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Introduction Mycotoxins are toxic metabolites produced by fungi that commonly contaminate foods. As recommended by the World Health Organization, total diet study (TDS) is the most efficient and effective way to estimate the dietary intakes of certain chemical substances for general populations. It requires sensitive and reliable analytical methods applicable to a wide range of complex food matrices and ready-to-eat dishes. Objectives A novel strategy with high selectivity and sensitivity, incorporating three methods based on ultra-high-performance liquid chromatography coupled with tandem mass spectrometry (UHPLC-MS/MS), was designed for measuring 43 mycotoxins in dietary samples in a China TDS. Methods The 43 mycotoxins were divided into 3 groups for analysis to achieve better performance. For each group, an UHPLC-MS/MS method was developed to determine the target compounds after clean-up by solid phase extraction. A total of 21 isotope internal standards were employed for accurate quantitation. Method validation in terms of linearity, selectivity, sensitivity, accuracy, and precision was performed for all the 43 mycotoxins in 12 complex food matrices. Results The limits of detection (LODs) and limits of quantitation (LOQs) were 0.002–1 ng mL−1 and 0.006–3 ng mL−1, respectively. The method recoveries of the 43 mycotoxins spiked in 12 food categories were in the range of 60.3%–175.9% after internal standard correction, with relative standard deviations (RSDs) below 13.9%. For practical application, this method was utilized for 72 dietary samples collected from 6 provinces in the 6th China TDS. More than 80% of the samples were found contaminated by mycotoxins. DON, SMC, FB1, ZEN, BEA, ENNB1, and ENNB were most detected. Conclusions The proposed methods with high sensitivity, accuracy, and robustness provide powerful tools for multi-mycotoxin monitoring and dietary exposure assessment, allowing 43 mycotoxins, including some emerging mycotoxins, to be accurately investigated in a total diet study for the first time.

Additional occurrence data are needed to better understand human exposure to per- and poly-fluoroalkyl substances (PFAS) from commercially available foods in the United States. The Food and Drug Administration’s (FDA) Total Diet Study (TDS) collects foods that are both nationally and regionally distributed. In 2018, 172 processed foods were collected from grocery stores around Lenexa, KS, as part of the TDS national collection. A previously developed method for the analysis of PFAS in foods as part of the TDS regional collection was modified and optimized for these samples. This method was single lab validated using 5 different matrices and method detection limits were calculated. During the analysis of these samples, challenges arose with method blanks and further investigation into statistical methods to distinguish between blank and sample concentrations were done. The confirmation of two short chain PFAS, perfluorobutanoic acid (PFBA) and perfluoropentanoic acid (PFPeA), was not possible using triple quadrupole mass spectrometry and a confirmation method was developed using high-resolution mass spectrometry. This technique was also used to investigate potential detections and interferents that fell within the retention time criteria for positive detections. In the national collection, positive detections of perfluorooctanesulfonic acid (PFOS) and perfluorononanoic acid (PFNA) were found in frozen fish sticks/patties, PFOS and perfluorodecanoic acid (PFDA) in canned tuna, and PFOS in protein powder. Concentrations were all below 150 ppt, and no other detects were confirmed above the method detection limits in any other foods.

Purpose This study attempted gaining insight into the intake of protein and fat of 12- to 36-month-old children in the Netherlands. Methods In 2017, a Total Diet Study (TDS) was carried out in the Netherlands including following three age groups: 12–17-, 18–23- and 24- to 36-month-old children. Protein and fat concentrations of 164 composite samples were analysed and combined with the consumption data from the Dutch National Food Consumption Survey 2012–2016 (DNFCS). Results Median protein intake of the 12- to 35-month-old Dutch children based on the TDS was 35 g/day with main contributions from the food subgroups “milk and milk-based beverages”, “beef” and “yoghurts and desserts”. Median fat intake was 34 g/day with main contributions from the food subgroups “margarines”, “cheeses” and “milk and milk-based beverages”. For the youngest age group (12- to 18-month-old children), (ready to drink) follow-on formula was one of the main contributors to the fat intake. Conclusion Compared to the EFSA reference values, protein intake of the Dutch 12- to 36-month-old children is high, whereas fat intake follows the reference intake. A TDS is a suitable instrument to estimate macronutrient intakes.

Food consumption has been identified as a major pathway for human exposure to short-chain chlorinated paraffins (SCCPs) and medium-chain chlorinated paraffins (MCCPs), but evaluations of SCCP and MCCP intake from major dietary sources are limited. We used the sixth Chinese Total Diet Study to perform a comprehensive investigation of SCCPs and MCCPs in cereals, vegetables, potatoes, legumes, eggs, milk, meats, and aquatic foods from nine southern provinces. The geographical distribution of CP concentrations showed higher levels in Jiangsu, Hubei, and Zhejiang provinces. The CP concentrations in most animal-origin foods were higher than those in foods of plant origin. The total estimated daily intakes (EDIs) of SCCPs and MCCPs, with average values of 7.0 × 102 and 4.7 × 102 ng kg-1 day-1, respectively, were mostly contributed by cereals, vegetables, and meats. Risk assessment indicated the EDIs of CPs posed no significant risk to residents in South China.

Dietary potentially toxic elements (PTEs) exposure in developing countries is of great concern. Probabilistic estimation exhibits great superiority in risk assessment by dealing with the variability and uncertainty of the parameters. Here, a probabilistic estimation based on two dimensions, PTEs in foods and food intake, was conducted. A total of 13 foods were collected from Shenzhen markets during 2005–2017, and the concentrations of Pb, Cd, Hg, and As were detected. A total of 853 residents from 245 households participated in a total diet study. The mean concentrations of Pb, Cd, Hg and As were 0.046, 0.0196, 0.0038, and 0.029 mg kg−1 in cereals, 0.042, 0.0174, 0.0027, and 0.014 mg kg−1 in vegetables, 0.044, 0.0237, 0.0056, and 0.021 mg kg−1 in meat, and 0.081, 0.1035, 0.0257, and 0.680 mg kg−1 in aquatic products, respectively. The probability density function showed that the 95th percentiles of the Pb, Cd, Hg, As hazard quotients (HQ) and the hazard index (HI) were 0.68, 1.57, 0.38, 5.81 and 7.51, respectively. Cumulative probability and sensitivity analysis showed that cereals and vegetables contributed most to Pb and Cd exposure; aquatic products to Hg exposure; and cereals and aquatic products to As exposure. The results showed that Shenzhen residents were at risk of exposure to Cd, As, and four PTEs in combination, although a temporal decreasing trend was observed. The probabilistic estimation used here reveals a complete picture of multiple PTEs exposure risk and identifies major contributing food categories, providing a valuable means for risk assessment.

A considerable amount of attention has recently been focused on addressing issues related to data fraud. As this specific example shows, statistical analysis can be used to determine when data fabrication, falsification or plagiarism has occurred. Presented here is an example of statistical data analysis showing how the original data (HI data) set, reported as being fabricated, was in fact statistically shown to be valid/real data; while another set of data (Hansen data) was reported as fabricated and was statistically shown to be falsified and plagiarized from the original HI data. This particular case looked at changes in weight related to a diet study – with implications for its impact on heart disease and cancer–as evidenced by the involvement of Revival Soy and Avon.

Metal Matrix Composite (MMC) have wide applications in industry as they have lightweight and various properties. Composite materials are widely used in industry as they have less weight with high strength. In this study, we have used the Aluminium which is the most common material used in engineering applications. One of the cheapest industrial waste materials is Fly Ash, which can be successfully turned as industrial wealth by adding in the Aluminium to form Al-Fly Ash as Metal Matrix Composite with lesser weight and higher strength. Aluminium with varying percentage of fly ash (5%, 10% and 15%) were successfully added by using the Stir Casting method to form Metal Matrix Composite. In this investigation, we have studied the different properties of the Aluminium - Fly Ash as Metal Matrix Composite. From our study, we found that this Metal Matrix Composite which contains Fly Ash can be used in Automobile, Aerospace and other applications in Engineering where lesser weight with higher strength is expected

In 2017, a Total Diet Study was conducted in the Netherlands in which mycotoxins were analysed in foods and beverages consumed by 1- and 2-year-old children. These mycotoxins were aflatoxins, Alternaria toxins, citrinin, ergot alkaloids, fumonisins, ochratoxin A, patulin, sterigmatocystin, trichothecenes, and zearalenone. Long-term exposure was calculated by combining concentrations in foods and beverages with consumed amounts of these products. Analysed foods and beverages with a concentration below the detection limit that could contain the mycotoxin, were assigned a concentration equal to half this limit value. To assess if the exposure could result in a possible health risk, the high long-term exposure (95th percentile) was compared with a health-based guidance value (HBGV) or a margin of exposure (MOE) was calculated. Exposure to aflatoxins, Alternaria toxins, ochratoxin A and T-2/HT-2 sum may pose a health concern. Foods that contributed most to the exposure of these mycotoxins were bread, biscuits, breakfast cereals, chocolates, dried fruit, follow-on formula and fruit juices.

Although diet is regarded as a major exposure source of organophosphate esters (OPEs), the dietary survey of OPEs in China has been limited. Based on the sixth Chinese Total Diet Study (TDS) conducted during 2016-2019 in 24 of 34 provinces in China, 14 OPEs were detected in 96 food composites from four animal-origin food categories. Twelve OPEs were detected in more than 80% of the samples and 2-ethylhexyl diphenyl phosphate (EHDPP) presented the highest median concentration (1.63 ng/g wet weight (ww)). The most contaminated food composite was meat, with a median ∑14OPEs of 13.6 ng/g ww, followed by aquatic food (11.5 ng/g ww), egg (7.63 ng/g ww), and milk (3.51 ng/g ww). The contribution of the meat group was close to or even greater than 50% in the estimated dietary intake (EDI) of OPEs. The average (range) EDI of the ∑14OPEs via animal food consumption for a Chinese "standard man" was 34.4 (6.18-73.3) ng/kg bodyweight (bw)/day. The geographical distribution showed higher EDI in southern coastal provinces compared to the northern inland provinces. Nevertheless, the highest EDI of ∑14OPEs from animal food was still more than 10 times lower than the reference dose. This is the first national survey of OPEs in foods from China.

Wheat flour enrichment is a public health strategy recommended to prevent micronutrient deficiencies, including iron deficiency. The objective of this study was to determine iron content in enriched wheat flour and flour products and their contribution to nutritional recommendations for children.Observational, analytical, cross-sectional study based on the total diet study method. Enriched wheat flour (as per Law no. 25630) and the most frequently consumed flour products were analyzed. Products were selected using a questionnaire on the frequency of food intake and a 24-hour recall interview with the parents of children aged 6 months to 7 years. Food iron levels were determined based on atomic absorption spectrometry and their contribution to the estimated average requirement was assessed.Enriched flour and flour products showed the expected iron amount, except for French bread and breadcrumbs. The contribution of studied products to iron requirements was 7 % in children aged 6 months to 1 year, 81 % in those aged 1-3 years, and 45 % in those older than 4 years.Except for French bread and breadcrumbs, studied flour and flour products showed the expected enrichment level. The consumption of this type of food does not provide significant amounts of iron to infants, but it does to children older than 1 year.Introducción. El enriquecimiento de la harina de trigo es una de las estrategias de salud pública recomendadas para prevenir las deficiencias de micronutrientes, entre ellos el hierro. El objetivo de este trabajo fue determinar el contenido de hierro en harina de trigo enriquecida y sus derivados, y la contribución de estos a las recomendaciones nutricionales en niños. Población y métodos. Estudio observacional, analítico, de corte transversal, basado en la metodología de estudio de dieta total. Se analizaron la harina de trigo enriquecida (según la ley 25630) y sus derivados más consumidos. Para seleccionar los alimentos, se realizó un cuestionario de frecuencia de consumo y recordatorio de 24 horas a los padres de niños con edades entre 6 meses y 7 años. Se determinó la concentración de hierro en los alimentos mediante absorción atómica y se evaluó su contribución al requerimiento promedio estimado. Resultados. La harina enriquecida y sus derivados tuvieron la cantidad de hierro esperada, excepto el pan francés y el pan rallado. La contribución a los requerimientos de hierro de los alimentos evaluados fue el 7 % en niños de 6 meses a 1 año, el 81 % en el grupo de 1 a 3 años y el 45 % en los mayores de 4 años. Conclusiones. Excepto el pan francés y el pan rallado, las harinas y sus derivados analizados presentaron el nivel de enriquecimiento esperado. El consumo de estos alimentos no aporta cantidades significativas de hierro en los lactantes, pero sí en los niños mayores de 1 año.

Polycyclic aromatic hydrocarbons (PAHs) were analyzed using gas chromatography–mass spectrometry in 115 dairy products and beverages, including alcoholic, grain, carbonated, and functional drinks; fruit and vegetable juices; coffee; and tea, purchased from 10 local city markets in South Korea. The sample groups were divided into non-fatty and fatty groups, pretreated with the ultrasound-assisted extraction method and saponification method, respectively. The limit of detection, limit of quantification, and accuracy were 0.038–0.185 μg/kg, 0.114–0.560 μg/kg, and 87.64–112.25%, respectively. The measurement uncertainty was ≤ 6.38% for eight PAHs (PAH8). PAH8 was detected in 41 of the 115 samples, ranging from 0.041 to 7.793 µg/kg. The risk assessment revealed that the margin of exposure for PAH8 ranged from 3.60 × 10(4) to 7.84 × 10(11) in the mean intake groups and from 3.60 × 10(4) to 5.33 × 10(11) in the P97.5 intake groups. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10068-021-00927-7.

Cadmium (Cd) is a heavy metal known to be harmful to human health. The aim of this study was to analyze the regional characteristics of dietary Cd intake of adult male residents in different regions of China. The value of this research is to guide regional consumers to minimize Cd intake by adjusting diets for different food categories in various regions. Dietary Cd intake data is used from the 4th and 5th Chinese Total Diet Studies (CTDS). The 4th CTDS collected data from 12 provinces, covering about 50% of the Chinese population. The 5th CTDS collected data from 20 provinces, covering about 67% of the Chinese population. Over 200 kinds of foods were sampled and divided into 13 categories and organized by geographic information system (GIS) mapping. The results showed that firstly, the dietary Cd intake of Chinese residents has increased; secondly, the food groups with the highest Cd intake were cereals and vegetables; and thirdly, the main food group of dietary Cd intake in different regions is presented such as cereals in Sichuan, Jiangxi, Zhejiang, Guangdong, Fujian, and Guangxi and vegetables in Shanghai, Ningxia, and Heilongjiang. Lastly, the food product with the highest dietary Cd intake concentration was found to be nori in 5 provinces. The other notable foods, with Cd intake, included peanuts, rice, squid, cuttlefish, and mushrooms.

The aim of this study was to cluster the provinces based on the Food Consumption Patterns (FCP) of the Women of Reproductive Age (WRA). This study used secondary data from the 2014 Indonesia Total Diet Study conducted by the Ministry of Health Indonesia. The final subjects included 40.954 healthy WRA aged 15-49 years old. FCP was calculated based on energy adequacy of WRA of nine major food groups for each province. The hierarchical clustering with Ward's method was applied to cluster the FCP of WRA. The results showed that three clusters of FCP were found. The first cluster was characterized by higher intake of cereals and animal foods, but lower intake of tubers, vegetables, and fruits, which implies a high risk of vitamin B6 and C deficiencies. The second cluster was characterized by higher intake of pulses, oil and fat, oily seeds, and sugar, but lower intake of vegetables and fruits as well as animal source foods, which implies high risk in vitamin B1, B3, and B12 deficiencies and overweight. The third cluster was characterized by higher intake of tubers, fruits, and vegetables but lower intake of animal sources foods, pulses, added fat and oily seeds, which implies a high risk in animal protein, fat, calcium, iron, vitamin B2, and folic acid deficiencies.

The total diet study (TDS) is a significant part of food consumption-based health risk assessment. Since 1990, China has conducted five TDSs based on its unique food culture. In the present study, the health risks of residents from 20 regions of China are assessed by comparing the estimated daily intake (EDI) with adequate intake (AI) for Cr, and the estimated dietary exposure (EDE) with the reference dose (RfD) for seven toxic heavy metals (THMs), which are Al, As, inorganic arsenic (iAs), Cd, Hg, methyl mercury (MeHg), and Pb. The original data were sourced from the 5th China TDS. The data indicated the following: (1) Cereals and vegetables were the main dietary exposure sources of Al, As, iAs, Cd, and Cr; aquatic foods were the important dietary exposure source for As, Hg, and MeHg, especially for the residents from coastal regions. (2) Compared to other elements, Pb had more dietary exposure sources, which included cereals, vegetables, meats, and beverages and water. (3) Potatoes, beverages and water, and meats were the important sources of Al, iAs, and Cr. The results showed that the average level of the dietary intake of Cr was 11 times higher than the AI, as determined from the ratio of EDI to Al. Moreover, the hazard quotients (HQs) of Al, iAs, Cd, Hg, MeHg, and Pb were1, while that of As (6.49) was1; therefore, the EDIs of As and Cr by the residents of China are worthy of attention. Additionally, the discrepancies in the dietary exposures of HMs by the residents were due to the different HM contents among different types of foods, and the different dietary structures.

Background: Determining the multi-mycotoxins present in table-ready foods is necessary for a total diet study. However, so far, most methods of analyzing multi-mycotoxins apply to raw foods. Therefore, a reliable method for analyzing multi-mycotoxins in table-ready foods is needed. Objective: We developed and validated methods of multi-mycotoxin analysis that employed stable isotope dilution with LC–tandem MS (LC–MS/MS) using two representative matrices. Methods: Samples were fortified with [13C]-labeled mycotoxins as internal standards and extracted with 50% acetonitrile in water for high-carbohydrate foods and 3% formic acid in acetonitrile for high-protein and/or high-fat foods, cleaned up with n-hexane and the quick, easy, cheap, effective, rugged, and safe (QuEChERS) method, and followed up by LC–MS/MS. Results: Validation of the methods was performed, and the results were as follows: the correlation coefficient, R2, was 0.99; method detection limit, 0.01–2.4 μg/kg; recoveries, 83.6–114%; precision, 0.8–10 (intraday) and 3.1–22% (interday); interlaboratory reproducibility, ≤15%; and uncertainty, 3.5–19%error. The applicability of the methods was evaluated by analyzing table-ready foods spiked with standards. Conclusions: These methods were successfully evaluated and deemed appropriate for determining the multi-mycotoxins in table-ready foods. Highlights: This work demonstrates that stable isotope dilution with LC–MS/MS can be effectively used to analyze multi-mycotoxins simultaneously in a total diet study.

Dietary exposures to lead were estimated for older children, females of childbearing age and adults based on lead concentration data from the FDA's Total Diet Study and on food consumption data from What We Eat In America (WWEIA), the food survey portion of the National Health and Nutrition Examination Survey (NHANES). Estimated mean exposures varied based on the population and on the three different substitution scenarios for lead values below the limit of detection (non-detects = 0; non-detects = limit of detection; hybrid approach). Estimated mean lead exposures range from 1.4 to 4.0 µg/day for older children (males and females 7-17 years), 1.6 to 4.6 µg/day for women of childbearing age (females 16-49 years) and 1.7 to 5.3 µg/day for adults (males and females 18 years and older). Estimated 90th percentile lead exposures range from 2.3 to 5.8 µg/day for older children, 2.8 to 6.7 µg/day for women of childbearing age and 3.2 to 7.8 µg/day for adults. Exposure estimates suggest some older children may be exposed to dietary lead above the FDA interim reference level for lead in children of 3 µg/day. The results of this study can be used by the FDA to prioritise research and regulatory efforts in the area of dietary lead exposure.

It is already known that bisphenol S (BPS) has been used as a substitute for BPA in thermal papers in recent years. It is not clear, however, if BPS has also been used to replace BPA in can coatings as currently being speculated due to a lack of credible studies on migration of BPS from can coatings and occurrence data of BPS in foods. In this study, an LC-MS/MS method was developed for the analysis of BPS, along with several other bisphenols, and method detection limits for BPS varied from 0.0017 to 3.1 ng/g depending on the type of sample matrix and the amount of sample analysed. This method was used to analyse 159 different food composite samples from a recent Canadian total diet study. Bisphenol E (BPE), bisphenol B (BPB), and bisphenol AF (BPAF) were not detected in any of the 159 food composite samples, bisphenol F (BPF) was detected in only three samples (25-2360 ng/g), and bisphenol A (BPA) was detected in 10 samples (5.3-41 ng/g) which were all prepared from canned foods. BPS was not detected in any of the canned food composite samples but was detected in nine food composite samples prepared from meat and meat products (1.2-35 ng/g), indicating sources for BPS other than can coatings may be possible, which will be investigated in future studies.

Background There is a lack of information on the presence of volatile organic compounds including p-cymene in foods for dietary exposure assessment. p-Cymene is a monoterpene found in many plant species, which has been used as a flavouring agent in foods and also exhibits antioxidant and antimicrobial properties. While the Joint FAO/WHO Expert Committee on Food Additives (JECFA) has no safety concerns at current levels of intake when used as a flavouring, the current study examines p-cymene levels in foods in general, not just from possible uses as a flavouring, as there could still be a potential health concern if there were high levels of exposure. Results 159 food composite samples from the 2014 Canadian Total Diet Study were analysed for p-cymene using a gas chromatographic-mass spectrometric method after headspace solid-phase microextraction. Concentrations of p-cymene in the composite samples of most food types were generally low, with a maximum level of 73.5 μg g-1 , detected in the composite sample of herbs and spices. Dietary exposures to p-cymene were estimated for different age groups of Canadian populations. Conclusions Although p-cymene was detected in various foods, estimated dietary exposures to p-cymene for different age groups are well below the human intake threshold of toxicological concern established by JECFA of 1800 μg per person per day for structural class I flavours, which includes p-cymene. © 2019 Society of Chemical Industry.

Diet has been regarded as the main exposure source of perfluoroalkyl acids (PFAAs), but the national dietary survey of PFAAs in China was limited. Here, eight typical PFAAs were detected in milk, aquatic food, meat, and eggs from the Chinese Total Diet Studies (TDSs) during 2005–2007 and 2011–2013. Aquatic food was found to be the main source of PFAAs among animal-origin foods. The estimated dietary intakes of ∑PFAAs from animal foods (EDIanimal-origin foods) in coastal areas were relatively higher than in inland areas. The highest EDIanimal-origin foods of PFOS [4.07 and 2.02 ng kg–1 of body weight (bw) day–1] and PFOA (2.19 ng kg–1 of bw day–1) found in Shanghai and perfluorononanoic acid (PFNA, 2.72 ng kg–1 of bw day–1) in Fujian approach or exceed current minimal risk levels from the Agency for Toxic Substances and Disease Registry and tolerable weekly intakes from the European Food Safety Authority, suggesting potential risk of PFAA exposure from animal-origin foods in these areas.

Children are at potential risk for adverse effects from lead and cadmium exposures due to the effects of these elements on developing brains. Children's dietary exposures to lead and cadmium were estimated based on lead and cadmium concentration data from FDA's Total Diet Study (TDS) and on food consumption data from What We Eat In America (WWEIA), the food survey portion of the National Health and Nutrition Examination Study (NHANES). Estimated mean exposures vary based on age range (1-3 y, 4-6 y, or 1-6 y) and on substitution scenarios for values below the limit of detection (non-detects = 0; non-detects = limit of detection; hybrid approach). Estimated mean lead exposures range from 1 to 3.4 µg/day, with major contributions from grains, fruit, dairy, and mixtures (e.g. hamburgers, pizza, lasagna, soups). Estimated mean cadmium exposures range from 0.38 to 0.44 µg/kg bw/day, with major contributions from grains, mixtures, and vegetables. Estimated children's lead exposures declined slightly since 2004-08, but cadmium exposures did not decline. No safe level has been identified for lead exposures, and toxicologic reference values for cadmium range from 0.1 to 0.83 µg/kg bw/day. The data on lead and cadmium exposures, and on contributors to exposures, will inform research and regulatory priorities on mitigation of exposures to lead and cadmium.

Mining industry is one of the priority sectors of Armenia's economy. However, mining complexes without treatment facilities, such as those in Armenia, have adverse environmental impact. Moreover, soil contamination can pose a potential risk to human health, particularly, through the consumption of food crops. In this study, 12 soil and 32 vegetable composite samples were collected from the city of Kajaran where Armenia's biggest copper and molybdenum mine is located. The concentrations of Cu, Mo, Cd, Hg, As, and Pb were analyzed using atomic absorption spectrophotometer. Diet study was conducted using food frequency questionnaire. Non-carcinogenic and carcinogenic risks to human health through vegetable consumption were assessed. The results indicated that different vegetables have different trace element uptakes. Also, the transfer factors (TFs) for each vegetable varied across elements. TFs were less than 1 for the majority of trace elements. Nevertheless, in some samples of studied vegetables, the concentrations of Hg, Cd, and Pb exceeded the maximum allowable levels. THQ of Mo exceeded 1 for all the studied vegetables, while THQ of Cu exceeded 1 for potato and bean, indicating a potential health risk posed by chronic exposure. Exceedingly high levels of Mo exposure can be related to high incidence of anemia among Armenians, since Mo interacts with Cu and is a potential cause of copper deficiency-induced anemia. With regard to cancer risk, none of the carcinogenic risk values exceeded the threshold level.

Human exposure to per- and polyfluoroalkyl substances (PFAS) through the US diet has not been well-characterized. Highly consumed foods are routinely monitored through FDA's Total Diet Study program. Portions of these samples were used to develop and validate a method for PFAS in a wide variety of foods. The extraction of 16 PFAS was performed using the quick, easy, cheap, effective, rugged, and safe (QuEChERS) method and analyzed by liquid chromatography/mass spectrometry. Method optimizations are described including investigations into the QuEChERS sorbents, matrix effects, and solid-phase extraction (SPE) cartridges. The use of a custom push-through SPE cartridge showed promising results as a rapid cleanup option for food samples. Challenges in ion confirmation are discussed, and the use of enhanced product ion (EPI) full-scan MS/MS spectra is presented as a potential option for verifying false positives. The validated method was then used for the analysis of 179 total diet study samples, and positive detects for perfluorooctanesulfonic acid (PFOS) were found in two fish and one meat sample.

The impacts of dietary nitrates and nitrites on human health have been a controversial topic for many years. However, the risk and benefit assessment of nitrates and nitrites is complicated by the large variation in nitrate and nitrite intake among people and the endogenous nitrite formation in the body. This study conducted a probabilistic risk–benefit assessment of dietary nitrates and nitrites based on internal dose by integrating exogenous and endogenous exposures with human trial data on cardiovascular benefits. A total diet study was carried out to quantify the age-specific dietary intakes of nitrates and nitrites. A previously well-validated human toxicokinetic model was used to predict internal doses for different age groups. In addition, the integrated approach was applied to different populations from different countries/regions based on reported exposure estimates to conduct a comprehensive risk–benefit assessment of dietary nitrates and nitrites. The results demonstrated that vegetable consumption was the main contributor to the internal nitrate and nitrite levels in all age groups. Exposure to nitrates and nitrites exceeding acceptable daily intakes in a variety of foods showed cardiovascular benefits. The probabilistic risk assessment showed that the exposure to nitrates and nitrites did not pose an appreciable health and safety risk. Therefore, the present results suggest that dietary nitrates and nitrites have clear cardiovascular benefits that may outweigh potential risks. Our analysis contributes significantly to addressing the controversy regarding risks and benefits from dietary nitrates and nitrites, and our approach could be applied to other dietary constituents with the potential for both risks and benefits.

The first Total Diet Study (TDS) was carried out in Portugal using harmonised procedures developed under the TDS-Exposure project. This publication describes in detail the TDS planning, sample collection and preparation, filling a gap found in literature. TDS food list (1070 items) by food group for 18-74 years olds was derived using 24 h recall food consumption survey data. Of the 164 TDS samples defined based on FoodEx2, the most represented belonged to 'Composite dishes' (21%) and 'Fish and Fish products' (15%). A total of 227 TDS samples (12 subsamples each), were collected (2014-2016) in Greater Lisbon region as 126 'national', 17 'regional non-seasonal' and 21 'regional seasonal'. Seasonal samples were mostly fruits, vegetables and some fish. Subsamples were prepared as consumed, pooled, homogenised and stored at -18 °C. The harmonised procedures used allow comparison of exposure assessment with other countries and evaluation of exposure trends if TDS are used. Highlights: The Portuguese Total Diet Study used the TDSEXPOSURE project harmonised procedures; TDS food list (1070 items) was derived from individual 24-h recall consumption data; Applying FoodEx2 food group approach to TDS food list resulted in 164 TDS samples; TDS samples were 126 ‘national’, 17 ‘regional non-seasonal’, 21 ‘regional seasonal’; ‘Composite dishes’ and ‘Fish and Fish products’ constituted over 1/3 of TDS samples. This research was partially funded by the European Commission’s Seventh Framework Programme [FP7/2012–2016] as a part of TDSExposure project [grant agreement number 289108] info:eu-repo/semantics/publishedVersion

Arsenic can occur in foods as inorganic and organic forms. Inorganic arsenic is more toxic than most water-soluble organic arsenic compounds such as arsenobetaine, which is presumed to be harmless for humans. Within the first German total diet study, total arsenic, inorganic arsenic, arsenobetaine, dimethylarsinic acid and monomethylarsonic acid were analyzed in various foods. Highest levels of total arsenic were found in fish, fish products and seafood (mean: 1.43 mg kg−1; n = 39; min–max: 0.01–6.15 mg kg−1), with arsenobetaine confirmed as the predominant arsenic species (1.233 mg kg−1; n = 39; min–max: 0.01–6.23 mg kg−1). In contrast, inorganic arsenic was determined as prevalent arsenic species in terrestrial foods (0.02 mg kg−1; n = 38; min–max: 0–0.11 mg kg−1). However, the toxicity of arsenic species varies and measurements are necessary to gain information about the composition and changes of arsenic species in foods due to household processing of foods.

Untargeted screening using high resolution mass spectrometry (HRMS) is a promising approach for screening the food supply for contaminants, but the sheer amount of information inherent to the HRMS data set presents analytical challenges. Red apples, collected during the U.S. FDA's Total Diet Study, were studied to determine whether bioinformatic software can be used to distinguish spiked model compounds from those native to apples. A workflow was created, in which initial data sets of over 44,000 features in each of the two spiked samples were reduced by several orders of magnitude to a scale suitable for visual inspection. After visual inspection to address degeneracy and data quality, the final data sets contained 30 and 2 suspect compounds, respectively. To the best of our knowledge, this is the largest scale case-control study on food matrices to date and the first use of market basket samples as references in an untargeted screening study.

On the basis of a Total Diet Study, the Br, As, Cd and Pb contents in relevant food groups consumed in Portugal were determined. The studied groups were meat products, fatty fish, lean fish, shellfish, cephalopods, fresh and dried fruit, crucifers and other vegetables. It was observed that the concentrations of As, Br, Cd and Pb in fruit, vegetables and meat products were much lower than in seafood. Fresh fruit exhibited the lowest elemental contents. The concentrations of As, Br, Cd and Pb did not show any dependence on season. With respect to proximate composition, elemental content dependence on protein or ash was weak. PCA showed relevant associations: between Br and ash contents in fatty fish; between Cd, Pb and protein contents in crucifers; and between As, fat and protein contents in the other vegetables group. Therefore, the effect of the proximate composition on the studied elemental contents warrants investigation. This work has been funded by National Institute of Health Doutor Ricardo Jorge, I.P., under the project ‘Incentivo aos Estudos de Dieta Total’ (Reference number 2016DAN1260). Marta Ventura would like to acknowledge the partnership agreement FCT/UNL-INSA. This work was also supported by the Post Doctoral Grant Ref. SFRH/BPD/102689/2014 (‘Fundação para a Ciência e a Tecnologia’, FCT) for the author Carlos Cardoso. info:eu-repo/semantics/publishedVersion

Total diet study (TDS) is a useful way to estimate the dietary intake of hazardous and chemical substances. Regarding the analysis performed in TDS, international guidelines published by the World Health Organization, recommend selecting and confirming the validity of suitable analytical methods to achieve the purpose of TDS. However, concrete procedures and/or approaches for confirming the validity of suitable methods have yet to be established. In the present study, we aimed to develop samples, referred to as SEMPs; Samples to estimate methods performance, that can be used to evaluate the performance of the analytical methods applied to the composite samples prepared in TDS. The concentrations of 14 kinds of elements, including hazardous substances such as arsenic, lead, and cadmium, in SEMPs were measured for use in the validation of a multi-element analytical method for estimating dietary intake. After examining the appropriate amount of relevant elements added to the samples, we established a performance evaluation procedure by repeatedly analyzing five fortified and non-fortified SEMPs each.

International audience; The present study evaluated the exposure of children aged from one to 36 months to seven groups of mycotoxins, in the context of the infant French Total Diet Study (iTDS). Exposure was then compared to the health-based guidance values (HBGVs) for each mycotoxin. The value of the 90th percentile of exposure to nivalenol, patulin, fumonisins and zearalenone was less than 40% of the HBGV considered relevant for children. On the other hand, a risk could not be excluded for ochratoxin A and aflatoxins as exposure was close to the HBGV for ochratoxin A and the margin of exposure was much lower than the critical margin of 10,000 for aflatoxins. The HBGVs for toxins T2 and HT2, and for deoxynivalenol (DON) and its acetylated compounds were exceeded. Five percent to 10% of the children aged 5–12 months exceeded the HBGV considering the lower bound hypothesis for toxins T2 and HT2 and 7.5%–27% of the children aged 5 months and above exceeded the HBGV for DON. Consequently, the exposure of young children raises safety concerns for T2/HT2 and DON. Efforts should therefore be pursued to decrease their exposure to these molecules.

For the first time, a multi-centre Total Diet Study was carried out in Benin, Cameroon, Mali and Nigeria. We collected and prepared as consumed 528 typical fatty foods from those areas and pooled these subsamples into 44 composites samples. These core foods were tested for a wide spectrum of POPs, including polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), polychlorinated biphenyls (PCBs), brominated flame-retardants (BFRs), organochlorine compounds (OCs), perfluoro alkyl substances (PFAS) and chlorinated flame retardants (CFRs).The POPs contamination levels were similar or lower than those reported in total diet studies previously conducted worldwide. In most cases, core foods belonging to fish food group presented higher POPs concentrations than the other food groups. Interestingly, we observed a difference in both contamination profile and concentration for smoked fish compared to non-smoked fish. Such finding suggests that the smoking process itself might account for a large proportion of the contamination. Further investigation would require the assessment of combustion materials used to smoke fish as a potential vehicle, which may contribute to the dietary exposure of the studied populations to POPs. Keywords: Food contamination data, PCDD/F, Polychlorinated biphenyls, Flame Retardants, PFAS

Background: Human dietary exposure to chemicals may result in a wide spectrum of adverse health effects. Some substances may cause non-communicable diseases including cancer and coronary heart diseases, and also be nephrotoxic. Food is the main human exposure route of many chemicals. A cost effective methodological approach called Total Diet Study was for the first time used to assess human dietary exposure to a wide spectrum of food chemicals in Benin, Cameroon, Mali, and Nigeria. Methods: This Total Diet Study covered, with 4020 representative samples of foods prepared as consumed, more than 90% of the diet of 7291 households from eight study centres. By combining representative dietary surveys of countries with findings regarding concentrations of 872 chemicals in foods, human dietary exposure was characterized. Findings: Exposure to lead may result in increases in adult blood pressure up to 2·0 mm Hg while children may lose 8·8-13·3 IQ points (95 th percentile in Kano). Morbidity factors due to co-exposure to aflatoxin B1 and hepatitis B virus, as well as sterigmatocystin and fumonisins, suggest several thousands of additional liver cancer cases per year, as well as a significant contribution to the burden of child chronic malnutrition. Exposures to 13 polycyclic aromatic hydrocarbons from consumption of smoked fish and edible oils exceeded levels associated with possible carcinogenicity and genotoxicity health concern in all study centres. Exposures to aluminium, ochratoxin A and citrinin indicate a public health concern about nephropathies. Interpretation: Risks characterized by the study underscore specific priorities in terms of food safety management in Sub-Saharan Africa. The need for similar investigation specifically targeting children is critical. Funding Statement: The study was funded under grant STDF/PG/303, Standard and Trade Development Facility Declaration of Interests: The authors declare no competing interest. Ethics Approval Statement: Not required.

Doubly multivariate ANOVA (analysis of variance) is for studies with multiple paired observations and more than a single outcome variable. An example is in the SPSS statistical software tutorial case studies: in a diet study of overweight patients the triglyceride and weight values were the outcome variables and they were measured repeatedly during several months of follow up. This chapter is to explain advantages, as compared to traditional methods, in preventing type I errors from being inflated, and accounting multiple effects simultaneously.

Previous studies have suggested that vegetarianism can result in a reduction of vitamin B12 circulating levels. The aim of the present study was to investigate the effects of a 3-month dietary intervention with a lacto-ovo-vegetarian diet (VD) on the levels of circulating vitamin B12 in a group of omnivores. We analysed fifty-four omnivorous subjects who followed a VD as a first dietary intervention within the CARDIVEG (Cardiovascular Prevention with Vegetarian Diet) study, a dietary intervention study. VD resulted in a significant reduction (P12 intake and in a significant reduction (P=0·005) of 6·2 % of the circulating levels of vitamin B12 (–24·5 pg/ml). Changes in vitamin B12 intake were significantly correlated with changes in circulating levels of vitamin B12 (R 0·61, P12 levels was more evident in participants who were younger, overweight, non-smokers and had hypercholesterolaemia. A logistic regression analysis showed that a reduction in vitamin B12 intake greater than the first quartile of the delta changes obtained in the study population (–28·5 %) conferred a significantly higher risk of experiencing a decrease in circulating vitamin B12 levels (OR 10·1; 95 % CI 1·3, 76·1). In conclusion, a 3-month VD period determined a significant reduction in circulating levels of vitamin B12, being significantly correlated with the reduction in vitamin B12 intake. Although a well-planned VD can provide adequate nutrition across all life stages, special care must be taken to ensure adequate vitamin B12 intake and to help prevent deficiency.

The aims of the study were to determine whether adipose tissue global gene expression (1) differs between never laminitic (NL) and previously laminitic (PL) ponies, (2) is influenced by season and/or a diet designed to simulate spring grass, and (3) differences seen also occur systemically in peripheral blood mononuclear cells (PBMCs). Subcutaneous adipose tissue and PBMCs were obtained from six NL and six PL ponies on three occasions; summer, winter (season study), and in winter after consuming a diet simulating spring grass for 7 days (diet study). Adipose tissue global gene expression was determined using a 44K equine-specific microarray, validated using multiplex quantitative real time polymerase chain reaction (qRT-PCR), and analyzed using GeneSpring software and Ingenuity Pathway Analysis. PBMC gene expression was quantified using qRT-PCR. The total number of genes whose expression differed (≥2-fold change, P ≤ .01) between PL and NL ponies was greater in summer (192 genes) compared to winter (58 genes); 40/192 genes influenced by disease in the summer were also seasonally regulated and were predominantly associated with inflammation. The genes modified by dietary intervention and PBMC gene expression did not follow the same pattern as the season study. Thus, adipose tissue global gene expression differed between NL and PL ponies most in summer compared to winter, and these differentially expressed genes predominantly related to inflammation.

Aim Although there is some evidence of the relationships between sleep duration/quality and nutrient and/or food intake, the associations between sleep and dietary patterns have been poorly explored. The aim of the present study was to evaluate sleep duration and quality in relation to adherence to the Mediterranean diet (MeDi), and to investigate the sex- and age-specific associations in a population-representative cohort of older adults. Methods Participants from the Hellenic Longitudinal Investigation of Aging and Diet were included. The sample consisted of 1639 adults aged ≥65 years. Sleep duration and quality were assessed through a self-report questionnaire, whereas adherence to the MeDi was evaluated by an a priori score. Results Sleep quality was positively associated with the MeDi in the unadjusted and the adjusted model (age, sex, depression, years of education, body mass index, level of physical activity and total energy intake were added as covariates). In contrast, sleep duration was not associated with MeDi adherence either in the unadjusted or the adjusted models. In relation to the age-related associations, sleep quality was positively associated with MeDi adherence in those aged ≤75 years, and not in those aged >75 years. Associations between sleep and MeDi did not differ between men and women. Conclusions The present results suggest that sleep quality is associated with MeDi adherence in older adults; there are also age-specific associations between sleep quality and the MeDi. Although additional studies are required, improvements in diet quality should be considered in the context of sleep management interventions in older individuals. Geriatr Gerontol Int 2018; 18: 1543-1548.

Dietary exposure to phthalate esters (PAEs) was assessed for the general Chinese population in the 5th Chinese Total Diet Study (TDS). Concentrations of 16 PAEs, including bis (2-ethylhexyl) phthalate (DEHP), di-n-butyl phthalate (DBP), butylbenzyl phthalate (BBP), diethyl phthalate (DEP), dimethyl phthalate (DMP), diisobutyl phthalate (DIBP), bis (2-n-butoxyethyl) phthalate (DBEP), bis (2-ethoxyethyl) phthalate (DEEP), bis (2-methoxyethyl) phthalate (DMEP), bis (4-methyl-2-pentyl) phthalate (BMPP), dicyclohexyl phthalate (DCHP), dipentyl phthalate (DPP), diphenyl phthalate (DPhP), di-n-hexyl phthalate (DHXP), dinonyl phthalate (DNP), di-n-octyl phthalate (DNOP) were determined in 192 composite food samples collected from the TDS. The results showed that 76.0% of the samples contained one or more PAEs with concentrations ranging from 0.017 to 7.19 mg/kg. The most frequently detected PAEs were DEHP (43.8%), DBP (35.9%), DMP (26.6%), DNP (25.5%), DIBP (24.5%), and DCHP (18.8%). The major dietary source of PAEs was vegetables, followed by cereals. A dietary exposure of the general population was assessed using lower bound (LB) and upper bound (UB) assumptions for left-censorship management. The average estimated daily intakes of PAEs in the general Chinese population ranged from 0.00 to 6.38 μg/kg bw per day, which were lower than the respective tolerable daily intakes (TDIs) of PAEs. The results suggested that dietary exposures to all of the PAEs analyzed in this study were unlikely to pose unacceptable health risks to the majority of the population in China.