Association Between Lifetime Cadmium Intake and Urinary Cadmium Concentration Among Residents of the Jinzu River Basin Following Soil Remediation

Cadmium (Cd), a widespread pollutant, is primarily absorbed via diet and smoking. Chronic Cd exposure has been associated with various adverse health effects, including renal tubular and skeletal damage. Urinary Cd concentration accurately reflects cumulative Cd exposure owing to its strong correlation with renal cortical Cd levels. This study evaluated the accuracy of estimated lifetime Cd intake by examining its correlation with urinary Cd levels after soil remediation, an aspect unreported even in the Kakehashi River Basin. A total of 565 men and 450 women were included. Lifetime Cd intake (g) was estimated using an established exposure assessment model that incorporated individual residential history, rice Cd concentrations, and dietary assumptions. Urinary Cd concentrations were determined using inductively coupled plasma mass spectrometry. Linear regression analyses were conducted between lifetime cadmium intake and urinary cadmium concentration. The obtained standardized regression coefficients were 0.49 for men and 0.54 for women (both p < 0.001), indicating strong associations. Despite possible exposure misclassification, these findings support the utility of lifetime cadmium intake as a useful surrogate indicator of cumulative cadmium exposure and provide further evidence for its application in risk assessment and the derivation of tolerable cadmium intake values.