Skip to main content
Top
Published in: International Journal of Public Health 4/2014

01-08-2014 | Original Article

Chronic low-level arsenic exposure reduces lung function in male population without skin lesions

Authors: Debangshu Das, Banani Bindhani, Bidisha Mukherjee, Hirak Saha, Priyanka Biswas, Kaustav Dutta, Priyanka Prasad, Dona Sinha, Manas Ranjan Ray

Published in: International Journal of Public Health | Issue 4/2014

Login to get access

Abstract

Objectives

The respiratory effects of chronic low-level arsenic exposure from groundwater have been investigated in West Bengal, India.

Methods

The participants (834 non-smoking adult males) were subdivided in two groups: an arsenic-exposed group (n = 446, mean age 35.3 years) drinking arsenic-contaminated groundwater (11–50 μg/L) and a control group of 388 age-matched men drinking water containing <10 μg/L of arsenic. Arsenic in water samples was measured by atomic absorption spectroscopy. The prevalence of respiratory symptoms was documented by structured, validated questionnaire. Pulmonary function test (PFT) was assessed by portable spirometer.

Results

Compared with control, the arsenic-exposed subjects had higher prevalence of upper and lower respiratory symptoms, dyspnea, asthma, eye irritation and headache. Besides, 20.6 % of arsenic-exposed subjects had lung function deficits (predominantly restrictive and combined types) compared with 13.6 % of control (p < 0.05). A positive association was observed between arsenic concentration in drinking water and the prevalence of respiratory symptoms, while a negative association existed between arsenic level and spirometric parameters.

Conclusions

The findings suggest that even low-level arsenic exposure has deleterious respiratory effects.
Literature
go back to reference American Thoracic Society (1995) Standardization of spirometry 1994 update. Am J Resp Crit Care Med 152:1107–1136CrossRef American Thoracic Society (1995) Standardization of spirometry 1994 update. Am J Resp Crit Care Med 152:1107–1136CrossRef
go back to reference Behari JR, Prakash R (2006) Determination of total arsenic content in water by atomic absorption spectroscopy (AAS) using vapour generation assembly (VGA). Chemosphere 63:17–21PubMedCrossRef Behari JR, Prakash R (2006) Determination of total arsenic content in water by atomic absorption spectroscopy (AAS) using vapour generation assembly (VGA). Chemosphere 63:17–21PubMedCrossRef
go back to reference Bhattacharjee P, Chatterjee D, Singh KK, Giri AK (2013) Systems biology approaches to evaluate arsenic toxicity and carcinogenicity: an overview. Int J Hyg Env Health 216:574–586CrossRef Bhattacharjee P, Chatterjee D, Singh KK, Giri AK (2013) Systems biology approaches to evaluate arsenic toxicity and carcinogenicity: an overview. Int J Hyg Env Health 216:574–586CrossRef
go back to reference Borgono JM, Vicent P, Venturino H, Infante A (1977) Arsenic in the drinking water of the city of Antofagasta: epidemiological and clinical study before and after the installation of a treatment plant. Environ Health Perspect 19:103–105PubMedCentralPubMedCrossRef Borgono JM, Vicent P, Venturino H, Infante A (1977) Arsenic in the drinking water of the city of Antofagasta: epidemiological and clinical study before and after the installation of a treatment plant. Environ Health Perspect 19:103–105PubMedCentralPubMedCrossRef
go back to reference Caussy D (2005) A field guide for detection, management, and surveillance of arsenicosis cases. World Health Organization, Regional Office of South-East Asia, New Delhi Caussy D (2005) A field guide for detection, management, and surveillance of arsenicosis cases. World Health Organization, Regional Office of South-East Asia, New Delhi
go back to reference Chakraborti D, Das B, Murrill M (2011) Examining India’s groundwater quality management. Environ Sci Technol 45:27–33PubMedCrossRef Chakraborti D, Das B, Murrill M (2011) Examining India’s groundwater quality management. Environ Sci Technol 45:27–33PubMedCrossRef
go back to reference Chiou HY, Hsueh YM, Liaw KF, Horng SF, Chiang MH, Pu YS, Lin JS, Huang CH, Chen CJ (1995) Incidence of internal cancers and ingested inorganic arsenic: a seven-year follow-up study in Taiwan. Cancer Res 55:1296–1300PubMed Chiou HY, Hsueh YM, Liaw KF, Horng SF, Chiang MH, Pu YS, Lin JS, Huang CH, Chen CJ (1995) Incidence of internal cancers and ingested inorganic arsenic: a seven-year follow-up study in Taiwan. Cancer Res 55:1296–1300PubMed
go back to reference Cotes JE (1987) Medical Research Council Questionnaire on Respiratory Symptoms (1986). Lancet 2:1028PubMedCrossRef Cotes JE (1987) Medical Research Council Questionnaire on Respiratory Symptoms (1986). Lancet 2:1028PubMedCrossRef
go back to reference De BK, Majumdar D, Sen S, Guru S, Kundu S (2004) Pulmonary involvement in chronic arsenic poisoning from drinking contaminated ground-water. J Assoc Phys India 52:395–400 De BK, Majumdar D, Sen S, Guru S, Kundu S (2004) Pulmonary involvement in chronic arsenic poisoning from drinking contaminated ground-water. J Assoc Phys India 52:395–400
go back to reference Eltayara L, Becklake MR, Volta CA, Milic-Emili J (1996) Relationship between chronic dyspnea and expiratory flow limitation in patients with chronic obstructive pulmonary disease. Am J Resp Crit Care Med 154:1726–1734PubMedCrossRef Eltayara L, Becklake MR, Volta CA, Milic-Emili J (1996) Relationship between chronic dyspnea and expiratory flow limitation in patients with chronic obstructive pulmonary disease. Am J Resp Crit Care Med 154:1726–1734PubMedCrossRef
go back to reference Ferris BG (1978) Epidemiology standardization project (American Thoracic Society). Am Rev Resp Dis 118:1–120PubMed Ferris BG (1978) Epidemiology standardization project (American Thoracic Society). Am Rev Resp Dis 118:1–120PubMed
go back to reference Fullerton DG, Suseno A, Semple S, Kalambo F, Malamba R, White S, Jack S, Calverley PM, Gordon SB (2011) Wood smoke exposure, poverty and impaired lung function in Malawian adults. Int J Tuberc Lung Dis 15:391–398PubMed Fullerton DG, Suseno A, Semple S, Kalambo F, Malamba R, White S, Jack S, Calverley PM, Gordon SB (2011) Wood smoke exposure, poverty and impaired lung function in Malawian adults. Int J Tuberc Lung Dis 15:391–398PubMed
go back to reference Gerhardsson L, Brune D, Nordberg GF, Wester PO (1988) Multielemental assay of tissues of deceased smelter workers and controls. Sci Total Environ 74:97–110PubMedCrossRef Gerhardsson L, Brune D, Nordberg GF, Wester PO (1988) Multielemental assay of tissues of deceased smelter workers and controls. Sci Total Environ 74:97–110PubMedCrossRef
go back to reference Hotta N (1989) Clinical aspects of chronic arsenic exposure poisoning due to environmental and occupational pollution in and around a small refining spot. Jpn J Const Med 53:49–70 Hotta N (1989) Clinical aspects of chronic arsenic exposure poisoning due to environmental and occupational pollution in and around a small refining spot. Jpn J Const Med 53:49–70
go back to reference James WP, Mascie-Taylor GC, Norgan NG, Bistrian BR, Shetty PS, Ferro-Luzzi A (1994) The value of arm circumference measurements in assessing chronic energy deficiency in third world adults. Eur J Clin Nutr 48:883–894PubMed James WP, Mascie-Taylor GC, Norgan NG, Bistrian BR, Shetty PS, Ferro-Luzzi A (1994) The value of arm circumference measurements in assessing chronic energy deficiency in third world adults. Eur J Clin Nutr 48:883–894PubMed
go back to reference Lantz RC, Hays AM (2006) Role of oxidative stress in arsenic-induced toxicity. Drug Metabol Rev 38:791–804CrossRef Lantz RC, Hays AM (2006) Role of oxidative stress in arsenic-induced toxicity. Drug Metabol Rev 38:791–804CrossRef
go back to reference Liard R, Neukirch F (2000) Questionnaires: a major instrument for respiratory epidemiology. Eur Resp Monogr 15:154–166 Liard R, Neukirch F (2000) Questionnaires: a major instrument for respiratory epidemiology. Eur Resp Monogr 15:154–166
go back to reference Lopez AD (2013) Reducing risks to health: what can we learn from the Global Burden of Disease 2010 Study? Int J Public Health 58:645–646PubMedCrossRef Lopez AD (2013) Reducing risks to health: what can we learn from the Global Burden of Disease 2010 Study? Int J Public Health 58:645–646PubMedCrossRef
go back to reference Mazumder DN, Haque R, Ghosh N, De BK, Santra A, Chakraborti D, Smith AH (2000) Arsenic in drinking water and the prevalence of respiratory effects in West Bengal, India. Int J Epidemiol 29:1047–1052PubMedCrossRef Mazumder DN, Haque R, Ghosh N, De BK, Santra A, Chakraborti D, Smith AH (2000) Arsenic in drinking water and the prevalence of respiratory effects in West Bengal, India. Int J Epidemiol 29:1047–1052PubMedCrossRef
go back to reference Mazumder DN, Steinmus C, Bhattacharaya P, von Ehrenstein OS, Balmes J, Sil A, Ghosh N, Hira-Smith M, Haque R, Purushothamam R, Lahiri S, Das S, Smith AH (2005) Bronchiectasis in persons with skin lesions resulting from arsenic in drinking water. Epidemiology 16:760–765PubMedCrossRef Mazumder DN, Steinmus C, Bhattacharaya P, von Ehrenstein OS, Balmes J, Sil A, Ghosh N, Hira-Smith M, Haque R, Purushothamam R, Lahiri S, Das S, Smith AH (2005) Bronchiectasis in persons with skin lesions resulting from arsenic in drinking water. Epidemiology 16:760–765PubMedCrossRef
go back to reference Miller WF, Wu N, Johnson RL Jr (1956) Convenient method of evaluating pulmonary ventilatory function with a single breath test. Anesthesiology 17:480–493PubMedCrossRef Miller WF, Wu N, Johnson RL Jr (1956) Convenient method of evaluating pulmonary ventilatory function with a single breath test. Anesthesiology 17:480–493PubMedCrossRef
go back to reference National Research Council (NRC) (1999) Report: arsenic in the drinking water. National Academy Press, Washington, DC National Research Council (NRC) (1999) Report: arsenic in the drinking water. National Academy Press, Washington, DC
go back to reference Nemery B (1990) Metal toxicity and the respiratory tract. Eur Resp J 3:202–219 Nemery B (1990) Metal toxicity and the respiratory tract. Eur Resp J 3:202–219
go back to reference Pakhale S, Bshouty Z, Marras TK (2009) Comparison of percent predicted and percentile values for pulmonary function test interpretation. Can Resp J 16:189–193 Pakhale S, Bshouty Z, Marras TK (2009) Comparison of percent predicted and percentile values for pulmonary function test interpretation. Can Resp J 16:189–193
go back to reference Parvez F, Chen Y, Brandt-Rauf PW, Bernard A, Dumont X, Slavkovich V, Argos M, D’Armiento J, Foronjy R, Hasan MR, Eunus HE, Graziano JH, Ahsan H (2008) Nonmalignant respiratory effects of chronic arsenic exposure from drinking water among never-smokers in Bangladesh. Environ Health Perspect 116:190–195PubMedCentralPubMed Parvez F, Chen Y, Brandt-Rauf PW, Bernard A, Dumont X, Slavkovich V, Argos M, D’Armiento J, Foronjy R, Hasan MR, Eunus HE, Graziano JH, Ahsan H (2008) Nonmalignant respiratory effects of chronic arsenic exposure from drinking water among never-smokers in Bangladesh. Environ Health Perspect 116:190–195PubMedCentralPubMed
go back to reference Peiris-John RJ, Ruberu DK, Wickremasinghe AR, van-der-Hoek W (2005) Low-level exposure to organophosphate pesticides leads to restrictive lung dysfunction. Resp Med 99:1319–1324CrossRef Peiris-John RJ, Ruberu DK, Wickremasinghe AR, van-der-Hoek W (2005) Low-level exposure to organophosphate pesticides leads to restrictive lung dysfunction. Resp Med 99:1319–1324CrossRef
go back to reference Pope CA III, Dockery DW (1999) Epidemiology of particle effects. In: Holgate ST, Samet JM, Koren HS, Maynard RL (eds) Air pollution and health. Academic Press, San Diego, pp 673–705CrossRef Pope CA III, Dockery DW (1999) Epidemiology of particle effects. In: Holgate ST, Samet JM, Koren HS, Maynard RL (eds) Air pollution and health. Academic Press, San Diego, pp 673–705CrossRef
go back to reference Saady JJ, Blanke RV, Poklis A (1989) Estimation of the body burden of arsenic in a child fatally poisoned by arsenite weedkiller. J Anal Toxicol 13:310–312PubMedCrossRef Saady JJ, Blanke RV, Poklis A (1989) Estimation of the body burden of arsenic in a child fatally poisoned by arsenite weedkiller. J Anal Toxicol 13:310–312PubMedCrossRef
go back to reference Smith AH, Goycolea M, Haque R, Biggs ML (1998) Marked increase in bladder and lung cancer mortality in a region of northern Chile due to arsenic in drinking water. Am J Epidemiol 147:660–669PubMedCrossRef Smith AH, Goycolea M, Haque R, Biggs ML (1998) Marked increase in bladder and lung cancer mortality in a region of northern Chile due to arsenic in drinking water. Am J Epidemiol 147:660–669PubMedCrossRef
go back to reference Smith AH, Lopiper PA, Bates MN, Steinmaus CM (2002) Arsenic epidemiology and drinking water standards. Science 296:2145–2146PubMedCrossRef Smith AH, Lopiper PA, Bates MN, Steinmaus CM (2002) Arsenic epidemiology and drinking water standards. Science 296:2145–2146PubMedCrossRef
go back to reference Smith AH, Marshall G, Yuan Y, Ferreccio C, Liaw J, von Ehrenstein O, Steinmaus C, Bates MN, Selvin S (2006) Increased mortality from lung cancer and bronchiectasis in young adults after exposure to arsenic in utero and in early childhood. Environ Health Perspect 114:1293–1296PubMedCentralPubMedCrossRef Smith AH, Marshall G, Yuan Y, Ferreccio C, Liaw J, von Ehrenstein O, Steinmaus C, Bates MN, Selvin S (2006) Increased mortality from lung cancer and bronchiectasis in young adults after exposure to arsenic in utero and in early childhood. Environ Health Perspect 114:1293–1296PubMedCentralPubMedCrossRef
go back to reference US Environmental Protection Agency [EPA] (2001) Technical fact sheet: proposed rule for arsenic in drinking water. US Environmental Protection Agency, Washington, DC, USA US Environmental Protection Agency [EPA] (2001) Technical fact sheet: proposed rule for arsenic in drinking water. US Environmental Protection Agency, Washington, DC, USA
go back to reference von Ehrenstein OS, Mazumder DN, Yuan Y, Samanta S et al (2005) Decrements in lung function related to arsenic in drinking water in West Bengal, India. Am J Epidemiol 162:533–541CrossRef von Ehrenstein OS, Mazumder DN, Yuan Y, Samanta S et al (2005) Decrements in lung function related to arsenic in drinking water in West Bengal, India. Am J Epidemiol 162:533–541CrossRef
go back to reference World Health Organization [WHO] (1993) Guidelines for drinking-water quality. WHO, Geneva World Health Organization [WHO] (1993) Guidelines for drinking-water quality. WHO, Geneva
go back to reference Zaldivar R, Ghai GL (1980) Clinical epidemiological studies on endemic chronic arsenic poisoning in children and adults, including observations on children with high- and low-intake of dietary arsenic. Zentralbl Bakteriol [B] 170:409–421 Zaldivar R, Ghai GL (1980) Clinical epidemiological studies on endemic chronic arsenic poisoning in children and adults, including observations on children with high- and low-intake of dietary arsenic. Zentralbl Bakteriol [B] 170:409–421
Metadata
Title
Chronic low-level arsenic exposure reduces lung function in male population without skin lesions
Authors
Debangshu Das
Banani Bindhani
Bidisha Mukherjee
Hirak Saha
Priyanka Biswas
Kaustav Dutta
Priyanka Prasad
Dona Sinha
Manas Ranjan Ray
Publication date
01-08-2014
Publisher
Springer Basel
Published in
International Journal of Public Health / Issue 4/2014
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-014-0567-5

Other articles of this Issue 4/2014

International Journal of Public Health 4/2014 Go to the issue