Cadmium-Related Mortality and Long-Term Secular Trends in the Cadmium Body Burden of an Environmentally Exposed Population
2008

Cadmium Exposure and Mortality in Belgium

Sample size: 924 publication 10 minutes Evidence: high

Author Information

Author(s): Nawrot Tim S., Van Hecke Etienne, Thijs Lutgarde, Richart Tom, Kuznetsova Tatiana, Jin Yu, Vangronsveld Jaco, Roels Harry A., Staessen Jan A.

Primary Institution: University of Leuven

Hypothesis

Does environmental exposure to cadmium increase mortality rates in affected populations?

Conclusion

Environmental exposure to cadmium increases total and noncardiovascular mortality without a threshold level.

Supporting Evidence

  • Over 20.3 years, 206 deaths (21.5%) occurred in the study population.
  • Cadmium levels were higher in deceased participants compared to survivors.
  • Environmental exposure to cadmium was linked to a 20% increase in total mortality risk.

Takeaway

Being around cadmium can make people sick and even lead to death, even if the factories that made it are closed.

Methodology

The study monitored blood and urinary cadmium levels and mortality in a population exposed to cadmium from 1985 to 2007.

Potential Biases

Epidemiologic studies may be prone to ecologic biases due to the overlap in cadmium exposure levels.

Limitations

The study did not measure urinary cadmium in 2001-2003 and had substantial overlap in cadmium levels between exposure areas.

Participant Demographics

Participants were residents from low-exposure and high-exposure areas in northeastern Belgium, with a mix of ages and both genders.

Statistical Information

P-Value

p<0.0001

Confidence Interval

95% CI, 36.3 to 44.9%

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1289/ehp.11667

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