Occurrence and factors associated with the presence of aflatoxin M1 in breast milk samples of nursing mothers in central Mexico

Aflatoxin M₁ (AFM₁) is the main mycotoxin frequently found in milk and dairy products. Exposure of infants to AFM₁ is of great health public concern because of its toxic and carcinogenic properties. The aim of this study was to determine the occurrence, levels and factors associated with the presence of aflatoxin M₁ in breast milk samples of nursing mothers in central Mexico. A total of 112 samples were collected and analyzed by a competitive-ELISA assay during January–August 2014. A Semi-Quantitative Food Frequency Questionnaire was used to determine weekly intake of food groups. Results showed that 89% of breast milk samples contained AFM₁ in a range of 3.01–34.24 ng/L. AFM₁ mean level was significantly higher (P < 0.05) in winter (12.78 ng/L) and spring (12.09 ng/L) than summer (7.91 ng/L). It was also detected that 7% of samples exceeded the European Community regulation (25 ng/L) for milk infant formula. The presence of aflatoxin M₁ was significantly associated (P < 0.05) to consumption of egg, cola drink and sunflower oil. The high occurrence and noticeable levels of AFM₁ detected, as well as the mean AFM₁ estimated daily intake (2.35 ng/kg b.w./day) suggested, for the first time, that breast-fed infants in the central region of Mexico, may be exposed to significant levels of this toxin through mother's breast milk.