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Determinants of aflatoxin M 1 in breast milk in a selected group of Egyptian mothers

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In Egypt, there is a paucity of biomarker data on aflatoxin (AF) exposure. The study assessed the level and frequency of breast milk AFM 1 as a biomarker of maternal exposure. Breast milk samples were collected from a selected group of 388 Egyptian lactating mothers of children attending the New El-Qalyub Hospital, Qalyubiyah governorate, Egypt, during May–September 2003. Following aflatoxin extraction, AFM 1 levels were assessed by high-performance liquid chromatography (HPLC) with fluorescence detection. Approximately 36% of mothers tested positive for AFM 1 (median 13.5pgml −1 , interquartile range (IQR) 10.27–21.43). Non-working status ( p =0.018, odds ratio (OR)=2.87), obesity ( p =0.004, OR=3.01), high corn oil consumption ( p =0.002, OR=2.21), number of children (>1) ( p =0.025, OR=1.99), and early lactation stage (
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Keywords: Egypt; aflatoxin M1; breast milk; exposure; infants

Document Type: Research Article

Affiliations: 1: Department of Food Toxicology and Contaminants, National Research Centre, Dokki, Egypt 2: Molecular Epidemiology Unit, Centre for Epidemiology and Biostatistics, Leeds Institute of Genetics, Health and Therapeutics, University of Leeds, Leeds LS2 9JT, UK 3: Department of Clinical Nutrition

Publication date: July 1, 2006

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