KnE Life Sciences

ISSN: 2413-0877

The latest conference proceedings on life sciences, medicine and pharmacology.

Urinary Cadmium and Albumin Levels among Residents Living Close to Dumpsite in the Deli Serdang District of Indonesia

Published date: May 17 2018

Journal Title: KnE Life Sciences

Issue title: The 2nd International Meeting of Public Health 2016 (IMOPH) – Part I

Pages: 459–468

DOI: 10.18502/kls.v4i4.2307

Authors:
Abstract:

Albuminuria is a pathological condition wherein the protein albumin is present in urine. Albumin levels can be used as biomarker of kidney damage caused by cadmium (Cd). Many factors influence albuminuria, including environmental conditions, lifestylerelated factors, and sociodemographic characteristics. This study examined the association of sociodemographic characteristics with both urinary Cd levels and urinary albumin levels among rural residents living close to a dumpsite in Namo Bintang village. This study used a cross-sectional design, and the study population consisted of adult men and women (n = 99) who were selected using the stratified random sampling method based on the distance from their homes to the landfill. The
data were analyzed using Spearman’s Rho and Mann–Whitney tests. Urinary albumin was determined using the urinary albumin (µg)/creatinine (mg) ratio, and urinary Cd levels were normalized to Cd (µg)/creatinine (g). Urinary albumin was measured by spectrophotometric and enzymatic analyses. Urinary Cd levels were determined using a graphite furnace atomic absorption spectrophotometer in spot urine sampled at
baseline. The characteristics of the participants, such as age, body mass index (BMI), sex, Cd exposure, occupation, and smoking status, were obtained through a direct interview using a questionnaire. The average urinary albumin level was 8.69 ± 14.55 µg/mg creatinine, and the average urinary Cd level was 35.1 ± 32.65 µg/g creatinine. Women had a higher risk than men of having albumin in their urine, pointing to an association between sex and urinary albumin levels (p = 0.041). Based on the findings of this study, local government officials should advise rural residents in dumpsite areas not to use well water for drinking and to check the water quality regularly to prevent urinary disease.


Keywords: Albuminuria, Urinary Cadmium, Dumpsite

References:

[1] Almeida, J.A., Barreto, R.E., Novelli, L.B., Castro, F.J., and Moron, S.E. 2009. Oxidative stress biomarkers and aggressive behavior in fish exposed to aquatic cadmium contamination. Neotropical Ichtyology 7:103-108.


[2] Akerstrom,M., Sallsten, G., Lundh, T., and Barregard, L. 2013. Associations between urinary excretion of cadmium and proteins in a nonsmoking population: renal toxicity or normal physiology? Environmental Health Perspectives 121:(2).


[3] Arain et al. 2015. Co-exposure of arsenic and cadmium through drinking water and tobacco smoking: risk assessment on kidney dysfunction. Environmental Science and Pollution Research 22:(1);350-357.


[4] Ashar. 2015. Analisis Risiko Asupan Kadmium Melalui Oral Terhadap Terjadinya Proteinuria Pada Masyarakat di Sekitar Tenpat Pembuangan Sampah Namo Bintang. [Disertasi]. Fakultas Kesehatan Masyarakat: USU.


[5] Ashar, T. and Santi, D.N. 2011. Hubungan Antara Jarak Tempat Pembuangan Akhir Sampah Ke Sumur Gali Dengan Kandungan Kadmium Pada Air Sumur Gali Di Desa Namo Bintang Kecamatan Pancur Batu Kabupaten Deli Serdang. Laporan Penelitian. Dana Masyarakat Lembaga Penelitian: USU


[6] Agency for Toxic Substances and Disease Registry - ATSDR. 2010. Toxicological profile for cadmium. US Department of Human and Health Services.


[7] Chowta, N.K., Pant, P., and Chowta, M.N. 2009. Microalbuminuria in diabetes mellitus: association with age, sex, weight and creatinine clearance. Indian Journal of Nephrology 19:(2).


[8] Fribeg, I. 1984. Cadmium and the kidney. Environmental Health Perspectives 54:1- 11.


[9] Haddam, N., Samira, S., Dumont, X., Taleb, A., Lison, D., Haufroid, V., et al. 2011. Confounders in the assessment of the renal effects associated with low-level urinary cadmium: an analysis in industrial workers. Environmental Health 10:37.


[10] Haswell-Elkins, M., Satarug, S., and O’Rourke, P. 2008. Striking association between urinary cadmium level and albuminuria among Torres Strait Islander people with diabetes. Environ Res 106:(3);379-383.


[11] Hotz, P., Butchet, J.P., and Bernard, A. 1999. Renal Effects of low-level environmental cadmium exposure: 5 year follow up of a sub-cohort from the Cadmibel study. Lancet. 354:(9189);1508-1513.


[12] Iqbal, M.A. and Gupta, S.G. 2009. Studies on heavy metal ion pollution of ground water sources as an effect of municipal solid waste dumping. African Journal of Basic and Applied Sciences 1:(5-6);117-122.


[13] Järup, L. and Åkesson, A. 2009. Current status of cadmium as an environmental health problem. Toxicol Appl Pharmacol 238:(3);201-208.


[14] Kee, J.L. 1997. Buku Saku Pemeriksaan Laboratorium dan Diagnostik dengan Implikasi Keperawatan. EGC: Jakarta.


[15] Lane, J.T. 2004. Microalbuminuria as a marker of cardiovascular and renal risk in diabetes mellitus: a temporal perspective. Am J Physiol Renal Physiol 286:F442- F450.


[16] Metcalf, P., Baker. J., Scott, A., Wild, C., Scragg, R., and Dryson, E. 1992. Albuminuria in people at least 40 years old. Effect of obesity, hypertension and hyperlipidemia. Clinical Chemistry 38:1802-1808.


[17] Mueller, P.W. 1993. Detecting the renal effects of cadmium toxicity. Clinical Chemistry 39:743-745.


[18] Miller, W.G., Bruns, D.E., Hortin, G.L., Sanberg, S., Aakre, K.M., McQueen, M.J., et al. 2009.Current issues in measurement and reporting of urinary albumin excretion. Clinical Chemistry 55:(1);24-38.


[19] Nagel, G., Zitt, E., Peter, R., et al. 2013. Body mass index and metabolic factors predict glomerular filtration rate and albuminuria over 20 years in a high-risk population. BMC Nephrology 14:177.


[20] Nainggolan, L.F.M. 2011. Analisa Kandungan Kadmium Sumur Gali Masyarakat di Sekitar TPA Namobintang Kecamatan Pancurbatu Kabupaten Deli Serdang Tahun 2011, [Skripsi], Medan: Universitas Sumatera Utara, Program Sarjana.


[21] National Kidney Disease Education Program. 2010. Urine albumin-to-creatinine rati in evaluating with diabetes for kidney disease. U.S. Department of Health and Human Services: National Institutes of Health Publication.


[22] Noonan, C.W., Sarasua, S.M., Campagna, D., Jeffrey, S.J., Lybarger, A., and Muelle, P.W. 2002. Effects of exposure to low levels of environmental cadmium on renal biomarkers. Environmental Health Perspectives 110:(2);200.


[23] Orth, S.R., Ritz, E., and Schrier, R.W. 1997. The renal risks of smoking. Kidney International 51:1669-1677.


[24] Pranandari, R. and Supadmi. 2015. Faktor Risiko Gagal Ginjal Kronik Di Unit Hemodialisis Rsud Wates Kulon Progo. Majalah Farmaseutik 11:(2).


[25] Qasim. 1994. Sanitary landfill leachate generation, control & treatment. Technomic Publishing Company.


[26] Robert M. Bisep, A. Lusia Panda, and Eko E. Surachmanto. 2012. Hubungan Ekskresi Albuminuria dengan Penyakit Jantung Hipertensi di BLU/RSUP Prof. Dr. R D. Kandou Manado. (Skripsi) Fakultas Kedoktern Universitas Samratulangi: Manado.


[27] Roels, H. and Hoet, P. 1999.Usefullness of biomarkers of exposure to inorganic mercury, lead, or cadmium in controlling occupational and environmental risks of nephrotoxicity. Renal Failure 21:3-4.


[28] Sherwood, L. 2001. Fisiologi Manusia: dari Sel ke Sistem, Ed: 2. Penerbit Buku Kedokteran EGC: Jakarta.


[29] Thobanoglous, G. and Theisen. 2008. Integrated solid waste management. Mc GrawHill International Edition, 1993 UNEP.

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