Trace element concentrations profiles in the hair of normal children living in the northern area of Seoul

서울 북부지역에 거주하는 정상 아동의 모발 미네랄 함량

  • Kwon, Ji Won (Department of Pediatrics, Sanggye Paik Hospital, Inje University, College of Medicine) ;
  • Kim, Byung Eui (Department of Pediatrics, Sanggye Paik Hospital, Inje University, College of Medicine) ;
  • Park, Mi Jung (Department of Pediatrics, Sanggye Paik Hospital, Inje University, College of Medicine) ;
  • Kim, Sang Woo (Department of Pediatrics, Sanggye Paik Hospital, Inje University, College of Medicine)
  • 권지원 (인제대학교 의과대학 상계백병원 소아과) ;
  • 김병의 (인제대학교 의과대학 상계백병원 소아과) ;
  • 박미정 (인제대학교 의과대학 상계백병원 소아과) ;
  • 김상우 (인제대학교 의과대학 상계백병원 소아과)
  • Received : 2005.08.01
  • Accepted : 2005.10.06
  • Published : 2006.01.15

Abstract

Purpose : The reliability of hair mineral analyses regarding nutritional status, environmental exposure or diseases is controversial. The aim of this study was to determine the normal reference range of hair mineral concentration of Korean children. Methods : We examined hair mineral concentrations of 223 children(3-12 yrs old, 110 boys, 113 girls, mean age $8.8{\pm}2.2$ yrs old) living in the northern area of Seoul. The trace elements including six toxic elements(Al, As, Cd, Ba, Hg, Pb) and 11 nutritional elements(Na, Mg, P, K, Ca, Cr, Mn, Fe, Cu, Zn, Se) were analyzed by inductive coupled plasma mass spectrometry(ICP-MS). Results : The mean concentrations of Ca and Mg were higher in girls than in boys. The mean concentrations of Cd, Pb and Cr were higher in boys than girls. The Zn, Ca, Mg, Cu and Hg levels in hair samples were positively correlated with increasing age. The Zn levels of the Korean children's hair samples appear to be lower than that of other countries' reference values. Conclusion : There are considerable differences in hair mineral concentrations by age, sex and race. Additional research is needed to establish Korean reference values, and to evaluate the usefulness of hair mineral analyses as a screening tool for nutrition- and environment-related childhood diseases.

목 적 : 영양상태, 환경 오염원에 노출, 질병상태의 한 검진 방법으로서 모발 미네랄검사의 타당성에 대해 아직 많은 이견이 있으며 아직 국내 정상 소아의 참고치는 연구된 바 없다. 이에 저자들은 건강한 아동들의 모발 미네랄 함량의 정상 참고치를 산출하고 그 특성을 알아보고자 하였다. 방 법 : 서울시의 북부지역에 거주하는 3-12세 사이의 질병이 없는 건강한 정상 아동 223명(남아 110명, 여아 113명, 평균 연령 $8.8{\pm}2.2$세)을 대상으로 모발을 채취하여 유도결합플라즈마질량분석기(ICP-MS)를 통해 영양 미네랄 11가지(나트륨, 마그네슘, 인, 칼륨, 칼슘, 크롬, 망간, 철, 구리, 아연, 셀레늄)와 독성 미네랄 6가지(알루미늄, 비소, 카드뮴, 바륨, 수은, 납)의 함량을 측정하고 이를 분석하였다. 결 과 : 칼슘 및 마그네슘의 농도는 여아에서 남아보다 높았고 카드뮴, 납 및 크롬의 농도는 남아에서 여아보다 높았다. 아연, 칼슘, 마그네슘, 구리 및 수은은 연령이 증가할수록 모발 중 함량이 증가하는 상관관계를 보였다. 한국 아동의 모발 미네랄 함량의 참고치를 외국과 비교하였을 때 우리나라 아동은 아연치가 외국에 비해 낮은 경향을 보였다. 결 론 : 본 연구를 통해 국내 정상 아동의 모발 미네랄 함량의 기준치가 제시되었으며 본 연구에서 제시된 참고치가 한국 아동들의 여러 가지 질병과 모발 내 미네랄 함량과의 관계를 연구하는 데 유용한 기초 자료로 쓰일 것이라 사료된다.

Keywords

Acknowledgement

Supported by : 인제대학교

References

  1. Burtis CA, Ashwood ER. Tietz textbook of clinical chemistry. 3rd ed. Philadelphia : WB Saunders Co, 1999:1029-55
  2. Delves HT. Assessment of trace element status. Clin Endocrino Metab 1985;14:725-60 https://doi.org/10.1016/S0300-595X(85)80014-1
  3. Bass DA, Hickok D, Quig D, Urek K. Trace element analysis in hair; factors determining accuracy, precision, and reliability. Altern Med Rev 2001;6:472-81
  4. Klevay LM, Bistrian BR, Fleming CR, Neumann CG. Hair analysis in clinical and experimental medicine. Am J Clin Nutr 1987;46:233-6 https://doi.org/10.1093/ajcn/46.2.233
  5. Althausen TL, Gunther L. Acute arsenic poisoning; a report of seven cases and a study of arsenic excretion with especial reference to hair. JAMA 1929;92:2002-6 https://doi.org/10.1001/jama.1929.02700500014005
  6. Maugh TH. Hair; a diagnostic tool to complement blood serum and urine. Science 1978;202:1271-3 https://doi.org/10.1126/science.725602
  7. Barany E, Bergdahl IA, Bratteby LE, Lundh T, Samuelson G, Schutz A, et al. Relationship between trace element concentrations in human blood and serum. Toxicol Lett 2002;177-84 https://doi.org/10.1016/S0378-4274(02)00187-X
  8. Gentile PS, Trentalange MJ, Coleman M, The relationship of hair zinc concentration to height, weight, age, and sex in the normal population. Pediatric Res 1981;5:123-7
  9. Park HS, Shin KO. Hair zinc and lead; relationship to nutrient intake and height and body weight in Korean preschool children. Korean J Nutr 2004;37:193-201
  10. Carlos CD, Gerardo W. Zinc supplementation and growth of the fetus and low birth weight infant. J Nutr 2003;133: 1494-7
  11. Doherty CP, Crofton PM, Sarkar MAK, Shakur MS, Wade JC, Kelnar CJH, et al. Malnutrition, zinc supplementation and catch-up growth : changes in insulin-like growth factor I, its binding proteins, bone formation and collagen turnover. Clin Endocrinol 2002;57:391-9 https://doi.org/10.1046/j.1365-2265.2002.01622.x
  12. Martorell R. Benefits of zinc supplementation for child growth. Am J Clin Nutr 2002;75:957-8 https://doi.org/10.1093/ajcn/75.6.957
  13. Phil RO, Parkes M. Hair element content in learning disabled children. Science 1977;198:204-6 https://doi.org/10.1126/science.905825
  14. Marlowe M, Moon C, Errera J, Stellern J. Hair mineral content as a predictor of mental retardation. Orthomol Psychiatry 1983;12:26-33
  15. Tuthill RW. Hair lead levels related to children's classroom attention-deficit behavior. Arch Environ Health 1996;51:214-20 https://doi.org/10.1080/00039896.1996.9936018
  16. Gentile PS, Trentalange MJ, Zanichek W. Brief report; trace elements in the hair of autistic and control children. J Autism Dev Disord 1983;13:205-6 https://doi.org/10.1007/BF01531820
  17. Opler MG, Brown AS, Graziano J. Desai M, Zheng W, Schaefer C, et al. Prenatal lead exposure, delta-aminolevulinic acid, and schizophrenia. Environ Health Perspect 2004;112:548-52. https://doi.org/10.1289/ehp.6777
  18. Saner GC, Dagoglu T, Ozdon T. Hair manganese concentration in newborns and their mothers. Am J Clin Nutr 1985;41:1042-4 https://doi.org/10.1093/ajcn/41.5.1042
  19. Di Toro R, Galdo Capotorti M, Gialanella G, Miraglia del Giudice M, Moro R, Perrone L. Zinc and copper status of allergic children. Acta Paediatr Scand 1987;76:612-7 https://doi.org/10.1111/j.1651-2227.1987.tb10530.x
  20. Hambidge KM, Rodgerson DO, O'Brien D. Concentration of chromium in the hair of normal children and children with juvenile diabetes mellitus. Diabetes 1968;17:517-9 https://doi.org/10.2337/diab.17.8.517
  21. Perrone L, Gialanella G, Giardano V, La Manna A, Moro R, Di Toro R. Impaired zinc metabolic status in children affected by idiopathic nephritic syndrome. Eur J Pediatr 1990;149:438-40 https://doi.org/10.1007/BF02009668
  22. Ilhan A, Uz S, Kali S, Yar A, Akyo O. Serum and hair trace element levels in patients with epilepsy and healthy subject : dose the antiepileptic therapy affect the element concentration of hair. Eur J Neurol 1999;6:705-9 https://doi.org/10.1046/j.1468-1331.1999.t01-1-660705.x
  23. Kim GN, Song HJ. Hair mineral analysis of normal Korean children. Korean J Dermatol 2002;40:1518-26
  24. Dormandy TL. Trace element analysis of hair. Br Med J 1986;293:975-6 https://doi.org/10.1136/bmj.293.6553.975
  25. Paschal DC, DiPietro ES, Phillips DL, Gunter EW. Age dependence of metals in hair in a selected U.S. population. Environ Res 1989;48:17-28 https://doi.org/10.1016/S0013-9351(89)80081-7
  26. Petering HG, Yeager DW, Witherup SO. Trace metal content of hair; Zinc and copper content of human hair in relation to age and sex. Arch Environ Health 1971;23:202-7 https://doi.org/10.1080/00039896.1971.10665986
  27. Katz SA, Chatt A. Hair analysis; Applications in the biomedical and environmental sciences. New York : VCH, 1988: 113
  28. Miekeley N, Carneiro MTWD, Porto da Silveira. How reliable are human hair reference intervals for trace elements? Sci Total Environ 1998;218:9-17 https://doi.org/10.1016/S0048-9697(98)00185-5
  29. Rodushkin I, Axelsson MD. Application of double focusing sector field ICP-MS for multielemental characterization of human hair and nails. part 1. analytical methodology. Sci Total Environ 2000;250:83-100 https://doi.org/10.1016/S0048-9697(00)00369-7
  30. Barrett S. Commercial hair analysis; science or scam? JAMA 1985;254:1041-5 https://doi.org/10.1001/jama.254.8.1041
  31. Seidel S, Kreutzer R, Smith D, McNeel S, Gilliss D. The uncertainty of hair analysis for trace metals. JAMA 2001;285:67-72 https://doi.org/10.1001/jama.285.1.67