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Iron Status in Relation to Low-Level Lead Exposure in a Large Population of Children Aged 0-5 Years
Yong Guo1, Yu-Hong Deng1, Hai-Jin Ke1
1Department of Children's Health Care, Guangdong Women and Children Hospital, Guangzhou Medical University, Guangzhou, 511400, China.
Insights
Low lead exposure in Chinese children is linked to reduced iron status, including lower blood iron, ferritin, and hemoglobin levels. This study highlights the negative impact of even minimal lead exposure on children's iron levels, increasing risks for iron deficiency and anemia.
Area of Science:
- Environmental Health
- Pediatrics
- Nutritional Science
Background:
- Limited data exist on low lead exposure and iron status in Chinese children.
- Lead exposure is a known risk factor for various health issues, including iron deficiency.
Purpose of the Study:
- To investigate the association between low-level lead exposure and iron status (blood iron, serum ferritin, hemoglobin) in Chinese children aged 0-5 years.
- To determine if low blood lead levels impact iron indicators and increase the risk of iron deficiency and anemia.
Main Methods:
- Retrospective analysis of 17,486 children (aged 0-5 years) with blood lead levels < 100 μg/L from 2014-2017.
- Utilized multiple linear and logistic regression to assess correlations between blood lead levels and iron status markers.
- Analyzed blood lead, blood iron, serum ferritin, and hemoglobin concentrations.
Main Results:
- Mean blood lead level was 31.50 μg/L. Negative correlations were found between blood lead and blood iron (r=-0.073), ferritin (r=-0.043), and hemoglobin (r=-0.047).
- Higher lead exposure quintiles were associated with decreased blood iron, serum ferritin, and hemoglobin.
- The highest lead exposure quintile showed increased odds of iron deficiency (OR=1.39) and anemia (OR=1.45) compared to the lowest quintile.
Conclusions:
- Low-level lead exposure is significantly associated with poorer iron status in young Chinese children.
- Findings confirm and extend previous research, demonstrating adverse effects of lead on iron indicators even at low exposure levels.
- Highlights the need for monitoring and intervention strategies to mitigate lead exposure risks in pediatric populations.
Abstract:
There are limited data regarding low lead exposure and iron status in Chinese children. This study aimed to examine the association between low-level lead exposure and iron status in a large population of children aged 0-5 years. We reviewed the records of children aged 0-5 years who had blood lead, iron, ferritin, and hemoglobin measurements during 2014-2017 at the Guangdong Women and Children Hospital. We identified 17,486 children with a blood lead level < 100 μg/L. Multiple linear and logistic regression analyses were performed to estimate the associations between blood lead levels and blood iron, serum ferritin, and hemoglobin. The mean concentrations of blood lead, iron, ferritin, and hemoglobin were 31.50 μg/L, 7.50 mmol/L, 46.98 ng/mL, and 120.41 g/L, respectively. Adjusting for age and sex, blood lead was negatively correlated with iron (r = - 0.073, p < 0.05), ferritin (r = - 0.043, p < 0.05), and hemoglobin (r = - 0.047, p < 0.05). Compared with the 1st quintile of lead exposure, the 5th quintile of lead exposure was associated with a 0.146 mmol/L decrease in blood iron, a 4.678 ng/mL decrease in serum ferritin, and a 1.245 g/L decrease in hemoglobin. Adjusted odds ratios (95% confidence interval) for the 5th quintile of blood lead were 1.39 (1.25-1.55) for iron deficiency and 1.45 (1.26-1.67) for anemia, relative to the 1st quintile. Our study findings confirmed the previously established association of blood lead levels with decreasing iron status and extended previous findings to even low-level lead exposure in Chinese children.
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