Breast-feeding Protects against Arsenic Exposure in Bangladeshi Infants
2008

Breast-feeding Protects against Arsenic Exposure in Bangladeshi Infants

Sample size: 98 publication 10 minutes Evidence: high

Author Information

Author(s): Fängström Britta, Moore Sophie, Nermell Barbro, Kuenstl Linda, Goessler Walter, Grandér Margaretha, Kabir Iqbal, Palm Brita, Arifeen Shams El, Vahter Marie

Primary Institution: Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden

Hypothesis

Does exclusive breast-feeding reduce arsenic exposure in infants living in areas with high arsenic levels in drinking water?

Conclusion

Exclusive breast-feeding significantly reduces arsenic exposure in infants, even in mothers with high arsenic levels from drinking water.

Supporting Evidence

  • Arsenic concentrations in breast milk were low, with a median of 1 μg/kg.
  • Infants exclusively breast-fed had significantly lower arsenic levels in urine compared to those partially breast-fed.
  • The study found a strong correlation between arsenic levels in breast milk and maternal blood, urine, and saliva.

Takeaway

Breast milk has very little arsenic, so babies who are breast-fed are safer from arsenic, even if their moms drink contaminated water.

Methodology

The study analyzed arsenic metabolites in breast milk and infant urine from 98 infants at 3 months old, comparing them with maternal arsenic exposure.

Potential Biases

Potential contamination of samples and reliance on self-reported breast-feeding practices could introduce bias.

Limitations

The study's maternal samples were collected at different times than infant urine samples, which may affect the accuracy of maternal exposure assessment.

Participant Demographics

Infants were 3 months old, with a mean body weight of 5.6 kg; 47% were girls and 52% were boys.

Statistical Information

P-Value

0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1289/ehp.11094

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