Dietary cadmium intake by the Belgian adult population

The aim of this study was to estimate the dietary cadmium (Cd) intake of the Belgian adult population, to compare this dietary Cd exposure to the tolerable weekly intake (TWI) recently established by the European Food Safety Authority (EFSA) and to determine the major food groups that contribute to dietary Cd exposure in Belgium. Food consumption data were derived from the 2004 Belgian food consumption survey (two 24?h recalls, 3083 participants). Cadmium concentrations in food items (n?=?4000) were gathered from the control program of the Belgian Federal Agency for the Safety of the Food Chain for the period 2006–2008. Dietary intake per individual was calculated from consumption data and median Cd concentrations. The population mean, median and 95th percentile of the dietary intake values were 0.98, 0.85 and 2.02?µg?kg^?1 body weight per week respectively. Two percent of the Belgian adult population has a dietary Cd intake above the recent TWI of 2.5?µg?kg^?1 body weight established by EFSA in 2009. Cereal products and potatoes contribute for more than 60% to Cd intake.     

Dietary intake of artificial sweeteners by the Belgian population

This study investigated whether the Belgian population older than 15 years is at risk of exceeding ADI levels for acesulfame-K, saccharin, cyclamate, aspartame and sucralose through an assessment of usual dietary intake of artificial sweeteners and specific consumption of table-top sweeteners. A conservative Tier 2 approach, for which an extensive label survey was performed, showed that mean usual intake was significantly lower than the respective ADIs for all sweeteners. Even consumers with high intakes were not exposed to excessive levels, as relative intakes at the 95th percentile (p95) were 31% for acesulfame-K, 13% for aspartame, 30% for cyclamate, 17% for saccharin, and 16% for sucralose of the respective ADIs. Assessment of intake using a Tier 3 approach was preceded by optimisation and validation of an analytical method based on liquid chromatography with mass spectrometric detection. Concentrations of sweeteners in various food matrices and table-top sweeteners were determined and mean positive concentration values were included in the Tier 3 approach, leading to relative intakes at p95 of 17% for acesulfame-K, 5% for aspartame, 25% for cyclamate, 11% for saccharin, and 7% for sucralose of the corresponding ADIs. The contribution of table-top sweeteners to the total usual intake (<1% of ADI) was negligible. A comparison of observed intake for the total population with intake for diabetics (acesulfame-K: 3.55 versus 3.75; aspartame: 6.77 versus 6.53; cyclamate: 1.97 versus 2.06; saccharine: 1.14 versus 0.97; sucralose: 3.08 versus 3.03, expressed as mg kg(-1) bodyweight day(-1) at p95) showed that the latter group was not exposed to higher levels. It was concluded that the Belgian population is not at risk of exceeding the established ADIs for sweeteners.     

Estimate of intake of sulfites in the Belgian adult population

An exposure assessment was performed to estimate the usual daily intake of sulfites in the Belgian adult population. Food consumption data were retrieved from the national food consumption survey. In a first step, individual food consumption data were multiplied with the maximum permitted use levels for sulfites, expressed as sulphur dioxide, per food group (Tier 2). In a second step, on the basis of a literature review of the occurrence of sulfites in different foods, the results of the Tier 2 exposure assessment and available occurrence data from the control programme of the competent authority, a refined list of foods was drafted for the quantification of sulphite. Quantification of sulphite was performed by a high-performance ion chromatography method with eluent conductivity detector in beers and potato products. Individual food consumption data were then multiplied with the actual average concentrations of sulfite per food group, or the maximum permitted levels in case actual levels were not available (partial Tier 3). Usual intakes were calculated using the Nusser method. The mean intake of sulfites was 0.34 mg kg^?1 bw day^?1 (Tier 2), corresponding to 49% of the acceptable daily intake (ADI) and 0.19 mg kg^?1 bw day^?1, corresponding to 27% of the ADI (partial Tier 3). The food group contributing most to the intake of sulfites was wines. The results showed that the intake of sulfites is likely to be below the ADI in Belgium. However, there are indications that high consumers of wine have an intake around the ADI.     

Estimate of intake of benzoic acid in the Belgian adult population

An exposure assessment was performed to estimate average daily benzoic acid intake for Belgian adults. Food consumption data were retrieved from the national food-consumption survey. As a first step, individual food-consumption data were multiplied with the maximum permitted use levels for benzoic acid per food group (Tier 2). As a second step, a label survey to identify the foods where benzoic acid is effectively used as an additive and a literature review of the possible occurrence of benzoic acid as a natural substance were performed. With this information, a refined list of foods was drafted for the quantification of benzoic acid, which was performed by a high-performance liquid chromatography (HPLC) method, optimized and validated for this purpose. Individual food-consumption data were then multiplied with the actual average concentrations of benzoic acid per food group (Tier 3). Usual intakes were calculated using the Nusser method. The mean benzoic acid intake was 1.58 mg kg^?1 body weight day^?1 (Tier 2) and 1.25 mg kg^?1 body weight day^?1 (Tier 3). In Tier 2, men exceeded the acceptable daily intake (ADI) of 5 mg kg^?1 body weight day^?1 at the 99th percentile. The greatest contributors to the benzoic acid intake were soft drinks. Benzoic acid as a natural substance represents only a small percentage of the total intake. The results show that actual benzoic acid intake is very likely to be below the ADI. However, there is a need to collect national food-consumption data for children as they might be more vulnerable to an excessive intake.     

Dietary intake of cadmium from Bangladeshi foods

Human exposure to cadmium (Cd) is associated with various diseases and high levels of Cd have been detected in Bangladeshi population warranting further research to identify the source of this exposure. In this study, Cd levels in 327 and 94 samples of Bangladeshi food and non-food samples, respectively, were determined using inductively coupled plasma mass spectrometry. This is the largest number of Bangladeshi food and nonfood samples investigated for their Cd content. High Cd levels were detected in leafy vegetables (mean 31 [SD 29]μg/kg). Of these vegetables, lal shak (Amaranthus tricolor) contained the highest Cd level (303 μg/kg [wet weight]; mean 100.5 [SD 95]μg/kg). Bangladeshi rice also showed significant concentration of Cd (mean 37.2 [SD 30]μg/kg). Of particular concern is the very high level of Cd detected in some puffed rice, which we attribute to the illegal practice of using urea for whitening the puffed rice. Tobacco leaves, which are commonly consumed during betel quid chewing by Bangladeshis, contain significant levels of Cd (mean 95 [SD 87]μg/kg). The total daily intake (TDI) of Cd from foods for Bangladeshis was estimated to be 34.55 μg/d. This is rather high when compared to the TDI of Cd for other populations. Our analysis reveals that this is mainly due to the very high intake of rice and vegetables, and lower consumption of animal products (which are low in Cd), by the Bangladeshis. We also determined the provisional maximum tolerable daily intake and target hazard quotients values for Cd. Clearly a more balanced diet is necessary to reduce the Cd intake in the Bangladeshi population, especially by reducing the very high intake of rice and certain leafy vegetables. Food manufacturing and agricultural practices needs to be altered to reduce the entry of Cd into the food chain. PRACTICAL APPLICATION: Exposure to high levels of Cd can be harmful to human health and this study provides a comprehensive analysis of Cd levels in a variety of food items from Bangladesh. The findings are of particular importance to consumers of Bangladeshi foods in both Bangladesh and in other countries. Data obtained will be valuable resources for food safety and regulatory bodies as our study suggests entry of Cd in foods through use of illegal chemicals in food manufacturing processes.     

Dietary intake of some important mycotoxins by the Swedish population

To estimate the intake of some mycotoxins from food in Sweden, approximately 600 samples were collected and analysed for aflatoxins, ochratoxin A, patulin and trichothecenes. Intakes were calculated for average and high consumers among adults and children and compared with the tolerable daily intake (TDI) of the respective toxin. Mycotoxin levels in the food samples were generally below the European/national maximum limits. However, high levels of aflatoxins were found in some samples of Brazil nuts and pistachios. The intake of ochratoxin A, patulin and trichothecenes was found to be below the temporary TDI values (tTDI) proposed for these toxins by international expert groups, although the intake of trichothecenes (expressed as T-2 toxin equivalents) in children with a high consumption of cereals was close to the tTDI for T-2 toxin. Since there is to date no established numerical tTDI for aflatoxins, such a value was estimated for use within the project. The calculated intake of aflatoxins in high consumers exceeded this 'tTDI' by a factor of two. In conclusion, the exposure to mycotoxins in Sweden did not generally give rise to any major health concerns in the present study. However, the high levels of aflatoxins in certain commodities emphasize the need for preventive measures and improved control of toxin levels in these food items. Furthermore, the need for regulatory levels for trichothecenes in cereal products should be evaluated.     

Dietary intake of antioxidant vitamins in Russian population

Aim of present study was the getting data on dietary intake of antioxidant vitamins in Russian population in 1995-2002. The consumption of food was estimated by 24-hour recall methodology in course of Russian Longitudinal monitoring surveys of economics and health. Mean intake of vitamin A is less than recommended level and 25th procentile is near to zero. Mean and median of vitamin E intake are equal of recommended level. Dietary intake of vitamin A per 1000 kcal is maximal in group of children 0-6 year old and in adults aged 30-60 y. Nutrient density of daly diet in relation to antioxidant vitamins has maximal level in old group of population 60+ and minimal level in 6-18 year old children.     

Predicted dietary intake of selenium by the general adult population in Belgium

The total selenium content of about 800 food products purchased in Belgium was determined and combined with food records to determine the nutritional selenium status of Belgian people. The largest selenium concentrations (>1?mg?kg^?1) were found in Brazil nuts and offal, of which the consumption is limited. Usually consumed food groups with the highest selenium concentrations were fish and shellfish (0.2–0.9?mg?kg^?1), eggs, poultry meat, cheese, mushrooms and pasta (approximately 0.2?mg?kg^?1). The mean dietary selenium intake was calculated to be 60?µg?day^?1, which is at the lower end but within the range recommended by the Superior Health Council in Belgium (60–70?µg?day^?1), and adequate according to the 55?µg?day^?1 recommended by the Scientific Committee on Food (SCF) of the European Commission. The major sources of selenium intake are meat and meat products (31%), fish and shellfish (20%), pasta and rice (12%), and bread and breakfast cereals (11%).     

Assessment of the acrylamide intake of the Belgian population and the effect of mitigation strategies

The acrylamide (AA) intake of the Belgian consumer was calculated based on AA monitoring data of the Belgian Federal Agency for the Safety of the Food Chain (FASFC) and consumption data of the Belgian food consumption survey coordinated by the Scientific Institute for Public Health (3214 participants of 15 years or older). The average AA exposure, calculated probabilistically, was 0.4 µg kg^?1 body weight (bw) day^?1 (P97.5 = 1.6 µg kg^?1 bw day^?1), the main contributors to the average intake being chips (23%), coffee (19%), biscuits (13%), and bread (12%). Additionally, the impact of a number of AA mitigation scenarios was evaluated (German minimization concept, scenarios for mitigation from the literature, signal values), which is an important issue for public health as well as for policy-makers. Specific actions in cooperation with the food industry to reduce the AA content of foods seems to be a more efficient strategy than mere implementation of signal values. Considering that an important share of the AA intake is due to prepared meals, the catering industry as well as consumers need to be better informed on the various possibilities for keeping the AA content of meals as low as possible.     

Average daily nitrate and nitrite intake in the Belgian population older than 15 years

The aim of this study was to assess the dietary intake of nitrate and nitrite in Belgium. The nitrate content of processed vegetables, cheeses and meat products was analysed. These data were completed by data from non-targeted official control and from the literature. In addition, the nitrite content of meat products was measured. Concentration data for nitrate and nitrite were linked to food consumption data of the Belgian Food Consumption Survey. This study included 3245 respondents, aged 15 years and older. Food intakes were estimated by a repeated 24-h recall using EPIC-SOFT. Only respondents with two completed 24-h recalls (n=3083) were included in the analysis. For the intake assessment, average concentration data and individual consumption data were combined. Usual intake of nitrate/nitrite was calculated using the Nusser method. The mean usual daily intake of nitrate was 1.38 mg kg(-1) bodyweight (bw) day(-1) and the usual daily intake at the 97.5 percentile was 2.76 mg kg(-1) bw day(-1). Exposure of the Belgian population to nitrate at a mean intake corresponded to 38% of the ADI (while 76% at the 97.5 percentile). For the average consumer, half of the intake was derived from vegetables (especially lettuce) and 20% from water and water-based drinks. The average daily intake of nitrate and nitrite from cheese and meat products was low (0.2% and 6% of the ADI at average intake, respectively). Scenario analyses with a higher consumption of vegetables or a higher nitrate concentration in tap water showed a significant higher intake of nitrate. Whether this is beneficial or harmful must be further assessed.     

Dietary intake of polycyclic aromatic hydrocarbons in a Spanish population

The objective of the present study was to estimate the dietary intake of polycyclic aromatic hydrocarbons (PAHs), particularly benzo[a]pyrene (B[a]P), as well as to identify the principal dietary sources of such compounds in the Spanish adult population. The study included 40,690 subjects aged 35 to 64 years from five regions of Spain that were included in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Spain cohort. Usual food intake was estimated by personal interview through a computerized version of a dietary history questionnaire. The estimations of B[a]P and total PAHs were made, taking into account the country where the determinations of content of these compounds in the foods came from and the year of publication. The mean intake of B[a]P in the population was 0.14 microg/day, and the mean intake of total PAHs was 8.57 microg/day. Both for B[a]P and total PAHs, women had a significantly lower mean intake than men, and older people consumed lesser amounts than younger people. Furthermore, the intake was higher in the northern regions. There were no significant differences by smoking status. The food groups of meat and meat products, cereals, and oils and fats contribute 55.5% to the total B[a]P intake, while cereals and meat and meat products contribute 61% to the total PAH consumption. Our estimations of B[a]P intake were lower than in the United Kingdom and The Netherlands, were similar to those found in other studies from Spain and Italy, and were higher than those in the United States and Norway.     

Dietary intake of pesticide residues: cadmium, mercury, and lead.

Information on the dietary intake of chemical contaminants has been obtained from institutions participating in GEMS/Food. Contaminants studied include certain organochlorine and organophosphorous pesticides, PCBs, cadmium, mercury, and lead. The intakes are compared with toxicologically acceptable intake levels established by international expert groups. In most cases, dietary intakes of organochlorine and organophosphorous pesticides are well below the Acceptable Daily Intake (ADI) of the respective pesticide. Of some 21 countries providing information on the average dietary intake of cadmium, only in one case is the Provisional Tolerable Weekly Intake (PTWI) exceeded. Several countries identified cereals and cereal products and root and tuber vegetables as the main contributors to the dietary intake of cadmium. For mercury, all reported intakes are below the PTWI of methylmercury. The contribution of fish to the total intake of mercury varied from 20% to 85%, depending on the country. Therefore, the general assumption that fish is the main contributor to the total dietary intake of mercury may, at times, not be justified. Average dietary intake of lead exceeding or approaching the PTWI are reported for adults and infants and children in some countries. Foodstuffs which contribute most to the intake of lead vary from country to country, and have been identified as being alternately drinking water, beverages, cereals, vegetables and fruit.     

中国居民邻苯二甲酸二丁酯膳食摄入水平及其风险评估

目的了解我国主要食品中邻苯二甲酸二丁酯(DBP)的含量,评估我国居民经膳食暴露于DBP的水平以及潜在的健康风险。方法利用2011—2013年收集的24类食品中的DBP含量数据以及2002年中国居民食物消费量调查数据,采用简单分布评估方法,计算我国居民DBP膳食摄入水平,以及不同食物对DBP摄入的贡献率,并与每日可耐受摄入量(TDI,0.01 mg/kg BW)比较,进行风险特征描述。结果各种食品中DBP的含量范围为0.00~46.50 mg/kg,平均含量为0.11 mg/kg,全人群的膳食DBP平均摄入量为1.21μg/kg BW,占TDI的12.08%。全人群高食物消费量人群(P97.5)的DBP摄入量为2.84μg/kg BW,占TDI的28.42%。大米、方便面对DBP膳食摄入的贡献率较高,分别为20.30%和15.34%。结论中国居民膳食DBP摄入的健康风险较低,处于可接受水平。     

Dietary exposure to cadmium of Shenzhen adult residents from a total diet study

Cadmium (Cd) contamination has become a public health concern in recent decades. The aim of the present study was to assess the contribution of dietary Cd exposure and its health risk among Shenzhen adult residents using the Total Diet Study (TDS) approach. Cd was determined in 13 food groups using 276 individual samples by ICP-MS. The major food contributors to Cd exposure of Shenzhen adult residents were ‘Vegetables’ (32.6% of the total exposure), ‘Rice and its products’ (19.2% of the total exposure) and ‘Fish, seafood and shellfish’ (18.5% of the total exposure). The mean and the 95th percentile dietary exposure to Cd of Shenzhen adults were 9.9 and 13 μg kg^?1 bw month^?1, respectively. The dietary exposures of all individual age-gender population subgroups were below the provisional tolerable monthly intake (PTMI = 25 μg kg^?1 bw month^?1), so the health risk of Cd dietary exposure of Shenzhen adults is considered to be low, but still, cadmium pollution should be strictly controlled and monitored continuously due to an exceptionally long biological half-life of cadmium.     

Dietary selenium intake in Belgium for different population groups at risk for deficiency

An estimation of the dietary selenium intake in different population groups in Belgium has been carried out. 24 h duplicate meals and food consumption statistics combined with concentration levels in different foods, as determined by hydride generation atomic absorption spectrometry, are used. Dietary intake of selenium is low to very low, especially for vegetarians (12.7 +/- 9.1 micrograms) and patients on long-term total parenteral nutrition (1.2 +/- 0.8 microgram). The different intakes are discussed and compared with intakes published for other countries, while the importance of bioavailability of the selenium in food in the risk of deficiency is stressed.     

Dietary selenium intake in Belgium for different population groups at risk for deficiency

Summary An estimation of the dietary selenium intake in different population groups in Belgium has been carried out. 24 h duplicate meals and food consumption statistics combined with concentration levels in different foods, as determined by hydride generation atomic absorption spectrometry, are used. Dietary intake of selenium is low to very low, especially for vegetarians (12.7±9.1 g) and patients on long-term total parenteral nutrition (1.2±0.8 g). The different intakes are discussed and compared with intakes published for other countries, while the importance of bioavailability of the selenium in food in the risk of deficiency is stressed.

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Diätetische Selen-Aufnahme in Belgien bei verschiedenen Bevölkerungsgruppen mit den Risiken eines Defizits

Zusammenfassung Die Bestimmung der diätetischen Selen-Aufnahme bei verschiedenen Bevölkerungsgruppen in Belgien wurde durchgeführt. Entsprechende Mahlzeiten und Nahrungsaufnahme in 24 Std wurde statistisch kombiniert mit der Konzentration des Selens in verschiedenen Lebensmitteln, das als Wasserstoffselenid durch Atomabsorptionsspektrometrie bestimmt wurde. Die Aufnahme des Selens ist niedrig bis sehr niedrig, speziell für Vegetarier (12,7±9,1 g) und Patienten mit langwährender totaler Parenteral-Ernährung (1,2±0,8 g). Die verschiedenen Aufnahmen des Selens wurde diskutiert und mit denen aus anderen Ländern verglichen, gleichzeitig wird die Wichtigkeit der biologischen Verfügbarkeit des Selens in Lebensmitteln als ein Risiko des Defizits erkannt.

     

Selenium intake by the population of Lithuania]

The level of selenium was assayed in the blood and food products to study the providing of the Lithuanian population with this trace element. It was shown that imported wheat containing high levels of selenium played a significant role in providing with this trace element of the population of Lithuania, Estonia and Latvia where home-produced foods are deficient in selenium. The mean level of selenium in the blood serum of the Lithuanian population comprised 90 micrograms/l (96 micrograms/l was most frequent). Selenium consumption was 100 micrograms/man.     

Impact of refining the assessment of dietary exposure to cadmium in the European adult population

Exposure assessment constitutes an important step in any risk assessment of potentially harmful substances present in food. The European Food Safety Authority (EFSA) first assessed dietary exposure to cadmium in Europe using a deterministic framework, resulting in mean values of exposure in the range of health-based guidance values. Since then, the characterisation of foods has been refined to better match occurrence and consumption data, and a new strategy to handle left-censoring in occurrence data was devised. A probabilistic assessment was performed and compared with deterministic estimates, using occurrence values at the European level and consumption data from 14 national dietary surveys. Mean estimates in the probabilistic assessment ranged from 1.38 (95% CI = 1.35–1.44) to 2.08 (1.99–2.23) µg kg^–1 bodyweight (bw) week^–1 across the different surveys, which were less than 10% lower than deterministic (middle bound) mean values that ranged from 1.50 to 2.20 µg kg^–1 bw week^–1. Probabilistic 95th percentile estimates of dietary exposure ranged from 2.65 (2.57–2.72) to 4.99 (4.62–5.38) µg kg^–1 bw week^–1, which were, with the exception of one survey, between 3% and 17% higher than middle-bound deterministic estimates. Overall, the proportion of subjects exceeding the tolerable weekly intake of 2.5 µg kg^–1 bw ranged from 14.8% (13.6–16.0%) to 31.2% (29.7–32.5%) according to the probabilistic assessment. The results of this work indicate that mean values of dietary exposure to cadmium in the European population were of similar magnitude using determinist or probabilistic assessments. For higher exposure levels, probabilistic estimates were almost consistently larger than deterministic counterparts, thus reflecting the impact of using the full distribution of occurrence values to determine exposure levels. It is considered prudent to use probabilistic methodology should exposure estimates be close to or exceeding health-based guidance values.     

Dietary intake of trace elements by the population of Catalonia (Spain): results from a total diet study

This study aimed to analyse the concentrations of Al, Ba, Bi, Cu, Cr, Ge, Mn, Mo, Ni, Sb, Se, Sr and Zn in food samples collected in 2008 in Catalonia (Spain). The dietary intake of these 13 trace elements was subsequently estimated by different age–gender groups of the population: children, adolescents, adults and seniors. In general terms, fish and shellfish, cereals, and pulses were the food groups showing the highest levels for most elements. Higher dietary intakes were associated with male groups (adolescents, adults and seniors). However, none exceeded the tolerable levels. When exposure was estimated based on body weight, children were the group with the highest dietary intake. Notwithstanding, only the weekly intake of Al by children exceeded the recommendations of the European Food Safety Authority (EFSA). It is a consequence of the higher intake of cereals in relation to their respective body weights. In addition to the periodical food surveillance of toxic metals (As, Cd, Hg and Pb), it is also important to determine the levels of other trace elements in order to ensure that the dietary exposure by the Catalan population is under control.