RESEARCH PAPER
Influence of Pb and Cd levels in whole blood of postmenopausal women on the incidence of anxiety and depressive symptoms
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1
Department of Clinical Nursing, Pomeranian Medical University, Szczecin, Poland
2
Department of Nursing, Pomeranian Medical University, Szczecin, Poland
3
Department of Chemical Damage, Institute of Industrial Medicine and Community Health, Sosnowiec, Poland
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Department of Public Health, Pomeranian Medical University, Szczecin, Poland
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Frauenklinik Sana Hanse Klinikum Wismar, Germany
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Department of Gynaecology and Urogynaecology, Pomeranian Medical University in Szczecin, Police, Poland
Corresponding author
Elżbieta Grochans
Department of Nursing, Pomeranian Medical University, Szczecin, Poland
Ann Agric Environ Med. 2018;25(2):219-223
KEYWORDS
ABSTRACT
Introduction:
To-date, the influence of heavy metals such as Pb or Cd on mental functioning, and especially on the occurrence of depressive and anxiety-related disorders, has not been well understood.
Objectives:
1) Assessment of Pb and Cd levels in whole blood of postmenopausal women. 2) Assessment of the severity of anxiety and depressive symptoms depending on Pb and Cd levels in whole blood of postmenopausal women.
Material and Methods:
The survey-based study involved 198 healthy postmenopausal women from West Pomeranian province in Poland. It was performed using the Primary Care Evaluation of Mental Disorders (PRIME-MD), Beck’s Depression Inventory (BDI), and the State-Trait Anxiety Inventory (STAI). The second part of the study was based on biochemical analysis of the levels of heavy metals (Pb, Cd).
Results:
The mean level of Pb was 19.85 ± 8.99 µg/l and Cd 0.87±0.98 µg/l; these levels were within normal ranges. Analysis of the mean levels of Pb and Cd in whole blood of postmenopausal women in relation to the severity of depressive symptoms did not reveal statistically significant differences. Correlation analysis demonstrated a statistically significant (p<0.05) negative correlation (-0.22) between the level of Pb and the severity of anxiety as a state. Correlations between the levels of Pb and Cd and the severity of anxiety as a trait were not statistically significant.
Conclusions:
The mean Pb and Cd levels in whole blood of healthy postmenopausal women did not exceed acceptable limits. The study did not confirm a relationship between the levels of selected heavy metals and the severity of anxiety and depressive symptoms in healthy women. However, there was a relationship between the level of Pb and the severity of anxiety as a state.
REFERENCES (24)
1.
Shiue I. Urinary heavy metals, phthalates and polyaromatic hydrocarbons independent of health events are associated with adult depression: USA NHANES, 2011–2012. Environ Sci Pollut Res 2015; 22: 17095–17103.
2.
Bielawska-Batorowicz E. Koncepcje menopauzy. Część I – ujęcie demograficzne i kulturowe. Menopause Review 2005; 2: 10–18.
3.
Bielawska-Batorowicz E. Psychologiczne aspekty prokreacji. Katowice, Wyd. Śląsk, 2006.
4.
Pertyński T. Diagnostyka i terapia wieku menopauzalnego. Wrocław, Urban & Partner, 2004.
5.
Pużyński S. Depresje i zaburzenia afektywne. Warszawa, Wyd. Lek. PZWL, 2009.
6.
Bruce SE, Yonkers KA, Otto MW, et al. Influence of psychiatric comorbidity on recovery and recurrence in generalized anxiety disorder, social phobia, and panic disorder: a 12-year prospective study. Am J Psychiatry 2005; 162: 1179–1187.
7.
Speroff L, Fritz MA. Menopauza i okołomenopauzalny okres przejściowy. In: Jakimiuk A, editor. Kliniczna endokrynologia ginekologiczna i niepłodność, Warszawa; 2007. p. 741–745.
8.
Chmielnicka J. Toksyczność metali i półmetali. In: Seńczuk W, editor. Toksykologia współczesna, Warszawa; 2006. p. 301–53.
9.
Toxicological profile for lead. U.S. Department of Health and Human Services. Public Health Service. Agency for Toxic Substances and Disease Registry, 2007.
10.
Papanikolaou NC, Hatzidaki EG, Belivanis S, et al. Lead toxicity update. A brief review. Med Sci Monit. 2005; 11(10): RA329–36.
11.
Draft Toxicological profile for cadmium. U.S. Department of Health and Human Services. Public Health Service. Agency for Toxic Substances and Disease Registry, 2008.
12.
Maes M, De Vos N, Demeds P, Wauters A, Neels H. Lower serum zinc in major depression in relation to changes in serum acute phase proteins. J Affect Disord. 1999; 56(2–3): 189–194.
13.
Chan OY, Poh SC, Lee HS, et al. Respiratory function in cadmium battery workers: A follow up study. Ann Acad of Med Singapore 1988; 17(2): 283–287.
14.
Malacara JM, Perez-Luque EL, Martinez- Garza S, Sànchez – Marin FJ. The relationship of estrogen receptor- alpha polymorphism with symptoms and other characteristicks in post – menopausal women. Maturitas 2004; 49(2): 163–169.
15.
Spitzer R, Kroenke K, Wiliams JB. Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Primary care evaluation of mental disorders. JAMA 1999; 282(18): 1737–1744.
16.
Beck AT, Ward C, Mendelson M, et al. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 561–571.
17.
Siwek M, Dudek D, Zięba A, Nowak G. Stężenie cynku w surowicy jako obwodowy marker zaburzeń depresyjnych. Farmakoterapia w Psychiatrii i Neurologii 2006; 3–4: 141–149.
18.
Schlegel-Zawadzka M, Zięba A, Dudek D. Zwyczaje żywieniowe a zawartość cynku we krwi u pacjentów w chorobach afektywnych. Badanie wstępne. Żywienie człowieka i metabolizm 2000; 27: 216–219.
19.
Eum KD, Korrick SA, Weuve J, Okereke O, Kubzansky LD, et al. Relation of cumulative low-level lead exposure to depressive and phobic anxiety symptom scores in middle-age and elderly women. Environ Health Perspect. 2012; 120(6): 817–23.
20.
Scinicariello F, Buser MC. Blood cadmium and depressive symptoms in young adults (aged 20–39 years). Psychol Med. 2014; 45(4): 807–15.
21.
Stanley PC, Wakwe VC. Toxic trace metals in the mentally ill patients. Niger Postgrad Med J. 2002; 9(4): 199–204.
22.
Bouchard M, Bellinger DC, Weisskopf MG. Blood lead levels and major depressive disorder, panic disorder, and generalized anxiety disorder in U.S. young adults. Arch Gen Psychiatry 2009; 66(12): 1313–9.
23.
Collins A, Landgren BM. Experience of symptoms during transition to menopause: a population based longitudinal study. In: Berg G, Hammar M, editors. The Modern Management of the Menopause, London; 1994.
24.
Rickles K, Schweizer E. The clinical course and long – term management of generalizedanxiety disorder. J Clin Psychopharmacol. 1990; 10(3): 101S-110S.