1. Aflatoxin M1 in human breast milk: A global systematic review, meta-analysis, and risk assessment study (Monte Carlo simulation)
- Author
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Carlos Humberto Corassin, Yadolah Fakhri, Amin Mousavi Khaneghah, Jamal Rafique, Larissa Tuanny Franco, Carlos Augusto Fernandes de Oliveira, Sumbal Saba, and Jamal Rahmani
- Subjects
Aflatoxin ,04 agricultural and veterinary sciences ,Hazard index ,010501 environmental sciences ,Biology ,REVISÃO SISTEMÁTICA ,040401 food science ,01 natural sciences ,Sierra leone ,0404 agricultural biotechnology ,Environmental health ,Meta-analysis ,Risk assessment ,Human breast milk ,0105 earth and related environmental sciences ,Food Science ,Biotechnology - Abstract
Background In this current study, a systematic review and meta-analysis in a global scale regarding the prevalence and concentration of aflatoxin M1 (AFM1) in the human breast milk were conducted based on the socioeconomic indexes and amounts of precipitation. Scope and approach All available studies published in PubMed, Scopus, Web of sciences and Embase databases were screened between 1 January 1983 and 25 December 2017. Also, the probabilistic carcinogenic risk by the hazard index (HI) in the Monte Carlo simulation (MCS) was calculated. Key findings and conclusions The meta-analysis of 57 papers containing 196 studies showed that the minimum and maximum concentrations of AFM1 in human breast milk was noted in Sierra Leone (0.80 ng/L) and the United Arab Emirates (UAE) (465.76 ng/L), respectively. The lowest prevalence of AFM1 in human breast milk was reported in Brazil (2%) while the highest was observed in the Gambia ∼ Tanzania ∼ Jordan (100%). The minimum and maximum concentrations of AFM1 in human breast milk were observed in America (10.30 ng/L) and South-East Asia continents (358.99 ng/L), respectively. Also, the lowest and highest prevalence of AFM1 in human breast milk was observed in the West Pacific (7%) and Africa (52%) continents, respectively. According to findings, with increasing average rain annual and poverty (GDP ranking), the prevalence of AFM1 in human breast milk significantly (P-value
- Published
- 2019
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