| 1. |
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| 2. |
- Nilsson Sommar, Johan, et al.
(författare)
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End-stage renal disease and low level exposure to lead, cadmium and mercury; a population-based, prospective nested case-referent study in Sweden.
- 2013
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Ingår i: Environmental health : a global access science source. - : BioMed Central (BMC). - 1476-069X. ; 12
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Tidskriftsartikel (refereegranskat)abstract
- ABSTRACT: Background: Cadmium (Cd), lead (Pb), and mercury (Hg) cause toxicological renal effects, but the clinical relevance at low-level exposures in general populations is unclear. The objective of this study is to assess the risk of developing end-stage renal disease in relation to Cd, Pb, and Hg exposure. Methods: A total of 118 cases who later in life developed end-stage renal disease, and 378 matched (sex, age, area, and time of blood sampling) referents were identified among participants in two population-based prospective cohorts (130,000 individuals). Cd, Pb, and Hg concentrations were determined in prospectively collected samples. Results: Erythrocyte lead was associated with an increased risk of developing end-stage renal disease (mean in cases 76 μg/L; odds ratio (OR) 1.54 for an interquartile range increase, 95% confidence interval (CI) 1.18-2.00), while erythrocyte mercury was negatively associated (2.4 μg/L; OR 0.75 for an interquartile range increase, CI 0.56-0.99). For erythrocyte cadmium, the OR of developing end-stage renal disease was 1.15 for an interquartile range increase (CI 0.99-1.34; mean Ery-Cd among cases: 1.3 μg/L). The associations for erythrocyte lead and erythrocyte mercury, but not for erythrocyte cadmium, remained after adjusting for the other two metals, smoking, BMI, diabetes, and hypertension. Gender-specific analyses showed that men carried almost all of the erythrocyte lead and erythrocyte cadmium associated risks. Conclusions: Erythrocyte lead is associated with end-stage renal disease but further studies are needed to evaluate causality. Gender-specific analyses suggest potential differences in susceptibility or in exposure biomarker reliability.
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| 3. |
- Akesson, A, et al.
(författare)
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Cadmium-induced effects on bone in a population-based study of women
- 2006
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Ingår i: Environmental Health Perspectives. - : Environmental Health Perspectives. - 1552-9924 .- 0091-6765. ; 114:6, s. 830-834
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Tidskriftsartikel (refereegranskat)abstract
- High cadmium exposure is known to cause bone damage, but the association between low-level cadmium exposure and osteoporosis remains to be clarified. Using a population-based women's health survey in southern Sweden [Women's Health in the Lund Area (WHILA)] with no known historical cadmium contamination, we investigated cadmium-related effects on bone in 820 women (53-64 years of age). We measured cadmium in blood and urine and lead in blood, an array of markers of bone metabolism, and forearm bone mineral density (BMD). Associations were evaluated in multiple linear regression analysis including information on the possible confounders or effect modifiers: weight, menopausal status, use of hormone replacement therapy, age at menarche, alcohol consumption, smoking history, and physical activity. Median urinary cadmium was 0.52 mu g/L adjusted to density (0.67 mu g/g creatinine). After multivariate adjustment, BMD, parathyroid hormone, and urinary deoxypyridinoline (U-DPD) were adversely associated with concentrations of urinary cadmium (p < 0.05) in all subjects. These associations persisted in the group of never-smokers, which had the lowest cadmium exposure (mainly dietary). For U-DPD, there was a significant interaction between cadmium and menopause (p = 0.022). Our results suggest negative effects of low-level cadmium exposure on bone, possibly exerted via increased bone resorption, which seemed to be intensified after menopause. Based on the prevalence of osteoporosis and the low level of exposure, the observed effects, although slight, should be considered as early signals of potentially more adverse health effects.
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| 4. |
- Akesson, AA, et al.
(författare)
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Tubular and glomerular kidney effects in Swedish women with low environmental cadmium exposure
- 2005
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Ingår i: Environmental Health Perspectives. - : Environmental Health Perspectives. - 1552-9924 .- 0091-6765. ; 113:11, s. 1627-1631
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Tidskriftsartikel (refereegranskat)abstract
- Cadmium is a well-known nephrotoxic agent in food and tobacco, but the exposure level that is critical for kidney effects in the general population is not defined. Within a population-based women's health survey in southern Sweden (Women's Health in the Lund Area, WHILA), we investigated cadmium exposure in relation to tubular and glomerular function, from 1999 through early 2000 in 820 women (71% participation rate) 53-64 years of age. Multiple linear regression showed cadmium in blood (median, 0.38 mu g/L) and urine (0.52 mu g/L; density adjusted = 0.67 mu g/g creatinine) to be significantly associated with effects on renal tubules (as indicated by increased levels of human complex-forming protein and N-acetyl-beta-D-glucosaminidase in urine), after adjusting for age, body mass index, blood lead, diabetes, hypertension, and regular use of nephrotoxic drugs. The associations remained significant even at the low exposure in women who had never smoked. We also found associations with markers of glomerular effects: glomerular filtration rate and creatinine clearance. Significant effects were seen already at a mean urinary cadmium level of 0.6 mu g/L (0.8 mu g/g creatinine). Cadmium potentiated diabetes-induced effects on kidney. In conclusion, tubular renal effects occurred at lower cadmium levels than previously demonstrated, and more important, glomerular effects were also observed. Although the effects were small, they may represent early signs of adverse effects, affecting large segments of the population. Subjects with diabetes seem to be at increased risk.
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| 5. |
- Albin, Maria, et al.
(författare)
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Arbets- och miljömedicin
- 2009
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Ingår i: Folkhälsa som tvärvetenskap. - 9789144040097 ; , s. 293-316
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 6. |
- Albin, Maria, et al.
(författare)
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Doser från bostad och föda--små men farliga.
- 2007
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Ingår i: Läkartidningen. - 0023-7205. ; 104:48, s. 3659-3663
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Tidskriftsartikel (refereegranskat)abstract
- he health gains from risk reduction with regard to chemical health hazards have so far been most evident in the occupational setting. Development with regard to analytical and epidemiological methods, and possibilities to measure discrete effects, do however indicate health effects also at low levels of exposure, relevant for the general environment. Efficient risk reduction in the general, and even domestic, environment is possible as illustrated by the reduced exposure to tobacco smoke. Current exposures in Sweden to radon, mercury, cadmium, lead, PCBs, dioxins, and other persistent organic pollutants, affect diseases of major concern for public health like cancer, reproductive effects, cardiovascular disease, and osteoporosis. Lung cancer from domestic radon exposure remains a major concern, and should be targeted with higher ambition.
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| 7. |
- Albin, Maria, et al.
(författare)
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Låt vården förebygga ohälsa
- 2013
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Ingår i: Skånska dagbladet. - 1103-9973. ; , s. 27-27
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Tidskriftsartikel (populärvet., debatt m.m.)
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| 8. |
- Albin, Maria, et al.
(författare)
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Miljöhälsorapport för Skåne
- 2004
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Rapport utifrån de sex miljökvalitetsmålen. Rapporten syftar till att förbättra kunskapen om miljörelaterad ohälsa och fungera som underlag till beslut och prioriteringar i kommuner, företag och hushåll.
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| 9. |
- Ali, Imran, et al.
(författare)
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Associations between cadmium exposure and circulating levels of sex hormones in postmenopausal women.
- 2014
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Ingår i: Environmental Research. - : Elsevier BV. - 1096-0953 .- 0013-9351. ; 134, s. 265-269
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Tidskriftsartikel (refereegranskat)abstract
- Recent epidemiological as well as in vivo and in vitro studies collectively suggest that the metalloestrogen cadmium (Cd) could be a potential risk factor for hormone-related cancers in particularly breast cancer. Assessment of the association between Cd exposure and levels of endogenous sex hormones is of pivotal importance, as increased levels of such have been associated with a higher risk of breast cancer in postmenopausal women. The present study investigated the perceived relationship (multivariable-adjusted linear regression analyses) between Cd exposure [blood Cd (B-Cd) and urinary Cd (U-Cd)], and serum levels of androstenedione, testosterone, estradiol, and sex-hormone binding globulin (SHBG), in 438 postmenopausal Swedish women without hormone replacement therapy (HRT). A significant positive association between B-Cd (median 3.4nmol/L) and serum testosterone levels, as well as a significant inverse association between B-Cd and serum estradiol levels and with the estradiol/testosterone ratio were encountered. However, U-Cd (median 0.69nmol/mmol creatinine) was inversely associated with serum estradiol levels only. Our data may suggest that Cd interferes with the levels of testosterone and estradiol in postmenopausal women, which might have implications for breast cancer risk.
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| 10. |
- Andren, P, et al.
(författare)
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Environmental exposure to lead and arsenic among children living near a glassworks
- 1988
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Ingår i: Science of the Total Environment. - : Elsevier BV. - 1879-1026 .- 0048-9697. ; 77:1, s. 25-34
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Tidskriftsartikel (refereegranskat)abstract
- Concentrations of lead (Pb) in blood (B-Pb, geometric mean 34.6 micrograms l-1, n = 127) and inorganic arsenic (As) and its metabolites in urine (U-As, mean 5.1 micrograms/g creatinine, n = 35) did not differ between children living in a village close to a glassworks emitting both Pb and As and children living in a reference area. There was no significant effect on B-Pb and U-As related to parents working at the glassworks or consumption of domestically grown vegetables. Neither was there any significant effect upon B-Pb of sex, age, potentially lead-exposing hobbies, or consumption of canned foods. Boys had higher U-As than girls (5.8 vs 4.2 micrograms/g creatinine, p = 0.005), and there was a decrease with age (range 8.4-10.4 years, 27% per year, p = 0.01). Further, parental smoking habits had a significant effect on both B-Pb and U-As. In children of non-smoking parents the B-Pb was 30 micrograms l-1, in children with one parent who smoked 39 micrograms l-1 (smoking father 37, smoking mother 41 micrograms l-1) and in children with two parents who smoked 47 micrograms l-1 (p less than 0.001). The corresponding values for U-As were 4.2, 5.5, and 13 micrograms/g creatinine, respectively (p = 0.01).
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| 11. |
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| 12. |
- Arvidsson, Inger, et al.
(författare)
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Are neck-shoulder disorders associated with habitual neck extension in computer work?
- 2006
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Ingår i: Meeting diversity in ergonomics.
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- A common clinical conception is that prolonged neck extension during computer work is associated with an increased risk of neck-shoulder disorders. The aim of this study was to find out whether neck postures in computer work differed between females cases with neck-shoulderdisorders, compared to healthy referents. Based on physical examinations, 13 cases and 11 referents were selected among 70 female air traffic controllers with the same computer work and identical work stations. Neck angles were measured by inclinometry, during an ordinary work period of about 1 h. Results: Average neck angles (50thpercentile) in cases and referents was -10° (SP 8) and -9 (SD 10) respectively; p=0.9. Hence, we did not find any association between neck-shoulder disorders and neck extension during computer work.
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| 13. |
- Arvidsson, Inger, et al.
(författare)
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Changes in physical workload with implementation of mouse-based information technology in air traffic control
- 2006
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Ingår i: International Journal of Industrial Ergonomics. - : Elsevier BV. - 0169-8141 .- 1872-8219. ; 36:7, s. 613-622
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Tidskriftsartikel (refereegranskat)abstract
- Effects on physical workload were quantified when introducing new information technology in air traffic control. Seven female and 7 male air traffic controllers were studied in an old control system, and during simulated-but similar-work in a new, mouse-based system. Postures, movements and muscular load were recorded (inclinometry for head, neck, back and upper arms; goniometry for wrists; elect romyography for the trapezius and forearm extensor muscles). The new system was associated with lower movement velocities than the old one (examples: [50th percentiles] head flexion: 2 vs. 5 degrees/s, P < 0.01; right arm elevation: 3 vs. 6 degrees/s; P < 0.01; [90th percentile] wrist flexion: 19 vs. 50 degrees/s, P < 0.01), less varying postures (head: 95th-5th percentile range 17 degrees vs. 34 degrees; P < 0.01), and less muscular rest in the right forearm extensors (3.5% vs. 9% of time; P < 0.05). The old/new system differences were amplified at high work intensities. The new air traffic control system caused a major change of physical exposures, probably associated with an increased risk of musculoskeletal disorders in arms and hands. Relevance to industry While this study concerned the specific changes in the introduction of a new air traffic control system, we believe that the findings are applicable to similar technological developments in other settings. (c) 2006 Elsevier B.V. All rights reserved.
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| 14. |
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| 15. |
- Arvidsson, Inger, et al.
(författare)
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Follow-up study of musculoskeletal disorders 20 months after the introduction of a mouse-based computer system.
- 2008
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Ingår i: Scandinavian Journal of Work, Environment and Health. - 0355-3140. ; 34:5, s. 374-380
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: This study attempted to determine whether musculoskeletal health is influenced by mouse-intensive computer work. METHODS: The neck-upper limbs of 148 air-traffic controllers (71 women, 77 men) with demanding computer work were examined before (baseline) and a median of 20 months after (follow-up) a change from varied computer work to a mouse-based system, causing a significant change in the physical exposure of the workers (eg, lower variation of work postures and less rest in the forearm extensor muscles, as assessed by technical measurements). Complaints (according to a Nordic questionnaire), diagnoses (standardized physical examination), and psychosocial work environment (Copenhagen Psychosocial Questionnaire) were recorded. RESULTS: The air traffic controllers had consistently higher prevalences of disorders in the elbows-hands in the follow-up than at the baseline (complaints 30% versus 18%, P=0.03; diagnoses 10% versus 3.4%, P=0.02). The predominance of right-arm disorders was more pronounced in the follow-up than at the baseline. For the neck-shoulders-upper back, there was no consistent difference between the baseline and follow-up values; disorders increased significantly among the "young" controllers (
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| 16. |
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| 17. |
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| 18. |
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| 19. |
- Arvidsson, Inger, et al.
(författare)
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Neck postures in air traffic controllers with and without neck/shoulder disorders.
- 2008
-
Ingår i: Applied Ergonomics. - : Elsevier BV. - 1872-9126 .- 0003-6870. ; 39:2, s. 255-260
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Tidskriftsartikel (refereegranskat)abstract
- Prolonged computer work with an extended neck is commonly believed to be associated with an increased risk of neck–shoulder disorders. The aim of this study was to compare neck postures during computer work between female cases with neck–shoulder disorders, and healthy referents. Based on physical examinations, 13 cases and 11 referents were selected among 70 female air traffic controllers with the same computer-based work tasks and identical workstations. Postures and movements were measured by inclinometers, placed on the forehead and upper back (C7/Th1) during authentic air traffic control. A recently developed method was applied to assess flexion/extension in the neck, calculated as the difference between head and upper back flexion/extension. Results: cases and referents did not differ significantly in neck posture (median neck flexion/extension: −10° vs. −9°; p=0.9). Hence, the belief that neck extension posture is associated with neck–shoulder disorders in computer work is not supported by the present data.
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| 20. |
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| 21. |
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| 22. |
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| 23. |
- Balogh, Istvan, et al.
(författare)
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Increasing the Degree of Automation in a Production System: Consequences for the physical workload
- 2006
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Ingår i: International Journal of Industrial Ergonomics. - : Elsevier BV. - 1872-8219 .- 0169-8141. ; 36:4, s. 353 - 365
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Tidskriftsartikel (refereegranskat)abstract
- In spite of the continuous development of production systems work-related musculoskeletal disorders is still a large problem. One reason might be the difficulties in quantifying the ergonomic effects of interventions. In this paper ergonomic consequences of technical and organisational changes were quantified in a plant for producing slats for parquet flooring. Muscle activity, work postures and movements were assessed for neck/shoulders and upper limb by direct technical measurements at three generations of production lines. The physical workload for 31 operators at the manual, semi-automated and automated line was derived based on all existing work tasks. The work was characterised by moderate muscular loads, the 50th percentiles being 1.2-3.8%MVE for the neck/shoulder muscles, high repetitiveness and constant movements of the hands and a high prevalence of neck/shoulder disorders. There were statistically significant differences considering exposure levels between the work tasks within each line as well as between the lines. The semi-automated line implied reduced muscular load for all muscles registered but more constrained work postures. The automated line, on the other hand, required higher skills, offered less constrained postures, lower loads and repetitiveness for the hands as well as frequent changes between different physical load levels. Relevance to industry: When designing or redesigning production systems, technical solutions are often used to obtain 'beneficial' ergonomic conditions, implying a strive for low physical workloads. However, there is a risk that this might lead to more constrained physical activities. Possibilities for job enlargement must be thoroughly utilised. © 2006 Elsevier B.V. All rights reserved.
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| 24. |
- Balogh, Istvan, et al.
(författare)
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Precision of measurements of physical workload during standardized manual handling part III: Goniometry of the wrists.
- 2009
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Ingår i: Journal of Electromyography & Kinesiology. - : Elsevier BV. - 1873-5711 .- 1050-6411. ; 19:5, s. 1005-1012
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Tidskriftsartikel (refereegranskat)abstract
- Goniometry of the wrist is a feasible method for studying wrist movements in most hand-intensive work. The precision and accuracy of the method per se is good. For the knowledge on validity of field measurements, the size of imprecision is of importance. This study evaluated this condition during standardized circumstances. Six women performed three different hand-intensive work tasks: 'materials picking', 'light assembly', and 'heavy assembly', repeated during three different days. Variance components between-days (within subjects) and between-subjects were derived for positions (flexion/extension and deviation) and movements, including angular velocities, % of time with very low velocity (<1 degrees /s), as well as repetitiveness. For positions, the average standard deviations in the three tasks were, both between-days and between-subjects, 3-4 degrees . For movements, the coefficients of variation of angular velocities were about 10% between-days, and could to a great part be explained by differences in work rate. Between-subjects variability was higher, 20-40%. The variability was larger at low velocities than at high ones. The precision of the measured positions was good, expressed as small between-days and between-subjects variability. For movements, the between-days variability was also small, while there was a larger between-subjects variability. The imprecision of goniometry is consequently lower and comparable with inclinometry but lower than for EMG.
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| 25. |
- Balogh, Istvan, et al.
(författare)
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Work-related neck and upper limb disorders - Quantitative exposure-response relationships adjusted for personal characteristics and psychosocial conditions
- 2019
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Ingår i: BMC Musculoskeletal Disorders. - : Springer Science and Business Media LLC. - 1471-2474. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: We have previously reported quantitative exposure-response relationships between physical exposures recorded by technical methods, and complaints and diagnoses in the neck/shoulders, and the elbows/hands, based on group data. In the present study the number of workers was doubled, and information on individual factors, and psychosocial working conditions was used. Relationships between various kinds of exposure and response have been analysed in this larger and more detailed sample. Methods: The prevalence of complaints (Nordic Questionnaire) and diagnoses (clinical examination) were recorded in a number of occupational groups within which the participants had similar work tasks, 34 groups of female employees (N = 4733 women) and 17 groups of male employees (N = 1107 men). Age and other individual characteristics were recorded, as well as psychosocial work environment factors (job-content questionnaire) for most participants. Postures and velocities (inclinometry) of the head (N = 505) and right upper arm (N = 510), right wrist postures and velocities (electrogoniometry; N = 685), and muscular activity (electromyography; EMG) in the right trapezius muscle (N = 647) and forearm extensors (N = 396) were recorded in representative sub-groups. Exposure-response relationships between physical exposure and musculoskeletal disorders, adjusted for individual factors with Poisson regression were then calculated. The effect of introducing psychosocial conditions into the models was also assessed. Results: Associations were found between head velocity, trapezius activity, upper arm velocity, forearm extensor activity and wrist posture and velocity, and most neck/shoulder and elbow/hand complaints and diagnoses. Adjustment for age, other individual characteristics and psychosocial work conditions had only a limited effect on these associations. For example, the attributable fraction for tension neck syndrome among female workers with the highest quintile of trapezius activity was 58%, for carpal tunnel syndrome versus wrist velocity it was 92% in men in the highest exposure quintile. Conclusions: Based on the findings, we propose threshold limit values for upper arm and wrist velocity.
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| 26. |
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| 27. |
- Barany, E, et al.
(författare)
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Mercury and selenium in whole blood and serum in relation to fish consumption and amalgam fillings in adolescents
- 2003
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Ingår i: Journal of Trace Elements in Medicine and Biology. - 1878-3252 .- 0946-672X. ; 17:3, s. 165-170
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Tidskriftsartikel (refereegranskat)abstract
- Mercury and selenium in whole blood and serum of 245 17-year old Swedish adolescents were analysed. The relationships between these elements' concentrations and the consumption of fish as well as the number of dental amalgam fillings were studied. The geometric means (GM) of the mercury concentrations were 1.1 mug/L in blood and 0.43 mug/L in serum. The mean selenium concentration in blood was 110 mug/L and the GM of the serum selenium concentration 110 mug/L. Fish species with dietary restrictions due to elevated mercury Levels (i.e. pike, perch, pikeperch, burbot, eel and halibut) were consumed on average 0.7 times/month and fish species without such restrictions 4.1 times/month. Despite this comparatively Low fish consumption, the adolescents' blood mercury concentrations were positively correlated with fish consumption. Of the adolescents, 39% had amalgam fillings (mean 2 +/- 1.5). Serum mercury was influenced by the number of amalgam fittings, by fish consumption, blood and serum levels of selenium and the residential area. Blood and serum selenium concentrations were not influenced by fish consumption, but were positively associated with the serum mercury concentration.
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| 28. |
- Barany, E, et al.
(författare)
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Relationships between trace element concentrations in human blood and serum
- 2002
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Ingår i: Toxicology Letters. - 1879-3169 .- 0378-4274. ; 134:1-3, s. 177-184
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Tidskriftsartikel (refereegranskat)abstract
- Trace element interactions can affect the absorption, metabolism, or effects of elements. Also, different elements may derive from the same source. Associations in biological media between element concentrations may indicate such phenomena. A large number of correlations were found between 13 trace elements (Co, Cu, Zn, Se, Rb, Rh, Pd, Cd, W, Pt, Hg, Tl, and Pb) in human blood and/or serum, as investigated in 372 Swedish adolescents. Notably, serum Se correlated with blood Ph and blood Hg and Cu and Zn were correlated to each other in both blood and serum. The elements Pt, Pd and Rh, spread in the environment through use of catalytic converters in cars, were closely correlated in both blood and serum. Apart from the correlations with a probable biological or exposure-related explanation, several other correlations, of yet unknown importance and origin, were found.
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| 29. |
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| 30. |
- Barany, E, et al.
(författare)
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Trace element levels in whole blood and serum from Swedish adolescents
- 2002
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Ingår i: Science of the Total Environment. - 1879-1026 .- 0048-9697. ; 286:1-3, s. 129-141
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Tidskriftsartikel (refereegranskat)abstract
- Blood and serum samples from 372 15-year-old adolescents were collected in two cities in Sweden and analyzed by inductively coupled plasma mass spectrometry (ICP-MS). The objective was to (1) determine the levels of 13 elements in blood and serum from the teenagers; and (2) for each element, investigate the correlation between the concentrations in blood and serum. The concentrations in blood and serum were generally in line with that usually reported for the essential elements Co, Cu, Zn and Se, and generally low for the 'non-essential' elements Cd, Hg, Pb. The median concentrations were in blood and serum, respectively: of Co 031 and 0.48 mug/l, Cu 0.92 and 1.0 mg/l, Zn 6.1 and 0.99 mg/l, Se 110 and 100 mug/l, Rb 2.8 and 0.24 mg/l, Hg 1.1 and 0.44 mug/l, Pb 16 and 0.33 mug/l. The median concentration of W in blood was < 0.2 mug/l (below the detection limit) and in serum 0.087 mug/l. The median concentrations of Cd, Rh, Pd, Pt and TI were below the detection limits. Statistically significant correlations were found between the concentrations in blood and serum for Co, Cu, Zn, Se, Rb, W, Hg and Pb. The levels presented in this study constitute baseline levels or levels generally not exceeded in adolescents for 13 elements, including essential, ubiquitous toxic, and rare elements.
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| 31. |
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| 32. |
- Barany, E, et al.
(författare)
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Trace elements in blood and serum of Swedish adolescents: Relation to gender, age, residential area, and socioeconomic status
- 2002
-
Ingår i: Environmental Research. - : Elsevier BV. - 1096-0953 .- 0013-9351. ; 89:1, s. 72-84
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Tidskriftsartikel (refereegranskat)abstract
- The influence of gender, age, residential area, and socioeconomic status on the blood and serum levels of 13 trace elements was studied in boys and girls living in two Swedish cities with different socioeconomic and environmental characters. The same groups of adolescents were sampled twice, at ages 15 (n = 372) and 17 (n = 294) years. All the investigated factors were shown to be of importance. Age was important for most elements; e.g., copper levels in both blood and serum increased in girls, and selenium increased in serum from both genders. Lead decreased approximately 10%, in blood from the first to the second sampling, and cadmium increased in blood, however not in nonsmokers. The age factor may also reflect temporal changes in environmental exposure, especially for nonessential elements. Girls had higher levels of cobalt and copper, while lead in blood was higher in boys. Smoking girls had higher copper levels than nonsmoking girls. Residential area influenced all elements. The teenagers with university-educated mothers had higher levels of cadmium in blood than those with only primary school-educated mothers.
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| 33. |
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| 34. |
- Bergdahl, Ingvar A, et al.
(författare)
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Biomonitoring of lead exposure-alternatives to blood
- 2008
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Ingår i: Journal of Toxicology and Environmental Health. Part A: Current Issues. - : Informa UK Limited. - 1087-2620 .- 1528-7394. ; 71:18, s. 1235-1243
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Tidskriftsartikel (refereegranskat)abstract
- Lead (Pb) is one of the most important models for biomonitoring of exposure, with the blood Pb concentration as a predominant choice in practice and in epidemiology. In this article the alternatives for biomarkers to blood are reviewed. This overview focuses on a number of different qualities that are of importance in the evaluation of a biomarker's usefulness and performance. The qualities scrutinized included: (1) analytical accuracy and precision; (2) cost; (3) practical issues; (4) what is reflected by the biomarker; (5) relationship to exposure; and (6) relationship to effects. Data indicate that the best biomarker in some circumstances may be blood, but bone or teeth (for past exposures), feces (for current gastrointestinal exposure), or urine (for organic Pb) are sometimes more useful. A striking feature is that no generally accepted biomarker of bioavailable Pb exists, though plasma, bone, teeth, urine, and hair have all been discussed. For one of the most used applications of blood Pb, monitoring of lead workers' exposure, blood has important shortcomings in that it shows a poor response to changes in exposure at high levels. The alternative of plasma has not been sufficiently evaluated to be considered an alternative in occupational health services, although previous analytical problems are basically overcome. Possibly, urine deserves also more attention. Almost all biomarkers lack systematic data on variation within and between individuals.
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| 35. |
- Bergdahl, Ingvar A., et al.
(författare)
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Lead binding to delta-aminolevulinic acid dehydratase (ALAD) in human erythrocytes
- 1997
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Ingår i: Basic and Clinical Pharmacology and Toxicology. - : Wiley. - 0901-9928. ; 81:4, s. 153-158
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Tidskriftsartikel (refereegranskat)abstract
- Over 99% of the lead present in blood is usually found in erythrocytes. To investigate the nature of this selective accumulation of lead in erythrocytes, the specific binding of lead to proteins in human erythrocytes was studied using liquid chromatography coupled to inductively coupled plasma mass spectrometry (LC-ICP-MS). The principal lead-binding protein had a mass of approximately 240 kDa, and adsorption to specific antibodies showed that protein was delta-aminolevulinic acid dehydratase (ALAD). Thus, the previous notion that lead in erythrocytes was bound primarily to haemoglobin has to be revised. Furthermore, in lead-exposed workers, the percentage of lead bound to ALAD was influenced by a common polymorphism in the ALAD gene. Specifically, in seven carriers of the ALAD2 allele, 84% of the protein-bound lead recovered was bound to ALAD compared to 81% in seven homozygotes for the ALAD1 allele whose erythrocytes were matched for blood-lead concentration. The small difference was statistically significant in Wilcoxon matched-pairs signed-rank test (P = 0.03). No ALAD allele-specific difference in ALAD-bound lead was found among 20 unexposed controls. Perhaps the difference in ALAD-bound lead can provide an explanation for the previously reported finding of higher blood-lead levels among carriers of the ALAD2 allele than among ALAD1 homozygotes in lead-exposed populations.
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| 36. |
- Bergdahl, Ingvar A., et al.
(författare)
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Mercury in serum predicts low risk of death and myocardial infarction in Gothenburg women.
- 2013
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Ingår i: International archives of occupational and environmental health. - : Springer Science and Business Media LLC. - 1432-1246 .- 0340-0131. ; 86:1, s. 71-7
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Purpose Markers of mercury (Hg) exposure have shown both positive and negative associations with cardiovascular disease (CVD). We assessed the association between serum Hg (S–Hg) and risk of cardiovascular disease in a prospective population-based cohort, with attention to the roles of dental health and Wsh consumption. Methods Total mortality, as well as morbidity and mortality from acute myocardial infarction (AMI) and stroke, was followed up for 32 years in 1,391 women (initially age 38–60), in relation to S–Hg at baseline, using Cox regression models. Potential confounders (age, socioeconomic status, serum lipids, alcohol consumption, dental health, smoking, hypertension, waist-hip ratio, and diabetes) and other covariates (e.g., Wsh consumption) were also considered. Results Hazard ratios (HR) adjusted only for age showed strong inverse associations between baseline S–Hg and total mortality [highest quartile: hazard ratio (HR) 0.76; 95% conWdence interval (CI) 0.59–0.97], incident AMI (HR 0.56; CI 0.34–0.93), and fatal AMI (HR 0.31; CI 0.15–0.66). Adjustment for potential confounding factors, especially dental health, had a strong impact on the risk estimates, and after adjustment, only the reduced risk of fatal AMI remained statistically signiWcant. Conclusions There was a strong inverse association between Hg exposure and CVD. Likely, reasons are confounding with good dental health (also correlated with the number of amalgam Wllings in these age groups) and/or Wsh consumption. The results suggest potential eVects of dental health and/or Wsh consumption on CVD that deserve attention in preventive medicine.
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| 37. |
- Bergdahl, Ingvar A., et al.
(författare)
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Non-renal effects and the risk assessment of environmental cadmium exposure.
- 2014
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Ingår i: Environmental health perspectives. - : Environmental Health Perspectives. - 1552-9924 .- 0091-6765. ; 122:5, s. 431-8
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Tidskriftsartikel (refereegranskat)abstract
- Exposure to cadmium (Cd) has long been recognized as a health hazard, both in industry and in general populations with high exposure. Under the currently prevailing health risk assessment, the relationship between urinary Cd (U-Cd) concentrations and tubular proteinuria is used. However, doubts have recently been raised regarding the justification of basing the risk assessment on this relationship at very low exposure.
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| 38. |
- Bergdahl, Ingvar A, et al.
(författare)
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Plasma-lead concentration: investigations into its usefulness for biological monitoring of occupational lead exposure.
- 2006
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Ingår i: American journal of industrial medicine. - New York : Wiley. - 0271-3586 .- 1097-0274. ; 49:2, s. 93-101
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The lead concentration in plasma is correlated to that in whole blood with a two to fourfold variation. It has never been investigated if this variation is inter-individual. METHODS: Lead and hemoglobin were determined in blood and plasma from 13 lead workers with a history of relatively high blood-lead concentrations, sampled three times during 1 day. The variation in the distribution of lead between cells and plasma was studied, but not the variation in the lead concentrations as such. RESULTS: Blood hemoglobin decreased with rising plasma lead (0.9-3.0 microg/L). Regarding the distribution of lead, no effect of current exposure during the day or of recent meals appeared. As much as 84% of the overall variance of the distribution of lead between cells and plasma could be attributed to individual factors. After adjustment for erythrocyte volume fraction this decreased to 67%. Plasma samples with elevated hemoglobin concentrations (due to in vitro hemolysis) had somewhat elevated lead concentrations. CONCLUSIONS: Plasma lead is not significantly altered by variation in a single day's exposure and, therefore, the choice of time of the day is not critical for sampling. However, plasma lead is negatively correlated to blood hemoglobin and mild hemolysis (not visible by the eye) in a sample may increase plasma lead with up to 30%. Finally, plasma provides lead exposure information that differs from whole blood, but it is not clear which one of these is the biomarker with the closest relation to exposure and/or effects.
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| 39. |
- Bergdahl, Ingvar, et al.
(författare)
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Lead
- 2022. - 5
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Ingår i: Handbook on the toxicology of metals. - : Elsevier. - 9780128229460 ; , s. 427-493
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Bokkapitel (refereegranskat)abstract
- Inorganic lead is the most extensively studied environmental toxin. Today's humans have in the order of 100 times higher lead exposure, compared to prehistoric humans, mainly from food. The exposure was even higher during the 20th century, mainly due to lead addition to gasoline. Today, high exposures occur in many occupations, but also through, for example, contaminated drinking water, traditional drugs, lead paint, and soil and dust in "hotspots" around mines and smelters. Absorbed lead is widely distributed in the body. It accumulates in the skeleton, which, in turn, causes endogenous exposure, especially during pregnancy/lactation and in osteoporosis. Lead passes over the placenta into the fetus, and via breast milk into the infant. The mode(s) of action is not known; different mechanisms might be operating at different concentrations. Toxic effects occur first in the nervous system of fetuses/infants/children, with small cognitive effects already at a mean blood lead concentration (B-Pb) of ≤0.05. μmol/L (≤10. μg/L; which is well below the worldwide mean), without any threshold. Lead effects have also been reported for the cardiovascular system [increase of blood pressure at B-Pb well below 0.5. μmol/L (100. μg/L)], the kidney, post- and prenatal growth, cognition in also adults and elderly, the blood, the immune system, the gastrointestinal tract, and the female and male reproduction. There is important genetic modification of the toxicity. Lead is carcinogenic in animal experiments, but there is only limited evidence in humans.The organolead compounds tetraethyl- and tetramethyllead, earlier used in enormous quantities in leaded gasoline, are easily absorbed at inhalation and through the skin and may cause acute encephalopathia.
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| 40. |
- Bornehag, CG, et al.
(författare)
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Dampness in buildings as a risk factor for health effects, EUROEXPO: a multidisciplinary review of the literature (1998-2000) on dampness and mite exposure in buildings and health effects
- 2004
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Ingår i: Indoor Air. - : Hindawi Limited. - 0905-6947 .- 1600-0668. ; 14:4, s. 243-257
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Forskningsöversikt (refereegranskat)abstract
- The scientific literature on health effects from dampness in buildings, including mite exposure over the period 1998-2000 has been reviewed by a European group (EUROEXPO) of eight scientists in experience from medicine, epidemiology, toxicology and engineering. Forty studies deemed relevant have been the foundation for the conclusions. Dampness in buildings is a risk factor for health effects among atopics and non-atopics both in domestic and in public environments. However, the literature is not conclusive in respect of causative agents, e.g. mites, microbiological agents and organic chemicals from degraded building materials. There is a strong need for more multidisciplinary studies including expertise from all relevant areas. A general conclusion from the work was that there is a strong need for multidisciplinary reviews in scientific journals of articles dealing with associations between indoor environmental factors and health effects.
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| 41. |
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| 42. |
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| 43. |
- Börjesson, Jimmy, et al.
(författare)
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Kidney cadmium as compared to other markers of cadmium exposure in workers at a secondary metal smelter
- 2001
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Ingår i: American Journal of Industrial Medicine. - 0271-3586. ; 39:1, s. 19-28
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The aim of the study was to evaluate whether cadmium concentrations in kidney (K-Cd), blood (B-Cd) or urine (U-Cd) could reveal previous occupational cadmium exposure at a metal smelter. METHODS: The study included 90 smelters and 35 controls (B-Cd and U-Cd determination). In a subgroup (N = 33), K-Cd was also determined. RESULTS: B-Cd (median 4.6; range 0.5-53 nmol/L), U-Cd (0. 29; 0.04-1.9 micromol/mol creatinine) and K-Cd (14; 3-61 microg/g wet weight) were similar to reported concentrations in the general Swedish population. In the subgroup, significant associations (P<0. 001) were obtained between B-Cd and K-Cd (r = 0.70), U-Cd and K-Cd (r = 0.60) and between U-Cd and B-Cd (r = 0.62). Multiple regression analyses revealed smoking as the major predictor of K-Cd, B-Cd, and U-Cd. B-Cd and U-Cd were both associated with the duration of employment at the smelter. CONCLUSIONS: There was no statistically significant evidence of previous occupational exposure at the smelter from measurement of K-Cd.
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| 44. |
- Chaumont, Agnes, et al.
(författare)
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Associations between proteins and heavy metals in urine at low environmental exposures: Evidence of reverse causality
- 2012
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Ingår i: Toxicology Letters. - : Elsevier BV. - 1879-3169 .- 0378-4274. ; 210:3, s. 345-352
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Tidskriftsartikel (refereegranskat)abstract
- Heavy metals can cause renal effects on vulnerable populations but it is uncertain whether these metals still pose health risks at the low exposure levels now prevailing in most industrialized countries. In a cross-sectional study performed on 736 adolescents, we assessed the associations between the concentrations of cadmium and lead in blood and urine and the urinary concentrations of albumin and of low-molecular-weight (LMW) proteins, retinol-binding protein (RBP) and beta(2)-microglobulin. Multiple regression analyses were tested using urinary markers normalized to urinary creatinine or specific gravity. Median metal concentrations were in blood (mu g/L): lead. 15.1, cadmium, 0.18 and in urine (mu g/g creatinine): cadmium, 0.09 and lead, 0.82. Multivariate analyses revealed significant associations in urine between RBP and cadmium as well as between beta(2)-microglobulin and lead whereas no associations were seen with metals in blood. These associations were completely abolished in subjects with increased urinary albumin, which may be explained by the competitive inhibition of LMW protein reabsorption by albumin. Given the evidence that cadmium and lead circulate mainly bound to LMW proteins, these associations observed at low exposure might simply reflect the interindividual variations in the renal uptake of proteins sharing the same affinity for tubular binding sites. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
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| 45. |
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| 46. |
- Custodio, Hipolito M, et al.
(författare)
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Genetic influences on the retention of inorganic mercury.
- 2005
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Ingår i: Archives of environmental & occupational health. - 1933-8244. ; 60:1, s. 17-23
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Tidskriftsartikel (refereegranskat)abstract
- Mercury is eliminated as glutathione (GSH) conjugates. GSH production is mediated by glutamyl-cysteine ligase (GCL), and conjugation by glutathione S-transferases (GST). This study tested if polymorphisms in GCL and GST genes modify mercury retention in humans exposed to elemental mercury vapor. Total mercury concentrations in whole blood, plasma and urine, and genotypes for GCLC, GCLM, GSTA1, GSTM1, GSTP1, and GSTT1 were determined in 309 gold miners, gold buyers and controls. The presence of the GCLM-588T allele was associated with increased blood, plasma and urine mercury levels. These results indicate that genotypes with decreased GSH availability for mercury conjugation affect the metabolism of inorganic mercury.
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| 47. |
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| 48. |
- Engstrom, Annette, et al.
(författare)
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Cadmium-induced bone effect is not mediated via low serum 1,25-dihydroxy vitamin D
- 2009
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Ingår i: Environmental Research. - : Elsevier BV. - 1096-0953 .- 0013-9351. ; 109:2, s. 188-192
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Tidskriftsartikel (refereegranskat)abstract
- Cadmium is a widespread environmental pollutant, which is associated with increased risk of osteoporosis. It has been proposed that cadmium's toxic effect on bone is exerted via impaired activation of vitamin D, secondary to the kidney effects. To test this, we assessed the association of cadmium-induced bone and kidney effects with serum 1,25-dihydroxyvitamin D (1,25(OH)(2)D); measured by enzyme immunoassay. For the assessment, we selected 85 postmenopausal women, based on low (0.14-0.39 mu g/L) or high (0.66-2.1 mu g/L) urinary cadmium, within a cross-sectional population-based women's health survey in Southern Sweden. We also measured 25-hydroxy vitamin D. cadmium in blood, bone mineral density and several markers of bone remodeling and kidney effects. Although there were clear differences in both kidney and bone effect markers between women with low and high cadmium exposure, the 1,25(OH)(2)D concentrations were not significantly different (median, 111 pmol/L (5-95th percentile, 67-170 pmol/L) in low- and 125 pmol/L (66-200 pmol/L) in high-cadmium groups; p = 0.08). Also, there was no association between 1,25(OH)(2)D and markers of bone or kidney effects. It is concluded that the low levels of cadmium exposure present in the studied women, although high enough to be associated with lower bone mineral density and increased bone resorption, were not associated with lower serum concentrations of 1,25(OH)(2)D. Hence, decreased circulating levels of 1,25(OH)(2)D are unlikely to be the proposed link between cadmium-induced effects on kidney and bone. (C) 2008 Elsevier Inc. All rights reserved.
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| 49. |
- Engstrom, Annette, et al.
(författare)
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Retinol May Counteract the Negative Effect of Cadmium on Bone
- 2011
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Ingår i: Journal of Nutrition. - : Elsevier BV. - 1541-6100 .- 0022-3166. ; 141:12, s. 2198-2203
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Tidskriftsartikel (refereegranskat)abstract
- Cadmium and high vitamin A intake are both proposed risk factors for low bone mineral density (BMD), but potential interactions have not been studied. Within the Women's Health in the Lund Area, a population-based study in southern Sweden, we measured retinol in serum among 606 women aged 54-64 y. Data on BMD were measured by DXA at the distal forearm. Parathyroid hormone (PTH), bone alkaline phosphatase (bALP), and osteocalcin in serum and deoxypyridinoline (DPD) and cadmium in urine were available. Associations were evaluated using multivariable-adjusted linear regression analysis. Serum retinol concentrations (median, 1.9; range, 0.97-4.3 mu mol/L) were inversely associated with the bone formation markers bALP and osteocalcin (P <= 0.04) and with PTH (P = 0.07) and tended to be positively associated with BMD (P = 0.08) but not with the bone resorption marker DPD, indicating different effects on bone compared to urinary cadmium (median, 0.66; range, 0.12-3.6 nmol/mmol creatinine). Women with serum retinol less than the median and cadmium greater than the median had lower BMD than those with retinol greater than the median and cadmium less than the median (P = 0.016 among all women and P = 0.010 among never-smokers). Our findings suggest that adequate vitamin A status may counteract the adverse association between cadmium and BMD. J. Nutr. 141: 2198-2203, 2011.
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| 50. |
- Engström, Karin, et al.
(författare)
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Evaluation of the impact of genetic polymorphisms in glutathione-related genes on the association between methylmercury or n-3 polyunsaturated long chain fatty acids and risk of myocardial infarction : a case-control study
- 2011
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Ingår i: Environmental Health. - : BioMed Central (BMC). - 1476-069X. ; 10:33
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Tidskriftsartikel (refereegranskat)abstract
- Background: The n-3 polyunsaturated fatty acids eicosapentaenoic acid and docosahexaenoic acid, which are present in fish, are protective against myocardial infarction. However, fish also contains methylmercury, which influences the risk of myocardial infarction, possibly by generating oxidative stress. Methylmercury is metabolized by conjugation to glutathione, which facilitates elimination. Glutathione is also an antioxidant. Individuals with certain polymorphisms in glutathione-related genes may tolerate higher exposures to methylmercury, due to faster metabolism and elimination and/or better glutathione-associated antioxidative capacity. They would thus benefit more from the protective agents in fish, such as eicosapentaenoic+docosahexaenoic acid and selenium. The objective for this study was to elucidate whether genetic polymorphisms in glutathione-related genes modify the association between eicosapentaenoic+docosahexaenoic acid or methylmercury and risk of first ever myocardial infarction. Methods: Polymorphisms in glutathione-synthesizing (glutamyl-cysteine ligase catalytic subunit, GCLC and glutamyl-cysteine ligase modifier subunit, GCLM) or glutathione-conjugating (glutathione S-transferase P, GSTP1) genes were genotyped in 1027 individuals from northern Sweden (458 cases of first-ever myocardial infarction and 569 matched controls). The impact of these polymorphisms on the association between erythrocyte-mercury (proxy for methylmercury) and risk of myocardial infarction, as well as between plasma eicosapentaenoic+docosahexaenoic acid and risk of myocardial infarction, was evaluated by conditional logistic regression. The effect of erythrocyte-selenium on risk of myocardial infarction was also taken into consideration. Results: There were no strong genetic modifying effects on the association between plasma eicosapentaenoic+docosahexaenoic acid or erythrocyte-mercury and risk of myocardial infarction risk. When eicosapentaenoic+docosahexaenoic acid or erythrocyte-mercury were divided into tertiles, individuals with GCLM-588 TT genotype displayed a lower risk relative to the CC genotype in all but one tertile; in most tertiles the odds ratio was around 0.5 for TT. However, there were few TT carriers and the results were not statistically significant. The results were similar when taking plasma eicosapentaenoic+docosahexaenoic acid, erythrocyte-selenium and erythrocyte-mercury into account simultaneously. Conclusions: No statistically significant genetic modifying effects were seen for the association between plasma eicosapentaenoic+docosahexaenoic acid or erythrocyte-mercury and risk of myocardial infarction. Still, our results indicate that the relatively rare GCLM-588 TT genotype may have an impact, but a larger study is necessary for confirmation.
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