was similar for the 3 d of collection with a mean +/- SE concentration of 3.54 +/- 0.40 nmol/L (0.18 ng/mL). Dietary intake and urinary chromium values were also similar for each of the 3 collection days. Total chromium intake of lactating mothers (0.79 +/- 0.08 mumol/d) was greater than that of reference female subjects (0.48 +/- 0.02). There was a significant correlation (r = 0.84) between serum chromium and urinary chromium excretion. If a breast milk volume of 715 mL is assumed, chromium intake of exclusively breast-fed infants is < 2% of the estimated safe and adequate daily intake of 10 micrograms. In summary, breast milk chromium content is independent of dietary chromium intake and serum or urinary chromium values. Chromium intake also did not correlate with serum or urine chromium but there was a significant relationship between serum and urinary chromium concentrations.

Increased sister chromatid exchanges and tumor markers in workers exposed to elemental chromium-, cobalt- and nickel-containing dusts

Sister-chromatid exchange (SCE) in blood lymphocytes, serum tumors markers, carcinoembryonic antigen (CEA) and tissue polypeptide antigen (TPA), and urinary excretion of chromium, cobalt and nickel were determined in 26 male workers occupationally exposed to chromium, cobalt and nickel dust and in 25 controls matched for age and smoking habits. The differences in the urinary excretion of metals between exposed persons and controls were statistically significant. An analysis of variance on the SCE rank values revealed that both exposure status (exposed persons vs. controls) and smoking habits (smokers and former smokers vs. never smokers) had a statistically significant effect. For the tumor markers, the analysis of variance did not reveal a statistically significant difference between exposed persons and controls. However, CEA serum levels were significantly correlated not only with smoking habits but also with duration of exposure. As cobalt is only weakly mutagenic, these results suggest that the small amount of absorbed chromium and nickel may have been sufficient to induce SCE. The hypothesis that tumor markers may be increased in groups of subjects exposed to genotoxic substances deserves further study.

Urinary chromium excretion and insulinogenic properties of carbohydrates

Eleven male and nine female adult subjects were given one of the following five carbohydrate-drink combinations (per kg body wt) on five mornings separated by greater than or equal to 2 wk: 1) 1.0 g glucose, 2) 0.9 g uncooked cornstarch, 3) 1.0 g glucose followed 20 min later by 1.75 g fructose, 4) 0.9 g uncooked cornstarch followed 20 min later by 1.75 g fructose, and 5) water followed 20 min later by 1.75 g fructose. Glucose plus fructose was the most insulinogenic followed by glucose alone, starch plus fructose, starch alone, and water plus fructose. The urinary losses of chromium followed a similar pattern. Subjects with the highest concentrations of circulating insulin displayed decreased ability to mobilize chromium on the basis of urinary chromium excretion. Therefore, urinary chromium losses are related to the insulinogenic properties of carbohydrates.

Effects of water restriction and water loading on daily urinary excretion of heavy metals and organic substances in metal workers.

The effects of urinary volume on daily urinary excretion of seven heavy metals and four organic substances were examined in relation to the changes in their plasma and erythrocyte concentrations and urinary creatinine excretion in 19 metal workers. The examination was conducted under the conditions of water restriction and loading for six days. The major findings were as follows: (1) urinary excretion of all heavy metals and organic substances except mercury, together with creatinine excretion, significantly decreased under the water restrictive condition whereas under the water loading condition their excretion significantly increased and (2) daily variations in urinary excretion of lead, cadmium, chromium, copper, hippuric acid, delta-aminolaevulinic acid, and coproporphyrin did not differ significantly from the variation in urinary excretion of creatinine (profile analysis, p greater than 0.05). It is suggested that glomerular filtration is the major factor determining renal excretory mechanisms of the four heavy metals and three organic substances examined.

Urinary excretion of chromium in chromeplaters after discontinued exposure.

In a previous study [Lindberg and Vesterberg, 1983a], excretion of chromium in urine (U-Cr) in chromeplaters was proposed for biological monitoring of ongoing exposure. Published reports were found about the decline of U-Cr after discontinued exposure in welders working in chromium-alloyed stainless steel, but not in chromeplaters. In this study, half-times (t1/2) were calculated for ten chromeplaters over a weekend, and for 23 chromeplaters over 31 days vacation. The results suggest that the excretion of chromium can be approximated to a two-compartment model. Estimated from the median values, an initial rapid phase with an assumed t1/2 of 2-3 days is followed by a phase with a t1/2 of approximately a month. Differences between the decline of U-Cr in chromeplaters and welders are discussed.

Effects of aerobic exercise and training on the trace minerals chromium, zinc and copper.

Aerobic exercise and training lead to numerous changes and/or adaptations in the normal physiological functioning of the body. The trace minerals chromium, zinc, and copper are directly involved in maintaining and regulating many of these physiological processes, especially those involved in normal carbohydrate, fat and protein metabolism and the ultimate formation of usable energy. Therefore, it is important to establish whether exercise and training alter the functions of these trace elements, and to determine the overall effects of exercise on nutritional status and physical performance. Exercise results in a marked mobilisation of chromium into circulation, while zinc and copper levels have been shown to either remain stable or increase. Exercise also results in large increases in excretion of chromium, zinc and copper. Urinary chromium excretion has been shown to increase on an exercise day compared with a rest day, while increased zinc losses occur in urine and sweat and increased copper losses occur in urine, and faeces. When exercise-enhanced trace mineral losses are coupled with dietary intakes below the recommended levels, which are commonplace for both sedentary and exercising individuals, the nutritional status and overall health of exercising individuals may be suboptimal. Individuals who train intensively may be at special risk due to repeated increased losses. Trained athletes have lower resting urinary chromium losses, larger increases in urinary chromium losses due to exercise, lower resting serum zinc levels, and possible alterations in copper nutriture compared with sedentary controls. These changes suggest an altered metabolism and/or nutritional status of the trace minerals chromium, zinc, and copper in trained individuals and those who exercise strenuously.

Glucose metabolism in glucose-intolerant older people during chromium supplementation

The effects of chromic chloride (CrCl 3) administered orally for 12 weeks to five elderly subjects with glucose intolerance were assessed. Pretreatment and posttreatment, the hyperglycemic clamp technique was employed to determine glucose utilization, β-cell sensitivity to glucose, and tissue sensitivity to insulin. In addition, erythrocyte insulin binding was studied. Urinary chromium excretion increased approximately 5 fold indicating good compliance with supplementation. The oral glucose tolerance curves following supplementation were lowered from 60 to 120 minutes but only the 60-minute values were significantly lowered. In agreement with this was significantly increased glucose utilization during the hyperglycemic clamp studies. Tissue sensitivity to insulin, receptor affinity, and total insulin binding were unchanged by supplementation while β-cell sensitivity to glucose increased following supplementation ( P < 0.04), and explained the increased glucose utilization. HDL and LDL and total cholesterol levels were slightly lower after chromium supplementation, but no change reached statistical significance. The LDL HDL cholesterol ratio was unchanged. This study shows small but statistically significant effects of CrCl 3 on carbohydrate metabolism. The clinical relevance of these effects, that is, their prophylactic or therapeutic significance, remains to be determined.