Kidney cadmium as compared to other markers of cadmium exposure in workers at a secondary metal smelter

Am J Ind Med. 2001 Jan;39(1):19-28. doi: 10.1002/1097-0274(200101)39:1<19::aid-ajim2>3.0.co;2-q.

Abstract

Background: The aim of the study was to evaluate whether cadmium concentrations in kidney (K-Cd), blood (B-Cd) or urine (U-Cd) could reveal previous occupational cadmium exposure at a metal smelter.

Methods: The study included 90 smelters and 35 controls (B-Cd and U-Cd determination). In a subgroup (N = 33), K-Cd was also determined.

Results: B-Cd (median 4.6; range 0.5-53 nmol/L), U-Cd (0. 29; 0.04-1.9 micromol/mol creatinine) and K-Cd (14; 3-61 microg/g wet weight) were similar to reported concentrations in the general Swedish population. In the subgroup, significant associations (P<0. 001) were obtained between B-Cd and K-Cd (r = 0.70), U-Cd and K-Cd (r = 0.60) and between U-Cd and B-Cd (r = 0.62). Multiple regression analyses revealed smoking as the major predictor of K-Cd, B-Cd, and U-Cd. B-Cd and U-Cd were both associated with the duration of employment at the smelter.

Conclusions: There was no statistically significant evidence of previous occupational exposure at the smelter from measurement of K-Cd.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Analysis of Variance
  • Bone and Bones / metabolism
  • Cadmium / analysis*
  • Cadmium / blood
  • Cadmium / urine
  • Confidence Intervals
  • Creatinine / urine
  • Employment
  • Forecasting
  • Humans
  • Kidney / metabolism*
  • Lead / analysis
  • Lead / blood
  • Linear Models
  • Male
  • Metallurgy*
  • Middle Aged
  • Occupational Exposure*
  • Smoking
  • Spectrometry, X-Ray Emission
  • Sweden
  • Time Factors

Substances

  • Cadmium
  • Lead
  • Creatinine