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Mititelu et al. 2025 - Heavy metal contamination in food: review of sources, speciation, and health outcomes

Mititelu et al. (2025) is a narrative review of Pb, Cd, Hg/MeHg, As/iAs, Ni, Cr, and Sn across food, water, and human biomonitoring contexts. Its value for the HMI wiki is as a secondary synthesis: it compiles regulatory values and published occurrence examples across cereals, rice, fish, dairy, baby foods, canned foods, and other matrices, but it does not generate original concentration data or provide a pooled meta-analysis. Any occurrence value below should be traced to the cited primary study before use in contamination-profile math.

Key numbers

Regulatory values compiled in Table 1, plus tin narrative limits

The review’s Table 1 compiles selected limits from FDA, EFSA/EU, EPA, and WHO. The two Codex tin rows below come from the review’s tin narrative rather than Table 1. These rows are source-side summaries and should be checked against the operative legal text before legal use.

Metal/speciesMatrix or food categoryValue in the reviewSource-side attribution / caveat
PbCereals and grains0.02 mg/kgFDA, EFSA
PbVegetables; fruits; meat and offal0.10 mg/kgEFSA
PbFish and seafood0.30 mg/kgEFSA
PbMilk and dairy products0.02 mg/kgEFSA
PbBottled/drinking water0.005 mg/L FDA; 0.01 mg/L EPA/WHOWater row, not food matrix
PbJuice0.05 mg/L (50 ppb)FDA
PbCandy0.1 mg/kg (100 ppb)FDA
PbBaby foods (fruits, vegetables, yogurts, dry cereals)proposed 0.01 mg/kg (10 ppb)FDA; do not confuse with the separate candy row
CdCereals and grains; root and tuber vegetables; legumes0.10 mg/kgEFSA
CdLeafy vegetables0.20 mg/kgEFSA
CdFish and seafood; meat excluding offal0.05 mg/kgEFSA
CdDrinking water0.005 mg/L FDA; 0.003 mg/L EPA/WHOWater row, not food matrix
HgFish and seafood, general0.5 mg/kgEU regulation
HgLarge predatory fish such as tuna or shark1.0 mg/kgEU regulation
HgDrinking water0.002 mg/L FDA; 0.001 mg/L EPA/WHOWater row, not food matrix
As (source Table 1 label)Rice and rice-based products0.1 mg/kgEFSA; the review table labels this under arsenic rather than a cleanly separated species
As (source Table 1 label)Rice cereals for infants0.1 mg/kg / 100 ppbFDA; the underlying FDA rice-cereal action level is inorganic arsenic, but the review table labels the metal as As
As (source Table 1 label)Bottled/drinking water0.01 mg/LFDA, EPA, WHO
NiCereal-based products0.20 mg/kgEFSA
NiChocolate and cocoa products0.80 mg/kgEFSA
NiNuts and seeds0.50 mg/kgEFSA
SnCanned beverages150 mg/kgCodex
SnCanned foods other than beverages250 mg/kgCodex

The table also includes a chromium row labeled “Chromium (Cr VI)” while describing the matrix as “All food (total Cr)” at 0.05 mg/kg. Treat that as a source-side speciation ambiguity, not a clean Cr(VI)-specific food limit.

Occurrence values summarized by the review

These are review-cited occurrence examples, not new measurements from Mititelu et al.

Metal/speciesMatrix / country or contextValue reported by the reviewNotes
CdStaple crops such as cereals and vegetables0.01-0.20 mg/kgNarrative summary from the review’s cited literature
CdGermany, cereals29.18 ug/kgTable 3
CdGhana, rice grain13.4 ug/kgTable 3
CdBolivia, rice grain23.05 ug/kgTable 3
CdIndia, rice grain27.55 ug/kgTable 3
CdItaly, cereals6.24-54.52 ug/kgTable 3
PbBrazil, grains/cereals/products0.056 mg/kgTable 4
PbItaly, cereals and cereal products11.427 ug/kgTable 4
PbMexico, infant rice cereal1.005 mg/kgTable 4
PbMexico, pre-cooked rice0.276 mg/kgTable 4
PbMexico, whole wheat bread0.447 mg/kgTable 4
AsEgypt, white rice0.01-0.58 mg/kgTable 5
AsFrance, white rice0.09-0.56 mg/kgTable 5
AsJapan, white rice0.07-0.42 mg/kgTable 5
AsUnited Kingdom, baby rice0.11 mg/kgTable 5
AsUnited States, white rice0.03-0.66 mg/kgTable 5
HgUnited States, canned tuna0.096-0.431 mg/kgTable 2
HgRepublic of Korea, canned fishery products0.02-0.13 mg/kgTable 2

Tin examples from Table 6

Tin is the strongest canning-specific contribution from this review. The review distinguishes low ug/kg total-diet-study values from much higher mg/kg concentrations in canned products, especially unlacquered or corroding cans.

Matrix / countrySn value reported by the reviewUnit context
Italy, cereals and cereal products (pasta, rice, bread, salty snacks)3.6 ug/kgLow-level total diet / food-category value
Italy, aged cheese5.05 ug/kgLow-level total diet / food-category value
Italy, meat and meat products5.73 ug/kgLow-level total diet / food-category value
Italy, preserved and tinned fish10.41 ug/kgLow-level total diet / food-category value
France, unlacquered canned tomatoes46-156 mg/kgCanned-food migration context
France, unlacquered canned pineapples44-136 mg/kgCanned-food migration context
France, unlacquered canned fruit cocktail88-107 mg/kgCanned-food migration context
France, lacquered canned tomatoes3.2-8.8 mg/kgCanned-food migration context
France, lacquered canned carrots0.08 mg/kgCanned-food migration context
Malaysia, canned vegetables96-937 mg/kgCanned-food migration context; includes values above Codex’s 250 mg/kg non-beverage ML

Human biomonitoring values cited from NHANES

The review cites NHANES medians as exposure-context values: total urinary arsenic 8.4 ug/L, blood cadmium 0.3 ug/L, blood mercury 0.86 ug/L, and blood lead 0.85 ug/dL. It also states that about 2.5% of US children aged 1-5 years had blood lead above the 5 ug/dL reference value in the NHANES period discussed.

Methods

The authors describe a qualitative narrative-review workflow using PubMed, Scopus, Web of Science, and Google Scholar. Search terms included “heavy metals,” “food contamination,” “food toxicity,” “mercury,” “lead,” “cadmium,” “arsenic,” and “tin.” Eligible articles addressed contamination sources, pathophysiological mechanisms, and health effects. The review does not report PRISMA screening counts, risk-of-bias assessment, LOD/LOQ harmonization, or meta-analytic pooling.

Speciation and methods caveats

  • Arsenic is discussed as both total arsenic and inorganic arsenic, with toxicity concentrated in inorganic As(III) and As(V). Rice/rice-cereal regulatory comparisons should use iAs where the legal standard is iAs-specific.
  • Mercury is discussed as total mercury, inorganic mercury, and methylmercury. Fish-consumption risk language should not substitute total Hg for MeHg unless the source or regulation permits that mapping.
  • Frontmatter includes iAs and MeHg because the review discusses those species and cites species-specific regulatory/toxicological contexts. The occurrence tables summarized above should still be treated as total-or-unspecified arsenic and mercury unless the cited primary study confirms species.
  • Tin is treated as total Sn in the occurrence tables, with the mechanistic discussion focused on inorganic tin migration from canned-food packaging.
  • The chromium limit row in Table 1 mixes a Cr(VI) label with “total Cr” language. Do not use that row as a clean species-specific Cr(VI) regulatory value.

Implications

Standards work: This is a useful secondary source for identifying regulatory comparators and locating primary studies for cereal, rice, canned-food, fish, dairy, and baby-food matrices. It should not be used as a primary occurrence distribution unless the underlying study is traced.

Courses: The review is useful for explaining why species-level language matters: iAs differs from tAs, MeHg differs from tHg, and inorganic Sn migration from cans is a different problem from low background Sn in cereals.

App: The tin section is useful for flagging canned-food packaging as a risk modifier. The Italy cereal Sn value of 3.6 ug/kg is a review-cited secondary value, not a profile-ready primary measurement.

Microbiome: Not addressed in this review.

Wiki pages updated on ingest

Verification notes

  • Merge-enhanced 2026-05-18 from the full manual-fetch PDF path and SHA-256 recorded in frontmatter.
  • Corrected the prior Pb baby-food line: Table 1 lists candy at 0.1 mg/kg and proposed FDA baby-food Pb at 0.01 mg/kg, not a baby-food range of 0.10/0.01 mg/kg.
  • Corrected the prior Cd grouping: Table 1 lists legumes at 0.10 mg/kg, while fish/seafood and meat excluding offal are 0.05 mg/kg.
  • Clarified that the Codex tin 150/250 mg/kg values come from the review’s tin narrative rather than Table 1.
  • Replaced invalid regulation wikilinks with existing or newly created regulation anchors.
  • The Codex tin regulation slug was created during this ingest under the current Part 10 regulation-page rule, so it may not yet appear in the static taxonomy snapshot used by audit agents.
  • Strict brand-firewall check: no consumer brand or manufacturer names are named. Method database and agency names are retained.

Page history

The five most recent substantive edits to this page. The full version history lives in git; when DOI minting comes online (see schema docs), each entry below will also link to a version-pinned DataCite DOI.

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b0f3d382026-06-12batch | corpus rescreen b04 old terminal skips