Blood manganese and alcohol consumption interact on mood states among manganese alloy production workers
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Published on: May 4, 2020
Maryse Bouchard1, Donna Mergler, Mary Baldwin
1CINBIOSE, University of Québec in Montréal, Montréal, Québec, Canada. bouchard.maryse.2@courrier.uqam.ca
Abstract:
Long-term exposure to manganese (Mn) can induce neurotoxic effects including neuromotor, neurocognitive and neuropsychiatric effects, but there is a great interpersonal variability in the occurrence of these effects. It has recently been suggested that blood Mn (MnB) may interact with alcohol use disorders, accentuating neuropsychiatric symptoms. The objective of the present study was to explore a possible interaction between alcohol consumption and MnB on mood states, using an existing data set on Mn exposed workers. Respirable Mn exposure in the plant averaged 0.23mg/m(3) and was correlated with MnB. All participants for whom all data on MnB concentration and mood (assessed with the Profile of Mood States (POMS)) were available and who reported currently drinking alcohol were included in the analyses (n=74). Workers were grouped according to their MnB concentration (<10 and > or =10 microg/l) and alcohol consumption (<400 and > or =400g per week). Two-way ANOVAs were performed on each POMS scale and Mann-Whitney tests were used to assess group differences. Workers in the higher alcohol consumption group had higher scores on three POMS scales: tension, anger and fatigue. There was no difference for POMS scale scores between MnB subgroups. Dividing the group with respect to alcohol consumption and MnB showed that the group with high alcohol consumption and high MnB displayed the highest scores. In the lower MnB category, those in the higher alcohol consumption group did not have higher scores than the others. The interaction term for alcohol consumption and MnB concentration was statistically significant (P<0.05) for the depression, anger, fatigue and confusion POMS scales. There was a tendency for tension (P<0.06), and it was not significant for vigor. This study shows the first evidence of an interaction between MnB and alcohol consumption on mood states among Mn exposed workers and supports the results from a previous population-based study.
Insights
This study found that high blood manganese (MnB) levels combined with heavy alcohol consumption significantly worsen mood states in manganese-exposed workers. This interaction highlights a critical risk factor for neuropsychiatric symptoms.
Area of Science:
- Occupational Health
- Neurotoxicology
- Environmental Health
Background:
- Long-term manganese (Mn) exposure can cause neurotoxicity with significant individual variability.
- Blood manganese (MnB) may interact with alcohol use disorders, potentially worsening neuropsychiatric symptoms.
Purpose of the Study:
- To investigate the interaction between alcohol consumption and blood manganese (MnB) levels on mood states in Mn-exposed workers.
- To analyze existing data from Mn-exposed workers using mood state assessments.
Main Methods:
- Utilized a dataset of 74 Mn-exposed workers reporting current alcohol consumption.
- Grouped participants based on MnB concentration (<10 vs. ≥10 µg/l) and weekly alcohol intake (<400 vs. ≥400g).
- Performed two-way ANOVAs on Profile of Mood States (POMS) scales to assess interactions.
Main Results:
- Higher alcohol consumption correlated with increased tension, anger, and fatigue.
- A significant interaction between alcohol consumption and MnB was found for depression, anger, fatigue, and confusion POMS scales.
- The highest mood disturbance scores were observed in workers with both high alcohol consumption and high MnB levels.
Conclusions:
- Provides the first evidence of an interaction between blood manganese and alcohol consumption affecting mood in Mn-exposed workers.
- Suggests that combined exposure to manganese and alcohol exacerbates negative mood states, increasing neuropsychiatric risks.
- Supports previous findings from population-based studies on this interaction.
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