Dietary exposure to cadmium and health effects: impact of environmental changes

Cadmium exposure, metabolism, and effects are described especially in relation to dietary intakes. Data on dietary intakes in several countries have been complied from studies using the duplicate diet method or fecal analysis. These two methods seem to give more accurate data than estimates based on cadmium concentrations in food classes and food consumption (composite method). The present data on absorption and retention of ingested cadmium indicate that normally less than 5% is ingested, but absorption may increase in women who have iron deficiency. Earlier estimates of the critical concentration in renal cortex being about 200 mg/kg wet weight still seem to be valid. New information is available on present renal levels and their distribution in the general population. The present margin of safety with regard to risk for renal effects is small. To predict future health risks from increases in dietary cadmium due to environmental changes such as acid deposition, it is necessary that the models used are based on correct assumptions. Of interest are the distributions of dietary intake, gastrointestinal absorption, and renal cadmium concentrations. These distributions are normal or lognormal, and since standard deviations are used when estimating risks, it is of paramount importance that the standard deviations are estimated as accurately as possible. At present it is not possible to quantify the effects attributed to acid rain only; account must be also be taken of cadmium added to, e.g., soil by use of sewage sludge and other fertilizers. In addition to risks to human health, cadmium also poses a threat to horses, which generally have renal cadmium concentrations several times higher than adult humans. It is recommended that horses should be monitored in areas when acid deposition is high. Such monitoring might provide valuable information about impact of acid rain.