Chronic Metal Exposure, Air Pollution and Cancer in Haifa, Israel.

Air pollution is a worldwide problem to millions of people exposed to concentrations of air pollutants above safety standards, including fine particulate matter (PM2.5). In Haifa, Israel, the apparent link between pollution and cancer development is a topic of concern. The study focused on evaluating the metal exposure of children and adults residing in the Haifa area. A high toxic burden to combustion metals such as nickel and potential carcinogens such as mercury was determined. Samples of hair were collected from people living in and around Haifa between 2007 and 2015. Selected patients were separated into three groups, adult males and females, and children with a median age of 6.6 years. Multiple metal exposure was determined in all groups, with the greatest burden found in children.

Nutritional Status and Hair Mineral Content of Elementary School Children with Behavioral Problems

This study was performed to assess the nutritional status and hair mineral content of children with behavioral problems and compare the values with a gender, age-matched control group. The subjects were recruited from S elementary school children in Seoul, Korea. Students scored higher than 60 points were diagnosed with behavioral problems according to the Korean-Child Behavior Checklist. Nutritional assessment of the two groups (behavior problem group: male n=15, female n=24; 9.6+/-1.6 years, control group: male n=16, female n=18; 9.5+/-1.9 years) was performed using a nutritional survey and by measuring hair mineral contents. In the results, food frequency questionnaire analysis showed that the intakes of anchovy (P<0.05), soybean curb (P<0.01), radish (P<0.05), bean sprouts (P<0.05), spinach (P<0.05), carrot (P<0.05), pumpkin (P<0.05), lettuce (P<0.05), cabbage (P<0.01), apple (P<0.05), and milk (P<0.01) were higher in the control group than the behavior problem group, whereas intakes of ramyeon (P<0.05), cookies (P<0.05), and coke (P<0.01) were higher in the behavior problem group than the control group. Intakes of most nutrients such as plant-derived protein (P<0.05), fiber (P<0.05), plant-derived calcium (P<0.05), phosphorus (P<0.05), plant-derived iron (P<0.05), vitamin B2 (P<0.05), vitamin B6 (P<0.05), vitamin C (P<0.01), vitamin E (P<0.05), and folate (P<0.05) were significantly higher in the control group than the behavior problem group. Hair analysis showed that the levels of arsenic (P<0.05), mercury (P<0.001), uranium (P<0.05), iron (P<0.001), boron (P<0.01), and germanium (P<0.001) were lower, but the levels of phosphate (P<0.05), chromium (P<0.001), sodium (P<0.05), and sulfur (P<0.001) were higher in the behavior problem group than the control group. Conclusively, behavioral problems constitute a complicated condition in which nutritional factors may play major roles. However, it is still under investigation as to whether or not modification of dietary habits or nutritional supplementation can improve children's behavior, since symptoms require a broad understanding of the environmental and genetic interactions.

Evaluation of the health status of preschool children stratified based on the weight-length index (WLI)

This study was conducted to prepare basic materials and offer advice regarding dietary habits to prevent and cure childhood obesity by comparing and analyzing dietary habit, nutritional status, blood factors, and mineral contents of hair. All subjects were stratified by their weight-length index (WLI). According to the standard WLI values, 64.9% of children were within the normal value, 13.5% of children were underweight, and 21.6% of children were overweight and obese (WLI > or = 110%). Overall, the score assessed dietary habit for all children was 21.32 +/- 2.55 point (921 subjects), with 5.1% of children having excellent dietary habits and 3.1% having poor dietary habits. Additionally, 37.9% of underweight children, 37.6% of normal weight children, and 43.2% of overweight and obese children consumed higher amounts of protein than underweight children did (meat, fish, eggs, and soy products) (P < 0.05). Overweight and obese children consumed more fried foods than underweight or normal weight children (P < 0.05). Moreover, 38.0% of the children had hemoglobin levels of 12 g/dl, while 7.6% were anemic (11.1 g/dl). When a hematocrit level of 33% was taken as the standard, 11.0% of children were anemic. The plasma transferrin content was 263.76 +/- 54.52 mg/dl in overweight and obese children. The mean values of Fe, Cu, Ca, Cr, Mn, Se, Na, K, Li, V, Co, and Mo were within the reference values, but the Zn concentrations of underweight, normal weight, and overweight and obese children were 67.97 +/- 28.51 ppm, 70.09 +/- 30.81 ppm, and 73.99 +/- 30.36 ppm, respectively. The Zn concentration of overweight and obese children (73.99 +/- 30.36 ppm) was lower than that of the standard value (180~220 ppm). Therefore, a nutritional education program and new guidance for dietary pattern should be developed to reduce the number of underweight and overweight and obese children.

Relation among Hair Mineral Contents, Nutrient Intakes and Clinical Symptoms of Male Middle School Students in Urban and Local Area / 대한지역사회영양학회지

Minerals play important roles in biological processes. Hair mineral analysis has the advantages of conveniences in sampling and observing the profiles of multiple minerals simultaneously. The purpose of this study was to compare hair mineral contents between urban and local middle school students, and to find out the relation with nutrient intakes and clinical symptoms. Ten nutritional minerals and 7 environmental mineral contents were analyzed in the hair samples of 44 and 37 male students who resided in urban and local area, respectively. And their nutrient intake and clinical symptom score were estimated from questionnaire. The average age, height, and weight were 15.1 years, 168.4 cm, 56.8 kg in urban subjects and 15.4 years, 169.1 cm, 61.9 kg in local subjects, respectively. The residence types were apartment (63.6%) and small-sized apartment (22.7%) in urban subjects and apartment (51.4%) and house (37.8%) in local subjects. The primary water sources were purified water (38.3%), running water (18.2%) in urban subjects and purified water (32.4%), underground water (27.0%) in local subjects, respectively. Daily energy and nutrient intakes were not significantly different between two groups. Among the surveyed 17 clinical symptoms, the scores of constipation, cold, anxieties and total score of clinical symptoms in urban subjects were significantly lower than those in local subjects. Hair contents of Na, Mg, Ca, Cu, V, Al, As were significantly higher, while U was lower in urban subjects compared to those in rural subjects. Hair contents of Ni and U were significantly correlated with food intake, and Cr, V, Al, Sb, As, U showed a correlation with energy intake. Hair Mg level showed significantly negative correlation with total clinical symptom score. In conclusion, hair mineral profile between urban and local students was significantly different. And some of these minerals were significantly correlated with food and nutrient intakes. Especially hair magnesium was significantly correlated with total clinical symptom score. Therefore, hair mineral levels would be needed for more systematic study elucidating potentiality as a useful clinical tool.

Trace element concentrations profiles in the hair of normal children living in the northern area of Seoul / 소아과

PURPOSE: The reliability of hair mineral analyses regarding nutritional status, environmental exposure or diseases is controversial. The aim of this study was to determine the normal reference range of hair mineral concentration of Korean children. METHODS: We examined hair mineral concentrations of 223 children(3-12 yrs old, 110 boys, 113 girls, mean age 8.8+/-2.2 yrs old) living in the northern area of Seoul. The trace elements including six toxic elements(Al, As, Cd, Ba, Hg, Pb) and 11 nutritional elements(Na, Mg, P, K, Ca, Cr, Mn, Fe, Cu, Zn, Se) were analyzed by inductive coupled plasma mass spectrometry(ICP-MS). RESULTS: The mean concentrations of Ca and Mg were higher in girls than in boys. The mean concentrations of Cd, Pb and Cr were higher in boys than girls. The Zn, Ca, Mg, Cu and Hg levels in hair samples were positively correlated with increasing age. The Zn levels of the Korean children's hair samples appear to be lower than that of other countries' reference values. CONCLUSION: There are considerable differences in hair mineral concentrations by age, sex and race. Additional research is needed to establish Korean reference values, and to evaluate the usefulness of hair mineral analyses as a screening tool for nutrition- and environment-related childhood diseases.

Quantitative Analysis of Hair Minerals in Vitiligo Patients / 대한피부과학회지

BACKGROUND: Although vitiligo is generally recognized as a single entity, the etiology is complex. There have been three hypotheses to explain vitiligo, (1) neural hypothesis, (2) the self-destruct hypothesis, and (3) the autoimmune hypothesis. And recently, there have been several reports about mineral status in vitiligo patients. Hair minerals may provide a continuous record of nutritional status and exposure to heavy metal pollutants. So, analysis of hair minerals in vitiligo patients may help to explain the etiology of vitiligo. OBJECTIVE: The purpose of this study is to compare the hair mineral concentrations between vitiligo patients and normal controls. METHODS: Hair mineral concentrations were measured in 30 normal controls and 30 vitiligo patients. We measured the contents of fifteen nutritional elements (Ca, Mg, Na, K, Cu, Zn, P, Fe, Mn, Cr, Se, B, Co, Mo, S), eight toxic elements (Sb, U, As, Be, Hg, Cd, Pb, Al), and fifteen additional elements (Ge, Ba, Bi, Rb, Li, Ni, Pt, Tl, I, V, Sr, Sn, Ti, W, Zr) by an inductive coupled plasma mass spectrometry. RESULTS: In vitiligo patients, the contents of Fe, Mg, P, Cr, Se, Zr were significantly higher than normal controls, and B, Al, W were significantly lower than normal controls. In male patients, K, Cr, B, Rb contents were higher than female and in female patients, Ca, Ba, Sr contents were higher than male. In vitiligo patients, Hg showed positive relationship with increasing age, and B, Pb, Sn, Zr contents showed negative relationship with age. CONCLUSION: Hair mineral analysis was performed with vitiligo patients and normal controls. We concluded that the hair mineral analysis will be useful in researching various skin diseases including vitiligo and may give the clues of etiology of various skin diseases.

Hair Mineral Analysis of Normal Korean Children / 대한피부과학회지

BACKGROUND: Minerals play important roles in biological processes. They can cause disease through deficiency, imbalance, and toxicity. Many chronic diseases of children may be related to mineral status. But difficulty in sampling enough numbers and amount of body fluid to see long term mineral status for those children have been obstacles for detailed clinical studies. Though measurements of body mineral status are usually done for body fluid, hair mineral analysis method showed potentiality as a useful clinical tool. It could provide a continuous record of nutritional status and exposure history to heavy metal pollutants. Also it has advantages in sampling and observing the profiles of multiple minerals simultaneously. But lack of normal reference values of hair mineral contents focused on Korean children prevented us from conducting further studies. OBJECTIVE: The purposes of this study were to survey reference range of hair mineral concentration of Korean children 2 to 7 years old and analysis its characteristics. METHODS: Mineral concentrations of hair were measured in 78 children 2 to 7 years of age, living in the same area. The contents of fifteen nutritional elements(Ca, Mg, Na, K, Cu, P, Fe, Mn, Cr, Se, B, Co, Mo, S), eight toxic elements(Sb, U, As, Be, Hg, Cd, Pb, Al), and fifteen additional elements(Ge, Ba, Bi, Rb, Li, Ni, Pt, Tl, V, Sr, Sn, Ti, W, Zr) were determined by an inductive coupled plasma mass spectrometry(ICP-MS). Data are analyzed by meticulous statistical approaches. RESULTS: Though direct comparison was impossible in statistical manner, the suggested reference values of normal Korean children were different in K, Cr, Hg, Pb, Sn, Mg, Sb, Zn, Ge, and U content with American reference value. In normal Korean children, the contents of Ca, Mg, Fe, S, Al, Ba, Ni, Sr, U were higher in girls, and Na, Cr, As, V, Bi were higher in boys. Zn and Sr contents were increased with age, Rb, K, Ti, Pb, Mo, Sn, and V contents were decreased with age. CONCLUSION: There are considerable differences in hair mineral contents of normal population by race, age, sex. So it is important to use proper reference values to interpret the hair mineral analysis result correctly. We hope future study conducting for the children living in different geographic regions could verify our suggested reference data as a Korean reference value.

Relationship between Violent Criminal Behavior and Imbalance of Scalp Hair Minerals in Man / 예방의학회지

To estimate the factors to the inclination of the criminal violence, the content of trace minerals and toxic metals in the scalp hair were measured during the period from May 1992 to october 1992. One hundred eleven violent and 89 nonviolent criminal inmates of Taegu correctional Institute were selected. The inmates of violent criminals were imprisoned by murder, robber, rape, injury and violent acts. Those of nonviolent criminals were swindle, larceny, and adultery and had no history of institutional violence. The contents of two toxic metals(cadmium, lead) and five trace minerals(Cu, Fe, Zn, Mg, Na) were determined by an atomic absorption spectrophotometer(lL. 551). The contents of cadmium and lead in hair of violent criminals were significantly higher as 0.56+/-0.14ppm, 11.53+/-3.32ppm, respectively, than 0.42+/-0.20ppm, 9.63+/-4.31ppm of nonviolent group (P<0.01). But the level of copper was significantly lower than nonviolent group (P<0.05). The factors that had a significant correlation with the inclination of violence in multiple logistic regression analysis were cadmium (odds ratio=98.09), unmarried (odds ratio=0.39), many times of criminal history (odds ratio=l.57) and residence of rural area (odds ratio=0.44). The results suggest that the sub-toxic contents of cadmium and lead in the hair may be of potential effect on behavior, and the mineral analysis may be an important adjunctive diagnostic procedure. Further studies into this problem are necessary.

Some hair mineral contents of non-violent criminal and normal control / 예방의학회지

This study was designed to determine whether non-violent criminal and normal control on the basis of concentration of levels of trace mineral and toxic metal by analysis of human scalp hair. The subjects were selected 87 nonviolent criminal from a prison population and 120 normal control from periodic health checks for study. Hair samples were taken from the napes and Minnesota Multiple Personality Inventory(MMPI) was performed also. Five trace mineral(Zn, Cu, Mg, Fe, Na) and two toxic metal(lead, cadmium) contents were determined by an atomic absorption spectrometer. The contents of zinc and magnesium in hair of non-violent criminal were significantly lower than the control group(p<0.01). In the case of lead and cadmium, mean value of criminal group was significantly higher than control group. Significantly higher T-score of MMPI was seen in non-violent criminal group for psychopathic deviate (Pd), paranoia scale(Pa), and Mania scale(Ma) than control group, but T-score of depression scale(D) was significantly higher in the control group. In the non-violent criminal group, the content of copper inversely proportion to T-score of Hs, D, Hy, Pd, Mf, Pa, Pt, Sc, Si except Ma, also Zinc inversely proportion to T-score of Hy, Mf, Pa, Pt. These results suggest that difference of some hair mineral contents exist between criminal and normal control group. Thus further studies are necessary to determine whether violent and nonviolent criminal group attributed biochemical imbalance with carefully constructed and controlled studies.