Dietary cadmium health risk assessment for the Chinese population

Cadmium (Cd) has high rates of soil-to-plant transference, coupled with its non-biodegradability and persistence; long-term management of Cd in agriculture is thus required to ensure better soil and food security and safety. Identifications of regions with high soil Cd concentration or high dietary Cd intakes are critical public health priorities. Human health risk assessment for dietary Cd intake was thus undertaken by employing three approaches: FCA (food chain approach), TDA (total diet approach), and FQA (food quality approach). The correlation between green/total vegetable consumption rates and dietary Cd intake from vegetables was statistically significant. For consumption, the hazard quotients (HQs) calculated by FCA and TDA were all less than 1 except for Hunan and Sichuan province. For rice consumption, the HQs derived by FCA or TDA approach for eight provinces exceeded 1. Residents in Hubei, Guangxi, Jilin, Zhejiang, Liaoning, Shanghai, Sichuan, and Guangxi were more vulnerable due to their notable higher consumption rates. Weighted rankings of the health risk levels were determined to derive the comparative risk management priority. For Cd intake from vegetables, four provinces/cities have high relative priority; for Cd intake from grains, three provinces have high relative priority. The comparative risk management priority for Hunan and Sichuan was high for dietary intake from vegetables or rice. Weighted average HQs were derived to determine the integrated dietary Cd intake health risk levels for dietary intake from vegetables or grains. The risk levels for Hunan, Guangxi, Sichuan, and Zhejiang are high, so effective measures should be taken to reduce Cd dietary intakes to ensure health protection. It is envisaged that the methodology employed in this study could provide useful insights into how various approaches can be integrated to determine human health risk levels for Cd intake, so more effective and targeted measures can be taken accordingly for the relevant regions.