1 / 17

Bone Pb by K-XRF in young children vs older people

Bone Pb by K-XRF in young children vs older people. Toronto Bone Pb Study. A laboratory was established in St Joseph’s Health Centrel , Toronto by staff from McMaster University, Health Canada and St Joseph’s Health Centrel .

ilyssa
Télécharger la présentation

Bone Pb by K-XRF in young children vs older people

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Bone Pb by K-XRF in young children vs older people

  2. Toronto Bone Pb Study A laboratory was established in St Joseph’s Health Centrel, Toronto by staff from McMaster University, Health Canada and St Joseph’s Health Centrel. The laboratory housed a bone lead measurement system and facilities for obtaining blood under clean conditions. The laboratory was on site from September 2009 until March 2011

  3. Bone Pb XRF is a measure of long term lead exposure

  4. Pb XRF Measurement Description Measurement is performed in a backscatter geometry using 109Cd. The measurement took 22 minutes per bone. The radiation dose is extremely low, much less than a dental x-ray

  5. 109Cd K XRF spectrum

  6. Toronto Bone Pb Study The goal of the study was to recruit 273 subjects who each had tibia and calcaneus bone Pb XRF measurements, a venous blood sample drawn, and answered a questionnaire. The venous blood sample was split into two fractions: one was to be sent for whole blood analysis; one was processed to permit serum testing. The time available for each individual appointment was 1 hour.

  7. Toronto Bone Pb Study 263 men women and children aged 1 – 82 were recruited into the study under a convenience sampling strategy. Difficulties were determined in recruiting girls under age 10. Anecdotal evidence from the nurse recruiter was that young girls expressed concerns about blood sampling and refused to volunteer.

  8. Toronto Bone Pb Study An attempt was made to measure the tibia and calcaneus of every volunteer for a period of 22 minutes each. A measurement was made for every person, but it was found that some bone measurements of very young children had to be foreshortened. Only one volunteer refused a blood lead measurement at time of testing.

  9. Blood Lead versus Age Average blood lead level = 1.29 μg dl-1 Pattern is similar to NHANES data

  10. Tibia versus Age Average tibia content per age decile

  11. Calcaneus versus Age Average calcaneus content per age decile

  12. Bone Pb levels 20 years apart In the 1990s, a series of bone lead measurements of environmentally exposed subjects were performed in Hamilton, Ontario. This allows for the comparison of data from this Health Canada funded study to be made to an urban Ontario group from 20 years earlier.

  13. Bone Pb levels 20 years apart Roy et al published a relationship of tibia versus age for men and women aged 6 to 81. A similar analysis was performed, therefore, for this study, of tibia lead content versus age in men and women aged 6 to 83. In this study, for this comparison group, a significant relationship, as determined by linear regression, between tibia content and age was found (p < 0.001 for the slope of the regression line).

  14. Tibia versus Age Individual tibia lead content increases with age

  15. Bone Pb levels 20 years apart For men and women combined, the slope of tibia v age, in this study was 0.11 ± 0.02 For men and women, the slope of tibia v age, in Roy et al., was 0.24 ± 0.03 The slope of the relationship as measured between 2009 and 2011 is 46 ±10 % of that determined in the early 1990s. Cumulative lead exposure, that is, the sum of lead exposure over a several year period, in Southern Ontario is approximately half of what it was two decades ago.

  16. Current Blood Pb versus Calcaneus PB The relationship means that some proportion of current blood lead is being driven by historical exposure

  17. Endogenous Exposure Current blood Pb = 0.040 (± 0.008) * current calcaneus Pb + 1.17 (± 0.11). Lead is being returned to blood from bone and so the level in blood is related to the level in bone. For this group of women, the average calcaneus Pb value is 7.34 μg Pb per g bone mineral. On average, for the group, the contribution to current blood lead level from bone is estimated to be 0.29 μgdl-1. Endogenous exposure is accounting for approximately 20% of current blood lead levels, or alternatively, the data suggest that exogenous exposure from water, soil, dust etc, is accounting for approximately 80% of current blood lead levels in women of an average age of 44.

More Related