1. Aflatoxin M 1 levels in urine and breast milk of lactating mothers in Kuala Lumpur, Malaysia.
- Author
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Aminuddin AI, Jamaluddin R, Sabran MR, and Mohd Shukri NH
- Subjects
- Humans, Female, Malaysia, Adult, Cross-Sectional Studies, Food Contamination analysis, Mothers, Young Adult, Breast Feeding, Aflatoxin M1 analysis, Aflatoxin M1 urine, Milk, Human chemistry, Lactation
- Abstract
Aflatoxins are carcinogens that can contaminate food and affect various body organs especially liver and kidney. When consumed, aflatoxin B
1 (AFB1 ) is partially metabolised into aflatoxin M1 (AFM1 ), which is excreted in the urine. Breast milk may also contain AFM1 due to maternal dietary intake from contaminated food. This cross-sectional study aimed to determine the levels of AFM1 in both urine and breast milk among breastfeeding mothers ( n = 256). The mother's demographic information was collected during recruitment. Mothers were then scheduled for an appointment to provide a morning urine sample along with five to ten mL samples of breast milk. AFM1 levels in both samples were analysed using an enzyme-linked immunosorbent assay (ELISA). Spearman's rho and Chi-square were used to determine the associations between mean levels of AFM1 in urine and breast milk. Findings show 68.0% of urine samples were contaminated with AFM1 (mean levels = 0.08 ± 0.04 ng/mL), while 14.8% of breast milk samples had AFM1 (mean levels = 5.94 ± 1.81 ng/kg). Urine AFM1 levels were not significantly associated with AFM1 levels in breast milk ( p > 0.05). This study can act as a baseline for future research examining long-term aflatoxin exposure among both mothers and infants.- Published
- 2024
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