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Blood lead concentration and its associated factors in preschool children in eastern Iran: a cross-sectional study
Mahmoud Zardast1, Seyedeh Samira Khorashadi-Zadeh2, Samaneh Nakhaee1
1Medical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, Iran.
Insights
Eight percent of children aged 1-7 in Birjand, Iran, had elevated blood lead concentrations (BLC). Higher BLC was linked to older age, male gender, higher BMI, and father's occupation as a laborer.
Area of Science:
- Environmental Health
- Pediatric Toxicology
- Public Health
Background:
- Lead is a toxic metal with detrimental effects on nearly every organ system.
- Children are particularly vulnerable to lead toxicity due to developmental factors and behaviors like pica.
- This study assesses blood lead concentrations (BLC) in young children in Birjand, Iran.
Purpose of the Study:
- To determine the prevalence of elevated blood lead concentrations (BLC) in children aged 1-7 years in Birjand, Iran.
- To identify demographic and socioeconomic factors associated with BLC in this pediatric population.
Main Methods:
- A cross-sectional study was conducted in 2016 involving 400 children aged 1-7 years.
- Venous blood lead concentrations (BLC) were measured using atomic absorption spectrometry (AAS).
- Demographic data, including age, gender, BMI, and father's occupation, were collected.
Main Results:
- The mean BLC was 2.49 ± 2.64 μg/dL, with 8% of children exhibiting BLC > 5 μg/dL.
- Elevated BLC was associated with increased age (OR: 0.97), male gender (OR: 0.39), higher BMI (OR: 1.13), and father's occupation as a laborer.
- Logistic regression indicated that older children and girls had a lower chance of elevated BLC, while higher BMI and father's laborer occupation increased the risk.
Conclusions:
- 8% of children aged 1-7 in Birjand, Iran, had elevated blood lead concentrations.
- Blood lead concentrations were significantly correlated with the child's age, gender, body mass index, and father's occupation.
- These findings highlight the need for targeted interventions to reduce lead exposure in vulnerable children in the region.
Background:
Lead is a toxic metal that affects almost every organ in the body. Children are more susceptible to lead toxicity because they ingest non-food items (pica), have oral exploratory habits, absorb more substantial amounts of ingested lead compared to adults, and have a developing central nervous system. This study describes venous blood lead concentrations (BLC) in young children living in Birjand, Iran.
Methods:
A cross-sectional study was performed in 2016 on children 1-7 years of age who were referred to healthcare centers in Birjand City. Demographic information was obtained, and their BLC was tested using atomic absorption spectrometry (AAS).
Results:
Four hundred children were tested. Their mean age was 52.37 ± 23.77 months; their mean BLC was 2.49 ± 2.64 μg/dL (median 1.85 μg/dL). Thirty-two (8%) children had a BLC > 5 μg/dL. A logistic regression model revealed that per one unit of increase in age, the chance of an elevated BLC decreased by 3% (OR (95%CI): 0.97 (0.96-0.99), p < 0.01). The risks of an elevated BLC was 61% lower in girls compared to boys (OR (95%CI): 0.39 (0.17-0.92), p = 0.03). Further, per one rate of increase in the BMI, the chance of an elevated BLC was higher (OR (95%CI): 1.13 (1.02-1.24), p = 0.01). Children whose fathers were laborers had higher BLC than those with employee fathers (p = 0.01).
Conclusion:
Of 400 children aged 1-7 years old living in Birjand, Iran, 8% had elevated BLC. BLC correlated with the child 's age, gender, body mass index, and father's occupation.
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