Mercury Intake Estimation in Adult Individuals from Trieste, Italy: Hair Mercury Assessment and Validation of a Newly Developed Food Frequency Questionnaire

Andrea De Giovanni; Vincenzo Iannuzzi; Gianni Gallello; Cristina Giuliani; Mauro Marini; M. Luisa Cervera; Donata Luiselli;

Seafood constitutes the primary source of exposure to the organic form of mercury in the general population, and the Trieste Gulf is considered a hotspot of mercury contamination. We used a newly developed quantitative food frequency questionnaire to obtain an estimation of the intake of mercury through seafood consumption in a sample of 32 individuals from Trieste. Then, we validated the results obtained from the questionnaire against those of the analysis of total mercury measured in the hair of the same individuals through Spearman rank correlation coefficients, Cohen’s weighted Kappa statistic, and a Bland-Altman plot. The Spearman rank correlation coefficient and Cohen’s weighted Kappa statistic were 0.76 and 0.69, respectively. In the Bland-Altman plot, 93.75% of the data points lay within the acceptability range. The plot revealed an ever-increasing overestimation of mercury intake by the questionnaires as the hair mercury increased. By applying a standardized filtering procedure to the results of the questionnaires, we obtained a Spearman rank correlation coefficient and Cohen’s weighted Kappa statistic of 0.69 and 0.57, respectively. In this Bland-Altman plot, 93.75% of the data points lay within the acceptability range. In this latter plot, the proportionality between the mean difference and the magnitude of the measurement was more subtle compared to that observed in the plot built upon the non-filtered questionnaires. This preliminary study shows the high accuracy of the reported questionnaire in the estimation of habitual mercury intake, similar to the one measured through the analysis of hair.


2023 - Journal article


Pollutants 3 (2023). doi:10.3390/pollutants3030022


Keywords: Mercury, food frequency questionnaire, validation, Bland-Altman plot, hair mercury


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The research activities of the Institute are carried out in the context of research, development and innovation projects, both national and international, based on regional funding programs (POR FEAMPA - Regional Operational Program of the European Maritime Affairs Fisheries Fund and Aquaculture and POR FESR - Regional Operational Program of the European Regional Development Fund) or ministerial (PRIN - Projects of relevant national interest, PNRA - National Research Program in Antarctica, PO FEAMPA - National Operational Program European Maritime Affairs Fisheries and Aquaculture Fund) , programs for European Territorial Cooperation (Interreg), direct funding programs of the European Commission (Horizon2020 and Horizon Europe, Life, JPI - Joint Programming Initiatives, ERA-NET Cofund) and thematic collaboration initiatives managed by international organizations such as, for example , the FAO - GFCM (General Fisheries Commission for the Mediterranean). The Institute also develops funded projects in the context of collaborations with private companies in the sectors of the blue economy as well as technology transfer and research results. Research projects, mainly of a collaborative nature, are developed through a wide network of partners that include major Italian and foreign research institutions and universities.

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