Effects of cadmium on forearm bone density after reduction of exposure for 10 years in a Chinese population

The main focus of this study was to evaluate long term effects of cadmium on forearm bone mineral density after stopping ingestion of cadmium-polluted rice for 10 years in a Chinese population. A total of 532 persons (338 women and 194 men), living in control, moderately and heavily polluted areas, were included in this study. The residents living in the polluted area ceased ingesting cadmium-polluted rice in 1996. All participants were require to answer a questionnaire and the bone mineral density (BMD) was measured by dual energy X-ray absorptiometry (DXA) at the proximal radius and ulna. Samples of urine and blood were collected for determination of cadmium in urine (UCd) and blood (BCd).The BMD of subjects living in the heavily polluted area was significantly lower than that of those living in control area in both men and women (p < 0.01). For the people living in the moderately polluted area, only the women's BMD was greatly lower compared to that in the control area (p < 0.05). The BMD declined with the increasing BCd and UCd in both sexes, especially in the highest level (BCd > 5 µg/L, UCd > 10 µg/g crea) groups (p < 0.01). It was found that there were significant differences in the prevalence of osteoporosis among the different areas (χ² = 13.046, p = 0.0003) and different UCd groups (χ² = 4.511, p = 0.0337) in women, but not in men (χ² = 0.962, p = 0.3268; χ² = 1.906, p = 0.1675). But a significant difference exists in the prevalence of osteoporosis among different BCd groups in both genders (χ² = 9.304, p = 0.00229, in women; χ² = 4603, p = 0.0319, in men). This study suggested that cadmium could play a long-term role on bone and more attention should be paid to cadmium effects on bone metabolism after reduction of exposure.