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Aluminum utensils contribute to aluminum accumulation in patients with renal disease
Abstract
Presently, aluminum utensils are widely used in the world, especially in the developing countries. However, whether aluminum leaching from such utensils contributes to aluminum accumulation or causes any damage in patients with renal disease remains unknown. We designed a prospective study to evaluate this problem. After excluding patients who were not examined at follow-up or who poorly complied during the study period, the opened randomized study consisted of 42 patients with chronic renal insufficiency (creatinine clearance 10 mL/min). All patients had not taken any aluminum-containing agents for 3 months, but used aluminum kitchen utensils for more than 1 year. Twelve patients comprised the control group; the other 30 patients comprised the study group. The aluminum kitchen utensils used by the study group patients were replaced with stainless steel utensils for 3 months, but those used by the control group were not. After 3 months, the decrements of serum aluminum (5.5 +/- 4.6 microg/L v 2.1 +/- 3.5 microg/L; P = 0.012) and daily urine aluminum excretion (14.3 +/- 15.2 microg/d v 2.1 +/- 5.6 microg/d; P = 0.005) in the study group patients were greater than those in the control group patients. The increments of transferrin saturation of the study group patients (1.8% +/- 9.5% v -3.7% +/- 9.5%; P = 0.052) were greater than those of the control group patients. In addition, the increments of iron (r = 0.368, P = 0.035) and transferrin saturation (r = 0.345, P = 0.049) posit…
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The migration of aluminium from cookware into food increases with the acidity of the food and the duration of exposure.
“The migration of Al from cookware into food increases with the acidity of the food and the duration of exposure (Valkonen and Aitio, 1997; Lin et al. 1997).”
From Aluminium toxicosis: a review of toxic actions and effects (2019) · cites this paper as Lin et al. 1997
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Aluminium toxicosis: a review of toxic actions and effects
Igbokwe, I. O., Igwenagu, E., & Igbokwe, N. A. (2019) · Interdisciplinary Toxicology · doi:10.2478/intox-2019-0007 · Cited by 395
Metadata
- Authors
- Ja-Liang, L., Yu-Jen, Y., Sun-Shen, Y., & Mei-Ling, L.
- Affiliations
- Chang Gung Memorial Hospital (TW)
- Venue
- American Journal of Kidney Diseases
- Publisher
- Elsevier BV
- Published
- 1997-11
- Volume
- 30
- Issue
- 5
- Pages
- 653-658
- ISSN
- 0272-6386 (ISSN-L)
- OpenAlex
- W2089798522
- Cited by
- 43
- References
- 0
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 2 · 2016: 1 · 2015: 1 · 2013: 1 · 2012: 5
- FWCI
- 0.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Kidney Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Aluminum toxicity and tolerance in plants and animals
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Heavy Metal Exposure and Toxicity
- Health Sciences › Medicine › Nephrology › Parathyroid Disorders and Treatments
- Keywords
- aluminum accumulation, chronic renal insufficiency, aluminum leaching, serum aluminum, transferrin saturation, serum iron
- MeSH terms
- Adult, Aged, Aluminum, Cooking and Eating Utensils, Creatinine, Female, Humans, Iron, Kidney Failure, Chronic, Male, Middle Aged, Prospective Studies, Random Allocation, Stainless Steel, Time Factors, Transferrin
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