Husam Alomirah

Bisphenol S in Urine from the United States and Seven Asian Countries: Occurrence and Human Exposures

As concern regarding the toxic effects of bisphenol A (BPA) grows, BPA in many consumer products is gradually being replaced with compounds such as bisphenol S (BPS). Nevertheless, data on the occurrence of BPS in human specimens are limited. In this study, 315 urine samples, collected from the general populations in the United States, China, India, Japan, Korea, Kuwait, Malaysia, and Vietnam, were analyzed for the presence of total BPS (free plus conjugated) concentrations by high-performance liquid chromatography tandem mass spectrometry (HPLC-MS/MS). BPS was detected in 81% of the urine samples analyzed at concentrations ranging from below the limit of quantitation (LOQ; 0.02 ng/mL) to 21 ng/mL (geometric mean: 0.168 ng/mL). The urinary BPS concentration varied among countries, and the highest geometric mean concentration [1.18 ng/mLor 0.933 μg/g creatinine (Cre)] of BPS was found in urine samples from Japan, followed by the United States (0.299 ng/mL, 0.304 μg/g Cre), China (0.226 ng/mL, 0.223 μg/g Cre), Kuwait (0.172 ng/mL, 0.126 μg/g Cre), and Vietnam (0.160 ng/mL, 0.148 μg/g Cre). Median concentrations of BPS in urine samples from the Asian countries were 1 order of magnitude lower than the median concentrations reported earlier for BPA in the same set of samples, with the exception of samples from Japan. There were no significant differences in BPS concentrations between genders (male versus female), or among age groups (categorized as ≤ 19, 20-29, 30-39, 40-49, and ≥ 50 years), or races (Caucasian versus Asian). The daily intake (EDI) of BPS was estimated on the basis of urinary concentrations using a simple pharmacokinetic approach. The median EDI values of BPS in Japan, China, United States, Kuwait, Vietnam, Malaysia, India, and Korea were 1.67, 0.339, 0.316, 0.292, 0.217, 0.122, 0.084, and 0.023 μg/person, respectively. This is the first study to report the occurrence of BPS in human urine.

Urinary Bisphenol A Concentrations and Their Implications for Human Exposure in Several Asian Countries

Bisphenol A (BPA) is an industrial chemical used in the manufacture of polycarbonate plastics and epoxy resins. Due to the potential of this compound to disrupt normal endocrinal functions, concerns over human exposure to BPA have been raised. Although several studies have reported human exposure to BPA in Western nations, little is known about exposure in Asian countries. In this study, we determined total urinary BPA concentrations (free plus conjugated) in 296 urine samples (male/female: 153/143) collected from the general population in seven Asian countries, China, India, Japan, Korea, Kuwait, Malaysia, and Vietnam, using high-performance liquid chromatography (HPLC) tandem mass spectrometry (MS/MS). On the basis of urinary BPA concentrations, we estimated the total daily intake. The results indicated that BPA was detected in 94.3% of the samples analyzed, at concentrations ranging from <0.1 to 30.1 ng/mL. The geometric mean concentration of BPA for the entire sample set from seven countries was 1.20 ng/mL. The highest concentration of BPA was found in samples from Kuwait (median: 3.05 ng/mL, 2.45 μg/g creatinine), followed by Korea (2.17 ng/mL, 2.40 μg/g), India (1.71 ng/mL, 2.09 μg/g), Vietnam (1.18 ng/mL, 1.15 μg/g), China (1.10 ng/mL, 1.38 μg/g), Malaysia (1.06 ng/mL, 2.31 μg/g), and Japan (0.95 ng/mL, 0.58 μg/g). Among the five age groups studied (≤ 19, 20-29, 30-39, 40-49, and ≥ 50 years), the highest median concentration of BPA was found in urine samples from the age group of ≤ 19 years. There was no significant difference in BPA concentrations between genders (male and female) or domicile of residence (rural and urban). The estimated median daily intakes of BPA for the populations in Kuwait, Korea, India, China, Vietnam, Malaysia, and Japan were 5.19, 3.69, 2.90, 2.13, 2.01, 1.80, and 1.61 μg/day, respectively. The estimated daily intake of BPA in the seven Asian countries was significantly lower than the tolerable daily intake recommended by the U.S. Environmental Protection Agency. This is the first study to document the occurrence of and human exposure to BPA in several Asian countries.

Concentrations and Profiles of Urinary Polycyclic Aromatic Hydrocarbon Metabolites (OH-PAHs) in Several Asian Countries

Concentrations of 12 hydroxylated polycyclic aromatic hydrocarbons (OH-PAHs) were determined in 306 urine samples collected from seven Asian countries (China, India, Japan, Korea, Kuwait, Malaysia, and Vietnam) by high-performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS). The total concentrations of OH-PAHs found in the seven Asian countries were in the following increasing order: Malaysia (median: 2260 pg/mL) < Japan (4030 pg/mL) < China (5770 pg/mL) < India (6750 pg/mL) < Vietnam (8560 pg/mL) < Korea (9340 pg/mL) < Kuwait (10170 pg/mL). The measured urinary concentrations of 1-hydroxypyrene (1-PYR) in samples from Malaysia, Korea, and Japan (∼ 100 pg/mL) were similar to those reported for North America and Western Europe. The concentrations of 1-PYR in urine samples from China, India, and Vietnam were 4-10 times higher than those reported for other countries, thus far. Among the 12 OH-PAH compounds analyzed, hydroxynaphthalene (NAP: sum of 1-hydroxynaphthalene and 2-hydroxynaphthalene) was the dominant compound (accounting for 60-90% of total OH-PAHs), followed by hydroxyphenanthrene (PHEN: sum of 2-hydroxyphenanthrene, 3-hydroxyphenanthrene, 4-hydroxyphenanthrene, and 9-hydroxyphenanthrene [3-16%]), 2-hydroxyfluorene (3-20%), and 1-PYR (2-8%). The total daily intakes (DIs) of PAHs were estimated based on the urinary concentrations of their metabolites. The DIs of naphthalene were found to be higher for populations in Korea, Kuwait, and Vietnam (> 10 μg/day) than those of the other countries studied (∼ 5 μg/day). The DIs of phenanthrene and pyrene (> 10 μg/day) in the populations of China, India, and Vietnam were higher than those estimated for the populations in the other countries studied (∼ 5 μg/day).

Benzo[a]pyrene and total polycyclic aromatic hydrocarbons (PAHs) levels in vegetable oils and fats do not reflect the occurrence of the eight genotoxic PAHs

Concentrations of polycyclic aromatic hydrocarbons (PAHs) were determined in 115 samples of olive oil (extra virgin olive oil, virgin olive oil, olive oil, pomace olive oil and blended olive oil), cooking oil (corn oil, sunflower oil, sesame oil, palm olein oil, soya oil, canola oil, mustard oil, peanut oil and mixed vegetable oil) and fat (butter and table margarine) collected from retail stores in Kuwait. Carcinogenic benzo[a]pyrene (BaP) was detected in 43% of the samples analyzed. Benz[a]anthracene and chrysene were detected in 37 and 45% of the samples, respectively, that did not contain BaP. Of the individual non-carcinogenic PAHs, naphthalene showed the highest mean concentration (14 µg kg−1), while for the carcinogenic PAHs, BaP (0.92 µg kg−1) and chrysene (0.87 µg kg−1) showed the highest mean values. Approximately 20% of the samples within the olive oil and cooking oil sub-categories exceeded the EU maximum tolerable limit for BaP, with the highest level of 6.77 and 11.1 µg kg−1, respectively. For the fat sub-category, 9% of the samples exceeded the tolerance limit, with the highest level of 3.67 µg kg−1. The Kuwaiti general populations dietary exposure to the genotoxic PAHs (PAH8: benz[a]anthracene, chrysene, benzo[b]fluoranthene, benzo[k]fluoranthene, benzo[a]pyrene, indeno[1,2,3-cd]pyrene, dibenz[a,h]anthracene and benzo[ghi]perylene) was estimated to be 196 ng day−1 (3.3 ng kg−1 bw day−1, assuming an average adult body weight of 60 kg). Results indicated that PAH8 and BaPeq (total sum benzo[a]pyrene equivalents) are more reliable measures of the concentrations of other carcinogenic PAHs in oil and fat samples, while BaP and PAHs alone are not good indicators of the occurrence or degree of contamination by carcinogenic PAHs in these food products.

Polycyclic aromatic hydrocarbons in food products originating from locally reared animals in Kuwait

Analysis for the presence of 12 polycyclic aromatic hydrocarbons (PAHs) in 327 foodstuff samples originating from locally reared animals was carried out. The data revealed that non-carcinogenic PAHs were detected in considerable amounts in several food commodities. The carcinogenic PAH concentrations were relatively low in most of the samples investigated. Among the carcinogenic PAHs detected, chrysene had the highest concentration.

Dietary intake of organophosphate pesticides in Kuwait

Abstract The State of Kuwait, in cooperation with the U.S. FDA, conducted a total diet study (TDS) to estimate pesticide intake by the population. The organophosphate (OP) pesticide levels in 139 food items, constituting the TDS core list, are reported here. The TDS core food list was established through a nationwide food consumption survey. All foods were prepared as eaten, and analyzed for their organochlorine pesticide, OP, carbamate, benzimidazole and phenyl urea contents. The FDAs Multiresidue Methods, PAM I, were used employing GC, HPLC and GPC. Twenty-five of the foods analyzed contained OPs. These included 7 of 12 cereal products (chloropyriphos=0.03–0.21 ppm and fenetrothion=0.016–0.84 ppm), 6 of 16 vegetables (diazinon=0.05–0.2 ppm, and chloropyrifos, and fenthione sulfone), 1 of 16 fruits (monocrotophos) and 11 of 47 composite dishes (chloropyrifos methyl=0.011–0.089 ppm and fenetrothion 0.011–0.044 ppm). The higher levels of fenetrothion in one cereal product exceeded the MRLs, and warrant corrective and preventive measures. The daily intakes of OP pesticide residues are discussed in light of the ADIs of the FAO/WHO (1993). Codex Alimentarius. Pesticide residues in food (Vol. 2, 2nd ed.). Rome: Joint FAO/WHO Food Standards Programme.

Evidence for nutrition transition in Kuwait: over-consumption of macronutrients and obesity

OBJECTIVES To describe nutrient intakes and prevalence of overweight and obesity in a nationally representative sample of Kuwaitis and to compare intakes with reference values. DESIGN Cross-sectional, multistage stratified, cluster sample. Settings National nutrition survey covering all geographical areas of the country. SUBJECTS Kuwaitis (n 1704) between 3 and 86 years of age. RESULTS Obesity was more prevalent among women than men (50 % and 70 % for females aged 19-50 years and ≥51 years, respectively, v. 29 % and 42 % for their male counterparts). Boys were more obese than girls, with the highest obesity rate among those aged 9-13 years (37 % and 24 % of males and females, respectively). Energy intake was higher than the estimated energy requirements for almost half of Kuwaiti children and one-third of adults. The Estimated Average Requirement was exceeded by 78-100 % of the recommendation for protein and carbohydrates. More than two-thirds of males aged ≥4 years exceeded the Tolerable Upper Intake Level for Na. Conversely, less than 20 % of Kuwaitis, regardless of age, consumed 100 % or more of the Estimated Average Requirement for vitamin D, vitamin E, Ca, n-3 and n-6 fatty acids. Less than 20 % of children met the recommended level for fibre. CONCLUSIONS Nutrition transition among Kuwaitis was demonstrated by the increased prevalence of obesity and overweight, increased intakes of energy and macronutrients and decreased intakes of fibre and micronutrients. Interventions to increase awareness about healthy foods combined with modifications in subsidy policies are clearly warranted to increase consumption of low-energy, nutrient-dense foods.

Prevalence and Determinants of Anemia and Iron Deficiency in Kuwait

The objective of this study was to assess the prevalence of anemia and iron deficiency (ID) of a nationally representative sample of the Kuwait population. We also determined if anemia differed by socioeconomic status or by RBC folate and vitamins A and B12 levels. The subjects who were made up of 1830 males and females between the ages of 2 months to 86 years, were divided into the following age groups (0–5, 5–11, 12–14, 15–19, 20–49, ≥50 years). Results showed that the prevalence of anemia was 3% in adult males and 17% in females. The prevalence of ID varied according to age between 4% (≥50 years) and 21% (5–11 years) and 9% (12–14 years) and 23% (15–19 years), respectively, in males and females. The prevalence of anemia and ID was higher in females compared to males. Adults with normal ferritin level, but with low RBC folate and vitamins A and B12 levels had higher prevalence of anemia than those with normal RBC folate and vitamins A and B12 levels. This first nationally representative nutrition and health survey in Kuwait indicated that anemia and ID are prevalent and ID contributes significantly to anemia prevalence.

Dietary fiber content of 21 kuwaiti composite dishes

Dietary fiber analyses were carried out on 21 commonly consumed Kuwaiti composite dishes. The dietary fiber content was determined by an enzymaticgravimetric method for the determination of soluble (SDF), insoluble (IDF) and total (TDF) dietary fiber. The IDF was the major dietary fiber fraction in all the dishes. The average content of IDF in the 21 dishes was 3.7 g/100 g fresh weight compared with 1.00 g/100 g for the SDF fraction. The mean content of TDF was highest in the sweet dishes (4.2 ±1.3722 g; n= 10), particularly those containing dates, followed by the cereal-based dishes (3.9 ±1.9523 g; n= 10) containing whole grain wheat flour. The meat-(3.46 ±1.3722 g; n = 14) and chicken-based (2.7 ±0.1331 g; n = 4) dishes contained moderate levels of TDF, with the vegetables (3.87 g; n = 2) in the recipes contributing most of the TDF in these dishes. However, since most of the dishes contained 2-4 g dietary fiber per 100 g fresh weight, and more than 100 g is consumed in a serving (average 300-400 g), then these dishes can generally be considered as good sources of dietary fiber.

Characterisation of quality and safety of tomatoes sold in the state of Kuwait

This study determined the microbiological quality and safety of locally produced and imported tomatoes at selected points of the food chain. To accomplish this objective, a survey was conducted to obtain necessary information on the various links in the food chain for tomatoes. The food chain operational links for local and imported tomatoes were then prepared. Microbiological assessment of tomatoes was then carried out by collecting samples from local farms, retail and wholesale outlets. Microbiological analyses included aerobic plate count (APC), yeast and moulds, Streptococcus faecal, Staphylococcus aureus, Listeria monocytogenes and detection of Salmonella spp. All samples collected at the farms and the outlets had APC counts less than 107 CFU g−1. Local samples collected from the farms exceeded the microbiological recommendations set for yeast and moulds (10%), faecal Streptococcus (0.7%) and L. monocytogenes (0.7%). Similarly, local tomato samples collected at the outlets exceeded the microbiological recommendations set for yeast and moulds (7.6%) and L. monocytogenes (1.3%). For imported tomatoes, samples exceeded the microbiological recommendations for yeast and moulds (10%), faecal Streptococcus (2.5%) and L. monocytogenes (1.3%). The pathogen, Salmonella spp. was not detected in any of the samples analysed.