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Effects of blood lead level on biochemical and hematological parameters in children with neurological diseases of Western Maharashtra, India

  • Shilpa A. Pratinidhi EMAIL logo , Arun J. Patil , Manaskumar Behera , Maya Patil , Dnyaneshwari P. Ghadage and Asha K. Pratinidhi

Abstract

Background: Lead is found in small but appreciable quantities in air, soil, drinking water, and food. Exposure to such amounts of lead does not lead to acute lead toxicity but produces subtle effects particularly in children. The aim of this study was to investigate the effects of blood lead level on biochemical and hematological parameters in children with neurological diseases in Western Maharashtra, India, and to estimate the blood lead level by liver and kidney function tests and hematological parameters in children with neurological disorders admitted to the pediatric ward and compare them with healthy controls.

Methods: In this study, 30 children with various neurological disorders admitted to the pediatric ward of Smt. Kashibai Navale Medical College and General Hospital, Pune, Maharashtra, India, were compared with 30 age- and sex-matched healthy controls. Four milliliters of venous blood was collected for estimation of blood lead level, and biochemical and hematological parameters were determined using standard methods.

Results: Blood lead level was significantly increased in the study group (p<0.01, 65.38%) compared to that in the control group. When different neurological conditions were grouped into three groups according to blood lead levels, there was a significant difference between the groups. All other biochemical and hematological parameters were not significantly altered in the study group as compared to the control group.

Conclusions: Neurologically challenged children are more vulnerable to lead intoxication. It is imperative for the parents to take extra care of their children’s food habits and limit hand-to-mouth activities to prevent lead intoxication.


Corresponding author: Dr. Shilpa A. Pratinidhi, Department of Biochemistry, Smt. Kashibai Navale Medical College and General Hospital, Pune-411041, Maharashtra, India, Phone: +91 09822879665, E-mail:

Acknowledgments

We express our deep gratitude to all study and control group children who consented to volunteer in this project. We are grateful to all residents of the pediatric department who helped in blood collection. We also acknowledge the research facilities provided by Smt. Kashibai Navale Medical College and General Hospital, Pune, Maharashtra, India, and Krishna Institute of Medical Sciences University, Karad, Maharashtra, India. We are indebted to Dr. R. K. Ayachit, Director of Health Sciences, Krishna Institute of Medical Sciences University, Karad, Maharashtra, India, for valuable help.

Conflict of interest statement

Authors’ conflict of interest disclosure: The authors stated that there are no conflicts of interest regarding the publication of this article.

Research funding: None declared.

Employment or leadership: None declared.

Honorarium: None declared.

References

1. Agency for Toxic Substances and Disease Registry (ATSDR). Toxicological profile for lead. Atlanta, GA: US Department of Health and Human Services, 2005:102–225.Search in Google Scholar

2. World Health Organization. Biological indices of lead exposure and body burden. In: IPCS, Inorganic lead, Environmental Health Criteria 118. Geneva, Switzerland: WHO, 1995;165:114–8.Search in Google Scholar

3. Hipkins KL, Materna BL, Kosnett MJ. Medical surveillance of the lead exposed worker: current guidelines. Am Assoc Occup Health Nutr 1998;46:330–9.10.1177/216507999804600705Search in Google Scholar

4. Patil AJ, Bhagwat VR, Patil JA, Dongre NN, Ambekar JG, Jailkhani R, et al. Effect of lead (Pb) exposure on the activity of superoxide dismutase and catalase in battery manufacturing workers (BMW) of Western Maharashtra (India) with reference to heme biosynthesis. Int J Environ Res Public Health 2006;3:329–37.10.3390/ijerph2006030041Search in Google Scholar

5. Patil AJ, Bhagwat VR, Patil JA, Dongre NN, Ambekar JG, Das KK. Biochemical aspects of lead exposure in silver jewelry workers in Western Maharashtra (India). J Basic Clin Physiol Pharmacol 2006;17:213–29.10.1515/JBCPP.2006.17.4.213Search in Google Scholar

6. Brochin R, Leone S, Phillips D, Shepard N, Zisa D, Angerio A. The cellular effect of lead poisoning and its clinical picture. GUJHS 2008;5:2.Search in Google Scholar

7. Patel A. How does lead affect the nervous system? Biology 202, 2000 Second Web Report On Serendip. Available at: http://serendip.brynmawr.edu/bb/neuro/neuro00/web2/Patel.html#3.Search in Google Scholar

8. Declaration of Helsinki (1964), amended by World Medical Assembly, Venice, Italy, 1983. Br Med J 1996;313:1448–9.Search in Google Scholar

9. Lead Care II blood lead test kit package insert. ESA Biosciences, Inc., Chelmsford, MA. Available at: http://www.waivedleadcare.com/download/70-6869-2_RevF.pdf. Accessed: 20 April 2011.Search in Google Scholar

10. Keiding R, Hörder M, Denmark WG, Pitkänen E, Tenhunen R, Strömme JH, et al. Recommended Methods for the Determination of Four Enzymes in Blood. Scand J Clin Lab Invest 1974;33:291–306.10.3109/00365517409082499Search in Google Scholar

11. Henry RJ, Cannon DC, Winkelman JW. Method for increasing shelf life of a serum conjugated bilirubin reference composition and composition produced thereby. In: Clinical chemistry, principles and techniques, 2nd ed. New York: Harper & Row Publishers, 1974:1038–70.Search in Google Scholar

12. Kassirer JP. Clinical evaluation of kidney function, glomerular function. N Engl J Med 1971;9:285–385.Search in Google Scholar

13. Laron K. Creatinine assay by reaction kinetic approach. Clin Chem Acta 1972;41:209–17.10.1016/0009-8981(72)90513-XSearch in Google Scholar

14. Young DS, Thomas DW, Friedman RB, Pestaner LC. Bibliography: drug interferences with clinical laboratory tests. Clin Chem 1972;18:1041.10.1093/clinchem/18.10.1041Search in Google Scholar

15. Henry RJ. Enzymes. In: Clinical chemistry, principles and techniques. New York: Harper & Row Publishers, 1974:815.Search in Google Scholar

16. Biggs HG, Moorehead WR. Determination of serum calcium. Clin Chem 1974;20:1458–60.Search in Google Scholar

17. Daly JA, Ertingshausen G. Direct method for determining inorganic phosphorus in serum with centrichem. Clin Chem 1972;18:263.10.1093/clinchem/18.3.263Search in Google Scholar

18. Wang J, Chen CC, Osaki S. Optimization of the phosphorus-UV reagent. Clin Chem 1983;29:1255.Search in Google Scholar

19. World Health Organization. Biological indices of lead exposure and body burden. In: IPCS, Inorganic lead: Environmental Health Criteria 118. Geneva, Switzerland: WHO, 1995;165:114–8.Search in Google Scholar

20. Cohen D, Johnson WT, Caparulo BK. Pica and elevated blood lead level in autistic and atypical children. Am J Dis Child 1976;130:47–8.10.1001/archpedi.1976.02120020049007Search in Google Scholar PubMed

21. Gibson JL. A plea for painted railings and painted walls of rooms as the source of lead poisoning amongst Queensland children. Australasian Medical Gazette, 24 April 1904. Reprinted in Public Health Rep 1904;120:301–4.Search in Google Scholar

22. Lewendon G, Kinra S, Nelder R, Cronin T. Should children with developmental and behavioural problems be routinely screened for lead? Arch Dis Child 2001;85:286–8.10.1136/adc.85.4.286Search in Google Scholar PubMed PubMed Central

Received: 2013-5-13
Accepted: 2013-10-11
Published Online: 2013-11-23
Published in Print: 2014-5-1

©2014 by Walter de Gruyter Berlin/Boston

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