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Lead, hemoglobin, zinc protoporphyrin and ferritin concentrations in children
Patrícia H C Rondó1, Maria de Fátima H Carvalho, Miriam C Souza
1Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil. phcrondo@usp.br
Insights
Elevated blood lead levels are linked to anemia in children. Further studies are needed to explore iron interventions for reducing lead exposure in pediatric populations.
Area of Science:
- Environmental Health
- Pediatric Health
- Toxicology
Background:
- Lead exposure is a significant public health concern, particularly in children.
- Anemia is a common condition in children, with various potential causes.
- Understanding the interplay between environmental toxins and nutritional status is crucial for child development.
Purpose of the Study:
- To investigate the association between blood lead concentrations and biomarkers of iron status and anemia in children.
- To differentiate the relationship between lead and hemoglobin, zinc protoporphyrin, and ferritin.
- To explore potential links between lead exposure and anemia in a Brazilian rural population.
Main Methods:
- A cross-sectional study involving 136 anemic and non-anemic children near a lead smelter.
- Measurement of blood lead, hemoglobin, zinc protoporphyrin, and ferritin levels.
- Statistical analyses including t-tests, Mann-Whitney, c(2) tests, and multivariate linear regression.
Main Results:
- A negative association was found between blood lead and hemoglobin levels (p<0.017).
- Blood lead was positively associated with zinc protoporphyrin (p<0.004) after adjusting for covariates.
- An inverse relationship between hemoglobin and blood lead was observed in anemic children.
Conclusions:
- The study confirms a relationship between anemia and elevated blood lead concentrations in children.
- Further research is warranted to assess the efficacy of iron nutritional interventions in mitigating lead toxicity.
- Findings highlight the need for targeted public health strategies to reduce lead exposure in vulnerable pediatric populations.
Objective:
To assess the relationship of blood lead and hemoglobin, zinc protoporphyrin, and ferritin concentrations in children.
Methods:
A cross-sectional study was carried out in 136 anemic and non-anemic children from two rural villages near a lead smelter in Adrianópolis, Southern Brazil, from July to September 2001. Hemoglobin electrophoresis was performed to exclude children with hemoglobin variants and thalassemia syndromes associated with anemia. Lead was determined by atomic absorption spectrophotometry; hemoglobin by automated cell counting; zinc protoporphyrin by hematofluorometry; ferritin by chemiluminescence. Student's t-test, Mann-Whitney test, and the c(2) test were used to assess the significance of the differences between the variables investigated in anemic and non-anemic children. Stepwise multivariate linear regression analysis was performed using two models for anemic and non-anemic children respectively.
Results:
Lead was negatively associated to hemoglobin (p<0.017) in the first model, and in the second model lead was positively associated to zinc protoporphyrin (p<0.004) after controlling for ferritin, age, sex, and per capita income. There was an inverse association between hemoglobin and blood lead in anemic children. It was not possible to confirm if anemic children had iron deficiency anemia or subclinical infection, considering that the majority (90.4%) had normal ferritin.
Conclusions:
The study detected a relationship between anemia and elevated blood lead concentrations. Further epidemiological studies are necessary to investigate the impact of iron nutritional interventions as an attempt to decrease blood lead in children.
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