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Abstract
Little is known about exposure determinants of acrylamide (AA), a genotoxic food-processing contaminant, in Europe. We assessed determinants of AA exposure, measured by urinary mercapturic acids of AA (AAMA) and glycidamide (GAMA), its main metabolite, in 3157 children/adolescents and 1297 adults in the European Human Biomonitoring Initiative. Harmonized individual-level questionnaires data and quality assured measurements of AAMA and GAMA (urine collection: 2014–2021), the short-term validated biomarkers of AA exposure, were obtained from four studies (Italy, France, Germany, and Norway) in children/adolescents (age range: 3–18 years) and six studies (Portugal, Spain, France, Germany, Luxembourg, and Iceland) in adults (age range: 20–45 years). Multivariable-adjusted pooled quantile regressions were employed to assess median differences (β coefficients) with 95% confidence intervals (95% CI) in AAMA and GAMA (µg/g creatinine) in relation to exposure determinants. Southern European studies had higher AAMA than Northern studies. In children/adolescents, we observed significant lower AA associated with high socioeconomic status (AAMA:β = − 9.1 µg/g creatinine, 95% CI − 15.8, − 2.4; GAMA: β = − 3.4 µg/g creatinine, 95% CI − 4.7, − 2.2), living in rural areas (AAMA:β = − 4.7 µg/g creatinine, 95% CI − 8.6, − 0.8; GAMA:β = − 1.1 µg/g creatinine, 95% CI − 1.9, − 0.4) and increasing age (AAMA:β = − 1.9 µg/g creatinine, 95% CI − 2.4, − 1.4; GAMA:β = − 0.7 µg/g creatinine, 95% CI − 0.8, − 0.6). In adults, higher AAMA was also associated with high consumption of fried potatoes whereas lower AAMA was associated with higher body-mass-index. Based on this large-scale study, several potential determinants of AA exposure were identified in children/adolescents and adults in European countries.
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1 FISABIO-Public Health, Foundation for the Promotion of Health and Biomedical Research in the Valencian Region, Valencia, Spain (GRID:grid.428862.2) (ISNI:0000 0004 0506 9859)
2 Medical University of Vienna, Center for Public Health, Department of Environmental Health, Vienna, Austria (GRID:grid.22937.3d) (ISNI:0000 0000 9259 8492)
3 VITO Health, Flemish Institute for Technological Research (VITO), Mol, Belgium (GRID:grid.6717.7) (ISNI:0000 0001 2034 1548)
4 Public Health Directorate of Valencia, Valencia, Spain (GRID:grid.6717.7); University of Valencia, Department of Analytical Chemistry, Burjassot, Spain (GRID:grid.5338.d) (ISNI:0000 0001 2173 938X)
5 RWTH Aachen University, Institute for Occupational, Social and Environmental Medicine, Medical Faculty, Aachen, Germany (GRID:grid.1957.a) (ISNI:0000 0001 0728 696X)
6 German Environment Agency (UBA), Dessau-Roßlau, Berlin, Germany (GRID:grid.425100.2) (ISNI:0000 0004 0554 9748)
7 National Institute of Health Doutor Ricardo Jorge, Department of Epidemiology, Lisbon, Portugal (GRID:grid.422270.1) (ISNI:0000 0001 2287 695X); Universidade NOVA de Lisboa, Comprehensive Health Research Center, Lisbon, Portugal (GRID:grid.10772.33) (ISNI:0000 0001 2151 1713); Universidade NOVA de Lisboa, Public Health Research Centre, NOVA National School of Public Health, Lisbon, Portugal (GRID:grid.10772.33) (ISNI:0000 0001 2151 1713)
8 Laboratoire National de Santé (LNS), Dudelange, Luxembourg (GRID:grid.419123.c) (ISNI:0000 0004 0621 5272)
9 Luxembourg Institute of Health (LIH), Human Biomonitoring Research Unit, Department of Precision Health, Strassen, Luxembourg (GRID:grid.451012.3) (ISNI:0000 0004 0621 531X)
10 University of Iceland, Department of Pharmacology and Toxicology, Reykjavík, Iceland (GRID:grid.14013.37) (ISNI:0000 0004 0640 0021)
11 University of Iceland, Faculty of Food Science and Nutrition, School of Health Sciences, Reykjavík, Iceland (GRID:grid.14013.37) (ISNI:0000 0004 0640 0021)
12 Norwegian Institute of Public Health, Oslo, Norway (GRID:grid.418193.6) (ISNI:0000 0001 1541 4204)
13 University of Trieste, Ospedale di Cattinara, Department of Medicine, Surgery and Health Sciences, Trieste, Italy (GRID:grid.5133.4) (ISNI:0000 0001 1941 4308)
14 Friuli Venezia Giulia Region, Central Directorate for Health, Social Policies and Disability, Trieste, Italy (GRID:grid.5133.4)
15 Santé Publique France, SpFrance, Saint-Maurice, France (GRID:grid.493975.5) (ISNI:0000 0004 5948 8741)
16 Friedrich-Alexander-Universität Erlangen-Nürnberg, Institute and Outpatient Clinic of Occupational, Social and Environmental Medicine, Erlangen, Germany (GRID:grid.5330.5) (ISNI:0000 0001 2107 3311)
17 UK Health Security Agency, London, UK (GRID:grid.5330.5)
18 VITO Health, Flemish Institute for Technological Research (VITO), Mol, Belgium (GRID:grid.6717.7) (ISNI:0000 0001 2034 1548); University of Antwerp, Department of Biomedical Sciences, Antwerp, Belgium (GRID:grid.5284.b) (ISNI:0000 0001 0790 3681)
19 Karolinska Institutet, Unit of Cardiovascular and Nutritional Epidemiology, Institute of Environmental Medicine, Stockholm, Sweden (GRID:grid.4714.6) (ISNI:0000 0004 1937 0626)