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spelling Cadmium exposure in adults across Europe: Results from the HBM4EU Aligned Studies survey 2014-2020CadmiumHuman BiomonitoringHuman ExposurePhosphate FertilizerIndustrial ReleaseHBM4EUEuropean Human Biomonitoring InitiativeEuropeCádmioEmissões IndustriaisAvaliação do RiscoBiomonitorização HumanaFertilizante com FosfatoNUTSDeterminantes da Saúde e da DoençaToxicologiaEuropaReviewThe objectives of the study were to estimate the current exposure to cadmium (Cd) in Europe, potential differences between the countries and geographic regions, determinants of exposure and to derive European exposure levels. The basis for this work was provided by the European Human Biomonitoring Initiative (HBM4EU) which established a framework for alignment of national or regional HBM studies. For the purpose of Cd exposure assessment, studies from 9 European countries (Iceland, Denmark, Poland, Czech Republic, Croatia, Portugal, Germany, France, Luxembourg) were included and urine of 20–39 years old adults sampled in the years 2014–2021 (n = 2510). The measurements in urine were quality assured by the HBM4EU quality assurance/quality control scheme, study participants' questionnaire data were post-harmonized. Spatially resolved external data, namely Cd concentrations in soil, agricultural areas, phosphate fertilizer application, traffic density and point source Cd release were collected for the respective statistical territorial unit (NUTS). There were no distinct geographic patterns observed in Cd levels in urine, although the data revealed some differences between the specific study sites. The levels of exposure were otherwise similar between two time periods within the last decade (DEMOCOPHES - 2011–2012 vs. HBM4EU Aligned Studies, 2014–2020). The age-dependent alert values for Cd in urine were exceeded by 16% of the study participants. Exceedances in the different studies and locations ranged from 1.4% up to 42%. The studies with largest extent of exceedance were from France and Poland. Association analysis with individual food consumption data available from participants’ questionnaires showed an important contribution of vegetarian diet to the overall exposure, with 35% higher levels in vegetarians as opposed to non-vegetarians. For comparison, increase in Cd levels due to smoking was 25%. Using NUTS2-level external data, positive associations between HBM data and percentage of cropland and consumption of Cd-containing mineral phosphate fertilizer were revealed, which indicates a significant contribution of mineral phosphate fertilizers to human Cd exposure through diet. In addition to diet, traffic and point source release were identified as significant sources of exposure in the study population. The findings of the study support the recommendation by EFSA to reduce Cd exposure as also the estimated mean dietary exposure of adults in the EU is close or slightly exceeding the tolerable weekly intake. It also indicates that regulations are not protecting the population sufficiently.The HBM4EU project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No. 733032. Co-funding for the HBM4EU Aligned Studies has been provided by the national programs: Sant´e Publique France and the French ministries of Health and the Environment (ESTEBAN, France); MEYS (No. LM2018121), and Cetocoen Plus project (CZ.02.1.01/0.0/ 0.0/15_003/0000469) (CELSPAC:YA, Czech Republic); the Ministry of Science and Higher Education of Poland (contract no.3764/H2020/ 2017/2) (POALES, Poland); Public Health Fund (Diet_HBM, Iceland); Croatian Institute of Public Health (HBM survey in Croatia); National Institute of Health Dr Ricardo Jorge (INSEF_ExpoQuim, Portugal); German Ministry for the Environment, Nature Conservation, Nuclear Safety and Consumer Protection (BMUV) (ESB, Germany); Luxembourg Institute of Health (LIH), the Laboratoire national de sant´e (human biomonitoring part), the Ministry of Higher Education and Research of Luxembourg and the Ministry of Health of Luxembourg (Oriscav-Lux2, Luxembourg); Candy Foundation (Nos. 2017–224 and 2020–344), Absalon Foundation (No. F-23653-01), The Danish Environmental Protection Agency (Miljøstyrelsen: MST-621-00012 Center on Endocrine Disrupters), The Research council of Capital Region of Denmark (No. E− 22717-11), Research council of Rigshospitalet (Nos. E− 22717-12, E− 22717-07, E− 22717-08), Aase og Ejnar Danielsens Fond (No. 10–001874), International Research and Research Training Centre for Male Reproduction and Child Health (EDMaRC, No. 1500321/1604357) (CPHMINIPUB (parents) and DYMS, Denmark). J.Kl. and L.A. thank the CETOCOEN EXCELLENCE project No. CZ.02.1.01/0.0/0.0/17_043/ 0009632 financed by MEYS for supportive background, and supported from the European Union’s Horizon 2020 research and innovation program under grant agreement No. 857560.Elsevier GmbHRepositório Científico do Instituto Nacional de SaúdeSnoj Tratnik, JanjaKocman, DavidHorvat, MilenaAndersson, Anna-MariaJuul, AndersJacobsen, EvaOlafsdottir, KristinKlanova, JanaAndryskova, LenkaJanasik, BeataWasowicz, WojciechJanev Holcer, NatasaNamorado, SóniaCoelho, InêsRambaud, LoicRiou, MargauxVan Nieuwenhuyse, AnAppenzeller, BriceKolossa-Gehring, MarikeWeber, TillEsteban, MartaCastano, ArgeliaGilles, LieseRodriguez Martin, LauraSchoeters, GretaSepai, OvnairGovarts, Eva2022-11-02T12:13:41Z2022-10-172022-10-17T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.18/8291engInt J Hyg Environ Health. 2022 Oct 17;246:114050. doi: 10.1016/j.ijheh.2022.114050. Online ahead of print1438-463910.1016/j.ijheh.2022.114050info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-20T15:42:31Zoai:repositorio.insa.pt:10400.18/8291Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:42:59.685639Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Cadmium exposure in adults across Europe: Results from the HBM4EU Aligned Studies survey 2014-2020
title Cadmium exposure in adults across Europe: Results from the HBM4EU Aligned Studies survey 2014-2020
spellingShingle Cadmium exposure in adults across Europe: Results from the HBM4EU Aligned Studies survey 2014-2020
Snoj Tratnik, Janja
Cadmium
Human Biomonitoring
Human Exposure
Phosphate Fertilizer
Industrial Release
HBM4EU
European Human Biomonitoring Initiative
Europe
Cádmio
Emissões Industriais
Avaliação do Risco
Biomonitorização Humana
Fertilizante com Fosfato
NUTS
Determinantes da Saúde e da Doença
Toxicologia
Europa
title_short Cadmium exposure in adults across Europe: Results from the HBM4EU Aligned Studies survey 2014-2020
title_full Cadmium exposure in adults across Europe: Results from the HBM4EU Aligned Studies survey 2014-2020
title_fullStr Cadmium exposure in adults across Europe: Results from the HBM4EU Aligned Studies survey 2014-2020
title_full_unstemmed Cadmium exposure in adults across Europe: Results from the HBM4EU Aligned Studies survey 2014-2020
title_sort Cadmium exposure in adults across Europe: Results from the HBM4EU Aligned Studies survey 2014-2020
author Snoj Tratnik, Janja
author_facet Snoj Tratnik, Janja
Kocman, David
Horvat, Milena
Andersson, Anna-Maria
Juul, Anders
Jacobsen, Eva
Olafsdottir, Kristin
Klanova, Jana
Andryskova, Lenka
Janasik, Beata
Wasowicz, Wojciech
Janev Holcer, Natasa
Namorado, Sónia
Coelho, Inês
Rambaud, Loic
Riou, Margaux
Van Nieuwenhuyse, An
Appenzeller, Brice
Kolossa-Gehring, Marike
Weber, Till
Esteban, Marta
Castano, Argelia
Gilles, Liese
Rodriguez Martin, Laura
Schoeters, Greta
Sepai, Ovnair
Govarts, Eva
author_role author
author2 Kocman, David
Horvat, Milena
Andersson, Anna-Maria
Juul, Anders
Jacobsen, Eva
Olafsdottir, Kristin
Klanova, Jana
Andryskova, Lenka
Janasik, Beata
Wasowicz, Wojciech
Janev Holcer, Natasa
Namorado, Sónia
Coelho, Inês
Rambaud, Loic
Riou, Margaux
Van Nieuwenhuyse, An
Appenzeller, Brice
Kolossa-Gehring, Marike
Weber, Till
Esteban, Marta
Castano, Argelia
Gilles, Liese
Rodriguez Martin, Laura
Schoeters, Greta
Sepai, Ovnair
Govarts, Eva
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Instituto Nacional de Saúde
dc.contributor.author.fl_str_mv Snoj Tratnik, Janja
Kocman, David
Horvat, Milena
Andersson, Anna-Maria
Juul, Anders
Jacobsen, Eva
Olafsdottir, Kristin
Klanova, Jana
Andryskova, Lenka
Janasik, Beata
Wasowicz, Wojciech
Janev Holcer, Natasa
Namorado, Sónia
Coelho, Inês
Rambaud, Loic
Riou, Margaux
Van Nieuwenhuyse, An
Appenzeller, Brice
Kolossa-Gehring, Marike
Weber, Till
Esteban, Marta
Castano, Argelia
Gilles, Liese
Rodriguez Martin, Laura
Schoeters, Greta
Sepai, Ovnair
Govarts, Eva
dc.subject.por.fl_str_mv Cadmium
Human Biomonitoring
Human Exposure
Phosphate Fertilizer
Industrial Release
HBM4EU
European Human Biomonitoring Initiative
Europe
Cádmio
Emissões Industriais
Avaliação do Risco
Biomonitorização Humana
Fertilizante com Fosfato
NUTS
Determinantes da Saúde e da Doença
Toxicologia
Europa
topic Cadmium
Human Biomonitoring
Human Exposure
Phosphate Fertilizer
Industrial Release
HBM4EU
European Human Biomonitoring Initiative
Europe
Cádmio
Emissões Industriais
Avaliação do Risco
Biomonitorização Humana
Fertilizante com Fosfato
NUTS
Determinantes da Saúde e da Doença
Toxicologia
Europa
description Review
publishDate 2022
dc.date.none.fl_str_mv 2022-11-02T12:13:41Z
2022-10-17
2022-10-17T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.18/8291
url http://hdl.handle.net/10400.18/8291
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Int J Hyg Environ Health. 2022 Oct 17;246:114050. doi: 10.1016/j.ijheh.2022.114050. Online ahead of print
1438-4639
10.1016/j.ijheh.2022.114050
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier GmbH
publisher.none.fl_str_mv Elsevier GmbH
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
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instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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